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Technological advances have given birth to various kinds of innovations, one of which is the Hospital Management Information System (SIMRS). SIMRS is a tool in the process of making medical recaps for patients in hospitals. This is due to the daily activities of PKL (Field Work Practice) students who have to make reports about patient medical recaps.

Sugar levels that accumulate in the blood due to not being absorbed well by body cells can cause various organ disorders. If not controlled properly, it can lead to various complications that can be life-threatening. Risk factors that can affect blood sugar levels are food, activity, and weight gain. Therefore, one way to keep blood sugar levels under control is by doing walking therapy activities. The purpose of this study was to determine the effect of walking on the fasting blood sugar levels when in patients with type 2 diabetes mellitus in Tuminting Village, Manado City. This research is a quantitative research with a method used pre-experimental method using a with a pre-test-post test one group design approach. The sample was taken based on the number of respondents obtained as many as 19 people using Purposive sampling. Data collection was done by using blood glucose test tools and observation sheets. The results of data analysis using the Paired sample t-test showed P value of 0.001 or smaller than ≤0.05 which means that the alternative hypothesis Ha is accepted or through walking activities can reduce the fasting blood sugar levels when in patients with type 2 diabetes mellitus.

Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

Mental health problems in Indonesia are an important public health problem and should receive serious attention from all governments from central to regional levels. Mental Health Efforts are every activity to create an optimal level of mental health for every individual, family and community using a promotive, preventive, curative and rehabilitative approach which is carried out in a comprehensive, integrated and sustainable manner by the government and/or the community. The aim of this research is to determine the relationship between family social support and independence in mental disorder patients. Method: The type of research used is correlational using a cross sectional design. The population in this study were families containing people with mental disorders. The research instrument is a family social support questionnaire consisting of 14 questions, while the questionnaire about independence consists of 10 questions. Result: significance value or sig. (2-tailed) is 0.000, because the sig value. (2-tailed) 0.000 < 0.05, which means there is a significant (meaningful) relationship between the family social support variable and the independence of mental disorder patients. Suggestion: The family must involve the patient in daily routine activities at home, develop social interactions and involve the patient in managing the environment around the patient so that mental disorders can carry out activities in daily life independently

Postpartum discomfort is a nursing problem that is often experienced by mothers in the postpartum period. One of them is caused by breast enggorgement. The symptoms experienced are pain and the mother's breasts harden making it difficult to breastfeed. Breast care intervention for problems of postpartum discomfort ‘caused by breast enggorgement. A case study that aims to describe the application of breast care to clients with nursing problems of postpartum discomfort with breast enggorgement. The number of respondents in this case study research amounted to 2 mothers post second day sectio caesaria surgery. Breast swelling assessment using the Six Point Self-rated Engorgement Scale (SPES) with a score of 1-6. In addition, breast care interventions used standard operating procedures and action observation forms. The results of the case study showed that both patients who performed breast care experienced a decrease in the ix Point Self-rated Engorgement Scale (SPES) score from 4 to 3, with breast criteria still enggogerment but pain level was reduced. Breast milk (ASI) becomes smooth and breastfeeding the baby becomes easier. The implementation of breast care can reduce pain and swelling in the breast.for mother wirh discomfort after birth.

Background: With the online queuing application at RSUD Haji Makassar, registration should be able to run effectively. However, the queuing system at the Makassar Haji Hospital is not working well or can be said to be ineffective because patients still choose to register offline compered to registering online via the Makassar Haji Hospital queuing application which has been provided by the hospital.Objective: To determine the factors that influence the effectiveness of the online queuing system for outpatiens at RSUD Haji Makassar. Method: The research used was quantitative research using cross-sectional methods. Data collections used aquestionnaire, the sample in study was 95 systems users (patiens) at RSUD Haji Makassar. Data analysis using the chi-square test, namely to see the relationship between the independent variable and the dependent variable. Research results: There is an influence of relative advantage (p=0.002), compability (p=0.000),complexity (p=0.000), possibility of trying (tryability) (p=0.000), ease observed (observability) (p=0.000), on the effectiveness of the online queuing system at RSUD Haji Makassar.Conclusion: The factors in all variables examined in this study show that there is an influence on the effectiveness of the online queuing system. It is hoped that RSUD Haji Makassar will hold outreach and education to increase the effectiveness of the online queue system

Tuberculosis (TB) is an infectious disease caused by infection with Mycobacterium tuberculosis complex, which is the most frequently found bacteria and is transmitted between humans via the air route. The incidence of TB in Indonesia in 2020 was 301 per 100,000 population. Therefore, family doctors play an important role in promoting health and preventing TB disease, identifying risk factors, clinical problems, and providing management to patients by implementing holistic family doctor services based on evidence based medicine through a patient centered and family approach, the main problem This patient did not wear PPE when in direct contact with other patients while working at PKM Tanah Pasir. In this case report, primary data was obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Patient Mr. R, 45 years old, underwent routine TB treatment at the Tanah Pasir Community Health Center and was diagnosed two months ago. The patient has normal nutritional status. Pharmacological and non-pharmacological interventions are carried out for patients in the form of education about TB disease for patients and their families. The results of the evaluation of the intervention are that the patient has started to do physical activity and the family has supported the patient's routine treatment.

