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Healthcare Associated Infections (HAIs) are serious occurrences and problems that are often found in all hospital facilities. HAIs cause extended hospitalization, permanent disability, increased treatment costs, and death. Hand Hygiene has an important role in the prevention and control of HAIs. This study aims to see the compliance of nurses' hand hygiene and nurses' knowledge of healthcare associated infections (HAIs) in the intensive care unit of Santa Elisabeth Hospital Medan in 2024. The type of research design used was descriptive with a sampling technique using a total of 31 respondents. Based on the results of the study, it was found that most nurses were obedient in carrying out hand hygiene (83.9%) and knowledge that is about the prevention of HAIs was found to be a large number of nurses who had high knowledge (67.7%). It is hoped that nurses maintain compliance in performing hand hygiene so that HAIs do not occur.

Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.

Acute Coronary Syndrome (ACS) is an emergency condition in which a group of symptoms of acute ischemic chest pain are part of coronary heart disease (CHD) and require immediate treatment. The prevalence of CHD in Aceh is higher than the national average of 1.6% or around 20,244 people. This study is expected to describe the prevalence, number of deaths (mortality) and average length of stay (LOS) of STEMI patients during hospitalization so that this data can significantly enhance knowledge for health practitioners and be used as a warning to be more aware of STEMI incidents in Aceh. This study uses a retrospective descriptive research design with a research sample of all patients diagnosed with ACS with ST-Elevation who were hospitalized at Dr. Fauziah Hospital in June 2022-June 2023. The data collection technique is total sampling obtained from medical record data. It was concluded that the majority of patients were male, namely 80.7% (71 patients), the highest age was 45-60 years with 45 cases (51.1%). History of CHD was the dominant risk factor (62% of cases). The most dominant type of ACS with ST-Elevation was Anterior STEMI as many as 32 cases (52.3%) with onset <12 hours (51% of cases) and predominantly came with KILLIP I (62.5% of cases). The most dominant management was with conservative therapy 56 cases (61.4%). The average length of patient care was 5 days (45.1%) and the most outcomes with outpatients as many as 72 cases (81.8%).

Type 2 diabetes mellitus (T2DM), hypertension, anemia, nephrotic syndrome, and urinary tract infection (UTI) are interrelated clinical conditions frequently encountered in patients with chronic kidney disease (CKD). This case report presents a 33-year-old woman who was admitted with complaints of generalized weakness, accompanied by headache, generalized edema, and pruritus. Laboratory findings revealed hyperglycemia (>300 mg/dL), elevated blood pressure (210/120 mmHg), increased urea and creatinine levels, 2+ proteinuria, and microcytic hypochromic anemia (hemoglobin ranging from 7.9 to 9.9 g/dL). Urinalysis showed leukocyturia, hyaline casts, and bacteriuria. The patient was diagnosed with uncontrolled T2DM, hypertensive urgency, microcytic hypochromic anemia, nephrotic syndrome, and UTI. Management included basal-bolus insulin regimen, combined antihypertensive therapy, packed red cell transfusions, and supportive treatments. Throughout the hospitalization, improvements were observed in hemoglobin levels and blood pressure, although subjective symptoms such as fatigue and headache remained fluctuating. This case highlights the importance of comprehensive and multidisciplinary management in patients with complex multisystem chronic conditions to prevent complications and improve clinical outcomes.

Pets and livestock play an important role in everyday life, both economically and socially. However, both require optimal care and health to ensure their well-being and prevent potential health risks to humans. Annajah Vet Care, Pet & Poultry Shop comes as a veterinary clinic that provides comprehensive health services, such as vaccinations, hospitalization, grooming, and provision of feed for livestock and pets. Despite operating for two years, the clinic does not yet have a strong and consistent visual identity, as evidenced by the use of two similar logos that do not reflect the brand image. Promotion is also still limited to physical media and conventional methods such as word of mouth, with no utilization of social media. Surveys show that the majority of people recognize Annajah Vet Care as an animal health service provider, but brand awareness of its role as a pet shop is still low. To overcome this challenge, concept design was conducted as a strategic effort to strengthen brand identity through the application of a consistent and representative visual identity. In addition, the use of social media was optimized to reach a wider audience and support effective promotional efforts. Rebranding is expected to increase brand awareness, improve public perception of the services offered. With the right branding approach, Annajah Vet Care is expected to be able to compete in the market.

