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Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its significance, ensuring a more objective and systematic approach to patient recovery monitoring. This educational program involves a structured training session for healthcare workers, distribution of educational materials such as brochures and manuals, and evaluations both before and after the intervention to assess changes in knowledge and application. The results of the program indicate a significant increase in healthcare professionals’ understanding of how to apply the Bromage Score and improved quality in the monitoring of patient mobility after spinal anesthesia. The consistent and accurate implementation of the Bromage Score is crucial as it helps medical personnel determine an appropriate and safe time for patient mobilization, thus reducing the risk of complications such as falls, orthostatic hypotension, or delayed recovery. As a result, the program is recommended as a standard practice in healthcare settings to improve post-spinal anesthesia recovery outcomes and patient safety.

Making evening party dresses that must be considered is the pattern. Patterns are used as examples to avoid mistakes when cutting fabric. Pattern making must be adjusted to the size of the body shape of the clothing model. Patterns are very influential on the results of the clothes that will be made, therefore this study uses two different types of pattern techniques, namely draping pattern techniques and construction pattern techniques. This study aims to determine which pattern technique is good for making evening party dresses. This research uses the R&D (research and development) method or can be called research and development. The trial results show that using the draping pattern is more efficient than the construction pattern technique. The practical construction pattern technique has a weakness at the waist, namely the location of the waist that rises from the original waist. After making an assessment through the validator, the author makes evening party dresses using the pattern technique that has the highest value. The making of evening party dresses uses two pattern techniques, namely on the body pattern using a draping pattern technique and on the skirt using a construction pattern technique.

Background: Diabetes Mellitus is a disease with high levels of glucose (simple sugar) in the high blood because the body can not release or use insulin adequately. One complication that is feared by people with Diabetes is Diabetic Foot or Diabetic Gangrene. This research aims to determine the behavior of patients with diabetes mellitus in the prevention of diabetic foot in room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital. Methods: Types of research used in this research is descriptive survey approach. Sample of the study are 40 patients with diabetes mellitus hospitalized in the room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital using consecutive sampling technique. Data is collected in the period March to May 2012 by filling out a questionnaire about behavioral prevention of diabetic foot. Results: The results of data analysis showed that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot based on education level, age, gender and occupation. From the 40 respondents there were: 55% of the level of knowledge good, 80% good attitude, 70% good actions and 67,5% good actions in the category of good behavior. Conclusion: It can be concluded that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot is in a good category with the factors assessed including knowledge, attitudes, and actions.Keywords : Diabetes mellitus; diabetic foot; behavioral

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.

Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

Pregnancy can cause the body to be very susceptible to low hemoglobin levels, which during pregnancy require sufficient iron for the body. If the body loses iron, anemia will occur, because the body requires the intake of foods that contain iron. Anemia itself where the value of the hemoglobin level is less than the normal value or below the normal value. So if a pregnant woman has a hemoglobin level below the normal value, she will be prone to anemia. The risk of anemia during pregnancy can occur in the fetus because it can affect the growth and development of the fetus and baby, as well as babies born prematurely or with reduced body weight. Dates are a fruit which contains many benefits for the body, one of which is to prevent anemia. The content of the date palm itself contains nutrients for the body such as protein, vitamin A, vitamin C, thiamine, ribovalfin, nicotinic acid, and iron. To determine hemoglobin levels in pregnant women before and after giving dates. The research method used this time was preexperimental with a one-group pre-test post-test research design. While the examination using the cyanmethemoglobin method. The results of the study of hb levels before being given dates with an average result of 11.94 and after being given dates the average result was 12.65 which showed an increase in hb levels. Data analysis using the Paired Sample Test statistical test obtained the results of sig (2 tailed) of 0.207 or > 0.05. From the results of the statistical analysis of the Paired Sample Test, it can be said that Ho is accepted, which means that there is no significant effect on the administration of dates on hemoglobin levels before and after.  