Background: Data obtained from the Palembang city health office that the incidence of head injuries in 2018 there were (16.15) patients. Head injury (trauma capitis) is a mechanical injury that directly or indirectly affects the head that results in head wounds, fractures of the bones of the skull, tearing of brain membranes, and damage to brain tissue, as well as resulting in neurological disorders. One of the nonpharmacological therapies that can be given to patients who experience pain in minor head injuries is music therapy. Objectives: to gain real experience and knowledge and to document the application of music therapy to pain scales in nursing care for minor head injuries. Methods: this type of scientific paper uses a descriptive method with a case study approach to explore the problem of nursing care in two patients with minor head injuries. Nursing care was carried out on two patients, which was carried out on June 15 to 17, 2022. Results: from music therapy actions to Mr. A and Mr. D with the first diagnosis of acute pain related to physical injury agents. The results of the evaluation of the first patient, Mr. A, found that the patient experienced a decrease in the pain scale to 3 (mild), before music therapy the pain scale was 5 (moderate), the pain problem was resolved, and the intervention was stopped. For the evaluation, the second patient, Mr. D, obtained a pain scale of 2 (mild), before music therapy the pain scale was 4 (moderate), the pain problem was resolved, and the intervention was stopped. Conclusion: the results of the nursing evaluation on Mr. A and Mr. D problems resolved the intervention was stopped. It can be concluded that music therapy can reduce pain in patients with mild head injuries.

The patient came with complaints that the body often felt weak even though the patient did not do strenuous activities. This complaint has worsened in the last 1 week, causing the patient to be discouraged from doing activities and disrupting his daily activities Patient also complained that his weight was decreasing. Another complaint that was felt was that the hands often felt numb. History of diabetes mellitus in the last 10 years, but the patient admitted that he did not routinely take medicine to control his blood sugar. The KGDS examination obtained in the patient was 324 mg/dl. The patient's BMI was 18.2 kg/m2 and classified as underweight. Primary data was obtained through autoanamnesa and physical examination by conducting home visits, filling out family folders, and filling out patient files. Assessment was carried out based on holistic diagnosis at the beginning, process, and end of the visit quantitatively and qualitatively. Interventions include education about the causes of diabetes mellitus, education about lifestyle modification and the importance of taking medication regularly to control blood sugar levels and explaining complications that may arise from the patient's disease so that patients make preventive efforts.  

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.

Lung cancer is one of the most common causes of death today. One case of right lung squamous cell carcinoma with COPD and atelectasis has been reported in a 44 year old male patient. Based on the history, the patient said he had experienced chest pain for 1 week before entering the hospital and had a cough without phlegm or blood. Physical examination revealed dull chest wall percussion at the apex of the right lung and dullness in the left lung field, vesicular breathing sounds in both lung fields and rhonchi in the left lung field. The results of the supporting examination found a mass in the left lung on a chest x-ray and a bronchoscopy examination found a right lung tumor (type?) T3N1M0 Stage IIIA and the results of the anatomical pathology examination showed a picture of non-small cell carcinoma type squamous cell carcinoma. Patients are treated with chemotherapy and symptomatic therapy.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

Emotional intelligence plays an important role in addressing various issues, especially self adjustment problems in post hysterectomy cervical cancer patients. This quantitative research with the correlational approach aims to determine the relationship between emotional intelligence and self adjustment in post hysterectomy cervical cancer patients. Sampling used is saturated sampling method which involve the entire population to be used as a research sample because the population was less than 100 people, namely 30 patient. To collect data using questionnaires and interview. The technique for the analysis used by the researcher in this study is Pearson’s product moment correlation. The analysis shows that there is a relationship between emotional intelligence and self adjustment. Emotional intelligence also had a direct and positive relationship with self adjustment, in which the value of r = 0,874; there is no negative sign, and it can be said that emotional intelligence and self adjustment have a very strong relationship.

