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Pelvic inflammatory disease is a reproductive system disorder in women that can be caused by viruses or bacteria. Pelvic inflammatory disease is an inflammatory process of the female genital organs in the pelvic cavity, namely the genital tract consisting of the uterus, fallopian tubes and surrounding areas including the peritoneum. It is caused by Neisseria gonorrhoeeae or Chlamidia trachomatis and may be the organism involved in bacterial vaginosis. Objective: This study aims to describe the risk factors for pelvic inflammatory disease experienced by women of childbearing age. Research methods; This study uses an analytical survey. The population in this study were all cases of GSR who were treated in hospitals. Andi Makkasau, Parepare City with a total of 247 people. The sampling technique was purposive sampling. The method of data collection in this study is secondary data, namely if the desired data collection is obtained from other people or other places and is not carried out by the researcher himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at the GSR treatment room or medical record. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square. namely if the desired data collection is obtained from other people or other places and is not carried out by the himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at GSR treatment room or medical records. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square. namely if the desired data collection is obtained from other people or other places and is not carried out by the himself where in this study the researcher records the register number of patients with pelvic inflammation (PRP) obtained from the register book at GSR treatment room or medical records. Then take the patient's status on the medical record at Andi Makkasau Hospital. After that, take the data and select the complete data based on the specified criteria. The data were analyzed using chi-square.

The purpose of this research is to: 1) is to find out the structure of the novel (characters, plot, and setting) that builds the storytelling in the novel Bukan Pasarmalam by Pramoedya Ananta Toer. 2) Is to know the social values contained in the novel Bukan Pasarmalam by Pramoedya Ananta Toer. 3) is to know the moral values in the novel Bukan Pasarmalam by Pramoedya Ananta Toer. 4) is to find out the relevance between the novel Bukan Pasarmalam and learning Indonesian language and literature in high school. This research method uses content analysis method, using a qualitative approach. With the method used, this study found the results that: 1) The structure of the novel Bukan Pasarmalam describes people's lives in Indonesia before and after independence. In this novel, Pramoedya describes the sadness, suffering and difficulties of the post-independence Indonesian people. 2) the findings and results of the analysis of this novel, it is known that the novel Bukan Pasarmalam contains social values through social interactions within the family and society. These values include: the value of affection, the value of compassion, the value of protection, the value of religiosity, the value of caring, the value of equality, the value of togetherness, the value of sincerity. 3) The moral values contained in the character I are in the form of behavior that most are worthy of being an example for everyone such as being responsible, patient, guarding one's tongue, and being religious. 4) The social values and moral values in the novel Bukan Pasarmalam can be relevant to the 2013 curriculum for Indonesian language and literature subjects in class XI high schools, there is material about analyzing the intrinsic and extrinsic elements of literary works, one of which is Indonesian novels which contain values cultural, social, moral, historical, and religious with basic competencies: identifying life values contained in a collection of short stories and analyzing messages from two fiction books (novels and poetry), while the learning materials: short stories, short story contents, values life, short story intrinsic elements, novel elements and reviews of novels.  

The information system is one of the strategic means in patient care-oriented management. So far, Regional Hospital RAA Soewondo Pati has never conducted an evaluation related to the management information system (HMIS), so it is not known that the existing system is effective and efficient to answer patient needs. The purpose of this study was to determine the effect of the hospital management information system with the structural equation modeling method approach. This research is a case study research with data collection method using a questionnaire. The data that has been collected is then analyzed using SEM analysis. The results of his research stated that the quality of the system had a significant positive effect on the use of information systems. There is a significant effect of system quality on user satisfaction. There is a significant positive effect between the quality of information on the intensity of the use of information. In this study, the intensity of the use of information systems does not play a role in increasing user satisfaction in using information systems. User satisfaction has a significant positive effect on net benefits.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Early childhood is also known as the golden age, in which the potential and abilities of the physical, cognitive, language, artistic, social-emotional, moral, religious, self-concept, self-discipline and independence develop. Therefore it is important if from an early age it is necessary to instill the value of independence in children. One of the factors that can influence the process of developing independence in children is parenting style. This study aims to determine the parenting style of parents in building children's independence, because the role of parents is very important in building independence in children. The research method used is library research or library research. The results of this study are through parenting parents are able to build children's independence, including in applying habits to children. The activities in building independence in children include, 1) Physical activity, namely getting children to do activities independently, for example brushing their teeth, eating, wearing their own clothes 2) Fostering a sense of self-confidence 3) Building a sense of responsibility such as training children to complete school assignments. 4) Getting used to disciplined attitudes such as getting disciplined children to come to school and 5) Socializing by giving children the opportunity to interact with their friends who were initially shy to become brave. 6) controlling emotions by teaching children to be patient when their wishes are not fulfilled. wearing own clothes 2) Growing self-confidence 3) Building a sense of responsibility such as training children to complete school assignments. 4) Getting used to disciplined attitudes such as getting disciplined children to come to school and 5) Socializing by giving children the opportunity to interact with their friends who were initially shy to become brave. 6) controlling emotions by teaching children to be patient when their wishes are not fulfilled. wearing own clothes 2) Growing self-confidence 3) Building a sense of responsibility such as training children to complete school assignments. 4) Getting used to disciplined attitudes such as getting disciplined children to come to school and 5) Socializing by giving children the opportunity to interact with their friends who were initially shy to become brave. 6) controlling emotions by teaching children to be patient when their wishes are not fulfilled.

