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Allergic rhinitis (AR) is an inflammatory process of the nasal mucosa initiated by a hypersensitivity reaction and caused by exposure to allergens mediated by immunoglobulin E (IgE), with several characteristic symptoms including: nasal congestion, a runny nose or watery nasal discharge (rhinorrhea), nasal itching, sneezing, and  postnasal drip (PND). According to the World Health Organization’s Allergic Rhinitis and its Impact on Asthma (WHO-ARIA) guidelines, based on the duration of symptoms, allergic rhinitis is classified into two categories: intermittent allergic rhinitis (symptoms lasting less than 4 days per week or for less than 4 weeks) and persistent allergic rhinitis (symptoms lasting more than 4 days per week and for more than 4 weeks). The prevalence of allergic rhinitis based on a doctor’s diagnosis is approximately 15%; however, it is estimated to reach 30% when considering patients with nasal symptoms. Appropriate management of allergic rhinitis, in addition to alleviating symptoms, is also expected to improve the quality of life of patients whose lives have been disrupted by the condition, as the higher the severity and frequency of allergic rhinitis symptoms, the greater the impact on reduced quality of life.

Diabetes Mellitus is a disease caused by the failure of the pancreas organ in producing the hormone insulin in excess causing increased blood sugar levels and resulting in a lack of insulin. This study discusses the application of the k-means clustering method to determine risk factors for diabetes mellitus. By using the clustering method, data will be grouped into several clusters or groups which in this study compare by applying several data mining tools such as RapidMiner, SPSS, WEKA, and Python. From the results of the comparison carried out resulted in 5 calculations, namely the manual calculation of cluster 1 with a ratio value of 73% being the first priority, calculations using RapidMiner resulting in cluster 3 with a ratio value of 58% being the first priority, calculations using SPSS cluster 2 with a ratio value of 34% being the first priority, and calculations using Python produce cluster 1 with a ratio value of 55% being the first priority.

Stroke adalah penyebab kematian nomor dua dan penyebab kecacatan di seluruh dunia. Salah satu cara yang dapat digunakan untuk mencegah stroke pada penderita hipertensi adalah dengan menemukan dan mengendalikan faktor risiko yang dapat dimodifikasi. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran faktor risiko dan tingkat risiko stroke berdasarkan stroke risk score card pada penderita hipertensi di klinik romana tanjung anom tahun 2024. Penelitian ini menggunakan rancangan bersifat deskriptif . Metode pendekatan yang digunakan adalah cross sectional. Teknik pengambilan  sampel yang digunakan accidental sampling dengan jumlah responden penderita hipertensi sebanyak 98 orang. Instrument yang digunakan dalam penelitian ini adalah Stroke Risk Score Card. Hasil penelitian lebih dari setengah penderita hipertensi memiliki tingkat risiko stroke rendah 57 orang (58,2%). Faktor risiko stroke yang dimiliki penderita hipertensi berurutan dari faktor risiko terbanyak yaitu tekanan darah tinggi 66 orang (67,3%), pemalas / tidak pernah olahraga 56 orang (57,1%), hiperkolestrolemia 30 orang (30,6%), Overweight 30 orang (30,6%), atrial fibrilasi tidak teratur 11 orang (11,2%), perokok 9 orang (9,2%), riwayat diabetes mellitus 6 orang (6,1%), dan riwayat stroke dalam keluarga 5 orang (5,1%). Sebagian besar penderita hipertensi memiliki risiko rendah terkena stroke. Pencegahan primer merupakan upaya penting untuk mencegah stroke, sehingga dianjurkan untuk dilakukan secara rutin.

