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Ectopic pregnancy can be interpreted as a pregnancy that occurs outside the uterine cavity. If this ectopic pregnancy ruptures, it is called a disturbed ectopic pregnancy. There are several factors that cause ectopic pregnancy such as a history of previous ectopic pregnancy, a history of tubal damage, a history of previous Salphingitis infection. In this case, a 27-year-old woman with a gestational age of 8-9 weeks came with complaints of bleeding from the birth canal and accompanied by severe pain in the lower abdomen that spread to the anus which had been felt for approximately the last 2 weeks. The patient underwent exploratory laparotomy. The patient's condition improved after the procedure and hospitalization, the patient was allowed to go home on the condition of a weekly check-up to evaluate the post-operative condition.

The impact of hospitalization on children is anxiety. To reduce this, it can be done by applying atraumatic care, which focuses on family-centered care in carrying out nursing actions. This study aims to determine the relationship of the application of atraumatic care to anxiety in children experiencing hospitalization at Pertamedika Ummi Rosnati Hospital Banda Aceh. This type of research is quantitative with a correlation study analytic design. Data collection was carried out on 5 to 26 July 2024. The population in the study were all children admitted to Pertamedika Ummi Rosnati Hospital Banda Aceh and a sample of 33 respondents with sampling techniques using purposive sampling. Data analysis using chi square test showed there was a relationship between the application of traumatic care and anxiety in children at Pertamedika Ummi Rosnati Hospital Banda Aceh with a p value of 0.000 (p <0.05). So it can be concluded that there is a relationship between the application of atraumatic care and anxiety in children who experience hospitalization. It is expected that parents know how to care for children while hospitalized so that children do not experience anxiety.

Preschool children have weak immunity, which causes children to get sick easily and receive hospital treatment which causes anxiety due to hospitalization. Anxiety results in fear of new environments, frequent crying, being spoiled, aggressive, depression and even causing trauma. Playing at preschool age is an important activity, playing by matching pictures can influence a person's feelings by stimulating the nervous system in the brain to regulate emotions. This research uses a descriptive case study. The research subjects were three people, the data collection instrument was carried out using the FIS (Faces Image Scale) scale observation sheet. After being given play therapy, the results were obtained on the first day at F before being given the intervention, the anxiety scale was 4, after being given the intervention, the anxiety scale was 4, A anxiety before 5 and after 4, S anxiety before 4 and after 4. On the second day, F anxiety before 4 and after 3, A anxiety before 4 and after 3, S anxiety before 4 and after 3. The third day F anxiety before 3 and after 2, A anxiety before 3 and after 2, S anxiety before 3 and after 2. After intervention for 3 consecutive days, it can be concluded that providing picture-matching play therapy to preschool children can reduce hospitalization anxiety. Parents should continue to meet children's play needs by inviting children to play and facilitating games according to what the child likes, and nurses are expected to focus on modifying children's play.

Hypothermia is a common complication following spinal anesthesia, which can lead to more severe consequences if not detected and treated early. Early detection of hypothermia is essential for preventing additional complications, such as cardiovascular instability, delayed recovery, or prolonged hospitalization. This study aims to analyze the effectiveness of providing health education in improving the early detection of hypothermia among patients after spinal anesthesia at Gemolong Regional Hospital. The research utilized a quantitative approach, applying a pre-experimental one-group pre-test and post-test design to measure the impact of the intervention. A total of 15 patients who underwent spinal anesthesia were selected as respondents and were provided with health education on recognizing the signs, risks, prevention, and treatment of hypothermia. Health education sessions were conducted through interactive presentations and written materials, emphasizing practical knowledge that could be directly applied by healthcare staff and patients. The primary data collection tool involved pre-test and post-test assessments to measure the participants' understanding of hypothermia and its management. The results indicated a significant improvement in the patients' understanding of hypothermia after receiving the health education. The average score of the post-test was noticeably higher than the pre-test, suggesting that the education effectively increased awareness and preparedness for early detection of hypothermia. This finding emphasizes the importance of integrating health education programs into clinical practice, especially for patients undergoing spinal anesthesia, to enhance early detection and reduce the risks of complications related to hypothermia.

Based on the International Diabetic Federation (IDF), in 2017, the number of people suffering from DM in Indonesia was 10.3 million people, Indonesia was ranked 6th with the highest number of DM patients. Foot ulcers are often the main cause of hospitalization in DM patients, and DM is the main cause of lower extremity amputation in non-traumatic cases. Currently, Indonesia does not yet have a consensus for the management of diabetic foot infections. Management of diabetic foot infections currently uses guidelines from the Infectious Disease Society of America (IDSA) and the International Working Group of Diabetic Foot (IWGDF) for empirical selection of antibiotics. The basic principles of healing diabetic ulcers are adequate arterial perfusion, proper control of infection, and offloading the ulcer area. Empirical selection of antibiotics often coincides with inadequate information regarding microbiological patterns. Choosing an antibiotic with a spectrum that is too narrow will cause pathogens to be overlooked in infections which are often caused by polymicrobial, and cause clinical deterioration in the patient. Unnecessary selection of broad-spectrum antibiotics can contribute to the increasing problem of antibiotic resistance. Mild and moderate infections can be given antibiotics with a narrower spectrum. Severe infections require parenteral administration to reach therapeutic levels immediately.