Stroke is the number one cause of disability and the second cause of death in the world. Blood flow that is not smooth in stroke patients causes hemodynamic disorders including changes in the value of oxygen saturation in the blood (SpO2) which can interfere with the function of internal organs including the heart due to lack of oxygen intake. So we need a system to monitor the oxygen saturation value which can be used as an early indicator in recognizing stroke patients. This system uses detection of two sensors to measure oxygen saturation in the blood, a microcontroller to process data, a monitor to display data, a buzzer as a warning of the lower limit of measurement and a micro sd card module to store measurement data that has been running. Parameters displayed include the date of measurement, patient ID, SpO2-1, SpO2-2, last SpO2-1 and last SpO2-2. This system will measure and display the SpO2 value of both right and left arms simultaneously. Stroke patients who experience muscle weakness in one hand may experience different values with a hand that does not experience muscle weakness. This study aims to develop an SpO2 monitoring system that will be used to detect stroke patients with non-invasive methods. The results show that the system has been developed and can be used to measure the patient's SpO2 from both hands simultaneously with a measurement error rate of ±2% for each sensor from standard medical equipment.

The Mranggen III Health Center is one of the government agencies in the technical implementing unit of the Demak District health office. Patient registration services and administrative payments at the Mranggen III Health Center are still conventional, causing long queues. In addition, the process of processing data to become information cannot be accessed directly by the leadership because there are no computerized and multi-user or client-server applications. Based on these problems, a Puskesmas administration information system design was made that could suit the needs. Making an information system using the programming language Microsoft Visual Basic 6.0 and SQL Server 2000 as a multiuser-based database. With the design of the development of an administrative information system for the Mranggen III Health Center, it is hoped that it will be able to handle the problems that exist in the Mranggen III Health Center, namely being able to speed up service to patients and by using a multiuser-based information system. Leaders and several staff can access it simultaneously and quickly.

Patient-focused services or commonly called Patient Centered Care (PCC) have become the main focus in providing health care today. The PCC concept was first introduced by Picker in 1988 through the Picker Institute Europe in England. Regional General Hospital (RSUD) Dr. M Haulussy Ambon is a hospital that has been accredited and is required to be able to implement PCC in its services. Purpose this study was to determine the ability of nurses to apply PCC at RSUD dr. M. Haulussy Ambon. The research design used is descriptive quantitative using observational. The population in this study were nurses at RSUD Dr. M Haulussy Ambon as many as 302 nurses. The number of samples is 113 respondents. data collection techniques using a questionnaire. Results: Most of the nurses' ability to apply PCC showed good results but there were still a number of PCC dimensions that had sufficient results. The PCC dimensions that get good results are respecting patient choices and assessments, physical comfort, information and education, service coordination, and involving family and friends. It can be concluded that most nurses are capable of implementing PCC.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses LLTT in the ishiadic nerve, namely LLTT 1 which is related to lower back pain. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the LLTT 1 method in cases of lower back pain on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2