Mortalitas dan morbiditas pada wanita merupakan masalah yang perlu mendapatkan perhatian yang cukup serius, terutama di negara berkembang dan memiliki iklim tropis layaknya Negara Indonesia. Personal hygiene dan sanitasi berada pada nomor 3 dan kesehatan reproduksi berada pada nomor 8 dalam 10 faktor resiko utama penyebab kesakitan kematian pada usia remaja. Remaja pada masa pubertas mengalami perubahan fisik yang ditandai dengan terjadinya menstruasi. Saat menstruasi jika personal hygiene buruk bisa mengakibatkan infeksi saluran reproduksi (ISR), infeksi saluran kemih (ISK), penyakit radang panggul (PRP), dan kemungkinan terburuknya bisa menyebabkan kanker serviks. Salah satu cara untuk menghindari masalah tersebut yaitu dengan melakukan praktik perilaku personal hygiene saat menstruasi. Penelitian ini bertujuan untuk mengetahui gambaran perilaku personal hygiene pada remaja putri di SMP Negeri 4 Surakarta. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan metode pengambilan sampel secara non propability sampling dengan pengambilan sampel menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa sebanyak 48 responden (63,3%) berperilaku baik, sedangkan responden yang berperilaku buruk berjumlah 28 responden (36,8). Temuan ini menunjukkan gambaran perilaku yang baik.

This study aims to explore gross motor developmental delays in 6-year-old children as an early indication of possible Tourette syndrome. Tourette syndrome is a neuropsychiatric disorder characterized by the emergence of spontaneous movements and sounds (tics) that are not realized and can interfere with the child's daily activities. In this study, a qualitative approach was used with a case study method on a boy in Malang City who showed symptoms of motor and vocal tics. Data collection was carried out through observation, in-depth interviews with teachers and parents, and documentation of the child's activities in the home and school environment. The results of the observation showed that the child had difficulty maintaining balance and showed spontaneous movements such as shaking his head, blinking, and clearing his throat repeatedly. These symptoms do not always appear consistently and occur more often when the child is tired or mildly stressed. Data analysis showed that motor delays were not caused by muscle disorders, but by an imbalance in neurological regulation that affects movement coordination. The main risk factors come from daily habits such as excessive use of gadgets, lack of rest time, and unstable emotional responses. The treatment carried out involves a combination of medication from a neurologist and environmental support such as reducing stress triggers, regulating playtime, and an inclusive educational approach. This study emphasizes the importance of early detection, holistic intervention, and ongoing support from families and educators in dealing with children with Tourette syndrome symptoms so that motor delays do not develop into more serious disorders.

Anemia is a common health problem among adolescent girls, which can affect their growth and development. Thi study aims to identify factors that influence the occurrence of anemia in adolescent girls. Both biological and environmental factors contribute to anemia. The method used was a comprehensive literature review, by collecting data from various relevant sources including journals and research reports. The result emphasized the importance of knowledge about adolescent girls health, as well as lack of iron consumtion, irregular sleep patterns and long-duration or irregular menstruation, so there is a need for education n each village to reduce the risk of anemia in adolescent girls. The conclusion of this study shows that the impact of anemia  affects physical health, quality of life, productivity and social well-being. Addressing anemia should be a priority in public health policy.

Hypertension is a non-communicable disease (ncd) which is a major problem in the health sector and continues to increase every year even though many preventive and promotive measures have been developed following advances in science and technology. to find out analysis of risk factors related to the incident of hypertension in heads of families in tatinang and tita mandiri village waesala regency seram bagin barat tahun 2024. This type of research uses quantitative methods with a cross sectional approach. sampling method used a total sample population of 133 people. data analysis was carried out using univariate, bivariate analysis with chi square and multivariate analysis with logistic regression. Based on the results of the stress logistic regression test, p = 0.042; smoking p = 0.998; alcohol p = 0.996, and diet p = 0.000. diet is the dominant factor with a logistic regression value of p = 0.000 with an or or exp (b) = 12,722. There is a relationship between stress levels, smoking, alcohol and diet. these are the most dominant factors related to the incidence of hypertension in the tatitang and tita mandiri hamlets, while the age factor is not related to the incidence of hypertension.

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Female Genital Mutilation and Injury (FGM) or female circumcision is an old practice that is still widely practiced in various parts of the world, including Indonesia. Female circumcision is a process of removing or cutting half or all of the clitoris (clitoridectomy), removing the clitoris and half or all of the labia minora (excision), or cutting some or all of the extero-genital (outer genitals) by sewing or narrowing the vaginal area (infibulation). Female circumcision currently has no medical indication and has not been proven to have health benefits. Female circumcision is still widely practiced for various reasons, both cultural traditions and religious recommendations. The purpose of this study was to determine the risk factors for female circumcision. Research methods: This type of research uses a scooping review to identify literature in depth and comprehensively obtained from various sources with various research methods and interest in the research topic. Results: The results of this study state that female circumcision has several risk factors including bleeding, bacterial infection, can cause trauma and shock and reduce sexual sensitivity and libido. Female circumcision is just a tradition or culture in society where the act has no benefits and health basis. It is expected that monitoring of female circumcision or the practice of circumcision and seeking the latest information on circumcision in girls will be carried out in order to maintain the health of the community.

