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Background The World Health Organization (WHO) estimates that the number of fever cases in children reaches 62%. Management of fever can be in the form of non-pharmacological therapy. One non-pharmacological therapy for fever is to apply a compress using aloe vera. Aloe vera contains lignin and saponin which can vasodilate the skin and reduce body temperature. The aim of this research is to determine the effect of information and actions on giving aloe vera compresses on reducing body temperature in children with fever at the Nassau Kec.Nassau Kab.Toba Tahun 2024. This research is a type of quantitative research with a quasi-experimental research design with a pre-test and post-test design without control with subjects of 30 children aged 3 – 6 years who had a fever at the nassau public health center,nasaau district,toba regency in 2024. Community Health Center. The sampling technique in this research is total sampling, namely a sampling technique when all members of the population are used as samples. The intervention carried out was applying compressaloe vera to the forehead for 15 minutes. Temperature measurement using a digital thermometer. The data analysis used is univariate and bivariate analysis. The test used is the non-parametric Wilcoxon test. The results of this research, namely the results of statistical tests using the Wilcoxon test stated that giving aloe vera compresses had an effect on changes in body temperature in fever sufferers with a p value = 0.002 (α < 0.005) with a temperature decrease of 0.486 ºC. The conclusion of this study is that there is a significant influence on the results of measuring body temperature before and after giving aloe vera compresses to children who have fever at  the nassau public health center,nasaau district,toba regency in 2024.

Elderly people living in nursing homes often experience various challenges, such as physical limitations, loneliness, and decreased cognitive and psychosocial functions. One approach that can be applied to improve the welfare and independence of the elderly is Group Activity Therapy (GAT). The purpose of community service is to help the elderly increase their independence in fulfilling Daily Living (ADL) activities with Group Activity Therapy. The method of implementing the activity is carried out with a pre-test - post-test using a questionnaire. The elderly are given counseling then Group Activity Therapy. This activity was carried out on Saturday, December 14, 2024 at PPSLU Mappakasunggu Pare-pare. This activity was attended by 32 elderly people. The results of the pre-test elderly independence level were 62.5% elderly with dependence and 37.5% elderly with independence while the post-test independence level was 43.75% elderly with dependence and 56.25% with independence. To PPLSU Mappakasunggu Pare-pare to facilitate group activity therapy (TAK) continuously to create a feeling of joy so that the quality of life of the elderly remains healthy, independent, useful and productive.

Background: Telepharmacy is the application of telecommunications technology in the provision of pharmaceutical services over long distances. In remote areas such as East Sumba which have limited access to conventional health services, telepharmacy has the potential to be a solution to increase community access to drug information and pharmaceutical counseling. This research aims to determine the perspective and behavior of pharmaceutical personnel regarding Telepharmacy in East Sumba, especially in terms of providing drug information. Methods: This research is a descriptive observational study with a cross-sectional approach. A total of 27 pharmaceutical workers who practice in East Sumba were selected purposively. Data collection was carried out using an online questionnaire via Google Forms. Results: The results show that the majority of respondents were female (59.3%), under 30 years old (88.9%), and had a pharmacy diploma (33.3%). Pharmaceutical personnel generally have a positive perspective regarding Telepharmacy (82.4%), drug information services (82.7%), pharmaceutical counseling (76.3%), drug therapy monitoring (93.8%), and legal restrictions (89.9%). Consclusion: Research shows that the majority of pharmaceutical workers in East Sumba have a positive view of Telepharmacy.