In 2016 - 2018 the number of visits to 6 poles including general surgery poly, echocardiography, eye poly, internal medicine, ENT poly, poly urology fluctuated from 11.23% to -5.23%. Fluctuations in the number of visits can be caused by several factors, one of which is consumer behavior in health service selection decisions. This study aims to determine the effect of the marketing mix on service selection decisions.This research is an analytic survey research with cross sectional approach. The population in this study were patients in 6 outpatient clinics at Jemursari Islamic Hospital in Surabaya. The number of samples is taken by quota sampling within one month.The results showed that the marketing mix at 6 Polis RSI Jemursari Surabaya with a good category of 77.5% resulted in high service selection decisions. The results of the ordinal regression test show a significance value of 0,000 which means that there is an influence of the marketing mix on the decision of choosing the Jemursari Hospital. Of the seven marketing mix elements that have the lowest influence on service selection decisions are the 47.1% price mix element, while the most influential marketing mix element is the human resource mix element with a percentage of 68.6%.The conclusion in this study is the positive influence of the marketing mix on the decision to choose outpatient services at the Jemursari Hospital in 2019.

Hypertension is a cardiovascular disease with a systolic blood pressure value of 140 mmHg and a diastolic blood pressure value of 90 mmHg. The prevalence of hypertension globally according to WHO is 22% of the total world population. Hypertension cases if not handled properly can cause death, so it is important for hypertensive patients to have good knowledge about hypertension management, especially pharmacological management. The method in this research is descriptive correlation, using a cross sectional approach. The number of respondents in the study were 45 respondents, the sampling technique used purposive sampling. The research data were analyzed using SPSS with the Kendall's-tau correlation test, the results obtained p-value 0.236 > 0.05, meaning that there was no relationship between knowledge of pharmacological management and blood pressure values in patients with hypertension. The implication of this study is that it is hoped that people with hypertension will not only have knowledge, but also have good behavior in taking drugs, and following a low-salt diet.

Hospitals as providers of health services for the wider community are required to provide health services with good quality health services. The quality of hospital services can be achieved one of them with SBAR communication, so that the information conveyed can be informative and well received which will improve the handover process so that patient safety can be realized. The purpose of this study was to determine the relationship between effective SBAR communication and the quality of handover implementation in the Inpatient Room of JIH Solo Hospital. The sampling technique used is total sampling. The number of respondents was 90 respondents divided into 72 nurses and 18 midwives who were given observation sheets using the SBAR communication method and observation sheets for the quality of handover implementation. Variable correlation assessment using the chi-square test. The results of the analysis of the relationship between variables are significant with a sig value of 0.000 (p=0.05). Then, the value of the correlation coefficient between variables is very strong, namely 0.979. The use of effective SBAR communication resulted in the majority of respondents namely 79 people or 85.7% being categorized as qualified. In its implementation, the majority of respondents with a total of 87 people (196.7%) were categorized as qualified.

Almost all surgeries cause pain, the pain that is felt is the result of the incision. The effects of pain that do not subside are myocardial ischemia, increased morbidity, and hopelessness. One intervention to relieve postoperative pain is Spiritual Emosional Freedom Technique (SEFT). The purpose of this case study is to describe the reduction in pain scale of postoperative patients in Nusa Indah Room TK.III 04.06.02 Bhakti Wira Tamtama Semarang Hospital after SEFT intervention. This type of research is descriptive using a case study approach. The subjects in this study were 2 postoperative patients with criteria of moderate to high pain. Analysis of pain measurements using the Numerical Scale Branch scale. The analysis showed that there was a decrease in pain scale after the intervention. On subject 1 the pain scale 7 (high pain) became the pain scale 4 (moderate pain) and subject 2 the pain scale 8 (high pain) became the pain scale 4 (moderate pain). Effective SEFT therapy is used to reduce postoperative pain in the room because it is easy and simple. Good therapy is applied by nurses in the room to reduce the scale of pain in postoperative patients.

Oculi trauma is one of the emergency cases in ophthalmology that happens often and usually can cause permanent vision loss. Traumatic hyphema is caused by blunt or penetrating injury and can accumulate blood mixed with aqueous humor in camera oculi anterior. Case report a 51-year-old male patient came to the hospital complaining of visual loss in his left eye after being hit by a rock. There was increasing intraocular pressure with blood in the camera oculi anterior, which may cause vision to decrease. The basic principles of the treatment in this patient are giving prophylaxis, decreasing intraocular pressure, and follow-up relating to the medication because complications such as secondary bleeding and infection may happen.    

