Revolusi industri 4.0 membawa perubahan besar pada semua sektor industri. Pembangunan pada berbagai sektor industri juga harus diiringi dengan peningkatan Sumber Daya Manusia (SDM). Salah satu cara peningkatan SDM adalah dengan peningkatan Keselamatan dan Kesehatan Kerja (K3). Upaya pelaksanaan K3 dapat dilakukan dengan penggunaan Alat Pelindung Diri (APD). Tujuannya untuk mencegah kecelakaan kerja dan Penyakit Akibat Kerja (PAK) yang biasanya terjadi pada pekerjaan Manual Material Handling (MMH). Pekerjaan mengangkat dan memindahkan garam di PT Sumatraco Langgeng Abadi Gudang Cikarang termasuk MMH, yang mana pekerjaan tersebut dilakukan tanpa menggunakan APD. Berdasarkan hasil kuesioner pre test hanya 30% pekerja yang mengetahui dan memahami tentang pentingnya K3, sehingga perlu adanya kegiatan sosialisasi tentang pentingnya K3. Sosialisasi dilakukan dengan metode Focus Grup Discussion (FGD). Hasil kuesioner post test keseluruhan pekerja mengetahui dan memahami pentingnya K3 setelah sosialisasi, sehingga mereka menerapkan APD saat bekerja sehari-hari dan terbukti mereka bisa bekerja dengan tenang, karena merasa aman, nyaman dan meningkatkan produktivitas.

This research aims to explain and prove the hypothesis regarding the influence of compensation, physical work environment and work facilities on the work productivity employees of CV. Mukti Mulyo. Where this research uses a descriptive research model with a quantitative approach method with a non-probability sampling technique, namely a saturated sample method, with a population of 32 employees and a sample of 32 respondents or all employees used as samples. The analysis techniques used are validity test, reliability test, classical assumption test, multiple linear regression test, partial test (t test), simultaneous test (F test) and determination test (R2) which are processed using the SPSS version 25 data processing program. The research results obtained are that compensation has a partial and significant effect on employee work productivity with a significant t test value of 0.016 < 0.05. The physical work environment has a partial and significant effect on employee work productivity with a significant t test value of 0.001 < 0.05. Work facilities have a partial and significant effect on employee work productivity with a significant t test value of 0.022 <0.05. Compensation, physical work environment and work facilities have a simultaneous and significant effect on employee work productivity with a significant F test value of 0.000 <0.05.

Hipertensi adalah penyakit dengan etiologi multifaktorial, dan bukti telah menunjukkan pentingnya penigkatan transportasi vaskuler, stres oksidatif, dan disbiosis usus dalam perkembangan dan pemeliharaan hipertensi. Tekanan darah sistolik atau diastolik lebih besar dari 140 atau 90 mmHg termasuk hipertensi (World Health Organization, 2019). Penduduk Indonesia yang berusia 18 tahun keatas mengalami hipertensi, menurut diagnosis dokter. Berdasarkan diagnosis dokter hipertensi pada populasi penderita hipertensi pada tahun 2018, 54,4% rutin minum obat, 32,3% tidak rutin minum obat, dan 13,3% tidak minum obat antihipertens. Persentase tersebut mewakili riwayat penggunaan obat dan alasan tidak minum obat. Di Indonesia penyakit hipertensi menyerang 34,1% penduduk pada tahun 2018. Setiap tahun terjadi peningkatan terutama pada tahun 2018. Setiap tahun terjadi peningkatan terutama pada tahun 2018. Mengetahui bahwa 13,3% dari mereka yang didiagnosis hipertensi tidak minum obat dan 32,3% tidaj meminum obat secara teratur berkontribusi dengan meningkatnya prevalensi hipertensi (Rikesdas, 2018). Tujuan Penelitian: Untuk Mengetahui Tingkat Pengetahuan Dan Kepatuhan Minum Obat Hipertensi Terhadap Pencegahan Hipertensi Di Puskesmas Pasar Kemis. Jenis penelitian ini menggunakan uji Chi-Square dengan teknik total sampling merupakan teknik non probability sampling teknik pengambilan sampel dimana jumlah sampel sama dengan populasi untuk dipilih menjadi anggota. Sampel yang diambil dari penelitian ini adalah 90 sampel. Hasil uji chi-square dengan nilai (P value) < 0,05. Diharapkan Puskesmas Pasar Kemis dapat memberikan arahan, motivasi dan penyuluhan lebih lanjut mengenai hipertensi dan pengtinya kepatuhan minum obat hipertensi kepada masyarakat.

The aim of the study was to describe the application of the jigsaw type cooperative model theme 8 sub theme 3 in fourth grade students at Muhammadiyah Kemiri Elementary School, to describe the increase in student learning activity with the jigsaw type cooperative model theme 8 sub theme 3 in fourth grade students at Muhammadiyah Kemiri Elementary School, to describe the increase in student learning outcomes with cooperative model type jigsaw theme 8 sub theme 3 in class IV SD Muhammadiyah Kemiri. Research using the type of classroom action research. The research subjects were fourth grade students at Muhammadiyah Kemiri Elementary School for the 2021/2022 academic year with a total of 25 students. This research data collection techniques in the form of observation, interviews, tests, documentation. Analysis of the data obtained is the result of observing the implementation of learning, observing students' activeness in each cycle and tests in cycle I and cycle II

Background: Diabetes mellitus is a health problem characterized by an increase in blood glucose levels that has a systemic impact. Diabetes mellitus is a family health problem because its prevalence continues to increase and causes high mortality. The family as a subsystem that is the goal of public health care has a duty to maintain the health of its members, including the management of diabetes mellitus in the family. The purpose of writing is to provide an overview of providing family nursing care with the intervention of giving soursop leaf boiled water to lower blood glucose. The method used with the family nursing care process which consists of assessment, nursing diagnosis, intervention, implementation, and evaluation. The results show that family nursing problems that arise are ineffective family health management, the risk of unstable blood glucose levels, and sleep pattern disturbances. The implementation results show that giving soursop leaf boiled water can reduce blood glucose levels in people with diabetes mellitus from 210 mg/dL before the intervention to 180 mg/dL after three days of giving soursop leaf boiled water. Suggestion nurses can facilitate families to provide soursop leaf decoction water therapy to lower blood sugar levels in people with diabetes mellitus.