Patient anxiety during tooth extraction is a common challenge in dental practice that can affect patient experience and outcome of the procedure. This study aimed to evaluate the effectiveness of approaches and strategies to address patient anxiety during tooth extraction procedures. Through counseling designed to improve patient understanding of the causes of anxiety, relaxation skills, and communication with the dentist, this study measured its impact on patient anxiety levels and preparedness. The study involved patients undergoing tooth extraction procedures, where they attended a counseling session that included information on factors that cause anxiety, breathing relaxation techniques, and communication skills. Data were collected before and after the counseling through a survey that assessed patient knowledge, ability to apply relaxation techniques, self-confidence, and anxiety levels. The results showed a significant increase in patient understanding of the causes of anxiety from 50% to 85%, ability to apply relaxation techniques from 30% to 75%, and self-confidence in facing the procedure from 40% to 80%. In addition, the ability to communicate with the dentist increased from 45% to 78%, and anxiety levels decreased from 70% to 40%. These findings confirm that an educational approach is effective in reducing patient anxiety, increasing preparedness, and improving the experience during tooth extraction. This strategy can be implemented widely to improve the quality of care and patient well-being in dental practice.

The problems that usually arise in people with HIV/AIDS (PLWHA) are that apart from physical problems, there is also stigma, namely the bad social reaction towards people with HIV/AIDS. Such complex problems in PLWHA are accompanied by loss of social support such as lack of attention from family and community. This reaction is a bad experience for PLWHA where when they need support there is no one to help them, so depression often occurs in PLWHA. Depression in HIV AIDS sufferers can increase the risk of non-adherence behavior towards treatment resulting in a high risk of shorter survival. Failure to recognize and treat depression in HIV/AIDS sufferers not only endangers the patient but also endangers society. Research related to depression in PLWHA at Cipto Mangunkusumo Hospital, Jakarta, found that more than half of the patients experienced depression, namely 51.1%. The general aim of providing this counseling is so that PLWHA are able to overcome the depression they are experiencing. The design used in this community service is counseling with communication, information and education methods. The targets of this community service activity are housewives with HIV/AIDS in Cirebon district. From the preliminary study carried out, it was found that data on the problems that arise among PLWHA in Cirebon district cannot be separated from the emergence of psychological problems, this occurs because of feelings of sadness, disappointment, shame, fear of being ostracized by friends and family and fear of being abandoned by their husbands.

Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

As many as 7.3 million people worldwide die from heart disease. This indicates that heart disease is one of the diseases that cause the most deaths. As a preventive effort in handling heart disease, it is necessary to predict heart disease in patients. The classification process to predict heart disease is done using a decision tree. This decision tree is interesting because it is more flexible in providing the advantage of visualizing the advice so that the prediction can be observed. This study uses Heart Disease Prediction Dataset data with a total of 303 data. Then predictions are made using Decision tree so that the accuracy results are 83.60%, precision 89.28%, recall 78.12% and F1 score of 83.33%.

The lack of public knowledge about hypertension and information about drugs is an obstacle to success in the healing process. In line with this, Gebriet et al. (2017) explained that the level of knowledge and understanding of hypertensive patients regarding their disease can support the success of therapy so that the patient's blood pressure can be well controlled. The more patients understand their disease, the more aware patients will be in maintaining a lifestyle, regularly taking medication, and the level of patient compliance will also increase. Before conducting counseling, participants were given a pre-test to find out how much knowledge the community had about hypertension. During the implementation of the activity, participants paid attention enthusiastically and actively. This can be seen from the many questions from the participants and the right answers to questions from the community service team. At the end of the activity, participants conducted an evaluation. The results of the evaluation conducted from 10 participants showed that the pre-test results were 45% good, 55% fair value, the post-test results showed that 85% good 15% fair. So there has been an increase in knowledge from before and after counseling.

Use Of Fat Saturation (FS) Sequences In MRI Knee Joint Examination Of Osteosarcoma Cases At Installation Radiology Hospital In Jakarta. Magnetic Resonance Imaging (MRI) is one of the medical support modalities used by doctors to diagnose a disease. MRI is capable of producing high resolution images of soft tissue and is capable of displaying various cuts (sagittal, axial, coronal and oblique) using high-strength magnetic fields and nuclei resonances of hydrogen atoms. Fat saturation is used to detect or extract signals from adipose tissue. Three methods can be used to achieve leanness: lean saturation, investment mulihan, and leaning phase. Fat sat is an umbrella term that encompasses several techniques, each with its own unique advantages, disadvantages, and strengths. During the MR imaging process, proton lipids and hydrogen protons from the air have different behaviors, and fat suppression techniques.The knee joint is a hinge joint with changes and is formed by both femoral condyles that are jointed with the superior surface of the tibia condyles. The patella is located above the smooth pateller surface of the femur and above that the patella slides as the joint moves. Osteosarcoma is a relatively common middle to high grade malignant soft tissue tumor, often with an early course affecting young patients, and most often involving soft tissue.