Publication Search

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 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.

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.

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.

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.

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

Hypertension is said to be the silent killer because it often has no symptoms and tends to be left uncontrolled. Management of hypertension such as dietary compliance, adherence to taking hypertension medication, and environmental modification are important things that can control hypertension which in turn can prevent complications. The purpose of this study was to determine the description of medication adherence and changes in blood pressure in patients with hypertension. This study used a descriptive survey design, a sample of 57 patients with hypertension, the sampling technique used the total population. Statistical analysis using frequency distribution. The results showed that the middle age of hypertensive patients was 54 years, male 57.9%, graduated from elementary school 50.9%, and worked as laborers 38.6%, adhered to hypertension medication 54.4%, the mean initial blood pressure systole 190.00 mmHg and diastolic 90.00 mmHg while the final systolic blood pressure is 140.00 mmHg and diastole is 80.00 mmHg. It is recommended that nurses provide continuous information and motivation to respondents about the importance of being obedient or obedient in taking hypertension drugs.

Labor is the occurrence of the opening and thinning of the cervix and fetus into the birth canal which this process can cause anxiety. This study aims to apply husband assistance to reduce the anxiety felt by mothers with the length of the labor process at Kardinah Hospital, Tegal City. This research is a descriptive research with a case study approach. Research subjects are clients with primigravida or pregnancy for the first time who experience anxiety during the delivery process. The results of the case study research with husband assistance to reduce anxiety using the HARS Scale in patient 1 with a score of 34 after husband assistance experienced a decrease in anxiety to 20 and in patient 2 who previously experienced it with a score of 33 after husband mentoring experienced a decrease in anxiety to 21. Patients with Anxiety when facing the length of the labor process requires assistance from the husband which aims to reduce the anxiety felt by the mother during the delivery process.    

The prevalence of the disease caused by the corona virus is still increasing every day. On August 11, 2020, the World Health Organization (WHO) recorded 19,936,210 people infected with the corona virus and 732,499 people who died, the death rate reached 3.7% 4. In Indonesia, the number is still actively increasing every day, ranging from 1,000 people. every day in August 2020 and the total number of COVID-19 sufferers on August 11, 2020 was 128,776 people and 5,824 people died, an increase of 4.5% from the previous number 5. Central Java Province itself was ranked 4th out of all provinces in Indonesia with the number of patients with Cobid 19 as many as 11,423 people and those who died as many as 1,049 people. The city of Semarang is ranked 1st out of cities and regencies in Central Java Province with 661 sufferers

Diabetes Mellitus is known as a silent killer disease because it is often not known by the sufferer and when it is known that complications have occurred to the eye (Diabetic Retinopathy), heart (diabetic chediomyopathy), repeated infections can occur, ulcers that do not heal and even amputation of fingers/toes. The design of this research is descriptive analytical with a cross sectional approach. The sample in this study were 30 people using accidental sampling. Data was collected by distributing questionnaires. Furthermore, the data were collected and tested using the chi-square test with a significance level of Asymp.ig.(p-value) = 0.000, where the p-value is smaller than the value of = 0.05. The results of the study where there was good family support with good management of 4 pillars as many as 17 respondents and good family support with poor management of 4 pillars as many as 1 respondent. While for poor family support with good management as many as 1 respondent and poor family support with poor management of 4 pillars as many as 11 respondents. The conclusion in this study is that there is a description of family support for type 2 DM patients in carrying out the 4 pillars of managing DM in the poly room at Bhayangkara Hospital, Manado

The case fatality rate caused by Covid-19 in Indonesia is around 2.9%. The death rate by age group is from all Covid-19 patients who died, including 0.5% aged 0-5 years, 0.5% aged 6-18 years, 2.8% aged 19-30 years, 12.7 % were aged 31–45 years, 36.8% were aged 46–59 years, and 46.7% were aged 60 years and over. With the large number of cases that occurred in Indonesia, it turned out to be due to the lack of proper handling of the early symptoms of the Covid-19 virus. To overcome this, it is needed as a tool for early detection of the Covid-19 variant by using the CBR-AHP expert system with the Sorgenfrei algorithm. The results of the consultation for the early detection of the Covid-19 variant were obtained from the highest similarity value of Sorgenfrei. Of all the variants found above, the highest similarity value of Sorgenfrei is Omicron with a similarity of 1,000. Omicron has the highest value because it has a value of a, which is the same symptom between old cases and large new cases.

Starting from the development of medical technology that is increasingly sophisticated and rapidly growing,researchers conduct medical research, namely about patient infusion handling services. In handling patient infusion, currently it is still manual which is carried out by nurses / medical personnel. Infusion handling services for patients still have shortcomings, namely the process of monitoring and replacing infusion fluids which are often late. If the problem is not treated quickly, it can lead to problems, namely the presence of air embolism in the blood vessels (the entry of foreign objects into the blood vessels, for example air). From that problem, the researchers made a new innovation in medical technology in handling infusions automatically and based on IoT. In this study, the smart online infusion device that has been made has good features and is very effective in handling infusions. This device has 3 main functions, namely: it can monitor the remaining infusion, it can change the infusion fluid automatically and it can indicate a blocked patient's infusion. This device already has a method for processing data with fuzzy logic. Media monitoring has been supported by a website that can be controlled remotely and in real time. Tests have been carried out and the effectiveness of the system is found to have an error rate of 0.2% - 0.7% and has an accuracy of 98%. Thus this tool can be used in terms of handling patient infusion automatically.

The State of Indonesia in providing protection for patients who receive medical services, doctors and dentists in carrying out medical practices are required to provide medical services according to professional standards and standard operating procedures in accordance with Indonesian law no. 29 of 2004 article 51 letter a,.Informed consent is one of the requirements that must be met before doctors perform medical procedures on their patients.  However, even though there is Indonesian Law No. 29 of 2004, there are still doctors who commit negligence by providing services that are not in accordance with procedures by not asking for approval for medical actions that lead to malpractice claims from their patients.. The research conducted is classified as normative juridical research, using primary legal materials and secondary materials from laws and regulations, court decisions, legal theory, and existing journals as a basis.. The doctor's error by taking actions that are not in accordance with the procedure in the form of without asking for informed consent is an administrative violation so it is categorized as administrative malpractice. Indonesian Supreme Court Decision No. 233 K/PID.SUS/2021 which imposes a prison sentence in an administrative malpractice case on a legal basis that has been declared non-binding by the Indonesian Constitutional Court is an act of carelessness. However, the guilty verdict for the defendant was already correct, because the defendant did not give informed consent before carrying out a risky procedure for his patient