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Tuberculosis is a chronic infectious disease induced by the bacterium Mycobacterium tuberculosis and can attack human organs, especially the lungs. The entry of this antigen causes the release of various pro-inflammatory cytokines which cause liver cells to synthesize acute phase proteins such as C-Reactive Protein (CRP). C-Reactive Protein is a type of alpha globulin protein that appears in the blood in response to inflammation in the body. The aim of this study was to determine the description of CRP in pulmonary tuberculosis patients at the Naibonat Community Health Center. The method used is descriptive with a cross sectional study design method. This research was carried out at the Naibonat Health Center Laboratory, Kupang Regency from February to April 2024. The examination method used was the qualitative latex agglutination method. The results of CRP examination on pulmonary TB patients from a total of 23 respondents obtained reactive results for 8 samples (35%) and non-reactive results for 15 samples (65%). Based on the results of reactive CRP, the highest number was found in males, 6 people (26%), while the highest number was found in the age range 12-25 years, 4 patients (Teenagers) (17%), with the highest length of treatment at 0 -2 months (intensive stage) as many as 6 patients (35%), with the highest patient status being new TB as many as 8 patients (35%), with the highest treatment status being non-resistant as many as 6 patients (26%).

Background: Spinal anesthesia is anesthesia performed on patients who are still conscious with the aim of eliminating the conductivity process at the sensory nerve endings or fibers in certain parts of the body. Research Objectives: This study aims to determine changes in blood pressure before induction of spinal anesthesia and after induction of spinalanesthesia.        Research Methodology: Thisresearchisa descriptive observational study with a quantitative research design that focuses on variable analysis, especially intra-anesthesia blood pressure after application of spinal anesthesia. This research uses an analytical design with a cross-sectional approach. Results: It is known that the systolic blood pressure 5 minutes after spinal anesthesia was found to be mean (114.89 mmHg), median (118 times/minute) and mode (132 times/minute), diastole 5 minutes after spinal anesthesia was obtained as mean (70.09 mmHg), Median (70 times/minute), and Mode (70 times/minute). It is known that systolic blood pressure 10 minutes after spinalanes the siaobtained Mean (102.96mmHg), Median (102 times/minute) and Mode (80 times/minute), Diastole 10 minutes after spinal anesthesia obtained Mean (67.32mmHg), Median (70 times/minute), and Mode (60 times/minute). It is known that systolic blood pressure 15 minutes after spinal anesthesia obtained Mean (119.47 mmHg), Median (118 times/minute) and     Mode (100 times/minute), Diastole 15 minutes after spinal anesthesia obtained mean (71.11 mmHg), Median (70 times/minute), and Mode (80 times/minute). Conclusion: This study can conclude that patients undergoing spinal anesthesia may experience a decline due to the effects of spinal anesthesia.

Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.

Hypertension is a disorder characterized by elevated blood pressure originating from abnormalities in blood vessels, leading to impaired delivery of oxygen and nutrients to essential body tissues. Family involvement in assisting relatives afflicted with hypertension constitutes a supportive mechanism to facilitate effective self-care management of the condition.This study aimed to investigate the correlation between familial support and self-care management in hypertensive patients at Tuminting Health Center. Cross-sectional methods. The study sample comprised 49 individuals selected by purposive sampling. A questionnaire was employed as the study instrument. The gathered data was analyzed with the SPSS 16.0 software employing the Chi Square statistical test at a significance level (α) of <0.05. The results indicated that the predominant age group was 56-65 years, including 27 respondents, which represents 55.1%. The majority of respondents were female, totaling 39 individuals, accounting for 79.6%. The most common educational attainment was high school, with 22 respondents, corresponding to 44.9%. The statistical test yielded a P value of 0.0001, which is less than the alpha value (α) of ≤0.05. This study concludes that a correlation exists between family support and self-care management in hypertension patients at Tuminting Health Center. The findings of this study are anticipated to serve as a resource for individuals with hypertension, emphasizing the importance of self-care management to prevent problems and facilitate recovery.

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.

