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Background: Recurrent Aphthous Stomatitis (RAS) is one of the most frequently encountered oral mucosal conditions. Although RAS has been extensively considered clinically and through research, ulcer occurrence remains unavoidable, and most treatment approaches are primarily symptomatic. Objective: To identify anxiety as a predisposing factor in patients with minor RAS. Case Report: A 24-year-old female patient presented to Soelastri Dental and Oral Hospital with a complaint of an ulcer on the right upper lip. The patient reported pain and a burning sensation for the past four days. The pain worsened when consuming hot food or beverages. The patient had experienced similar episodes previously but had never sought treatment for this condition. Intraoral examination revealed a single shallow ulcer with an oval shape, regular margins, a yellowish-white base surrounded by an erythematous halo, measuring 3 × 2 mm on the right upper lip, and was symptomatic. Case Management: The treatment provided focused primarily on Communication, Information, and Education (CIE). The patient was informed about the predisposing factor experienced, which may contribute to the occurrence of RAS, namely anxiety. The patient also received education regarding maintaining oral hygiene, consuming fruits and vegetables, increasing water intake, eating more regularly, attending a follow-up visit seven days after treatment, and managing anxiety. Conclusion: In this case, RAS management was focused on eliminating predisposing factors, particularly anxiety, which was strongly suspected to be the triggering factor for minor RAS in this patient.

Schizophrenia is a serious mental illness that requires long-term treatment and carries a high risk of recurrence. The recovery process for patients relies not only on medical intervention, but also requires optimal involvement and support from their families. The presence of a supportive family is believed to strengthen patient motivation and contribute positively to their psychological well-being. This study aims to identify the relationship between family support and relapse rates in schizophrenia patients undergoing treatment at the Aceh Mental Hospital Polyclinic. This study uses a correlational design with a Cross-Sectional method. Through Accidental Sampling, 114 samples were selected from a population of 3,233 individuals. Data collection took place between April 14 and 28, 2025, using a questionnaire focused on family support and relapse rates. To analyze the relationship between the two variables, a Chi-Square statistical test was applied. The main findings of the study show that aspects of family support in general (p=0.000), informational support (p=0.000), appreciative support (p=0.000), instrumental support (p=0.001), and emotional support (p=0.002) are correlated with the recurrence rate of patients. Based on the analysis of the results, it can be concluded that there is a correlation between family support and the recurrence of schizophrenia patients at the Aceh Mental Hospital Polyclinic. The practical implications of this research are expected to serve as a reference for the families of schizophrenia patients to increase their understanding and activity in providing support, including consulting with mental health professionals as an effort to prevent possible recurrence.

Malaria is a global health problem, particularly in tropical countries like Indonesia. Papua has 374 endemic districts/cities, with the highest number of malaria cases, with 14,586 cases, and Jayapura Regency in 2024 with 50,529 patients and 6,213 relapses. The high number of cases is due to the geographical conditions that favor mosquito breeding and the dormant state in the body. If treatment is not carried out correctly and thoroughly, it can lead to malaria relapse. The purpose of this study was to determine factors associated with relapse in malaria patients in the Harapan Community Health Center (Puskesmas) area, Jayapura Regency. This research was an analytical study with a cross-sectional design. Data collection was conducted using a questionnaire. A total of 88 respondents were recruited using simple accidental sampling. The data obtained were statistically analyzed using chi-square and binary logistic regression. Based on the analysis, it was found that factors that were not related to recurrence in malaria patients in the Harapan Community Health Center, Jayapura Regency were age (p-value 1.000 > α 0.05), gender (p-value 0.855 > α 0.05), and education (p-value 0.124 > α 0.05). Factors related to recurrence in malaria patients in the Harapan Community Health Center, Jayapura Regency were occupation (p-value 0.032 or p < α 0.05), nutritional status (p-value 0.000 < α 0.05), and medication adherence (p-value 0.000 < α 0.05). Medication adherence was the dominant factor in recurrence in malaria patients at the Harapan Community Health Center (p-value 0.000 < 0.05). Malaria patients who do not comply with taking their medication cause the malaria parasite to become dormant in the body which can at any time cause malaria relapses and resistance to malaria drugs.

