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Joint pain is a disease that is familiar in everyday life. and mostly in elderly people who are close to joint pain disorders which is a degenerative disease. Apart from the age factor, there are many things that influence the rate at which joint pain occurs due to the fact that many elderly people do not control their lifestyle such as regular exercise, diet and so on. Pain often occurs in the hands or fingers, knees, hips and spine. This disease generally develops gradually and gets worse over time, disrupting the sufferer's ability to do physical activity. Methods of exercise therapy for osteoarthritis are therapy in the form of active movement exercises and in the form of exercises using resistance/weights which aim to train the muscles so that the muscles become relaxed, preventing limitations. movement, maintain muscle elasticity and increase muscle strength. Exercise therapy will minimize injury by strengthening the muscles supporting the joints, restoring strength and range of motion so that activities can be carried out as before. Activities that are beneficial for health should meet the FITT criteria (frequency, intensity, time, type). Frequency is how often the activity is done, intensity is how hard the activity is done, usually divided into low, medium and high intensity. Time refers to the duration of the activity and the type of physical activity carried out. Community service activities are aimed at all elderly people in order to increase knowledge and alternatives about non-pharmacological therapies that are relatively safe from side effects.  

Osteoarthritis is the most common type of arthritis that affects the knee. Osteoarthritis is a degenerative process in which joint cartilage is gradually eroded. This disease often attacks middle-aged and elderly people. Osteoarthritis can be caused by excessive stress on the joints such as repeated injuries or being overweight. The aim of this activity is to provide acupressure therapy to reduce the level of pain experienced by elderly people with knee osteoarthritis. The target of this activity is elderly people who experience knee osteoarthritis in Bangun Rejo Village, Tanjung Morawa District with a total of 16 people. This activity is carried out by providing acupressure therapy. The results of the activity showed a decrease in pain levels in elderly people with knee osteoarthritis in Bangu Rejo village, Tanjung Morawa district. It is hoped that the elderly can manage pain with knee osteoarthritis by providing acupressure therapy

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.

Background: Non-communicable chronic diseases are currently a global health problem. Treatment of chronic diseases is serious because it can affect the patient's quality of life and consume quite a large amount of treatment funding. However, pharmacological treatment cannot be effective if chronic disease patients are unable to manage stress. For this reason, therapeutic modalities are needed that are able to treat patients as a whole, both bio-psycho-social and spiritual, one of which is the spiritual emotional freedom technique (SEFT). Purpose: This community service activity aims to increase the resilience of chronic disease patients through SEFT training. Method: Activities were provided for posyandu cadres in Kayuputih Village, Sukasada I Community Health Center Working Area. The training method was carried out by giving lectures, demonstrations, guided re-demonstrations, providing media, and evaluation. Results: SEFT is a non-pharmacological therapy that is acceptable to participants. SEFT can be done independently with the guidance of media leaflets and video demonstrations. SEFT is considered a unique way of praying and is modified by healing efforts by tapping specific points on the body. Conclusion: SEFT can be an alternative choice for chronic disease patients to maintain resilience in long-term self-care.

Hypertension in pregnancy is a common pregnancy complication, affecting 2% of pregnant women worldwide. It is the cause of death of pregnant women in the world, hypertension is treated conventionally, namely hypertension-reducing drugs, but this conventional treatment has many problems because it is related to pregnant women which will definitely be related to the fetus they are carrying. At the Bestari Community Health Center, Medan Petisah District, the health status of mothers and children is good, but there are still problems for pregnant women who experience hypertension during their pregnancy, which is around 30%. The incidence of hypertension in pregnancy is high in the working area of the Bestari Community Health Center, Medan Petisah District, because people consume more than the amount of salt, the food menu is haphazard, and if they are treated with hypertension medication, they are not consumed because it will have a bad impact on their child, to solve the problem, to resolve the treatment. An alternative to non-pharmacological treatment is using music therapy and providing counseling about correct eating patterns. The aim of this community service is to increase knowledge and reduce the incidence of hypertension in pregnant women by using counseling methods and applying music therapy. Method: By providing counseling and music therapy, the results of the implementation of Beethoven's classical music therapy activities are: knowledge of the community (pregnant women) about eating patterns increased by approximately 89% and hypertension which was successful decreased in the 2-4th week of therapy, namely on average 110/70 mmHg..