The higher the awareness regarding health, the higher the human need for health services. As a health service center, hospitals have the task of providing complete individual health services, providing inpatient, outpatient and emergency services. Social security provided by the Indonesian state is implemented by the Social Security Administering Body (BPJS) to ensure the certainty of equitable health services. This research is a quantitative descriptive study with an observational method to determine the description of satisfaction of BPJS outpatients regarding pharmaceutical services at Bekasi Hospital using Proportional Random Sampling sampling techniques with sample criteria of BPJS patients aged 17 - 65 years, who receive pharmaceutical services from the Pharmacy Installation Hospital at least 2 times. Based on the data provided, the highest overall satisfaction category is "Satisfied" while the lowest category is "Not Satisfied". These results show that the majority of patients feel a very high level of satisfaction with the services they receive. Based on the results of research conducted at the Bekasi Hospital Pharmacy Installation with 3 hospitals as research objects, it can be concluded that 51% of respondents feel satisfied with the pharmacy services at the hospital.

This study employs a descriptive method with a case study approach. The participants in this research were pediatric patients who suffered from hyperthermia. The non-pharmacological intervention of tepid water sponge compresses is utilized effectively to lower body temperature in children. The compresses are applied to the forehead and axillary regions, and this procedure is conducted for 3 days, with each compress lasting 15 minutes. The findings from this study over the course of 3 days indicate that the use of tepid water sponge compresses is effective in reducing body temperature in children with hyperthermia.

This study aims to improve the health status of families so that a healthy and prosperous family is realized in the family of Mr. "Z" with menorrhagia in adolescent girls in Ngalong Hamlet, Kuta Village, Pujut District. The study was carried out by collecting all available data sheet formats through interview techniques and systemic observation. Subjective data, especially on the main complaint of menstruation for more than 10 days and changes, Blood Pressure (BP): 98/80 mmHg, Respiration (P): 18 x / i, Pulse (N): 88 x / i, Temperature (S): 36.5o C, eyes are not edematous, pale conjunctiva, white sclera. The potential diagnosis in this case is endometrium but it did not occur because it has been handled properly. Immediate action that can be taken is to collaborate with health workers and patients. The planning carried out on Ms. M aged 14 years is: informing about the results of the examination, explaining the signs and symptoms, handling menorrhagia and consulting a Sp.OG doctor. The implementation given to Ms. M with Hypermenorrhea is: informing about the results of the examination that Ms. M's general condition informs about the results of the examination, explains the signs and symptoms, treatment of menorrhagia, and consultation with a Sp.OG doctor. Evaluation is a stage of assessment of the success of the maintenance given in overcoming consultation with a Sp. DAN doctor.

Background:   The fovea ethmoidalis and the lateral lamella of the cribriform plate of the ethmoid bone are the parts of the skull base that are most vulnerable to iatrogenic problems during functional endoscopic sinus surgery. The vertical height of the cribriform plate's lateral lamella, which is divided into three groups based on Keros types. According to the Keros, The likelihood of iatrogenic injury and issues increases with the cribriform plate's lateral lamella height.   Aim of the study:   The aim of this study is to assess the discrepancies in the ethmoid roof elevation (the depth of the olfactory fossa) amongst the adult Kirkuk population using multi-detector computed tomography.   Patients and methods: 160 persons who were referred for a CT scan to evaluate their paranasal sinuses participated in the study. Participants in this study were not allowed to have any pathological abnormalities affecting the ethmoid roof. According to the Keros classification, which was split into three groups (Keros I from 1 to 3 mm, and from 4 to 7 mm considered Keros II, while Keros III should be from 8 mm and more), the vertical height of the lateral lamella of the cribriform plate was measured using the coronal portion of a CT image. Results: The patients' average age was 35.25 ±14.16 years. The range of the left lateral lamella height is 2.1 to 10.0 mm, and the range of the right lateral lamella height is 2.0 to 9.9 mm. Of these, 43.75% had Keros type I, 55% had Keros type II, and 1.25% had Keros type III.   Conclusion: Keros type II was present in the majority (about 55%) of the adult population in that was studied while Keros type I was (about 43.75%). However, just (about 1.25%) of the adults population in the sample had Keros type III.

In the word legal theory is a foundation, opinion, understanding related to reality by describing the hypotheses studied. Theory provides an explanatory understanding by organizing the problems being faced, the purpose of methodological deepening in the background in order to obtain better and broader knowledge to solve related issues. In the world of health, theory is very necessary before carrying out field practice that directly involves dealing directly with patients to provide good health services. The application of legal theory in the world of health provides an understanding in studying the law that is clearer about legal materials and systematic views on legal statements. In this case, it is also inseparable from legal theory in medical practice, because in providing health services, doctors in the profession know their rights and obligations.