Mental disorders are one of the public health problems in Indonesia. In general, mental disorders are caused by psychological pressure both from outside the individual and from within the individual. Some of the things that cause this is the ignorance of the family and society about this mental disorder (Hawari, 2007). According to WHO or the World Health Organization (2002) states that the prevalence of mental health problems is currently quite high, 25% of the world's population has suffered from mental health problems, 1% of which are severe mental disorders. The potential for a person to be susceptible to mental disorders is indeed high, every time 450 million people around the world are affected by mental, nervous, and behavioral problems. One form of mental disorder that is found throughout the world is a severe mental disorder, namely Schizophrenia (Hawari, 2007). Schizophrenia comes from two words, namely schizo which means cracked or broken and phrenia which means soul. Thus, people who suffer from schizophrenic mental disorders are people who experience mental fractures or personality cracks. Schizophrenia can arise because of the integration between biological, psychosocial and environmental factors (Sinaga, 2007). In schizophrenic patients there is personal disintegration and personal division. Emotional and intellectual behavior becomes ambiguous (compound), and has serious disorders and has regression or total dementia. Schizophrenic patients escape from the reality of life and remain silent in their fantasy world (Kartono, 2010).  

Schizophrenia is a mental disorder that can end in the loss of a person's life. In handling this disease because the soul is disturbed, it is needed therapy, rehabilitation and counseling. The greatest effort to deal with mental disorders lies in the family and community, in this case the best therapy is a form of family support in preventing the recurrence of schizophrenia. In people with schizophrenia, there can be physical aspects of increased blood pressure, increased pulse and breathing, anger, irritability, tantrums and can injure themselves. Changes in cognitive, physiological, affective, to behavioral and social functions to cause the risk of violent behavior. This KIAN aims to provide an overview of Mental Nursing Care for Schizophrenic Patients at Risk of Violent Behavior. Violent behavior is a response to stressors faced by a person, this response can cause harm to oneself, others, and the environment. The function of the strategy for implementing violent behavior is to control the emotions of the hallucinations experienced by the client.

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

Background: Spinal anesthesia is a type of extensive nerve block by inserting a local anesthetic drug into the subarachnoid space at the lumbar level (Rehatta, 2019). This method produces anesthesia by blocking transmission, deactivating motor and sensory abilities, thus creating loss of pain sensation in the perineum. lower abdomen to lower extremities. Among the effects of spinal anesthesia that often occur, post-spinal anesthesia headache is a complication that often does not receive special attention. Due to the minor effects of spinal anesthesia. Management of headaches after spinal anesthesia, one of which is using non-pharmacological techniques with Head Up therapy, namely providing a 30 degree head elevation position with the aim of increasing blood flow to the brain in an effort to maximize oxygen flow to the brain which is believed to reduce the sensation of headaches. Objective: To analyze the effect of giving Head up therapy on headaches in post-operative patients with spinal anesthesia. Method: This research is a quantitative research using a type of experiment with a pre-experimental design, post-test control group design. Sampling technique: accidental sampling Population: The population of this study was 300 people. Sample: This study involved 76 respondents with a division of 38 respondents who were given Head Up therapy and 38 respondents who were not given Head Up therapy. Data analysis: Data were analyzed using the Mann Whitney test. The research instruments were Head Up SOP and Posttest Numeric Rating Scale (NRS) questionnaire. This research was carried out in February-April 2024 at Dr Hardjono Ponorogo Regional Hospital. Results: Based on research and after data analysis, the significance value (P value) in the Mann Whitney test was 0.001 (p>0.05). Conclusion: It was found that there was an effect of giving Head up therapy to post-operative patients with spinal anesthesia

Background: Dysmenorrhea is discomfort in the lower abdomen spreading to the waist which is often experienced by young women aged 12-18 years or even almost all women during menstruation, usually often felt before menstruation or during menstruation. Benson relaxation technique is one of the complementary therapies developed as a relaxation technique that is simple and easy to implement and is a combination of relaxation response techniques with individual belief systems or faith factors. Purpose : Knowing changes in the level of dysmenorrhea in adolescents before and after doing benson relaxation therapy. Method: this application with descriptive research methods and observing events or events that have occurred. Descriptive research is research conducted to describe or describe an event that occurs. Results: handling dysmenorrhea with benson relaxation therapy given for 2 days with 1 time a day for 15 minutes can affect the patient's level of dysmenorrhea so that there are changes in the patient's pain scale. Conclusion: Benson relaxation therapy can reduce the level of dysmenorrhea in adolescents who are experiencing menstrual pain.