Management of medical actions carried out in handling patients who are ODP (people under monitoring), OTG (asymptomatic people), PDP (patient under monitoring) and positive Covid-19 patients is carried out based on assumptions, such as self-isolation, hospitalization, or special treatments in the ICU (Intensive Care Unit) room. The condition of the body in each patient is different, a patient may have same symptoms but the treatment is different, especially in elderly patients. Many problems occur in determining medical action because the patient's body condition is different. Therefore, it needs to be appointed as a research. The research method used in this study was Nive Bayes algorithm with supporting application Rapid Miner. It was applied to carry out the process of testing on patient data as much as 500 data, 25 variables or patient symptoms and 3 outputs as a form of medical action. Based on the results of the analysis carried out in this study, prediction of medical actions for ODP, PDP, OTG and positive Covid-19 patients were obtained by comparing training data with testing data using Rapid Miner application. It resulted that an accuracy rate of 76.00% was obtained

This research was carried out by comparing the DS18B20 sensor and the MLX 90614 sensor to detect the accuracy of detecting human body temperature which is used to detect Covid 19 symptoms. In this experiment, 10 trials were carried out with different human segments detected using the sensor. In the experiment, it was found that the MLX90614 sensor is more suitable to be used for development with an IoT-based system because it does not need to come into contact with the skin of the human body. The MLX90614 sensor will detect the temperature and change it to one Celsius unit then send it to the firebase database which will then be picked up by the android application which is held by the security officer so that the temperature can be known remotely. When the temperature is more than 38.5 Celsius it will turn on the buzzer sound which can be heard from a distance which indicates the temperature is above 38.5 Celsius and on android will also display a danger sign

Background: Obesity is a pathological condition due to excessive fat accumulation than is needed for body function. Pregnant women with overweight and obesity are at high risk and have been shown to be associated with increased complications in pregnancy. Cesarean section is a surgery to deliver a fetus by opening the abdominal wall and uterine wall. Generally, in cesarean section, spinal anesthesia is performed. Objective: to determine the hemodynamic picture of obese caesarean section patients with spinal anesthesia. Method: The method used is observational analytic with a cross-sectional approach and consecutive sampling technique. Data analysis uses parametric statistics. The data in this study are the results of differences in obese and non-obese patients. Data collection techniques in this study include documentation and observation. Results: The pre-anesthesia results obtained an average systolic blood pressure = 138.31 ± 17.528, an average diastolic blood pressure = 82.54 ± 10.643 and an average pulse of 100.69 ± 15.315, while the results after 5 minutes obtained an average systolic blood pressure of 105.31 ± 12.572, an average diastolic blood pressure of 61.15 ± 11.753 and an average pulse of 99.54 ± 18.963. Conclusion: Changes in blood pressure and pulse before spinal anesthesia with after spinal anesthesia in obese patients undergoing cesarean section showed a decrease in blood pressure and pulse in the 5th minute after injection.

Diabetes Mellitus (DM) is a chronic disorder of the body's metabolism due to the hormone insulin in the body which cannot be used effectively in regulating blood sugar balance thereby increasing the concentration of sugar levels in the blood (hyperglycemia). The purpose of this study is to be able to understand diabetes mellitus and practice diabetic foot exercises in order to minimize tissue damage. Health education about diabetes mellitus and diabetic foot exercises can increase the knowledge of Karangjongkeng villagers to try their best to prevent more severe diabetes mellitus, namely tissue damage. Health education to residents can increase the knowledge and skills of diabetic foot exercises in preventing diabetes mellitus.