Based on data obtained from the Pangkah Health Center, Tegal Regency in 2022, the number of maternal mortality rates (MMR) was 2 cases caused by amniotic fluid bleeding and embolism, whereas in 2023 it was zero or non-existent (Recap of PWS KIA data from Pangkah Community Health Center 2023). The aim of this study was to examine obstetric cases with high risk aged >35 years and mild anemia. This research uses a case study approach. The research subject was pregnant mother Mrs. A is 36 years old with high risk, aged >35 years and mild anemia. Data was taken from October to November 2023. Data was taken using interviews, observation and documentation, the results during pregnancy, the subjects accepted to have their Hb checked because at visit 2 the Hb was low and the results were the same as at visit 3-4 the Hb was high and normal. Pregnant women aged >35 years are still often found or are more at risk because the mother's health has declined, as a result pregnant women at that age have a high probability of preeclampsia, bleeding, preterm labor and others. Suggestion: if a similar case is found, collaboration with a doctor is necessary. during pregnancy until postpartum, apart from that it is necessary to involve the family, especially the child during pregnancy and after the baby is born.  

Mining is a job that has many dangerous risks starting from digging (mining), searching, using, processing and distributing the excavated products (coal, geothermal, gas, minerals and oil). The negative impact of landscape modification and land clearing activities influence on the economy, social structure of society and ecology. Starting from the impact of ecological decarbonation such as decreasing soil fertility, decreasing water quality, landscape changes, pollution and decreasing air quality. Meanwhile, the social effects of mining are small, namely conflicts between owners and communities, shifts in patterns. thought, and the decline in public health. The health impacts of mining include exposure to ISPA and poor skin conditions. This research was made with the aim of determining the factors causing the risk of occupational hazards in mining. The source of this information is via "Google Scholar" with the year of publication from 2018-2023. This research uses Systematic Literature Review (SLR)    

According to WHO (2019), the maternal mortality rate (MMR) in the world is 303,000 people. The Maternal Mortality Rate (MMR) in ASEAN (2020) is 235/100,000 live births. Based on data from the Ministry of Health, the Maternal Mortality Rate (MMR) in Indonesia in 2020 was 4,627 deaths. Health Department data (2021) MMR 62 cases. Data from Bumiayu Community Health Center (2022) AKI 2 cases. The aim of this research is to reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area. This research method uses descriptive research with a qualitative descriptive approach. The results of this research show that in the results of Comprehensive Care there was a gap between theory and practice after comprehensive midwifery care was carried out on Mrs. E is 39 years old with risk factors for CED age and anemia in Mrs. BPM. R working area of Bumiayu Health Center from third trimester pregnancy, childbirth, newborns, postpartum and family planning using Varney midwifery and SOAP approaches.

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP.  Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.

According to WHO (2022) the MMR in the world is 91.46/100,000 live births, the MMR in ASEAN (2022) is 235/100,000 live births (ASEAN secretariat, 2022). In Indonesia, the MMR in 2022 is 230/100,000 live births (Indonesian Ministry of Health, 2022). The MMR in Central Java in 2022 was 98.6/100,000 live births (Central Java Health Office, 2022) and the MMR at the Bumiayu health center in 2022 was 2 cases (Bumiayu Health Center, 2020-2022). Objective : To reduce morbidity and mortality rates of mothers and infants in Brebes district, especially the working area of Puskesmas Bumiayu. this research is a qualitative descriptive study, the type of research used in this study is using a comprehensive case study approach. Comprehensive case study research is a method for understanding individuals that is carried out interactively (Notoadmojo, 2019). Research Results : This comprehensive care found a gap in theory and practice in pregnancy and childbirth care. Conclusion: Comprehensive Midwifery Care for Mrs. S aged 43 years with preeclampsia and high risk factors at BPM Mrs. R in the working area of the bumiayu health center from third trimester pregnancy, childbirth, newborns, postpartum and family planning with the Varney and soap midwifery approach.

