Diabetes mellitus is a chronic disease that occurs when the pancreas cannot produce enough insulin (a hormone that regulates blood sugar or glucose) or when the body cannot use insulin effectively. According to the International Diabetes Federation, the prevalence of diabetes mellitus is increasing every year in the world, reaching 537 million people suffering from diabetes in the world. Currently, Indonesia ranks sixth as the country with the highest number of people with diabetes mellitus. At the Sei Langkai Health Center in the last 6 months (January-June) there were 40 people. This professional scientific paper aims to provide gerontic nursing care to Mrs.A with the application of diabetic foot exercise therapy in reducing blood glucose levels in patients with diabetes mellitus in the Sei Langkai Health Center Working Area. The method used in this Professional Scientific Writing is a case study conducted based on the stages of nursing care including assessment, diagnosis, intervention, implementation and nursing evaluation. The results showed a decrease in blood glucose levels from the first day of GDS examination results of 215 mg/dl and on day four down to 158 mg/dl, as well as decreased drowsiness, fatigue / fatigue decreased in accordance with the expected goals and criteria. For patients, it is hoped that it can provide knowledge and insight, and can know and understand foot exercise therapy can reduce blood glucose levels in patients with diabetes mellitus.

Schizophrenia is a complex psychiatric disorder, characterized by positive, negative, and significant cognitive impairment, and contributes significantly to global disability. This article is a literature review that comprehensively discusses the epidemiology, etiology, clinical features, diagnosis, and management of schizophrenia. The etiology of schizophrenia involves interactions between genetic, neurobiological, and environmental factors, including dysfunction of neurotransmitters such as dopamine, glutamate, and gaba. Diagnosis can be made based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or the Guidelines for the Classification of Mental Disorder Diagnosis III (PPDGJ III), with an emphasis on the combination of major symptoms and the exclusion of other conditions. Management of Schizophrenia Includes Pharmacological Therapy With First and Second Generation Antipsychotics, As Well As Nonpharmacological Interventions Such As Cognitive-Behavioral Therapy, Social Skills Training, And Family Support. The Social Stigma And Economic Burden That Accompanies It Makes This Disorder A Multidimensional Challenge In The Health System. This Article Emphasizes The Importance Of A Sustained Multidisciplinary Approach To Improve The Prognosis And Quality Of Life Of People With Schizophrenia.
 
 

Degenerative diseases, such as Alzheimer's, diabetes mellitus, and cancer, are global health challenges whose prevalence increases with increasing life expectancy. Phytochemicals, bioactive compounds found in plants, have shown potential in preventing and inhibiting the development of these diseases. Compounds such as flavonoids, polyphenols, and glucosinolates have antioxidant, anti-inflammatory, and neuroprotective activities that can protect these body cells from oxidative damage and chronic inflammation. This study suggests that consuming phytochemical-rich foods, such as cruciferous vegetables, pigmented fruits, and certain spices, contributes to a reduced risk of degenerative diseases.

The implementation of Electronic Medical Records (EMR) has become a pivotal advancement in enhancing hospital service quality. This study aims to analyze the impact of EMR implementation on the quality of healthcare services by comparing the conditions before and after its adoption. Through a comprehensive literature review of peer-reviewed articles published in the last ten years indexed by Scopus, Web of Science, and Sinta 1 and 2, this research identifies key improvements in efficiency, data accuracy, patient safety, and user satisfaction. The findings reveal that EMR significantly reduces medical errors, shortens patient waiting times, and improves interdisciplinary collaboration. However, challenges such as infrastructure readiness and human resource adaptation remain critical barriers. The study concludes that strategic planning and continuous training are essential to maximize the benefits of EMR for sustainable service quality enhancement in hospitals.

Popular antihypertensive drugs used are amlodipine (besylate) in generic and branded generic tablets. To ensure that a drug is of good quality and efficacy, evaluation of the physical quality of the tablet is very important. This study aims to determine the results of the physical evaluation of generic and branded amlodipine (besylate) tablets that are currently available for purchase. This type of experimental study involves random sample selection. Testing was carried out on three samples of generic amlodipine (besylate) tablets and one sample of branded generic tablets. The physical evaluation of the tablets carried out was uniformity of weight, uniformity of size, hardness, friability, and disintegration time as part of the physical examination. The test results showed that generic tablets 3 and branded generics met the requirements of the Indonesian Pharmacopoeia.
 
