Background: feeling sleepy every day is the impact of sleep disturbance at night (insomnia), and can interfere with daily activities. Insomnia can cause other effects such as anxiety, stress, and ending with depression. In the elderly, sleep disturbances can cause various kinds of degenerative diseases that have been suffered and become uncontrolled. Treatment of insomnia disorder is carried out with non-pharmacological treatment, one of the non-pharmacological therapies that can be done is Elderly Exercise. Objective: To determine changes in the level of insomnia in the elderly before and after doing Elderly Exercise. Method: This application uses a descriptive method on 2 respondents, carried out 6 times in 2 weeks. The instrument used was KSPBJ-IRS (Jakarta Biological Psychiatric Study Group-Insomnia Rating Scale). Results: Treatment of insomnia disorder with Elderly Gymnastics given 6 times for 2 weeks in 30-45 minutes can affect the level of the respondent's sleep quality What specific exercises were included in the Elderly Gymnastics therapy?y so that there is a change in the elderly insomnia scale. Conclusion: the application shows that after the Elderly Seam was carried out 6 times in 2 weeks within 30-45 minutes there was a decrease in the insomnia scale in both respondents.
 

Teratomas are germ cell tumors consisting of somatic tissue derived from two or three germinal layers (ectodermal, endodermal, and mesodermal). Teratomas can be classified as mature teratomas and immature teratomas. Teratomas usually arise in the gonads but can also be extra-gonadal. Extragonadal teratomas can occur in the anterior mediastinum, retroperitoneum, pineal, and anterior suprasellar. The general incidence of teratomas is sacrococcygeal 40%, ovarian 25%, testicular 12%, brain 5%, and others including neck and mediastinum 1%. The etiology of teratoma is unknown, but there is a theory that gonadal and midline teratomas originate from totipotent primordial germ cells. Usually teratomas are found incidentally on thoracic photographs. If symptoms are present, it is generally due to mass effect which may cause coughing, dyspnea or chest pain. Mediastinal teratomas may cause perforation, however this complication is rare but a very serious condition. Large anterior mediastinal teratomas that rupture into the pleural cavity can cause lung infection, pleural effusion and mediastinitis. After complete excision, both mature and immature teratomas have an excellent prognosis.

Background: Stroke is one of the causes of disability in adults today, stroke has an impact on the function of the extremities of the body, especially the upper extremities. The impact of lowering the upper extremities is the disruption of daily activities such as bathing, eating, dressing, working and other types of activities that use the upper extremities. To increase the upper extremity muscles, therapy is carried out using mirrors, especially on the upper extremities. Objective: To determine the effect of Mirror therapy on muscle strength in non-hemorrhagic stroke patients. Method: Implementation was carried out using the case study method to 2 respondents, for 3 consecutive days a day for 15 minutes in the afternoon. Findings: Based on the results of the application that has been carried out, there is a decrease in muscle strength in non-hemorrhagic stroke patients Implication: Mirror therapy is expected to be applied in nursing practice by doing it 2x a day thereby giving maximum results.

Early marriage refers to marriages in which both partners are aged 18 and under or those who are not ready to marry due to various factors, such as the level of physical, emotional, sexual and psychosocial development, or lack of information regarding one's life choices. Women who marry early are blamed by various factors such as economic level, educational level, social culture, and premarital sex. The purpose of this research is to explore the determinant of early marriage among adolescent women. This research method uses a descriptive with a qualitative approach. The subjects of this study were women aged 12-18 years who married early and their families. The data collection technique used is in-depth interviews. Analysis data begins with determining the coding, categories and themes which are then interpreted using NVivo 12 Plus. The results of this study indicate that the women who marry early are caused by economic level, parents' education, girl’s education, customs and traditions in society, parents' divorce, and the influence of social media.

Diare merupakan penyakit berbasis lingkungan yang disebabkan oleh infeksi mikroorganisme meliputi bakteri, virus, parasit, protozoa, dan penularannya secara fekal-oral. Menurut WHO diare adalah kejadian buang air besar dengan konsistensi lebih cair dari biasanya, dengan frekuensi tiga kali atau lebih dalam periode 24 jam. Tujuan umum dari penelitian ini supaya mahasiswa mampu melakukan Asuhan Kebidanan Pada Balita. Metode Penelitian Adalah deskriptif. Jenis data yang digunakan dalam penulisan laporan tugas akhir ini adalah data yang diperoleh langsung dari subjek penelitian melalui pemeriksaan fisik, wawancara dan observasi. Setelah melakukan asuhan kebidanan pada balita dari tiga kali kunjungan didapatkan hasil pemeriksaan evaluasi : Keadaan Umum : baik, Kesadaran : Komposmentis, TTV : RR : 45x/i, HR : 78x/i, T: 36,5 ºC, BAB kembali padat, anak sehat dan ibu merasa senang dengan perubahan kesehatan anak sudah baik. Dapat dijadikan masukan untuk menambah wawasan dan pengetahuan petugas kesehatan diare yang sering di alami balita.
 