Thyroid cancer is the most common endocrine malignancy, with a steadily increasing incidence rate. Although the overall survival rate is relatively high, the risk of recurrence after definitive treatment such as Radioactive Iodine (RAI) therapy remains a significant clinical challenge. Predicting recurrence risk is crucial for optimizing monitoring strategies and interventions. With advances in technology, machine learning (ML) approaches are increasingly utilized to support medical predictions, including the recurrence of thyroid cancer. This study aims to evaluate the performance of four classification algorithms—Logistic Regression, XGBClassifier, Random Forest Classifier, and Voting Classifier—in predicting thyroid cancer recurrence using the Thyroid Cancer Recurrence After RAI Therapy dataset, which consists of 383 patient records and 13 key clinical attributes. The evaluation was conducted using accuracy, precision, recall, F1-score, and area under the curve (AUC) metrics. The results show that the XGBClassifier is the best-performing model with an accuracy of 97.4% and an AUC of 0.95, demonstrating superior performance in handling the minority class. This research is expected to contribute to the development of more effective machine learning–based clinical decision support systems for predicting thyroid cancer recurrence after therapy.

Blood pressure that is higher than normal is known as hypertension. This is a disease to be wary of because it has no signs and symptoms. Recurrence experienced by a person more than once with characteristics that occur frequently and are usually unpleasant. Several factors that influence compliance with treatment, family history, stress, diet compliance. This research aims to identify factors that play a role in the occurrence of relapse in hypertension patients. This research uses a quantitative approach with a descriptive method, which aims to describe the phenomenon in a certain population. Data were collected through the MMAS-8, PSS, and DASH questionnaires from 140 respondents selected using purposive sampling techniques. Based on the results of research from 140 respondents suffer from hypertension, it can concluded that majority were 57 people (40.7%), 76 people were female (54.3%), 137 people were married (97.9%), 53 people had a high school education level. people (37.9%), the longest duration of suffering from hypertension is 1-5 years as many as 62 people (44.3%), the occupation of respondents who work is 86 (61.4%), genetics and family history are the most many families, 88 people (62.9%), 79 people (56.4%) were moderately compliant with medication, 105 people were moderately stressed (75.0%), and 132 people were compliant with diet (94.3%). The results of this research revealed that a number of factors that contribute to recurrence in hypertensive patients include age, gender, marital status, education level, duration of illness, family history, compliance with treatment, stress levels, and compliance with diet.

Hubungan antara Resiliensi dan Stigma keluarga sangat penting terhadap kekambuhan pasien skizofrenia karena penderita skizofrenia sering kali mengalami kesulitan dalam bersosialisasi, yang diartikan sebagai kemampuan untuk membentuk hubungan kooperatif dan saling bergantung dengan orang lain.Tujuan dari penelitian ini untuk mengetahui hubungan antara resiliensi dan stigma keluarga terhadap kekambuhan pasien skizofrenia di Poliklinik Rumah Sakit jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024. Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah keluarga orang dengan gangguan jiwa yang tercatat dan terdaftar berkunjung di Poliklinik Rumah Sakit Jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung sebanyak 58 orang. Analisa data menggunakan uji chi square dengan derajat kepercayaan 95%. Hasil penelitian ini didapatkan nilai p-value= 0,028, pada variabel resiliensi, dan untuk nilai p-value = 0,001, pada variabel stigma. Disimpulkan ada hubungan resiliensi dan stigma keluarga terhadap kekambuhan pasien skizofrenia di Poliklinik Rumah Sakit Jiwa Daerah dr.Samsi Jacobalis Provinsi Kepulauan Bangka Belitung Tahun 2024.Saran dari penelitian ini adalah diharapkan hasil penelitian ini digunakan sebagai literatur dan acuan untuk meningkatkan penyuluhan kepada masyarakat tentang pentingnya stigma keluarga dan resiliensi terhadap kekambuhan pasien skizofrenia.  