Knowledge about sexual harassment committed by males with intellectual disabilities remains limited, despite extensive research on offenders without disabilities. Evidence from the late 1990s suggests that Cognitive Behavioral Therapy (CBT) can be effective for this population, with adjustments for cognitive deficits. This study systematically reviews the application of CBT to address cognitive distortions in sexual offenders with intellectual disabilities. Data were sourced from Web of Science, PubMed, Scopus, ProQuest, Jstor, and Emerald Insight. Articles were assessed using QATFQS for quality and ROBINS-I for bias risk. Six studies involving 127 participants (ages 17–65 years) demonstrated that CBT effectively reduced cognitive distortions up to 12 months post-intervention. Success factors included the presentation of information, therapist engagement, participant motivation, prior experiences of sexual harassment, and autism spectrum diagnoses. Strengths included simplified CBT interventions, availability of manuals, and group implementation. Weaknesses involved reliance on core steps adapted from general sexual offender programs, limited manual accessibility, and a lack of control groups for evaluating intervention effectiveness.

Introduction: ED (Eating Disorders) is one of the most difficult mental disorders to treat and treat, and the cost is even higher than schizophrenia. Secondary somatic complications due to malnutrition, severe weight loss and low levels of micronutrients. Objective: To determine the effectiveness of a combination of interventions such as Expression Head Massage, Myofacial Release, Neurosenso Komplit, General Massage, Patterning, Play Therapy, Brain Gym, Oral Reflex Stimulation. Method: A single-subject study was conducted on a 22-month-old child with ED. Results: The results of the sensory examination evaluation showed an increase in sensory in the child. Conclusion: A 22-month-old child was diagnosed with Eating Disorder, initially given physiotherapy, the child did not want to eat rice at all, only wanted to drink milk and sometimes the child liked to hit and bite, but after doing routine physiotherapy and home programs, now the child is willing to feed 15 mouthfuls of rice and focus on the child has also begun to exist and the child's balance is increasing.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

Peripheral vascular disorders (PVD) are common in patients with diabetes mellitus (DM) due to chronic metabolic disorders involving carbohydrates, fats and proteins due to insulin deficiency. PVD can lead to serious complications, such as diabetic ulcers, which increase the risk of limb amputation by 15-30% and mortality rate by 17-32% in Indonesia. Effective therapeutic management is crucial to reduce the risk of amputation by 50-75% and accelerate wound healing. The multidisciplinary approach in diabetic ulcer therapy includes antibiotics, hyperbaric oxygen therapy (TOHB), Burger Allen Exercise (BAE), honey therapy, hypnosis therapy, acupuncture - acupressure therapy, and Adjuvant Extracorporal Shockwave (AES), as well as low laser therapy. This combination of interventions provides a synergistic effect in supporting wound healing and improving patients' quality of life. This literature review aims to assess therapeutic management interventions in diabetic ulcer patients, by analyzing 89 articles from Google Scholar (period 2017-2024), of which 74 articles were excluded and 15 articles met the inclusion criteria. Keywords used included diabetes mellitus AND peripheral vascular disorders. The results of the review showed that an evidence-based approach and multidisciplinary collaboration are essential for the successful management of diabetic ulcers, supporting the healing process and improving patients' quality of life.

Pneumonia is an infectious disease or acute inflammation of the lung parenchyma, mainly caused by the bacteria Streptococcus pneumoniae. The use of antibiotics is the main therapy in the treatment of pneumonia, antibiotics used can inhibit the growth or kill the bacteria that cause infection. Irational use of antibiotics can cause treatment to be less effective, decreased drug safety, increased levels of resistance and increased treatment costs. The aim of this research is to examine the rationality of using antibiotics in pneumonia patients in the pulmonary inpatient installation of M. Zein Painan Hospital for the period January-December 2020. This type of research is non-experimental research, using descriptive methods and retrospective data collection, as well as data collection purposive sampling. Data were analyzed using reference sources in the form of Drug Pharmacotherapy Hand Book 11th Edition and Guidelines for Diagnosis & Management of Community Pneumonia in 2014. The results of this study were that there were 118 patients who were diagnosed with pneumonia in the pulmonary inpatient installation at M. Zein Painan Regional Hospital, and only 48 patients met the requirements. inclusion criteria.   The results of the rational analysis of antibiotic use showed that of the 48 pneumonia patients, the indication was correct as much as (100%), the patient was correct as much as (100%), the drug was correct as much as (95.84%), the dose was correct as much as (96.08%) and the duration was correct. giving as much as (92.16%). The conclusion is that there is still irrational use of antibiotics in the pulmonary inpatient installation at M. Zein Painan Regional Hospital.

