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Introduction :Tubercolosis (TB) diseases is one of the most public health problems in Indonesia. Indonesia known as a the third highest of TB cases in the world after India and China. In 2010, the Ministry of Health In Indonesia reported that patient with TB in worldwide about 5,8 % cases was found in Indonesia. In Indonesia, TB drugs treatments called the OAT Program. The study about the interpersonal factors who can be related to the compliance of patient with TB determined how important the role of doctors and other health professionals to do verbal and non verbal communication with patients. The aim of this study was to describe complianced of patient with TB in OAT program at Sanjiwani general hospital, Gianyar. Method : This was observational descriptive study. Data were collected through questionnaires. The total of patient with TB who participated in this research were 78 collected by consecutive sampling technique. Result :Based on the research, the complianced of patient with TB in OAT program showed that 38 respondent (48,71%) had complianced with the OAT program and 40 respondent (51,28 %) didn’t have compliance with the OAT program. Conclusion :Most of the patient with TB in Sanjiwani general hospital didn’t have compliance with OAT program.Key words: Compliance; OAT program; Tubercolosis.

Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Management of medical actions carried out in handling patients who are ODP (people under monitoring), OTG (asymptomatic people), PDP (patient under monitoring) and positive Covid-19 patients is carried out based on assumptions, such as self-isolation, hospitalization, or special treatments in the ICU (Intensive Care Unit) room. The condition of the body in each patient is different, a patient may have same symptoms but the treatment is different, especially in elderly patients. Many problems occur in determining medical action because the patient's body condition is different. Therefore, it needs to be appointed as a research. The research method used in this study was Nive Bayes algorithm with supporting application Rapid Miner. It was applied to carry out the process of testing on patient data as much as 500 data, 25 variables or patient symptoms and 3 outputs as a form of medical action. Based on the results of the analysis carried out in this study, prediction of medical actions for ODP, PDP, OTG and positive Covid-19 patients were obtained by comparing training data with testing data using Rapid Miner application. It resulted that an accuracy rate of 76.00% was obtained

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

Hypertension is a condition where systolic blood pressure is equal to or more than 140 mmHg and diastolic blood pressure is more than or equal to 90 mmHg. The cause of hypertension can be influenced by genetic factors, environmental factors or influenced by a combination of these two factors. From the causative factors, hypertension can be classified into 2, namely: primary or essential hypertension for which the cause is not known, and secondary hypertension which is hypertension arising from other diseases. According to the American Heart Association in 2019, there were about 4 billion people on the Asian continent, but levels of awareness, treatment and blood pressure control tend to be low. The Chinese population has a presentation of 47% of the population who are aware and check themselves for hypertension, 14% of whom are undergoing treatment. Singapore has 74% of people aware of hypertension and 69% undergoing treatment. In America, about 46% of adults have hypertension, about 40% of whom are African-American-non-Hispanic men and women. Women aged 20 to 34 years, 13% had hypertension; nearly 86% of the condition was in their mid-70s. Men at that age also had the same condition, increasing from about 26% to 80%.

The elderly are a group of people who are vulnerable to degenerative diseases such as hypertension, diabetes mellitus, and others. The causes include a lack of knowledge about healthy diet and the lack of health checks. The purpose of this community service activity is to improve the quality of life of the elderly in Kelurahan Utama of South Cimahi by socializing healthy diets and conducting health checks. Media used for healthy diet counseling are power points, videos, and posters. Health examinations conducted include measurements of body mass index, blood pressure, blood glucose levels, triglycerides, total cholesterol, and uric acid. The results of the health examination showed quite a lot of elderly people who suffer from degenerative diseases. Through this activity, the elderly in Kelurahan Utama of South Cimahi gained knowledge about healthy diet in order to avoid various diseases and know the disease that is being experienced so that they can immediately undergo proper treatment.

Monitoring realizes efforts to improve the quality of health services. To obtain information on patient condition data during treatment. The monitoring process is done manually. So that it has an impact on the service and condition of the patient during treatment. The design of monitoring the patient's body temperature and heart during treatment with IoT can be controlled through the NodeMCU sensor ESP8266, MLX9014, MAX30100 sensor and Arduino IDE software program. Furthermore, it can detect the patient's temperature and the patient's heart rate during treatment. And processed by the NodeMCU ESP8266, the data from the two sensors is displayed on the SSD1306 OLED LCD and also to the smartphone of the medical officer on duty via Blynk. In order for the tool to work properly and optimally, it is necessary to adjust the pin placement so that it can work optimally. The problem of internet connection interference causes delays, resulting in a mismatch between the measurement of the test equipment and the standard tool. Data values are taken with an accuracy of 70%-93% for the MAX30100 sensor, for the temperature sensor it is close to optimal with a value that is read on a standard tool with an accuracy of 97%-99%.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