Schizophrenia is a mental disorder that causes a person to lose their minds and find it difficult to understand what they are thinking, causing hallucinations and behaving unnaturally. The recovery period in these patients can be extended if they have a close relationship with their family because it becomes a therapeutic attitude and a form of support for the patient. The purpose of the study was to determine the relationship between family roles and family coping with the relapse rate in schizophrenia  patients in the Bogatama Health Center Work Area. The design of this study was descriptive correlation with a cross sectional approach. The population of this study was an entire family that had family members with schizophrenia as many as 35 people. The research sample is the entire population using total sampling techniques. The data collection tool used is a questionnaire that has been tested for validity and reliability and uses  a checklist sheet. The results of the study are known to be the relationship of family roles with relapse rates in schizophrenia patients with a p-value = 0.003, and the relationship of coping with relapse rates with a p-value of  0.001. The conclusion p-value < α (0.05). Conclusion There is a relationship between family roles and family coping with relapse rates in schizophrenia  patients in the Bogatama Health Center Work Area.

Stress in patients with gastritis recurrence is a physiological problem felt by early adults when they experience relapses of gastritis. Management of stress in patients with gastritis recurrence in early adulthood can be overcome with complementary therapy, namely breathing meditation therapy. Breathing meditation therapy itself is an activity that aims to achieve mental calm by focusing your breathing so you can relax your mind and body. This study aims to determine the effect of providing breathing meditation therapy on the stress levels of patients with gastritis recurrence in early adulthood in the Rw 001 Ragamukti Tajurhalang Bogor environment. In this research, the method used is pre-experimental quantitative research with a one group pretest – posttest design. The sample consisted of 15 early adults suffering from recurrent gastritis in the Rw 001 Tajurhalang Bogor area who were selected using a purposive sampling technique using a questionnaire with a Likert measuring scale. This research uses the Wilcoxon Signed Rank test with a significant value of α=(<0.05). The test results from this research were that most respondents experienced a decrease in stress levels as evidenced by the presence of a percentage in the mild stress range of 9 people (60.0%), while respondents who experienced moderate levels of stress were 6 people (40.0%) with an average value of The average (mean) stress level after receiving breathing meditation therapy was 8.47. Indicating that the ρ value = <.001, where the ρ value was less than 0.05, so the null hypothesis (H0) was rejected, so the alternative hypothesis was accepted (Ha).

Gastritis is a digestive disorder with a high prevalence in Indonesia, primarily influenced by dietary patterns and lifestyle factors. This study aims to analyze the relationship between the level of knowledge of gastritis patients and the recurrence of the disease at Medika Lestari Hospital. The research utilized a descriptive correlation design with a cross-sectional approach, involving 28 gastritis patients as samples, selected through a total sampling technique. Data were collected using questionnaires covering knowledge levels and gastritis recurrence status and analyzed using the Chi-Square test. The results showed that the majority of respondents had a good level of knowledge (60.7%) and did not experience recurrence (60.7%). Bivariate analysis indicated a significant relationship between patients’ knowledge levels and gastritis recurrence (p-value = 0.034). Patients with low knowledge were more likely to experience recurrence (25%) compared to those with good knowledge (14.3%). These findings suggest that higher knowledge levels contribute to reducing the risk of gastritis recurrence. This study highlights the importance of health education as part of gastritis management strategies. Hospitals are encouraged to enhance patient education programs to lower recurrence rates and improve patients' quality of life.