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

Morinda citrifolia (noni) is a plant that has attracted attention in research as a source of compounds with anti-cancer potential. The aim of this comprehensive understanding is to analyze various studies that have been carried out to investigate the ability of Morinda citrifolia in cancer therapy. The research method involved a qualitative literature study, where we collected ten research articles that had been conducted on various types of cancer cells and the compounds contained in Morinda citrifolia. Research results show that Morinda citrifolia contains a variety of compounds such as anthraquinones, scopoletin, quercetin, and others, which have shown promising anti-cancer activity. In addition, in-silico research also identifies compounds that have the potential to influence key molecular targets in cancer growth pathways. Research results show a variety of anticancer activities associated with these compounds, including their ability to inhibit cancer cell growth, induce apoptosis, reduce oxidative stress, and inhibit cancer cell movement. In several studies, compounds such as morindone, scopoletin, and quercetin have shown promising anticancer activity, especially in certain cancer cell models. In conclusion, Morinda citrifolia shows potential as a source of interesting anti-cancer compounds, and further research is expected to help better understand the potential benefits of this plant in cancer therapy. In this context, further clinical research is needed to validate the efficacy and safety of using Morinda citrifolia in cancer therapy in humans.

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.

Poetry is an art form that allows writers to express troubled feelings with beautiful and deep words. This journal, “Emotional Ink: An Inspiring Poetry Adventure When You're Upset,” explores the relationship between anxiety and creativity in poetry. In the introduction, this journal introduces the importance of poetry as a unique medium of expression and provides an overview of the research aims. The research method uses a literature review to gain in-depth insight into leadership and team productivity. The results and discussion explain the role of poetry as a means of emotional expression and psychological therapy, while the conclusions highlight the power of poetry as a healing tool during difficult times.

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.

Solution-oriented brief counseling is a fast and effective counseling approach in solving student problems. This approach emphasizes students' skills and strengths, focuses on the solutions they want to achieve, avoids past problems, and focuses on the future to achieve the desired goals. Solution Focused Brief Therapy (SFBT) involves brief counseling sessions that focus on solutions rather than problems. This research aims to determine the effectiveness of implementing short solution focused counseling to increase student ownership of their learning. The method used is library research and data was obtained using library research. The research results show that the use of short, solution-oriented advice is effective in increasing student responsibility in their learning. Students who received short-term tutoring significantly increased their learning responsibilities compared to a control group that did not receive advising. Therefore, schools and teachers are encouraged to implement brief counseling as a strategy to increase student ownership of their learning.

Nausea and vomiting induced by emesis gravidarum typically do not result in maternal fatality; nevertheless, they may give rise to malnutrition and dehydration due to challenges in consuming food and beverages. Ginger, recognized as a longstanding spice, offers a range of advantages. In addition to its usage as a culinary seasoning, beverage ingredient, and confectionery, ginger is also employed in traditional medicinal concoctions. This study seeks to juxtapose the outcomes preceding and following the administration of ginger aromatherapy to expectant mothers in their first trimester. The methodology employed in this research is experimental in nature, specifically adopting a quasi-experimental blueprint involving a pre-test and post-test configuration without a control cohort. The study cohort encompasses 30 initial trimester expectant mothers grappling with emesis gravidarum, who attended prenatal care at PMB A Klapanunggal. Derived from the outcomes of the 2022 inquiry into the Impact of Ginger Aromatherapy on Emesis Gravidarum Incidence in Pregnant Women at PMB A Klapanunggal Bogor, it can be deduced that a notable distinction exists in the frequency of emesis gravidarum prior to and subsequent to the application of ginger aromatherapy to first-trimester expectant mothers (Two-tailed Sig = 0.000 < 0.005). Furthermore, the expectant mothers comprehended and executed the insights on ginger aromatherapy dispensed by the researcher, proficiently integrating complementary therapy into their domestic routines. Consequently, healthcare establishments are advised to impart awareness regarding the adoption of non-pharmacological treatments, including aromatherapy, which are conveniently accessible and viable for initial trimester expectant mothers.