A Critical nursing care is a process for problem solving, decision making as well as an organized and systematic approach to nursing problems. Nursing care must be carried out completely and accurately because it is the nurse's self-defense against demands as well as proof that the correct nursing care has been carried out. The research objective is to find out the description of the implementation of critical nursing care in Emergency Room of Santa Elisabeth Hospital Medan 2023. The research design used is a descriptive research design. There are two populations in this study, namely nursing actions and documentation of critical nursing care, the sampling technique used purposive sampling 51 respondents and total sampling (critical nursing care documentation) as many as 68 respondents. The data collection instrument uses observation sheets for nursing actions consisting of infusions, ECG usage and oxygen therapy, as well as critical nursing care using observation sheets consisting of assessment, diagnosis, intervention/implementation and evaluation. The results show that the infusion was according to the SOP, the use of ECG was according to the SOP and sufficient oxygen therapy is according to the SOP for 51 respondents (100%). Critical nursing care complete review 65 (96%), diagnosis quite complete 48 (71%), complete intervention/implementation 65 (96%), complete evaluation 67 (99%) and documentation of critical nursing care majority complete 65 (96%) of 68 respondents. It is expected to be able to improve the accuracy and completeness of nursing care documentation through training for each officer.

A Critical nursing care is a process for problem solving, decision making as well as an organized and systematic approach to nursing problems. Nursing care must be carried out completely and accurately because it is the nurse's self-defense against demands as well as proof that the correct nursing care has been carried out. The research objective is to find out the description of the implementation of critical nursing care in Emergency Room of Santa Elisabeth Hospital Medan 2023. The research design used is a descriptive research design. There are two populations in this study, namely nursing actions and documentation of critical nursing care, the sampling technique used purposive sampling 51 respondents and total sampling (critical nursing care documentation) as many as 68 respondents. The data collection instrument uses observation sheets for nursing actions consisting of infusions, ECG usage and oxygen therapy, as well as critical nursing care using observation sheets consisting of assessment, diagnosis, intervention/implementation and evaluation. The results show that the infusion was according to the SOP, the use of ECG was according to the SOP and sufficient oxygen therapy is according to the SOP for 51 respondents (100%). Critical nursing care complete review 65 (96%), diagnosis quite complete 48 (71%), complete intervention/implementation 65 (96%), complete evaluation 67 (99%) and documentation of critical nursing care majority complete 65 (96%) of 68 respondents. It is expected to be able to improve the accuracy and completeness of nursing care documentation through training for each officer.

Arts activities have long been recognized as an effective means of self-expression, particularly in reducing stress and improving mental well-being. This study aims to explore the influence of arts activities on students' mental health in a campus environment. Through a mixed methodology approach that included quantitative surveys, qualitative interviews, and participant observation, this study involved students from various majors who were involved in arts programs such as painting, music, and theater. The results showed that participation in arts activities had a significant positive impact, namely a reduction in stress levels, an increase in emotional well-being, and the creation of a deep sense of community among students. This study suggests that the integration of arts programs in the campus curriculum can be one solution to support the mental health of students who are increasingly stressed by various academic and social factors.

