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Active growth and development monitoring for early detection growth gaps (malnutrition or poor nutritional status, short children), developmental growth gaps (speech delays) and mental and emotional distortions of children (concentration disorders and hyperactivity). The purpose of this community service is to increase public knowledge about normal toddler growth and development, educate mothers about the importance of stimulating toddler growth and development. A survey conducted by the Community Service team, especially mothers with young children, said the lack of education was caused by the posyandu, especially in terms of toddler growth and development. How to spread this service with discussions, questions and answers, and checking the weight of toddlers. The service is carried out at the Connectrejo Village Hall with secondary targets for mothers who have toddlers. After the counseling activities, participants understand how to monitor the growth and development of toddlers and can monitor the ideal weight of toddlers.

Heart failure is a pathophysiological condition where the heart's function as a pump is no longer able to meet the need for blood throughout the body for tissue metabolism (Price, 2015). This situation causes a decrease in cardiac output which can cause comfort problems based on clinical manifestations such as tightness, pain, heart palpitations, a feeling of coldness in the peripheral area, even swelling, muscle stiffness, numbness, and other subjective feelings felt by the patient himself. is defined as a disturbance of comfort because it is difficult for someone to determine the feeling they are experiencing so that the use of the word comfort is more appropriate to describe the feelings experienced by the patient so it is appropriate that in this condition there is a disturbance of comfort in the patient (Potter & Perry, 2014). The aim of this study was to determine the effect of hydro-aromatherapy on comfort in Heart Failure patients. This research method is a quasi-experimental pre test and post test with two groups, namely the intervention and control groups. Research data collection was carried out during September 2023 at the Integrated Heart Center (PJT) RSUP.H. Adam Malik Medan. The number of respondents with a diagnosis of CHF that met the study inclusion and exclusion criteria was 32 patients. In the intervention group, they were given a warm water foot soak mixed with aromatherapy oil, while in the control group they only soaked their feet in warm water. Measurement of comfort level uses the "daisy comfort scale" or the numerical daisy comfort intensity scale (Kolcaba, 2000). The results of this study showed that there was a significant difference in effect on increasing comfort levels (p<0.005) in the intervention group by soaking feet in warm water mixed with aromatherapy oil (p=0.000). Conclusion: The results of this study indicate that soaking feet in warm water mixed with aromatherapy oils in heart failure patients can increase comfort.

Research on the Identification of Drug Related Problems (DRPS) has been carried out in Congestive Heart Failure (CHF) patients at the Outpatient Installation of RSUD dr. Soekardjo City of Tasikmalaya used a descriptive method of medical record data of CHF patients retrospectively. This study aims to determine the frequency and categories of DRPs that occur based on the Pharmaceutical Care Network Europe V9.0 classification. The results showed that out of 80 patients, 288 DRPs were found consisting of 4 symptoms (indications) that were not treated (1.4%), adverse drug events may occur as much as 1 event (0.3%), inappropriate drug combinations or drug interactions as many as 279 events (96.9%), and the dose was too high in 4 incidents (1.4%), so that it can be concluded that the categories of causes and problems of DRPs that most often occur in RSUD dr. Soekardjo City of Tasikmalaya in 2022, namely drug interactions.

So it very well may be gathered that the land enlistment action interestingly brought about a declaration of confirmation of rights as an authentication of land allocates as of now have rights and a testament of proprietorship rights to condo units. Revelation is a validation of proof of rights as implied in Article 19 Paragraph (2) letter c of the UUPA for land rights, the chiefs rights, waqf rights, property rights over space units and security rights, all of which has been recorded in the land book concerned. ATR/BPN 1/2021 specifies that the execution of land enrollment which incorporates land enlistment interestingly and upkeep of land enlistment information should be possible electronically which will later be for this situation, the execution of land enrollment like estimating, planning, and clearing is as yet dependent on Article 19 section 2 of the UUPA, just the authoritative land enrollment testament delivered alludes to Permen ATR/BPN Number 1 of 2021 so this electronic land authentication doesn’t cancel or supplant the capacity of customary land endorsement (paper) which can likewise be a legitimate lawful proof of land proprietorship in the legal interaction. Both electronic and traditional testaments have a similar situation under the watchful eye of the law or can turn out to be lawfully substantial proof dependent on Article 5 passage 2 of the ITE Law.