Therapeutic communication is a nurse-client relationship designed to facilitate the goal of therapy in achieving an optimal and effective level of healing so as to obtain patient satisfaction which can be interpreted as a personal evaluation of services with health service providers. The aim of the research is to determine the relationship between therapeutic communication and the level of patient satisfaction. The research method used in this research is correlation analysis with a cross sectional approach. Sampling used Simple Random Sampling, totaling 50 respondents. Statistical analysis uses the Chi Square Test. Result: The research results showed that 82% of nurses' therapeutic communication was good, 52% of patients were satisfied, 30% were dissatisfied. The p-value of 0.024 < 0.05 shows that there is a significant relationship between therapeutic communication and the level of patient satisfaction and an Odd Ratio of 6.067. The research conclusion is that there is a relationship between nurse therapeutic communication and patient satisfaction levels.

The aim of this research is to overcome the boredom of residents in the Class 1 Detention Center in Surabaya. This research analyzes group counseling that uses art therapy. This research was conducted at the Class 1 Detention Center in Surabaya and used descriptive qualitative research methods. Observations and interviews were used to obtain research data using data analysis techniques, namely descriptive comparative. The subjects in this research were residents of the Surabaya Class 1 Detention Center. The research results showed that group counseling with art therapy was effective in overcoming the boredom of Class 1 Detention Center residents in Surabaya. This service is carried out in four stages, namely initiation, transition, activity and termination. The effectiveness of the service is demonstrated by the enthusiasm of the inmates in participating in the service and making the best use of art in art therapy.  

The Nutrition Care Center (NCC) is a teaching factory (TEFA) at the Jember State Polytechnic (Polije) which provides assessment and diagnostic services for nutritional problems, comprehensive nutritional assessments, diagnostic services, nutritional counseling, and customized diet plans for clients. Health services, including nutrition, require accurate medical records that include patient identification, examination, treatment, interventions, and other relevant information. However, NCC faces challenges, namely that the medical recording system is still manual paper-based. Medical record numbers do not comply with numbering regulations, age is still used instead of date of birth, the nutritional assessment section is not yet standardized and disease code classification does not yet exist. This manual system is susceptible to damage, loss, and requires dedicated storage time and space. Since it was inaugurated in November 2021, the number of NCC visits has continued to increase both from internal clients and external clients of Polije with initiations with several educational institutions, offices and elderly groups. The use of EMR which is made easier with QR Codes and the application of Whatsapp Bot is the main alternative to build or improve the management of assessment and diagnostic services for nutritional problems according to client needs. Socialization of assistance in implementing Electronic Medical Records (EMR) with QR Code and WhatsApp Bot at NCC aims to make things easier for experts. nutrition to access the client's examination history, allergy history and previous therapy in one view and make it easier for clients to access medical record numbers without a card. This initiative is in line with the Department of Health Research Masterplan 2022 and the development of TEFA services. NCC recognized the need for a more efficient system and proposed implementing EMR with QR Codes and WhatsApp Bots to optimize patient care. This socialization was carried out at the Jember State Polytechnic NCC with the presence of participants from nutritionists, students, the community and administrators from NCC. This socialization obtained results in the form of increasing public understanding of nutritional care, especially in relation to the existence of NCC as a teaching factory at the Jember State Polytechnic, the use of EMR via QR codes and WhatsApp Bot as a solution implemented by NCC in optimizing patient care and increasing the empowerment of partners in using it. and implementation of EMR with QR codes and WhatsApp Bot in patient nutrition care at NCC.

Anxiety is one of the complaints of patients with Chronic Kidney Failure (CKD) undergoing hemodialysis. CAM (Complementary Alternative Medicine) therapy as a substitute for drugs using lavender aromatherapy is expected to reduce anxiety levels in CKD patients who are undergoing hemodialysis therapy. The aim of the study was to determine the effect of inhaled aromatherapy on reducing anxiety levels in CKD patients undergoing hemodialysis at Grandmed Lubuk Pakam Hospital. This type of research is quantitative research with a pre-experimental research design with one group pre-test and post-test approaches. The sampling technique in this study was total sampling with a total of 20 respondents. Data analysis was carried out using the sample paired t-test. The results of the study obtained a p-value of 0.00 where the p-value was <0.05, it can be concluded that there was a significant effect after being given inhaled aromatherapy to decrease anxiety values in CKD patients at Grandmed Lubuk Pakam Hospital. The conclusion in this study is that lavender inhalation aromatherapy has a significant effect on reducing anxiety levels in CKD patients undergoing hemodialysis and it is recommended for health workers to further improve anxiety management with non-pharmacological measures.