Children who do not want to go to school and cannot complete their schooling and cannot finish their schooling or in other words do not get a diploma. There are various reasons why children can drop out of school, such as lack of attention from parents, economic problems, low interest in going to school, helping parents at work, being involved in juvenile delinquency cases, low intelligence levels, socialization and also the school zoning system. The purpose of the observation is to obtain information from the consequences of the child leaving school and to help the child to accept himself that he is a child who dropped out of school, so as not to be inferior and lose hope and convince the client (counselee) that the counselee can return to school and achieve his goals. This observation uses a qualitative method, in this case collecting data about events or phenomena that occur, and using a client-focused approach (psychotherapy that focuses on the client to solve his own problems), the counselor's presence is to listen empathetically and be fully present, and a rational-emotive behavioral therapy approach (an approach that aims to help someone overcome emotional disturbances and think rationally). From the results of the study, pastoral counseling assistance with a client-centered approach and rational emotive behavior therapy can help people who drop out of school not lose confidence, if they see their peers going to school, can open up, be more diligent in worship and more eager to prepare themselves to return to school.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.

Stress and burnout among healthcare workers represent a global crisis with significant implications for psychological and physical health, job performance, and interpersonal skills. These conditions are linked to anxiety, depression, suicidal ideation, substance use, poor quality of life, digestive disorders, and cardiovascular diseases. Burnout is characterized by emotional fatigue, depersonalization, and reduced personal accomplishment, often caused by chronic workplace stress. Factors such as demographics, fatigue, and resilience influence its development and severity. Traditional stress management interventions, such as counselling and leave, often prove insufficient in addressing these challenges. Recent advancements in Artificial Intelligence (AI) provide innovative tools for stress and burnout management, including mobile applications offering mindfulness, meditation, and self-care resources. AI systems like IBM Watson and Google DeepMind are being tested to enhance accessibility and effectiveness in stress management. Additionally, Stress Inoculation Training (SIT), involving methods such as meditation, yoga, cognitive-behavioural therapy, and biofeedback, has been recognized as a proactive approach to mitigating stress. This review explores the factors contributing to stress and burnout in healthcare workers and evaluates interventions aimed at improving well-being and productivity, emphasizing the potential of AI and SIT in preventing and managing these conditions.

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.

Thalassemia is a disease classified in the group of hereditary hemolytic anemia caused by the failure of the formation of one of the four amino acid chains forming Hb, causing incomplete Hb formation. Thalassemia carriers account for 7% of the world's population.  At present, the cornerstone of treatment for β-TM in Indonesia remains supportive, including blood transfusions and iron chelation therapy. With a comprehensive discussion about thalassemia in Indonesia, it is hoped that the diagnosis and treatment of thalassemia will be more optimal and effective in future research.

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.

New students often experience academic anxiety due to environmental differences and learning demands. This anxiety is influenced by emotional regulation. This study aims to explore feelings and emotional conflicts while reducing academic anxiety in students using art therapy methods through drawing techniques and butterfly hug relaxation. This study employs the Service Learning (SL) approach. The results, based on pre-test and post-test evaluations, show an improvement in participants' understanding of academic anxiety and emotional regulation. Additionally, participants demonstrated the ability to control their emotions, although they occasionally still experienced academic anxiety. However, they expressed confidence in their ability to overcome it.

Drugs can penetrate all levels of society that do not recognize boundaries of status, age or gender. Drugs have become a part of culture in every country that has not yet eradicated them optimally. In the Indonesian context, the widespread use of illegal drugs among youth is of particular note, because they are human resources for building the nation. In fact, most people start using drugs at a young age. In aspects of life, it seems as if drugs have become a lifestyle for young people. For example, juvenile delinquency - such as free sex, drunkenness which occurs as a result of drug use. Victims of drug abuse are people who are dependent. Dependence is usually motivated by a lack of meaning in life and high levels of stress experienced by drug users. Pastoral counseling services are one of the therapies for their recovery in addition to medical, psychiatric and psychosocial therapy. Through pastoral counseling services, we will have a goal in writing articles, namely those that are characterized by increasing meaning in life and decreasing stress levels. It even brings them to know God better and to live with faith full of hope. This research uses a qualitative method with a literature review using a content analysis approach. And knowledge about how to overcome the meaning of life and stress using an Existential approach.