Recurrent hypertension is a repeated increase in high blood pressure above 140/90 mmHg. Factors that can cause a recurrence of high blood pressure include: consuming unhealthy foods, consuming caffeine and smoking, rarely exercising, not maintaining body weight, consuming fatty foods, consuming foods high in fat and consuming unlimited alcohol. To prevent the recurrence of high blood pressure, patients should keep the following in mind: Get enough rest, change to a healthy diet, exercise, avoid alcohol, avoid stress, and handle the daily workload. The capacity to manage oneself and be positive, such as managing emotional intensity and reactivity, is important for preventing recurrence of hypertension and managing blood pressure. The aim of this study is to identify factors related to the prevention of hypertension recurrence in hypertensive patients. This type of research involves observational analysis with a cross-sectional research design. The study population consisted of 71 hypertensive patients who lived in the Wua Wua Community Health Center working area. The research results show the value of P = 0.263 < a = 0.05. This means that knowledge about high blood pressure and recurrence prevention is irrelevant. The research results show a value of P = 0.002< a = 0.05. This means that there is a link between treating hypertension and preventing recurrence. The research was conducted for 61 days.

Kekambuhan pasien gangguan jiwa biasa terjadi karena ada hal-hal buruk yang menimpa pasien, seperti diasingkan oleh keluarganya sendiri atau dukungan sosial masyarakat yang kurang, sedangkan dalam rangka mencegah terjadinya kekambuhan diperlukan dukungan keluarga sendiri atau dukungan sosial masyarakat. Tujuan penelitian untuk mengetahui hubungan dukungan sosial masyarakat dengan kejadian kekambuhan pada pasien gangguan jiwa. Desain yang digunakan dalam penelitian ini adalah  cross sectional. Hasil penelitian menunjukan bahwa terdapat hubungan antara dukungan sosial masyarakat dengan kejadian kekambuhan pada pasien gangguan jiwa di wilayah kerja Puskesmas Limboto Barat. Berdasarkan hasil penelitian dapat disimpulkan bahwa dukungan sosial masyarakat memiliki hubungan yang signifikan dengan kejadian kekambuhan pada pasien gangguan jiwa. Saran diharapkan kepada keluarga dan masyarakat agar tidak menjauhi atau memberikan stigma yang negatif pada pasien yang mengalami gangguan jiwa, bantu dan damping pasien dalam proses penyembuhan dengan memberikan dukungan yang positif.    

Abstrak Prevalensi kekambuhan pada klien skizofrenia terbilang tinggi yaitu berada dalam rentang 50-92%, secara global. Kekambuhan sering terjaid akibat dari kurang pengetahuan dari keluarga terhadap masalah kejiwaan yang dialami oleh klien. Klien dan keluarga perlu mendeteksi secara dini fase prodromal yang terjadi pada klien agar potensial kambuh dapat ditangani. Faktor penyebab kekambuhan adalah ketidakpatuhan pengobatan ODGJ (orang dengan gangguan jiwa) sebesar 36,1 % tidak minum obat karena merasa sudah sehat dan 33,7% tidak rutin berobat ke fasilitas layanan kesehatan. Dukungan keluarga yang buruk juga memberi peluang terjadinya kekambuhan hingga enam kali lipat pada klien skizofrenia. Klien dengan episode kambuh berulang berisiko tinggi meningkatkan keparahan penyakit, fungsi sosial dan peningkatan risiko bunuh diri. Tujuan dari pengabdian masyarakat ini adalah memberikan pendidikan kesehatan kepada keluarga yang memiliki anggota keluarga dengan ODGJ agar mampu merawat sehingga angka kekambuhan dapat ditekan.