The elderly group during the pandemic is the group most at risk of experiencing severity/morbidity and mortality due to Covid-19 disease. This is because elderly patients (geriatric) generally have various comorbidities, such as cardiovascular disease, chronic respiratory disease, diabetes mellitus and hypertension. The elderly as a vulnerable group, of course, really need the right information related to Covid-19 with the right media. Media that can be used to provide information on Covid-19 to the elderly are posters and power points. This provision can be done by nurses. This research will be conducted on 50 elderly people at Kelurahan Bendungan Semarang. The study was conducted by measuring the level of knowledge with a knowledge level questionnaire about the problem of covid-19, before and after treatment. The design of this study was a quasi-experimental pre-test post-test with control group. The research sample was determined by total sampling with certain criteria, namely: 1) elderly aged 60 years and over, 2) can read, write, communicate well, 3) do not experience sensory, cognitive, and movement disorders, 4) participate in all activities with 100% attendance. The division of the group was 25 people for the intervention group and 25 people for the control group. The provision of posters and PPT media was held 4 times in 4 weeks. This is done in combination because the combination of the two media can increase the level of better knowledge, especially for the elderly who have experienced a decline in function. There is an increase in the level of knowledge from low level 4 people (16%), medium level 15 people (60%), high level 6 people (24%) to low level 1 person (4%), medium level 9 people (36%), high level 15 people (60%).

Dull skin is a skin condition that is full of dead skin cells. The cause of dull skin is due to lack of water supply, pollution and sunlight and lack of facial care. Facial care can be done using a face mask. Facial masks are treatments intended to treat facial skin. Rice water is obtained from washing rice. Cherry water contains vitamins that are beneficial for skin health. Greentea has antioxidants that are good for skin health. The abundant content of EGCG antioxidants in greentea has the ability to rejuvenate damaged skin cells. The aim of this research is to create a mask based on leri and greentea water which functions to treat dull skin. The research method used is descriptive qualitative. Data collection methods used are literature, interviews, experiments and documentation. The experiment was carried out at the Laboratory of the Make-Up Study Program of the Kartini Academy of Social Welfare, Jalan Sultan Agung, No. 77, Gajahmungkur Village, Gajah Mungkur District, Semarang City. The experiment was carried out 3 times with the composition of (1) 15 grams of water powder and 10 grams of greantea, (2) 15 grams of water powder and 15 grams of grentea, (3) 10 grams of water powder and 15 grams of grenteea. From the results of these three experiments, this experiment produced a mask with a green color, coarse texture and a fresh scent of greentea.

Tuberculosis is a lung infection caused by the bacteria Mycobacterium tuberculosis. Early detection is one of the ways to detect tuberculosis. The first detection of tuberculosis is with the Molecular Rapid Test, which is one of the technologies being developed using GeneXpert. Patients with positive Molecular Rapid Test results will be treated with rifampicin for 6 months, then further screening of Acid-Fast Bacilli microscopically will be carried out to determine whether the patient is still positive for pulmonary tuberculosis or not. The purpose of this study was to determine the relationship between acid-fast bacillus examination in tuberculosis patients with positive molecular rapid test results. This study will be conducted experimentally. The results of calculations using the Wilcoxon Test showed that there was a relationship between TCM examination results and BTA follow-up screening in TB patients after and before rifampicin treatment for 6 months.    

Abstract. Gout often attacks people over the age of 30, this is because at that age the declining esterogenous levels can cause uric acid levels in the blood to increase. High uric acid levels can be overcome with a variety of treatments including nonpharmacological treatment in the form of giving pineapple juice. Prevention that can be done to keep uric acid levels normal is by limiting purine foods, choosing low-purine foods, avoiding taking drugs, and taking vitamin C supplements including consuming pineapple juice. The purpose of this study was to determine uric acid levels before and after giving pineapple juice and to determine the difference in results before and after giving pineapple juice on uric acid levels in menopausal women. The research method was pre experiment and the method of examining uric acid levels using the POCT method. The population in the study were 25 menopausal women aged 45-55 years in RW 3 Kaliwadas Village, Cirebon Regency. The sample in the study was 22 menopausal women, with the sampling technique using purposive sampling. Data from the examination of uric acid levels before and after the administration of pineapple juice obtained the results of 21 samples that experienced a decrease (95.45%) and 1 sample that experienced an increase (4.45%) with an average uric acid level before 5.6 mg/dL with the highest level of 8.4 mg/dL and the lowest level of 4.7 mg/dL and the average after 5.3 mg/dL with the highest level of 8.4 mg/dL and the lowest level of 3.7 mg/dL. The research data were analyzed using a normality test and paired sample T-test obtained Sig. (2-tailed) 0.000 <0.005. based on this study it can be concluded that there is an influence on uric acid levels before and after being given pineapple juice.

