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This study aims to analyze the effectiveness of consumer protection law implementation in Indonesia, particularly through a case study approach on disputes between consumers and business actors. The research employs a qualitative method with normative and empirical juridical approaches. Data were obtained from legal documents, case reports, and interviews with relevant stakeholders. The findings reveal that although consumer protection regulations are comprehensive, their implementation faces challenges, such as low public legal awareness, weak law enforcement, and insufficient support from consumer protection institutions. This study recommend strengthening legal education, increasing the capacity of relevant institutions, and simplifying dispute resolution mechanisms.

A 68-year-old man came to the polyclinic at a type A hospital in West Sumatra with complaints of pain in the right eye since 3 weeks before coming to the hospital. Anamnesis and physical examination were performed on the patient and a diagnosis of phacolytic glaucoma was established. This article aims to report a case of phacolytic glaucoma which is a rare case of secondary open-angle glaucoma.

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.      

Conjunctivitis is an inflammation of the conjunctiva, the mucous membrane covering the back of the eyelids and the eyeball, which can be acute or chronic. This condition is characterized by conjunctival hyperemia, edema, and discharge. Causes of conjunctivitis include bacteria, chlamydia, allergies, viruses, and systemic diseases. The incidence of conjunctivitis varies by age, sex, and season. Although slightly more common in women in emergency departments, the seasonal pattern of conjunctivitis is consistent across regions. Allergic conjunctivitis, which affects 15-40% of the population, is most common in the spring and summer. Bacterial conjunctivitis is most common from December to April. Acute bacterial conjunctivitis is generally self-limited, with symptoms lasting 1-3 days if treated appropriately, but can last 10-14 days if left untreated. Staphylococcal and gonococcal conjunctivitis can lead to chronic complications or serious problems such as corneal perforation. Viral conjunctivitis usually gets worse in 4-5 days and resolves in 1-2 weeks. Complications are rare but can include corneal problems and life-threatening conditions such as meningitis or sepsis.

Fibroadenoma mammae is a benign breast tumor that occurs due to abnormal proliferation of periductal tissue into the lobules, often found in the upper lateral quadrant area due to the highest distribution of glands in this tissue. FAM is commonly experienced by younger women between the ages of 20-40 years, with a median age of 30 years. The clinical appearance of FAM lumps is typically lobulated, mostly 2-3 cm in diameter, with a firm and mobile consistency, without causing inflammatory reactions, skin dimpling, or nipple retraction. In this case, we report an 18-year-old female patient diagnosed with a breast tumor. The history revealed a lump in the left breast that enlarged within 1 month, initially the size of a marble and growing to the size of a quail egg, occasionally causing pain. On physical examination, the lump was palpable, mobile, without tenderness or signs of malignancy. Ultrasound examination showed signs of a benign tumor.  

Tuberculosis is one of the world's health problems, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a complaint of yellowish discoloration of sclera, nausea and vomiting after three days of initiation of ATD therapy. The patient has been diagnosed with Tuberculosis relapse and has been taking ATD since June 2024. The patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and electrolyte imbalance. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and different AT regimens were prescribed.

The handling of the crime of sexual intercourse and molestation of minors is a crucial issue that requires serious attention from various parties. The background of this study is the high rate of sexual violence against minors in the Barelang Police area and the need to evaluate the implementation of victim protection in this context. The purpose of this study is to analyze the implications of victim protection in handling the crime of sexual intercourse and molestation of minors in the Barelang Police, as well as to identify obstacles and efforts made to improve this protection. The research method used is normative juridical through library research using secondary data, and also uses an empirical juridical approach through field research using primary data collected through interviews with law enforcement officials, psychologists, victims, and victims' families. Secondary data was obtained from official documents of the Barelang Police, case reports, and related literature. Data analysis was carried out using qualitative descriptive methods to provide a comprehensive picture of the condition of victim protection and its implications. The results of the study show that although there are serious efforts by the Barelang Police in providing protection to victims, there are several significant obstacles that reduce the effectiveness of these protections. The main obstacles include a lack of adequate psychological assistance, lengthy and convoluted legal processes, a lack of public awareness, and ineffective coordination between related institutions. The implications of these barriers include prolonged psychological suffering for victims, a decline in public trust in the justice system, and a lack of justice for victims. Suggestions given to overcome these obstacles include: capacity building and training of law enforcement officials, education and awareness campaigns in the community, and strengthening victim protection systems and facilities by the government. It is hoped that with the implementation of these suggestions, victim protection can be improved, so that justice and welfare for children victims of sexual violence can be realized more optimally.

Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue  

Chronic kidney failure refers to the decline in kidney’s ability to maintain body fluid balance. Hemodialysis, as a kidney function replacement therapy, is needed to remove toxins and control electrolyte fluids in the body. One of the psychological impacts of hemodialysis is anxiety in patients. One way to reduce patient anxiety levels is by conducting murottal Al-Qur’an therapy. This study uses a case report method and was conducted in the Hemodialysis room of PKU Muhammadiyah Yogyakarta from May 2 to May 9, 2024. Two people with a diagnosis of chronic kidney failure were respondents in this study. The Hamilton Anxiety Rating Scale (HARS) was used as an instrument in this study, which was conducted before and after intervention. The results of the study showed that the respondents’ anxiety scores were in the moderate category (24 and 23) and changed to the mild category with a score of 14 after the application of therapy. This therapy has proven effective in reducing anxiety levels in patients with chronic kidney failure who are undergoing hemodialysis therapy.

Chronic Kidney Failure (CKD) is a progressive and irreversible disease characterized by a decrease in the glomerular filtration rate (GFR). In this disease, uremia impairs the kidney's ability to maintain metabolism and water and electrolyte balance. Fatigue is one of the most common symptoms in patients undergoing hemodialysis which impacts quality of life. Progressive muscle relaxation is a type of non-pharmacological nursing intervention that can be used to treat fatigue in CKD patients undergoing hemodialysis. The aim of this research is to determine the application of progressive muscle relaxation therapy to fatigue in CKD patients undergoing hemodialysis therapy. The research design used is a case report. The instrument used to measure the level of fatigue is the Functional Assessment Chronic Illness Therapy (FACIT) fatigue scale. The intervention was carried out for ten to fifteen minutes over three days in the hospital hemodialysis unit and four days at the patient's home. Evaluation of respondents' level of fatigue was carried out on days 1, 5, and 8. The results of this study showed that the fatigue level score after intervention on day 1 was 16 (severe category), the score on day 5 was 20 (moderate category), and day 8 was 24 (moderate category). It can be concluded that progressive muscle relaxation therapy can reduce fatigue in CKD patients undergoing hemodialysis. The results of this research can be applied independently by nurses for CKD patients undergoing hemodialysis to reduce fatigue levels.

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

The proportion of the elderly population is increasing every year, and the elderly are experiencing various changes, both in physical, mental and social aspects. The elderly are residents aged over 60 years. Elderly people often experience various psychological problems such as loneliness, isolation, helplessness, lack of self-confidence, post-power syndrome, anxiety disorders and depression. Depression is a mood disorder that can cause prolonged feelings of sadness and persistent loss of interest, characterized by prolonged sadness, mood swings, and lack of interest in activities. The tool used to measure the level of depression in this case report uses the GDS (Geriatric Depression Scale) instrument. In this case report, the results of an assessment of one 66 year old client were obtained with a GDS score of 11 which indicated moderate depression. Management of depression can use pharmacological or non-pharmacological therapy. This case report refers to the Indonesian Nursing Intervention Standards (SIKI) using progressive muscle relaxation (ROP). The ROP intervention was carried out at BPSTW Abiyoso Wisma Talkondo for seven days with three evaluations. The results obtained were that the client experienced a decrease in the level of depression with a score of 5, namely mild depression. It can be concluded that ROP is effective in reducing depression levels in the elderly.

The most serious and chronic mental disorder is schizophrenia. Schizophrenia sufferers often have limitations that greatly affect the performance of daily activities, one of which is carrying out self-care. Increasing independence from self-care deficit problems can be overcome with non-pharmacological management, one of which is occupational therapy. Occupational therapy intervenes in limitations by seeking greater autonomy of the patient through certain activities. The aim of the case study is to determine the effect of occupational therapy on the patient's level of independence in the intensive care unit. The method used is a case study with a nursing care approach. A case study was conducted at a mental hospital in 2024 involving a 56 year old patient. The instrument used was the Activity of Daily Living questionnaire. Occupational therapy was carried out for 12 days. The results of the study showed that there was an increase in the level of independence in carrying out self-care from a score of 10 to 17 and a decrease in signs of self-care deficit symptoms in patients from 9 to 2. Based on the results, it can be concluded that occupational therapy can increase the level of independence and reduce signs of deficit symptoms patient self-care.  

Introduction: Mother's milk (ASI) is a very good nutritional intake for newborn babies. Natural breast milk produced by mothers has important nutrients for babies. Breast milk contains various microbial materials. Nutrition for mothers who are breastfeeding must be given optimally. Oxytocin massage is a non-pharmacological technique that functions to overcome substandard breast milk production. Objective: This study aims to determine the effect of breastfeeding education on breast milk production. Method: This research uses a descriptive observational method using a case study method approach. The subject used was a postpartum mother patient with breast milk production problems in the NICU room at Dr. Tjitrowardojo Hospital, Puroworejo. Data collection was carried out by interviewing Mrs. V and also looked at the medical records in the PICU/NICU room using the neonate assessment format developed by the UMY FKIK Nurse Professional Education. Results: After being given intervention for 5 days, there was an effect of breastfeeding education on breast milk production. Conclusion: Breastfeeding education can influence breast milk production.