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

Blood is an important component of the human body, therefore the supply of blood at the Indonesian Red Cross must be maintained. In the era of the Covid-19 pandemic that hit Indonesia, the amount of blood supply at the Indonesian Red Cross decreased. Seeing this condition, lecturers and students from the Management Program of the Universitas Islam Batik Surakarta initiated blood donation activities to the community with the aim of providing education and socialization of the importance of blood donation in the pandemic era, increasing the number of blood bags, humanitarian efforts to help others and a concrete manifestation of the implementation of community service as one of the Tri Dharma of Higher Education. The activity was held on October 14, 2020 at the Keluarahan Tipes, Serengan with health protocol and 3M principles. Participants who registered were 28 participants, who qualified as donors as many as 25 participants. The amount of blood that was collected was as many as 25 bags. The result, the event can run smoothly and orderly and it is hoped that this activity can be held regularly.

The elderly are a group of people who are vulnerable to degenerative diseases such as hypertension, diabetes mellitus, and others. The causes include a lack of knowledge about healthy diet and the lack of health checks. The purpose of this community service activity is to improve the quality of life of the elderly in Kelurahan Utama of South Cimahi by socializing healthy diets and conducting health checks. Media used for healthy diet counseling are power points, videos, and posters. Health examinations conducted include measurements of body mass index, blood pressure, blood glucose levels, triglycerides, total cholesterol, and uric acid. The results of the health examination showed quite a lot of elderly people who suffer from degenerative diseases. Through this activity, the elderly in Kelurahan Utama of South Cimahi gained knowledge about healthy diet in order to avoid various diseases and know the disease that is being experienced so that they can immediately undergo proper treatment.

Monitoring realizes efforts to improve the quality of health services. To obtain information on patient condition data during treatment. The monitoring process is done manually. So that it has an impact on the service and condition of the patient during treatment. The design of monitoring the patient's body temperature and heart during treatment with IoT can be controlled through the NodeMCU sensor ESP8266, MLX9014, MAX30100 sensor and Arduino IDE software program. Furthermore, it can detect the patient's temperature and the patient's heart rate during treatment. And processed by the NodeMCU ESP8266, the data from the two sensors is displayed on the SSD1306 OLED LCD and also to the smartphone of the medical officer on duty via Blynk. In order for the tool to work properly and optimally, it is necessary to adjust the pin placement so that it can work optimally. The problem of internet connection interference causes delays, resulting in a mismatch between the measurement of the test equipment and the standard tool. Data values are taken with an accuracy of 70%-93% for the MAX30100 sensor, for the temperature sensor it is close to optimal with a value that is read on a standard tool with an accuracy of 97%-99%.

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).     

Osteoarthritis is a group of rheumatic diseases that most often causes joint disorders, causes pain and disorders in the elderly which generally attacks weight-bearing joints, especially the knee joints. Being overweight can cause damage to joint cartilage. populations with overweight or obesity have greater risk factors for knee osteoarthritis than populations with normal negative weight. excess body weight can reach four to five times greater, thereby accelerating damage to joint cartilage structures. The purpose of this study was to find out the relationship between obesity and knee osteoarthritis in the Working Area of the Batu Aji Health Center, Batam City in 2020. The type of research was analytic with a cross-sectional design, using purposive sampling by looking at secondary data. There were 67 respondents in this study. The results of this study obtained the results of the statistical test chi suare p value = 0.001 (0.05), this indicates that there is a significant relationship between obesity and the incidence of knee osteoarthritis in the elderly in the Batu Aji Health Center Work Area, Batam City in 2020. It is recommended for the elderly to can do physical activities such as gymnastics, morning walks and consume foods and drinks rich in calcium such as milk and fruits in order to maintain bone health in the elderly