Hypertension is a chronic disease that often attacks the elderly and can cause serious complications, including stroke and heart disease. This study aims to evaluate the use of antihypertensives and analyze drug interactions based on severity in hospitalized patients at RSU Royal Prima Marelan. The research method is descriptive retrospective of patient medical records in 2024. The results showed that the majority of patients were women (62.5%) aged 60–74 years (50%). The use of a combination of two antihypertensive drugs was most commonly found (40%), with the combination of amlodipine and candesartan being the most frequently used. The severity of the most drug interactions was in the moderate category (82.35%), followed by major (10.50%) and minor (7.14%). The most significant interactions occurred in the combination of candesartan and spironolactone (major), and amlodipine and bisoprolol (moderate).    

Hospitalization is a disruptive experience for children that can also induce anxiety. Generally, the reactions of children undergoing inpatient care are anxiety, crying, and restlessness. Play therapy can help distract children from pain and provide relaxation. This study aims to determine the effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization. This study employs a Pre-Experimental method with a One Group Pre-Post Test Design. The population for this research is 200 children each month. The sample consists of 80 respondents who are preschool-aged (3-6 years old) and have been admitted to Rizani Paiton Probolinggo Hospital. The sampling technique used is accidental sampling. Data management involves processes such as Editing, Coding, Scoring, and Tabulating, and the data are analyzed using the Wilcoxon test.Top of FormBottom of Form The results of this study show that the average anxiety score before the squishy toy play therapy was 2.54. The average anxiety score after the therapy was 1.56. The analysis using the Wilcoxon test indicates that there is an effect of squishy toy play therapy on reducing anxiety in preschool-aged children (3-6 years old) undergoing hospitalization, with a p-value of 0.000. Squishy play therapy is carried out twice a day for three consecutive days, squishy play therapy is suitable for preschool children because this therapy is easy to do, does not require a lot of facilities and takes a short time. Suggestions for further researchers observe parents and closest people as one of the factors that influence the effectiveness of squishy play therapy.

The reporting system is the presentation of data in the form of the results of activities in an organization as well as data from research results which are arranged systematically, so that it is easier to understand and easier to analyze and draw conclusions from an activity. The method in this research uses secondary data observation. The aim of this study was to determine the 10 most common diseases in outpatient and inpatient care (based on gender and age characteristics) at the Regional General Hospital, dr. Fauziah Bireun, This type of research is quantitative descriptive. The population and sample in this study are medical record recap data from January to December using total sampling. The results of the study showed that the highest number of diseases, namely Urolithiasis cases, had 314 outpatients, while the highest number of inpatients was Cerebral Infarction, there were 425 patients. There were 1,866 inpatients, based on the age range of 45-64 years, there were 1,042 outpatients and 958 inpatients. It is hoped that future researchers will carry out further research on the factors that cause health problems and health problems in patients with the highest cases of disease.

The anxiety felt by children will have an impact on stress in children. Some children are unable to express their anxiety openly and quiet children usually do not have good coping skills in dealing with anxiety. Many methods have been used to approach children with the aim of reducing hospitalization, starting with play therapy, music, reading stories, drawing. Touch and talk therapy is carried out by providing touch and motivation to children. Where children feel more comfortable when touched. This study aims to find out the effect of touch and talk therapy on preoperative anxiety in school-aged children at the Bintan District Hospital. This research design is a quasi-experimental one group pretest-posttest design. The sample in this study was 30 school-aged children treated in the Gardenia Room at the Bintan District Hospital and the data were analyzed using the Wilcoxon range test. The results show that there is a significant influence between the average anxiety level score during the pre-test and post-test (mean pre-test = 60.17 to mean post-test = 26.07) with p value = 0.000 (p value <0.05). This therapy can be used as an alternative for pre-operative intervention in children at the hospital.