Fever can be interpreted as a body temperature that is higher (>37°C) than normal temperature because of the temperature control center in the hypothalamus, the temperature control center balances temperature during health or fever by regulating the formation and release of heat. For this reason, the purpose of this study was to determine the antipyretic effectiveness of various concentrations of extracts. In this study, 5% peptone was used to induce fever in 15 white rats which were divided into 5 treatment groups. Groups 1 was given 1% NaCMC as a negative control, groups 2 was given paracetamol 9 mg/200gBB) as a positive control, groups 3 was given 10% lire leaf extract (2 mg/200gBB), groups 4 was given 20% lire leaf extract (4 mg/200gBB), and groups 5 was given 40% lire leaf extract (8 mg/200gBB). This results of this study obtained extract levels of 7,44% and there was a weak antipyretic effect at concentrations of 10% and 20% lire leaf extract, while the greatest antipyretic effect was found in 40% lire leaf extract, almost comparable to 9 mg paracetamol.

Turi (Sesbania grandiflora L) is native to Southeast Asia. This plant is used as a medicinal plant and also a vegetable. Turi (Sesbania grandiflora L) is a plant that is efficacious for the treatment of various diseases such as analgesic, antipyretic, diuretic and laxative. The purpose of this study was to identify the content of secondary metabolites in turi leaf extract extracted with ethanol, ethyl acetate and n-hexane as solvents. This research was conducted in two stages, namely extraction by maceration method using ethanol, ethyl acetate and n-hexane as solvents. And the identification stage of secondary metabolites consisting of identification of alkaloids, steroids, terpenoids, saponins and flavonoids. The results showed that the positive ethanol and ethyl acetate extracts contained flavonoids, saponins, terpenoids and steroids, while the negative n-hexane extract contained secondary metabolites.

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.  

This research was conducted in one of the retail state sukuk distribution partners, namely Bank Syariah Mandiri (BSM) with the aim of knowing how the sales procedure and accounting treatment for the sale of retail type state sukuk issued by the government. The research method used in this research is descriptive qualitative analysis method, and this research uses technical analysis of case studies. The results obtained in this study are that Bank Syariah Mandiri as a sales distribution partner in carrying out sales procedures, there is one provision that is not in accordance with the State Retail Sukuk Information Memorandum, namely the provisions for securities account storage fees. Meanwhile, the accounting treatment for the sale of Sukuk Ijarah at Bank Syariah Mandiri is in accordance with PSAK Sharia 110 concerning Sukuk Accounting with disclosure of the explanation of the underlying assets by the Minister of Finance, not Bank Syariah Mandiri.

The majority of workers think that the work procedure with PPE has been quite long because there have been no serious complaints after carrying out this work. However, it was found that several workers had injuries to their hands due to being hit by knives, this occurred due to not using gloves as a form of PPE, and some of these workers even required special treatment and had to take time off work. This research aims to determine the knowledge of rubber workers before and after being given counseling about PPE as well as the influence of occupational safety and health education about PPE on rubber workers at PTPN XIV Teluk Elpaputih, Teluk Elpaputih District, Central Maluku Regency. This research uses a quasi-experimental method with a one-group pre-post test design approach. This research sample used a total sampling method, totaling 63 respondents. The research instrument uses a questionnaire. Data processing with SPSS uses the Wilcoxon nonparametric test. The Wilcoxon test results showed that 1 respondent's knowledge had decreased. 58 respondents' knowledge increased and 4 respondents' knowledge remained the same. From the research results it can be concluded that the knowledge of rubber workers before being given treatment reached the lowest score for respondents was 4 people and the knowledge of respondents after being given treatment that reached the highest score for respondents was 10 people. And there is the influence of occupational safety and health education regarding PPE (personal protective equipment).

Patients who are going for sectio caesarea, face uncomfortable feelings including anxiety, this is related to concerns about the threat to their lives, therefore, family support is very important to reduce anxiety, because it can increase the spirit of life and reduce patient anxiety and strengthen commitment to undergoing treatment. The purpose of the study was to understand the relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu. This study uses a quantitative research design with non-experimental methods and a descriptive approach. The population in this study were all patients who underwent sectio caesarea surgery as many as 42 patients and the sample used a total sampling technique, where the entire population was taken as a sample. The results of the study: 59.5% of families supported preoperative sectio caesarea patients, 31% of preoperative sectio caesarea patients experienced mild anxiety and 23.8% experienced severe anxiety, based on the chi square statistical test obtained p value 0.000 < (0.05) . Conclusion: there is a relationship between family support and anxiety levels of preoperative sectio caesarea patients at the MA Sentot Patrol Hospital, Indramayu Regency. Suggestion: for nurses, considering that there is a relationship between family support and the patient's level of anxiety, they should provide nursing interventions, especially for preoperative sectio caesarea patients, involving the family, so that the impact of the patient is calm in facing the sectio caesarea operation.