Using the variables of maternal age, gravida status, history of preeclampsia, chronic hypertension, and diabetes mellitus, this study attempts to identify the risk factors for the occurrence of preeclampsia in mothers giving birth at Dr. Moewardi Hospital, Surakarta.  This study employs an analytical observational research design.  The case control design is employed in this study.  Retrospective research designs are well-known for this one.  Secondary data are the sort of data used in this study.  All patients diagnosed with preeclampsia at Dr. Moewardi Hospital in Surakarta between 2020 and 2023 comprised the study's population.  The study's findings demonstrated the features of mothers giving delivery at Dr. who had a history of preeclampsia in their families (20.5%), chronic hypertension in their families (25.9%), or diabetes mellitus in their families (14.5%).

Tujuan ketiga dari Sustained Development Goals (SDG) yang dikeluarkan oleh World Health Organization (WHO) adalah untuk mengakhiri kematian yang dapat dicegah pada neonatus dan balita pada tahun 2030 salah satunya sepsis neonatorum. Sepsis neonatorum biasa diartikan sebagai gejala sistematik infeksi oleh bakteri, virus, dan jamur pada periode neonatal dengan gejala awal yang bervariasi, dari hanya malas minum, hingga syok septik. Sepsis neonatorum masih menjadi penyebab morbiditas dan mortalitas pada neonatus terutama di negara berkembang seperti Indonesia.  The risk factors of developing neonatal sepsis could be caused by maternal and neonatal risk factors. Faktor risiko ibu antara lain ketuban pecah dini membran (PROM) terutama lebih dari 18 jam, infeksi dan demam ibu selama persalinan, cairan ketuban meconial. Faktor risiko neonatal antaralain prematuritas, berat badan lahir rendah, asfiksia, resusitasi selama persalinan. Dengan mengetahui faktor-faktor resiko yang berperan dalam terjadinya sepsis neonatorum maka kejadian sepsis neonatorum diharapkan dapat dicegah dan dapat diberikan intervensi segera pada bayi yang mengalami sepsis sehingga mngurangi angka mortalitas dan morbiditas.

Sumber daya manusia terbesar dalam pelayanan kesehatan di rumah sakit diduduki oleh tenaga perawat. Perawat yang berkualitas yang ada di rumah sakit diharapkan dapat menghasilkan suatu out put yang maksimal berupa produk atau jasa untuk meningkatkan pelayanan. Penelitian ini bertujuan untuk menganalisis hubungan gaya kepemimpinan transformasioanl kepala ruangan dengan kinerja perawat di RSUD Otanaha. Jenis penelitian adalah penelitian kuantitatif dengan pendekatan crossectional studi yaitu penelitian yang mempelajari dinamika korelasi antara factor-faktor resiko dengan efek dimana variabel tersebut diobservasi sekaligus pada saat yang sama. Teknik pengambilan sampel menggunakan teknik total sampling dengan jumlah responden 134 responden. Berdasarkan interprestasi koefisien korelasi nilai spearmanrho, maka 0,895 (89,5%) termasuk tingkat hubungan “sangat kuat”. Hasil analisis juga didapatkan nilai p value sebesar 0,000 atau < α 0,01 hasil ini menunjukan bahwa terjadi hubungan yang kuat dan signifikan antara gaya kepemimpinan transformasional kepala ruangan dengan kinerja perawat pelaksana di RSUD Otanaha. Gaya kepemimpinan transformasional yang baik ditunjukan oleh sebagian besar kepala ruangan ini memberikan gambaran bahwa kepala ruangan sudah mampu menerapkan bagaimana kepemimpinan yang transformasional. Diharapkan Kepala ruangan agar mampu menerapkan Gaya Kepemimpinan Transformasional di seluruh ruangan rawat inap dalam rangka meningkatkan kinerja perawat dalam memberikan pelayanan keperawatan yang optimal.    