Background: Increased oxygen reliance within the first 24 hours, no illness symptoms, typical radiological findings with lower air content, pulmonary reticulogranular pattern, and air bronchogram are all associated with respiratory distress syndrome, or RDS. Body weight and gestational age have an inverse relationship with the occurrence of RDS. RDS affects 15–30% of newborns born between 32 and 36 weeks and 60–80% of babies born less than 28 weeks. Although it is uncommon, RDS can develop after 36 weeks or term; alternative diagnosis should be explored. Objective: To determine the effectiveness of kinesthetic tactile stimulation therapy and murrotalAl Quran therapy in babies diagnosed with respiratory distress syndrome. Method: This type of research is descriptive research using a case study method approach. Results: The results of the nursing intervention that was carried out in the form of giving kinesthetic tactile stimulation therapy to babies for 5 consecutive days which were carried out for 20 minutes showed that there were changes in oxygen saturation, pulse and breathing became more stable than before the intervention was given.

Background: LBW babies face difficulties adapting to life outside the womb because their organs, such as the lungs, heart, kidneys, liver and digestive system, are not fully mature. The neonatal period is the most vulnerable period for a baby's survival, and one of the causes of newborn deaths is asphyxia. One of the complementary therapy techniques that can be used to increase saturation and hemodynamics in LBW babies is music therapy and murrotal therapy. Research method: The research method used in the intervention is a case report using the intervention method. The research was carried out in the NICU room at Tjitrowardojo Regional Hospital, Purworejo, when the research was carried out on 01-05 May 2024. The research participants were one neonate patient with a diagnosis of LBW accompanied by asphyxia. Oxygen saturation measurements were carried out before and after Murottal Surat Ar-Rahman Therapy was given. Results: After being given the Murotal Al-Qur'an Surah Ar-rahman therapy intervention within 30 minutes for five days, there was an increase in oxygen saturation in LBW babies with asphyxia on the first day from 88% to 93%, and on the fifth day there was an increase in oxygen saturation from 99 % becomes 100%.Conclusion: Murottal Al-Qur'an Surah Ar-Rahman therapy has a positive effect on oxygen saturation in patients with LBW accompanied by asphyxia

Congestive Heart Failure (CHF) is a condition where the heart function is disturbed and is unable to pump enough blood that causes the heart to not provide oxygen to meet the needs of the tissue so that the patient experiences shortness of breath or dyspnea. Objective: To implement a nursing intervention for providing a Semi-fowler position to increase the oxygen saturation on the Congestive Heart Failure patient with dyspnea. Method: This study was a case report (case report) with nursing intervention providing Semi-fowler position, was carried out for 3 times on different days. Results: The oxygen saturation before granted a semi-fowler position on the first and second observations were 94% then on the third observations were 95%. Later after 3 times provided a semi-fowler position, the oxygen saturation up to 98% at the first-time observation and 99% at the second and on the third observation. Conclusion: there is an increase in oxygen saturation on the Congestive Heart Failure patient with dyspnea after 2 times given a semi-fowler position on a different day.

Background: Head injury is a pathophysiological event that occurs after trauma to the head which can cover every part of the head consisting of the scalp, bones and brain tissue or all the organs in the head. Objective: To determine the effect of providing Head Up 30⁰ position on the comfort level of head injury patients. Method: The method in this research is to use a case report with the nursing intervention of providing a Head Up 30⁰ position to the comfort level of head injured patients, carried out for 4 observations every 15 minutes. Results: From the results of the research, nursing intervention was carried out, namely by providing Head Up 30⁰ position for 4 observations every 15 minutes. The results showed that there was a change in comfort level before and after Head Up 30⁰ position was carried out. Conclusion: Based on the results of research conducted by researchers regarding the effect of providing Head Up 30⁰ position on the comfort level of head injury patients in instalation emergency RSUD Tidar, Magelang City obtained from the results of case study research through intervention, it can be concluded that  Head Up 30⁰ therapy has an effect on changes. comfort level of mild to moderate head injury patients with changes in oxygen saturation values increasing, intracranial pressure decreasing, and pain scale decreasing.    

Down syndrome (DS) is a physical disorder caused by an excess of the third chromosome in the 21st pair of chromosomes which causes the number of chromosomes to become 47. One of the symptoms of Down syndrome is muscle weakness which can affect the baby's reflexes. To assess the effect of baby massage intervention on the reflex development of babies with Down syndrome in the NICU. The method used in this research is a case study with baby massage intervention for Down syndrome patients in the NICU. The intervention was carried out for 3 days. Baby massage intervention is carried out once a day with a duration of 10 -15 minutes. The results of this case study show that after baby massage there were changes in the palmar grasp reflex and Babinski reflex. Baby massage can improve babies’ reflexes particularly palmar and Babinski reflexes on babies with Down syndrome in the NICU.

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP.  Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.