This study aims to analyze the effect of waiting time on patient satisfaction undergoing ultrasound examinations at Kertha Usada Buleleng General Hospital. A quantitative survey method was employed, involving 50 respondents. Data were collected using a questionnaire measuring waiting time and patient satisfaction levels. The results indicate that the average waiting time is 90 minutes, and there is a significant negative correlation between waiting time and patient satisfaction (r = -0.58, p < 0.05). Approximately 80% of patients reported being satisfied or sufficiently satisfied, while 20% expressed dissatisfaction. The study concludes that improved management of waiting times and enhanced service quality are essential for increasing patient satisfaction. Recommendations for the hospital include developing a more efficient waiting time management system and improving communication with patients.

The management of service centers at the Indonesian Rede Cross (PMI) in East Jakarta is still conducted manually, which slows down service processes and increases the likelihood of data processing erorrs. This research aims to design a Java-based application to automate patient registration, admission, handling, emergency services, available ambulance data, and the preparation of reports as quickly as possible. The application was developed using the Java programming language with a prototype model approach in software development. Testing results indicate that this application successfully enhances the efficiency and accuracy of PMI East Jakarta’s operations, particularly in managing data related to patients, actions, personnel, and ambulance availability. It is hoped that this application can be integrated with other PMI regions to establish a more structured and connected service management system.

Liver cirrhosis is a pathological condition that describes the end stage of progressive hepatic fibrosis. More than 40% of cirrhosis patients are asymptomatic. Based on research, 4% of patients with fatty liver will develop non-alcoholic steatohepatitis, and 0.3% of these patients will end up experiencing liver cirrhosis. A 48 year old man came to the emergency room at Cut Meutia Hospital with complaints of an enlarged stomach accompanied by pain since ± 2 weeks. The patient also complained of swelling in both legs. The results of the physical examination of the abdomen revealed icteric sclera (+/+), shifting dulness and leg edema (+/+). Based on laboratory examinations, it appeared that there was an increase in liver function, then the ultrasound examination showed the impression of ascites and liver cirrhosis. Based on the history, physical examination and supporting examinations, the patient was diagnosed with hepatic cirrhosis, relative decompensated stage of hepatitis B + CHD. Non-medical management is carried out in the form of bed rest, balanced nutrition and consumption of a low sodium diet. Then the patient's medical management consists of a 500ml hepatic Aminofuscin infusion, symptomatic management and antiviral treatment for the hepatitis he is suffering from.  

Nasopharyngeal Carcinoma (NPC) is a squamous cell carcinoma (SCC) originating from the nasopharyngeal epithelium. In Indonesia, NPC is the 4th most common malignancy after breast cancer, cervical cancer, and lung cancer. A 40-year-old woman came to the Emergency Room of Cut Meutia Hospital with complaints of left-sided nosebleeds for approximately 2 weeks before entering the hospital. The results of the physical examination found hair that was easily pulled out, then from the results of the supporting examination in the form of a non-contrast head CT-Scan, an expansion of the mass in the nasopharynx was found. Based on the anamnesis, physical examination and supporting examinations, the patient was diagnosed with nasopharyngeal carcinoma. The management that can be given to patients is non-drug, namely consuming nutritious food, and managing stress and sleep patterns, in addition the patient is also given symptomatic management.

Pneumothorax is a condition where free air is present in the pleural cavity. Pneumothorax is a life-threatening respiratory emergency that requires immediate treatment. Pneumothorax is classified into 2, namely spontaneous pneumothorax and traumatic pneumothorax. Based on the mechanism of occurrence, namely, open pneumothorax and tension pneumothorax. In general, all types of pneumothorax have almost the same pathophysiological basis. Patients usually come with complaints of shortness of breath, which is sudden and localized in onset. In establishing a diagnosis, anamnesis, physical examination and fast and accurate supporting examinations are needed where the aim is for the management actions given to the patient. General management of pneumothorax is primary survey airway, breathing, circulation. Mortality due to pneumothorax is high if appropriate action is not taken.