Hypertiroidism that continues into a thyroid storm is one of the rarest complication to be found in Indonesia. The pathogenesis of thyroid storm hasn’t been identified, but this condition is suspected as a result of the free thyroid hormones that escalates after a thyroidectomy or I-131 therapy, infection, acute stress, non-tiroid surgery, parturition, and overmanipulated thyroid glands. Thyroid storm is an emergency condition that can happened to a hyperthyroidism patients that needs a specific and fast management. If this condition is being treated correctly, the mortality rate of patient could be decreased, therefore a case of a 63 years old woman with the loss of consciousness with hyperthyroidism goiter node as the trigger factor that leads into a thyroid storm, happens with a congestive heart failure and pneumonia. The assessment with Burch-Wartofsky obtained a score of 55, then treated with the right diagnostic assessment and treatment. After the treatment, that patient’s condition was getting better day by day, but the patient’s family later decided to bring the patient home in the third day of treatment.

A 63 year old male patient came to the emergency room with complaints of weakness since 5 days of SMRS. Complaints are accompanied by nausea, vomiting, pain throughout the stomach, and liquid bowel movements. The patient also complained of low back pain that spread to both legs and made it difficult to walk. The patient also feels that he is urinating a little and seems to be stuck. Two weeks ago the patient had a fever accompanied by a cough. On physical examination, BP 90/60 mmHg, HR 111 x/minute, RR 20 x/minute, BMI 20.3 kg/m2, suprapubic area tenderness, right CVA tapping pain. Investigations Hb 11.73 g/dl, urea: 73 mg/dl, creatinine: 3.45 mg/dl, tubex: negative, dengue Ig M: negative, dengue Ig G: positive. Abdominal ultrasound examination revealed multiple nephrolithiasis dextra. On chest X-ray examination, there was an increased bronchovascular pattern, an air bronchogram (+) with an impression of bronchitis. The finding of multiple nephrolithiasis dextra indicates that the patient's kidney failure is chronic in nature, however, DHF that is not treated properly causes worsening of kidney function, giving rise to the condition of ACKD.

Congestive heart failure (CHF) is a clinical syndrome (a collection of signs and symptoms) characterized by dyspnea and fatigue (at rest or during activity) due to abnormalities in the structure and function of the heart. CHF can be caused by diseases that cause reduced ventricular filling (diastolic dysfunction) and/or myocardial contraction (systolic dysfunction). The purpose of this study is so that the authors are able to perform Nursing Care for Decreased Cardiac Output in Congestive Heart Failure (CHF) Patients. used is a case study, this research is descriptive in the form of a case report which is a nursing analysis. This research was conducted from 26 December 2022 - 07 January 2023, with a total sample of 3 respondents. The case data showed that the three patients had a history of hypertension, 1 patient with a history of Diabetes Mellitus, 2 patients had a Medical Diagnosis of Congestive Heart Failure (CHF) and 1 patient had a Medical Diagnosis of Hypertensive Heart Disease (HHD). The three patients had the same cardiac EKG, namely Arrhythmia, 2 patients had results of Photo Thorax Cardiomegaly and All patients had a weak general condition with Composmentis awareness. With the appointment of a nursing diagnosis of Decreased Cardiac Output. The three patients had a history of the same disease, namely hypertension and 1 patient had diabetes mellitus and used the nursing diagnosis of decreased cardiac output.

Artikel bermaskud mengais hikmah pendidikan islam dalam luka di atas derita, studi kasus pria india ditolak calon mertua, dengan melihat kasus spesifik dan dicari solusinya. Penelitian termasuk jenis kualitatif dalam setting  library research dikupas content analysis. Kesimpulan: kasus pria asal India bernama Asib Ali Bhore melamar pujaan hatinya Syarifah Khaerunnisa, wanita asal Sulawesi Selatan yang kemudian lamarannya ditolak orang tua si wanita merupakan perihal menyakitkan bagi si pria melihat realitas ia merupakan anak tunggal yang menjadi tulang punggung keluarga dan telah mengahbiskan banyak biaya demi datang ke Indonesia. Dari kasus ini terdapat pendidikan Islam, bahwa lamaran ditolak merupakan kewajaran, dimana hal tersebut belum mengikat secara syariat. maka dari itu, diperlukan langkah bijak menyikapi kegagalan menikah dengan menguatkan pikiran dan tindakan positif supaya tidak terperangkap dalam kekecewaan, sebaliknya menatap masa depan dengan nyaman dan bahagia. Implikasi penelitian, lamaran bukanlah ikatan sakral, maka sikap kecewa perlu dijauhkan agar tidak jatuh pada sikap negatif berlebihan.