Low Back Pain (LBP) has long been recognized as the only musculoskeletal condition that adversely affects more than three adults in daily life, known as the second skeletal ganglion. Hot Stone Massage uses bones that have been trained to be used as a means of relaxing muscles, ligaments and tendons. Objective: to determine the effectiveness of Hot Stone Massage in reducing pain in LBP sufferers. The research method used is a literature review approach, by searching for references using the PICO method on the Google Scholar database over a period of 10 years. Results: From the 3 journals studied, Hot Stone Massage had an effect on reducing pain in patients suffering from LBP, with temperature intensity >38°C and p-value p<0.05 showing a significant effect. Conclusion: The use of hot stone therapy also reduces the amount of pain that interferes with daily activities, such as the ability to manage loads, work performance, and sleep quality, in addition to providing long-lasting pain protection for most users during use and for two weeks after use.

Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it causes high rates of hospitalization and mortality. The clinical manifestations of ACS are that the patient feels pain and discomfort that is not specific in the chest and legs radiating to the neck, left shoulder and arms and back then accompanied by cold sweat, nausea, vomiting, weakness and dizziness and can faint which occurs suddenly with high intensity.  Objective: To find out the results of applying Thermotherapy therapy to relieve chest pain in patients with Acute Coronary Syndrome. Moewardi Surakarta. Method: This type of research is a descriptive case study. The application was carried out on 2 patients selected by purposive sampling method with inclusion and exclusion criteria. Thermotherapy is carried out for 10-20 minutes 1x/day for 3 days. The research instrument used SOP foot massage, hemodynamic status observation sheets, and informed consent. Results: After being given the application to both respondents for 1 time a day for 3 consecutive days, a decrease in the level of the chest pain scale was found in the patient Mr. S with a pain scale level before being carried out by Thermotherapy therapy, severe pain and after being carried out by Thermotherapy therapy for 1 time in 3 consecutive days to mild pain. Meanwhile, in the patient Mr. A with the level of pain scale before the Thermotherapy therapy is severe pain and after the Thermotherapy therapy is done for 1 time in 3 consecutive days it becomes mild pain. Conclusion: there is a reduction in the chest pain scale in patients with Acute Coronary Syndrome at RSUD Dr. Moewardi Surakarta after being given thermotherapy.

Acne vulgaris is an androgen-dependent disorder of Pilosebaceous follicles (hair follicles and attached sebaceous glands). The areas of the body with the highest density of pilosebaceous follicles are the face, neck, upper chest, shoulders and back. Acne vulgaris is one of the most common skin disorders to be treated by a dermatologist, mainly affecting teenagers, although it may be present at any age. Acne Vulgaris by definition is a multifactorial chronic inflammatory disease of the Pilosebaceous unit. The various clinical presentations include seborrhoea, comedones, erythematous papules and pustules, less commonly nodules, deep pustules or pseudocysts, and primary scarring to name a few. Acne Vulgaris has four main pathogenetic mechanisms - increased sebum production, follicular hyperkeratinization, Propionibacterium acne (P.acne) colonization, and inflammatory products. In recent years, due to a better understanding of the pathogenesis of Acne Vulgaris, new therapeutic modalities are being designed. The availability of new treatment options to complement the existing armamentarium should help achieve successful therapy of more Acne Vulgaris patients, ensuring improved tolerability and meeting patient expectations. Successful management of Acne Vulgaris requires careful selection of anti-Acne Vulgaris agents according to the clinical presentation and individual patient needs.

This study is to find out about Parotid Gland Tumors, Salivary Gland Physiology, Definition of Parotid Tumors, Epidemiology, Etiology, Classification, Benign Parotid Tumors, Malignant Parotid Tumors, Clinical Manifestations, Diagnosis, Supporting Examinations, Therapy, Complications and Prognosis. Parotid tumors are tumors that attack the parotid salivary glands. The etiology of salivary gland tumors remains unknown but a multifactorial role is thought to be involved. The most common benign salivary gland tumor in children is parotid gland hemangioma. In adults, benign salivary gland tumors that often occur include pleiomorphic adenomas. Parotid malignant tumors in children are rare and the most common in children is mucoepidermoid carcinoma. The diagnosis of a parotid gland tumor will depend on the history, clinical examination, imaging, and fine needle aspiration biopsy (FNAB). Treatment of parotid tumors is based on appropriate staging and preoperative diagnosis. Facial nerve injuries and Frey's Syndrome are complications that often arise. Most salivary gland tumors are non-malignant and grow slowly. Surgical removal of the tumor usually cures the patient.