Introduction at Hypertension is a non-communicable disease which is a family health problem because it causes adverse effects. The family as a subsystem that is the goal of public health care has a duty to maintain the health of its members, including the management of hypertension in the family. The purpose of writing is to provide an overview of providing family nursing care with foot massage interventions to reduce blood pressure in hypertension. The method used with the family nursing care process which consists of assessment, nursing diagnosis, intervention, implementation, and evaluation. The results show that family nursing problems that arise are pain, ineffective family health maintenance, and sleep pattern disturbances. The implementation results show that foot massage therapy can reduce pain and reduce blood pressure in hypertensive patients from 180/90 mmHg to 150/85 mmHg after three days of foot massage therapy. Nurses can provide foot massage exercises to family members to deal with hypertension in providing family nursing care.

Background: The family is the smallest unit in society which is the entry point in an effort to achieve optimal public health. The family is also referred to as a social system. Hypertension can be defined as persistent blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. Hypertension almost affects 26% of the adult neurological population worldwide, even by 2025, it is projected that 29% of the world's population (1.56 billion adults) will have hypertension. Data from WHO in 2013 showed that there are 9.4 million people in the world every year. Tomato juice as a non-pharmacological therapy or herbal as an alternative treatment of high blood disease. Tomatoes are fruits that contain lots of potassium, potassium can also affect the angiotensinogen renin system as an inhibitor of production. Objective: to know the intervention of tomato juice to lower blood pressure in hypertensive patients. Methods: by means of interviews, assessments and nursing care actions. Results: Case study obtained after clients were given nonpharmacological therapy tomato juice in Mrs. S significant results, where there was a decrease in blood pressure from 150/90mmHg to 120/80 mmHg. Conclusion: Tomato juice has an effect on lowering blood pressure in hypertensive patients. 
 

Background: Families with adult children or discharge are the stages that begin when the first child leaves the house. Hypertension is a condition in which a person experiences an increase in blood pressure above normal which can result in morbidity and mortality. The estimated number of cases of hypertension in Indonesia is 63.309.620 people, while the death rate in Indonesia due to hypertension is 427.218 deaths. Hypertension gymnastics is a sport that one of the aims is to increase blood flow and oxygen supply to the active muscles and skeleton, especially to the heart muscle, so that it can help reduce blood pressure in people with hypertension. Objective: to determine the effect of hypertension exercise to reduce blood pressure in hypertensive patients. Method: by way of interviews and nursing care. Results: The case study was obtained after the client was given hypertension exercise therapy to reduce blood pressure in Mrs. K with significant results, where there was a decrease in blood pressure from 184/94mmHg to 140/80mmHg. Conclusion: Hypertension exercise has an effect on reducing blood pressure in hypertensive patients.

Background: The results of a survey by the United Nation International Children Found (UNICEF, 2019), the most common diseases in the elderly are non-communicable diseases, including hypertension, joint disease, diabetes mellitus, heart disease, stroke, and Gout Arthritis. This can happen considering that the elderly have a declining body work system and there are still many poor lifestyles, eating patterns, and sleep patterns in the elderly, sleep pattern disturbances are a problem that often occurs in the elderly. There are two ways to treat sleep disorders, namely pharmacological and non-pharmacological. Non-pharmacological can be done with SEFT (Spiritual Emotional Freedom Technique) complementary therapy to improve sleep quality. Purpose: the purpose of this paper is to provide an overview of nursing care for Gout Arthritis patients who experience sleep pattern disturbances with the SEFT intervention on sleep quality. Method: case study design using nursing care. The case study sample used 1 patient. Results: based on the implementation results on Tn.S with the application of SEFT therapy for 7 days, data were obtained on the first day of the PSQI scale, namely 23 (≥5, meaning poor sleep quality), then on day 7 it dropped to a PSQI score of 14 (moderate sleep quality). it can be concluded that with changes towards improvement, this indicates the effect of SEFT (Spiritual Emotional Freedom Technique) therapy on sleep quality in elderly patients with Gout Arthritis.
 

Background: Elderly is a closing period in a person's life span, namely a period when a person has moved from a more useful and productive time. With increasing age, physiological function decreases due to the aging process so that joint disease appears in the elderly. One of the joint diseases in the elderly is gout arthritis. There are two ways to reduce uric acid, pharmacological and non-pharmacological. Non-pharmacological can be done by giving ginger compresses to reduce pain levels. Objective: The purpose of this paper is to determine the effectiveness of ginger compresses to reduce pain levels in the elderly with gout problems. Method: Case study design using nursing care. The case study sample used 1 patient. Results: Based on the implementation results on Mr. S with the application of ginger compress therapy for 7 days the pain scale decreased, the first and second days a pain scale of 5, on the third and fourth days a pain scale of 4, on the fifth and sixth days a pain scale of 2 and on the seventh day a pain scale of 1 with uric acid levels on day the first was 8 mg/dl and on the seventh day the uric acid level was 7.3 mg/dl, so a nursing diagnosis of chronic pain, it can be concluded that there is a change towards improvement, this shows the effect of giving ginger compresses on reducing pain levels.