The Relationship between Work Shift and Work Fatigue in the Emergency Room Nurses and the Ward Room of RSUD Piru, West Seram Regency in 2020. Therefore, shift work every day, namely the morning shift starting at 08.00-17.00 WIT while the night shift starts at 17.00-08.00 WIT. The health of nurses is very important so that health services in the community can be optimal, considering that nurses are human resources who play an important role in the hospital for 24 hours. And one of the efforts to improve the quality of service with work shift regulations. Work shifts need to be considered the time or biological clock that corresponds to our body for work accidents. Work fatigue contributes to the occurrence of work accidents caused by fatigue factors. This type of research uses quantitative research with a cross-sectional study design (cross-sectional) where measurement of the variables can be done at the same time so that it is quite effective and efficient. Research subjects were taken 30 nurses from the ER and Ward at PIRU Hospital. The measurement results show the relationship between work shifts and work fatigue of nurses in the ER and Ward there are 8 respondents (26.7%) who have a morning shift schedule and experience fatigue and 7 respondents (23.3%) respondents who have a night shift schedule and do not experience fatigue. The statistical test results show a significant value α <0.003, which means that Ha is accepted by Ho is rejected.  

Elderly can be said to be the final stage of development in the human life cycle. Meanwhile, article 1 paragraph (1), (2), (3), (4) of Law no. 13 of 1998 concerning health states that an elderly person is someone who has reached the age of more than 60 years (Maryam, 2011). A decrease in muscle function and strength will result in a decrease in the ability to maintain postural balance or body balance in the elderly. Joint pain is an inflammation of the joints which is characterized by joint swelling, redness, heat, pain and movement pain. (Santoso, 2009). The type of data used is primary data taken directly from respondents using a questionnaire. The statistical test used is the chi-square test ∝= 0.481. The results of the analysis showed that the majority of elderly people with less experience experienced joint pain (43.5%). The results of the chi-square statistical test obtained p= 0.481, which means there is a relationship between knowledge and activeness of the elderly in doing elderly exercise with the incidence of joint pain in the elderly. Seeing the results of this research, the health workers on duty should provide education about exercise for the elderly and joint pain.    

Puerperal gymnastics is a series of body movements performed by maternal postpartum that aims to restore and maintain muscle strength associated with childbirth. Results of preliminary studies commencing on January to April 2016, there are six post-partum mothers experience postpartum hemorrhage. A puerperal gymnastics counseling to postpartum mothers has been done but not all postpartum mothers doing gymnastics parturition. This is due to postpartum mothers are not unaware that puerperal gymnastics will affect the muscles needs for oxygen, blood flow becomes smooth so it can help the process of health recovery after childbirth. The purpose of this study is to find the effect of puerperal gymnastics to involution of uterus to primipara maternal in Majalaya Hospital Bandung District in 2016. The type of research is a quasi-experimental design with posttest only non-equivalent control group method. Sampling technique in this study using purposive sampling with the number of sample in this study as many as 20 people. From the results, it is found that an average reduction of TFU intervention group is 6.3 cm while the control group is 9.6 cm. Statistical test results of T-Independent Samples Test are t count = 8.222, t table = 1.734 which means t count > t table and sig.t count ρ Value (0.000<0.05) and there are differences in the effect of puerperal gymnastics to the involution of uterus to the primipara maternal in Rose Room of Majalaya Hospital 2016, seen from the decline of TFU between the puerperal gymnastics intervention group and the control group that does not given puerperal gymnastics. Advice for the health workers in the Rose Room is to make SOP of puerperal gymnastics and implement puerperal gymnastics by implementing puerperal gymnastics programs of postpartum mothers which is beneficial to the healing process of self-postpartum.

Immunization is one of intervention to give immune for the baby/child with the procedure input vaccine into the body so the body could make antibody against  to disease spesificly. Immunization services for baby/child at tatinang have not yet reached Universal Child Immunization. It was mean more than 90%  had achieved. They are BCG (50%), DPT (40%), Hepatitis B (20%), Polio (60%) and Campak (10%).  The aim of this research to know sttitude related  to mother’s effort for giving immunization in children at tatinang. This research is analysis description with cross sectional study. All of mothers who have child 12-23 month at tatinang, as respondent have taken by total sampling (30 respondent) and used chi-square with significant level ?=0,055. Result of research has showed that there was relationship between attitude p=0,000. For respondent to more interesting in giving immunization for children base on their ages to protection from some disease