 

Anemia is a condition where a person has a hemoglobin value below normal (12 gr/dl). The prevalence of anemia is around 30% of women of childbearing age, namely 15-49 years old, suffer from anemia. In Indonesia, data on anemia sufferers shows 32%. The prevalence of anemia in DIY shows that the results of Riskesdas in 2013 amounted to 37.1% of adolescent girls experiencing anemia, and further increased in the 2018 Riskesdas results, namely 48.9% experiencing anemia. Anemia has a negative impact on adolescent girls, namely a decrease in immune system function, easy fatigue, disrupting physical, cognitive, psychological growth and development, and reducing learning concentration which can affect learning achievement. Factors causing anemia can be caused by sleep quality. Good sleep will help the body's biological process to regenerate erythrocyte cells in producing gemoglobin. This study uses a quantitative correlation research design with purposive sampling technique with inclusion and exclusion criteria. The number of samples in this study were 30 adolescent female respondents. Statistical analysis used is chi-square with a p value <0.5. The results of this study indicate that the majority of adolescent girls experience poor sleep quality as many as 18 adolescent girls (60%) and as many as 21 adolescent girls (70%) have abnormal hemoglobin values. Chi-square test obtained a value of p = 0.001 <0.5 which means that sleep quality can affect hemoglobin levels in adolescent girls

According to Riskesdas 2018, the prevalence of emotional mental disorders in Indonesia at the age of ≥15 years is 9.8%, and most cases are not detected or treated adequately. This shows the urgency of interventions that are not only curative, but also promotive and preventive (Yuliani & Rahman, 2022). Moreover, adolescents are often reluctant to be open about their psychological conditions because they are afraid of being stigmatized by their surroundings (Nugroho & Lestari, 2021). The purpose of this study was to analyze the Effect of Community-Based Mental Health Education on the Knowledge and Attitudes of Adolescents in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. This type of research is a quantitative study with a pre-experimental design using a one group pre-test and post-test design approach. The population in this study were all adolescents aged 13–18 years as many as 38 adolescents who participated in the entire series of educational programs analyzed using the paired t-test statistical test to see the differences before and after the educational program. Research Results Based on the results of education, there is a significance value <0.05 indicating that there is a statistically significant difference in knowledge and attitudes before and after the education program is given. Therefore, the alternative hypothesis is accepted, namely that there is a significant influence of community-based mental health education programs on adolescent knowledge and attitudes. There is an Influence of Community-Based Mental Health Education on Adolescent Knowledge and Attitudes in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, Sumatra Province.
 

Tension Type Headache (TTH) is a common health problem that has a significant impact on an individual's quality of life. Various physical therapies have been used to treat TTH symptoms, including Myofascial Release (MFR) and Muscle Energy Technique (MET). However, stronger evidence is still needed on the effectiveness of combining these two techniques in reducing the intensity of pain and improving the quality of life of TTH patients. The research aims to analyse the effectiveness of a combination of MFR and MET techniques on reducing pain intensity, increasing cervical range of motion, and improving the quality of life of TTH patients. This study used a systematic review method with a PRISMA-P approach and a PICOS framework. The research sample consisted of articles published between 2020 and 2025, which were identified through searches in the PubMed, Crossref, and Web of Science databases. Data analysis was conducted descriptively based on the results found in relevant studies.The results showed that the intervention of MFR and MET significantly reduced pain intensity, increased cervical range of motion, and improved the quality of life of TTH patients. The study shows that the combination of MFR and MET techniques is effective in managing TTH symptoms and can improve the patient's quality of life. These results provide a basis for non-pharmacological physical therapy in the management of TTH.

Students in the Information Systems Program at UIN Sumatera Utara tend to have irregular eating patterns with high consumption of fast food. This habit contributes to various health problems such as digestive disorders and decreased concentration. This study was conducted to investigate the eating patterns of students in the Information Systems Program at UIN Sumatera Utara and their relationship with their health conditions. Through a quantitative survey of 50 respondents, the results showed that most students eat less than three times a day, with the highest frequency being twice a day (48%). Additionally, the majority of students consume fast food 1–2 times a week (60%). Analysis using the Chi-Square test revealed a significant association between the frequency of fast food consumption and students' health conditions (p < 0.05). Many students experienced health issues such as stomach problems and fatigue related to their unhealthy eating patterns. These findings emphasize the need for nutrition education and the implementation of practical healthy eating patterns to support students' health and academic performance.

Breast milk damming is the result of inadequate emptying and delayed milk ejection, which blocks the glands and causes the milk to get dammed. Breast milk dam events are brought on by a build-up of breast milk and inadequate milk ejection, which obstructs the milk ducts and produces breast enlargement. The purpose of this study is to examine the variables that affect postpartum women's breast milk dams. This study's methodology combines a cross-sectional approach with analytical survey research to get quantitative results. Respondents were given a questionnaire form to complete in order to collect data. The research sample used a total sampling of 37 respondent. Total sampling was used to determine sampling. Data were analyzed using Chi-square test with the help of Fisher’s exact test and Likelihood ratio. The results of the research in this study showed that all variables influenced breast milk dam by obtaining a p value <0.05. Bivariate analysis on breastfeeding position found P = 0.012 which means there is an effect of breastfeeding position on breast milk dam. In breast care, the value of p=0.001 was obtained which has an influence on breast milk dam. While the frequency of breastfeeding has an effect on breast milk dam with a value of p=0.000. And in knowledge with a value of p=0.009 which means it has an influence on breast milk dams. It was concluded that there was an influence of breastfeeding position, breast care, breastfeeding frequency, and knowledge on breast milk dams. The most influential factor on breast milk dam is the breast care variable.