Permasalahan kesehatan jiwa cenderung meningkat setiap tahunnya. Prevalensi masalah kesehatan jiwa menunjukkan angka sekitar 35 juta orang terkena depresi, 60 juta orang terkena bipolar, 21 juta terkena skizofrenia,serta 47,5 juta terkena dimensia (WHO, 2017). Di Indonesia, prevalensi skizofrenia/psikosis 0.18% dan diantaranya 14.0% pernah dipasung dan diantaranya 31.5% dipasung 3 bulan terakhir (Riskesdas, 2018). Prevalensi skizofrenia/psikosis di tempat praktik mahasiswa spesialis keperawatan jiwa di kota Bogor berdasarkan prevalensi Jawa Barat sebesar 0.14% dan di kota Magelang berdasarkan prevalensi Jawa Tengah sebesar 0.25%. Prevalensi dari kekambuhan masalah kesehatan mental dalam hal ini skizofrenia harus menjadi perhatian. Prevalensi kekambuhan pada klien skizofrenia berada dalam rentang 50-92% secara global (Weret & Mukherjee, 2014). Kemungkinan kambuh pada klien skizofrenia adalah 60% sampai 70% dalam beberapa tahun pertama setelah diagnosis (Stuart et al., 2016). Kekambuhan berada pada rentang 50-92 % pada tahun pertama setelah didiagnosis.                                           

: Family support is one of the factors that may affect relapse in patients with epilepsy. Epilepsy is one a illness of brains and nerve’s with the highest incidence to four from ten diagnose in the Mental Hospital of West Java Province in  January-march 2022, with the incidence rate of as much as 500 patients. This study aims to determine the relationship of social support of families with epilepsy patients relapse frequency in the out patient Mental Hospital of West Java Province. Design of quantitative research with cross sectional approach and the sample amounted to 62 patients with epilepsy. Results of that study (40,3%) less family support, (9,7%) were family social support, and (50%) good family support. Results for the frequency of relapse in patients with epilepsy (38,7%) high recurrence rate (32,3%) recurrence rate was, and (29%) recurrence rate is low. The results using spearman rank test was obtained ρ value of 0,000 < 0,05. Means Ho is rejected, this shows there is a relationship of social support for families with epilepsy patients relapse frequency in the out patient Mental Hospital of West Java Province. Spearman correlation coefficients obtained a value of 0,603 which means that there is a significant relationship between social support of families with the frequency of relapse in patients with epilepsy. So it is suggested that the education in the family in order to continue to provide support to patients with epilepsy and is expected to nurse a mental hospital to provide information to families about the importance of the meaning of family social support for patients with epilepsy.

Peningkatan asam urat (hiperurisemia) didefinisikan sebagai peninggian kadar asam urat lebih dari 7,0 ml/dl dan 6,0 mg/dl. Hiperurisemia perlu dilakukan penatalaksanaan untuk membatasi serangan akut, mencegah kekambuhan, dan mencegah komplikasi yang terkait dengan pengendapan kristal urat di jaringan, serta mencegah kecacatan fisik. Penatalaksaan hiperurisemia selain dapat diselesaikan secara farmakologis menggunakan obat-obatan, namun dapat juga dilakukan secara non farmakologis dengan melakukan senam ergonomis, serta manajemen nutrisi. Kegiatan ini bertujuan agar lansia di Posyandu Lansia Setya Manunggal III Kabupaten Semarang dapat mengetahui penatalaksanaan peningkatan asam urat (hiperurisemia). Berdasarkan Evidance Based penatalaksanaan peningkatan asam urat dengan obat-obatan, senam ergonomis, dan manajemen nutrisi signifikan berpengaruh terhadap penurunan asam urat dalam darah. Hasil pengabdian masyarakat diantaranya adalah Lansia Setya Manunggal III Kabupaten Semarang yang hadir pada tanggal 10 Februari 2019 sebanyak 56 orang; Screening asam urat 16 orang (28,6 %) mengalami peningkatan asam urat, 33 orang (58,9 %) asam urat normal, dan 7 orang (12,5 %) asam urat low; terdapat peningkatan pengetahuan lansia   setelah diberikan pendidikan kesehatan penatalaksanaan peningkatan asam urat; terdapat peningkatan ketrampilan lansia   dalam melakukan senam ergonomic sebagai penatalaksanaan peningkatan asam urat; Lansia Setya Manunggal III Kabupaten Semarang sudah menerapkan penatalaksanaan peningkatan asam urat dalam kehidupan sehari-hari.