Tingginya angka kematian ibu akibat preeklampsia menekankan pentingnya dilakukan penatalaksanaan untuk mencegah komplikasi lebih lanjut, sehingga perlu adanya pengkajian terlebih dahulu terhadap faktor apa saja yang dapat menyebabkan preeklampsia pada ibu hamil. Ibu hamil yang mengalami preeklampsia memerlukan pengelolaan dan pemantauan yang ketat terhadap kondisinya dan janinnya sehingga penyakit tidak berkembang lebih berat agar tidak membahayakan jiwa ibu dan janin yang dikandungnya. Tujuan penelitian ini untuk menganalisis faktor resiko terjadi preeklampsia pada ibu hamil di Puskesmas Tolangohula Kabupaten Gorontalo. Desain penelitian ini adalah penelitian deskriptif kuantitatif dengan pendekatan retrospektif. Penelitian ini dilaksanakan di Puskesmas Tolangohula. Jumlah sampel sebanyak 27 orang. Hasil penelitian uji analisis chi-square didapatkan nilai p-value < α 0,05, maka dapat disimpulkan ada hubungan antara usia ibu, paritas, riwayat hipertensi, kunjungan ANC dan usia kehamilan dengan preeklampsia pada ibu hamil. Adanya penelitian ini diharapkan dapat menambah dan meningkatkan pengetahuan dan kesadaran ibu hamil tentang pentingnya menjaga kesehatan ibu dan bayi selama kehamilan.  

Salah satu yang menjadi masalah kesehatan masyarakat saat ini adalah BBLR dengan berat badan kurang dari 2500gr. Prevalensi kasus BBLR di RSU Delima Medan pada tahun 2019 sebanyak 53,0%, pada tahun 2020 sebanyak 59,1%, pada tahun 2021 sebanyak 61,38%. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi terjadinya BBLR di RSU Delima Medan Tahun 2022.  Penelitian ini adalah survey analitik kuantitatif, dengan case control study. Populasi penelitian ini ibu yang melahirkan bayi dengan BBLR, bulan Januari 2022 sampai April 2022, pengambilan sampel sebanyak 56 sampel dengan perbandingan sampel 1:1 dengan uji statistik univariat, bivariat, multivariat. Hasil penelitian ini adalah faktor-faktor yang mempengaruhi kejadian BBLR : umur ibu dengan p(sig) 0,004, umur kehamilan dengan p(sig) 0,005, paritas dengan p(sig) 0,002, Jarak kehamilan dengan p(sig) 0,000, Riwayat penyakit dengan p(sig) 0,002, Komplikasi kehamilan dengan p(sig) 0,005, Faktor yang tidak berpengaruh adalah pekerjaan ibu dengan p(sig) 0,252, Faktor yang paling dominan berpengaruh adalah jarak kehamilan dengan Exp(B)0,001. Berdasarkan hasil penelitian disimpulkan ada pengaruh  umur ibu, umur kehamilan, paritas, jarak kehamilan, komplikasi kehamilan, dan riwayat penyakit terhadap terjadinya BBLR. Disarankan kepada tenaga kesehatan khususnya di poli kebidanan RSU Delima untuk memberikan konseling tentang menjaga kehamilan, merawat kehamilan serta bekerjasama dengan faskes tingkat I agar edukasi dan konseling kepada seluruh ibu hamil dapat tercapai.

Nekrolisis epidermal toksik (NET) adalah peradangan sistemik akut yang melibatkan kulit, membran mukosa, epitel pernafasan dan pencernaan. Dalam banyak kasus, obat-obatan merupakan penyebab utama NET akan tetapi dapat juga disebabkan oleh infeksi dan faktor-faktor resiko lainnya. Membran mukosa (rongga mulut, konjungtiva dan anogenital) adalah bagian tubuh yang paling awal terlibat pada NET. Lebih dari 200 obat dari berbagai golongan berhubungan dengan terjadinya NET. Penggunaan obat-obatan yang memiliki resiko tinggi dan sering menyebabkan terjadinya NET seperti antigout (allopurinol), antiepilepsi (carbamazepine, fenitoin, fenobarbital, lamotrigin), antibiotik (kotrimoksazol dan sulfonamid lain, floroquinolone), anti inflamasi (sulfasalazine), anti-HIV (nevirapine), obat anti inflamasi golongan oxicam(meloxicam), dan analgesik (parasetamol). Pengobatan NET adalah pendekatan multidisiplin dan hingga kini belum ada panduan yang diakui secara internasional untuk terapinya.Tujuan dari studi kasus adalah membahas mengenai Nekrolisis epidermal toksikyang dipicu oleh obat penurun panas serta manajemen terapinya.