This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

HIV/AIDS poses a considerable public health challenge on a global scale, and Indonesia is no exception. The HIV virus can be transmitted through several pathways, including mother-to-child transmission during pregnancy, childbirth, and breastfeeding, as well as through unprotected sexual intercourse and the use of non-sterile medical equipment. Studies have shown that delivering a baby via caesarean section can lower the risk of HIV transmission compared to vaginal delivery. Additionally, breastfeeding from HIV-positive mothers may heighten the chances of passing the virus to their infants, particularly under certain conditions. To reduce the risk of HIV transmission, preventive measures such as antiretroviral therapy (ARV) are vital, especially for serodiscordant couples—those in which one partner is HIV-positive while the other is not. Furthermore, social support and counseling play critical roles in encouraging adherence to treatment regimens among patients. This research aims to deepen our understanding of HIV transmission and to investigate effective preventive strategies that can significantly lower the risk of infection.

This study examines the relationship between education level and understanding of insulin therapy among type 2 diabetes mellitus patients undergoing insulin therapy at RSUD dr. M. Soewandhi Surabaya. Using a descriptive observational method with a cross-sectional design, data were collected from interviews and medical record observations from 100 patients aged 15-64. The findings reveal that most patients had low educational backgrounds, with 27% never attending school and 39% only completing high school. Regarding insulin therapy comprehension, 10% demonstrated good understanding, 55% moderate, and 35% poor. The highest comprehension was insulin usage rules, while the lowest was injection techniques. The study underscores the need for tailored health education to improve patient understanding, particularly for low-education groups. Limitations of the study include the single-site setting and potential response biases from interviews. Future research should expand to include diverse populations and examine non-educational factors influencing therapy comprehension, such as cultural and economic conditions.

Paranoid schizophrenia is a condition of mental and behavioral disorders characterized by disturbances in thoughts, perceptions, feelings and awareness of patients who are fully conscious and intellectually can still be maintained. According to WHO, the prevalence of schizophrenia in 2021 will reach 24 million people, and the prevalence of schizophrenia experienced from 2019-2021 has increased by 54%. The 47 year old patient was taken by his family to the emergency room at Cut Meutia Hospital with complaints that the patient often had tantrums. This complaint began 13 when the family felt a change in the patient's behavior. Based on the family's information, 2 days before entering the hospital, the patient took their child away for 1 day, without being given food, the patient also carried a sharp weapon. From the patient's confession, he said he wanted to go to Saudi Arabia with his child. The patient is also restless, pacing back and forth, without a clear goal. Patients also often wander around at night and have difficulty sleeping, patients often bring home objects that do not belong to the patient when they return home after wandering around. Psychiatric status obtained a general impression of appearance according to age with medium stature, brown skin, clear consciousness, dull affect, auditory hallucinations, non-realistic thought forms, coherent thought flow, and delusional thought content, view 1 (the patient completely denies that he is sick). The diagnosis was adjusted to PPDGJ III and the patient was diagnosed as paranoid schizophrenia. Inpatients at RSCM in the UPIP room are given therapy with lodomer 5mg/ml extra, risperidone 2x2mg, diazepam 1x2mg.

In Indonesia, traditional medicine has a legal position that is recognized and protected by state law in the provisions of article 50 paragraph (1) and paragraph (2) of Law Number 36 of 2009 concerning Health. It is also stated in the new Law Number 17 of 2023 concerning health article 192 paragraph (1). Although traditional medicine is recognized and regulated by national law, traditional medicine practitioners can also engage in malpractice acts. Currently, people have a lot of problems with traditional medicine, which is too prone to mishandling patients' diseases because of its methods that have not been clinically tested. The increasing number of cases of fracture infection caused by fracture shamans every year is one example of inappropriate handling that occurs in the Kemak Tribe in Kampung Sadi, Belu Regency. This research is a socio-legal research supported by an empirical approach that uses primary data and secondary data collected using interview and observation techniques and processed and dialysed using Editing, Coding, Verification, and Interpretation techniques. The results of this study show that (1) Negligence in traditional medicine is a serious problem that has a wide impact on individuals and society. (2) In traditional medicine, the prevention and control of negligence requires a comprehensive approach through education, regulation, and cooperation between the government, practitioners, and conventional health workers.