Medical informatics as a basic medical science that participates in formal medical decision-making processes is integrated with the formation of medical databases and administrative data with features of automating work process technology in health care institutions. This study aims to analyze and find out the analysis of the application of health information systems to health insurance payments. This research is a literature review sourced from several online sites such as Google Scholar, Pubmed, and Refseek by including keywords “Pharmaceutical Preparations”, “Support”, “National Health System”. The inclusion criterion used was the implementation of a health information system for payment of health insurance using the PRISMA plot diagram. The results of this study found that the implementation of health information systems for health insurance payments in health facilities is still not optimal. Many factors have affected the overall operation of the system, where the quality and quantity of human resources in handling health information systems is still lacking, the lack of facilitating facilities and infrastructure sometimes still causes disruptions and requires improvement

HIMS is a solution for hospitals for digital transformation. HIMS is also a strategic step in improving the quality of health services. With HIMS where the data will be better organized and integrated, besides that it makes administrative processes and other data management in the hospital easier and more efficient. The purpose of this study is to find out how HIMS can improve health services. The method used is a theoretical study by analyzing and comparing existing theories. The results of this study are that HIMS in hospitals also provides many benefits in increasing the efficiency and quality of health services. Implementation in EMR with treatment information management, statistical data research, administrative evidence, financing and service quality improvement. It can be concluded that HIMS can improve a health service. HIMS is also an indicator of good and efficient data storage and is included in the health service quality component. In the digitalization era, hospital agencies aim to avoid unwanted errors, such as incorrect data input, failed integration, human error, and slow information. So that the information system that facilitates the hospital can be a reference for the rate of business growth and the development of hospital information technology. Hospital Agencies are expected to always develop new management information systems in accordance with the times. With HIMS, hospital services will be more optimal because they are already digital-based. Digitalization exists because of increasingly advanced technological developments.

Inflammation is a protective response that is intended to eliminate the initial cause cell injury and cell discard and necrotic tissue caused by cell damage. Plants suspected of having anti-inflammatory properties as is Herba Celery (Apium graveolens L.) which included family Apiaceae and leaves Binahong (Anredera cordifolia (Ten.) Steenis) are included in the family basellaceae. Which act as antiinflammatory herbs binahong celery and leaves are flavonoids. This study aims to determine the effect of anti-inflammatory herb extract combination Celery (Apium graveolens L.) and leaves Binahong (Anredera cordifolia (Ten.) Steenis) against a white male rats. Herbal extract and leaf celery binahong extracted using 96% ethanol by maceration method. Animal test used was a white male rats as much as 25 animals with body weight of 100-300 grams. The test animals were divided into 5 groups: negative control group (CMC 1%), the positive control group (Diclofenac Sodium 50 mg), group combination herbal extracts celery and leaves binahong with a dose of 200 mg / kg: 200 mg / kg, 100 mg / kg: 300 mg / kg, 300 mg, kg: 100 mg / kg. Treatment 1 hour before the feet of mice induced by subplantar karagenin on the rear left foot white male rats. Edema volume measurements on the soles of mice were observed every 1 hour for 5 hours. The results showed a combination of herbal extracts and leaf celery binahong show stable results, where the hour-3 increased volumes continued in the hours 4th and 5th. Results per cent udema on a combination of herbal extracts and leaf celery binahong ie 49.13%, 44.66% and 45.92%. The average volume is used to calculate the percent edema inflammation, inflammation percent results obtained to calculate the percent inhibition.

Background: The MRI knee joint examination procedure for clinical ACL rupture in the Radiology Installation of Sidoarjo Regional Hospital often adds a T2 Mapping MR Cartigram sequence. T2 mapping MR Cartigram is a special sequence for detecting damage to the collagen component of the cartilage matrix using a quantitative approach method by producing a color map. The aim of this research is to determine the procedure, reasons for use, and diagnostic information resulting from the T2 mapping MR Cartigram sequence. Method: This type of research is qualitative research with a case study approach. The research was conducted in March-June 2022 at the Radiology Installation of Sidoarjo Regional Hospital. Research subjects included three patients, three radiographers, one radiologist, and one sending doctor. Data was collected by means of observation, interviews and documentation and then analyzed using an interactive model system method which would be processed in the form of transcripts, then identified, reduced and categorized the data and made open coding so that conclusions could be drawn. Results: The results of the study show that the clinical MRI knee joint examination procedure for ACL rupture at Sidoarjo District Hospital includes patient preparation, equipment preparation, examination techniques and routine sequences used such as PD Fatsat, T2, T1, STIR, T2*GRE, PD 3D Cube, and additional T2 Mapping MR Cartiram sequence. The use of the T2 mapping MR Cartigram sequence aims to determine the effect of ACL rupture on cartilage damage quantitatively and objectively by placing an ROI in the cartilage area so that it can provide diagnostic information including early detection of cartilage damage, increased water content, and cartilage degenerative processes. The results of the interpretation of the analysis carried out by the Sidoarjo Regional Hospital Radiologist were only subjective, namely looking at the resulting color map to see whether it looked even and homogeneous. Conclusion: Basically, existing saturation measurements are not always the same, they will depend on the patient's diagnosis for which the action will be taken. This saturation measurement uses the AVOXimeter 1000E. no less important in the continuity of actions in the cath lab room.

Hospitals certainly have strategic policy formulation in internal parts, especially organization, management and human resources (HR) and must be able to make decisions effectively to improve the quality of health services. So by increasing this vision it is necessary to use information management systems in hospital services. Health services are the main topic because of the high complexity of challenges in the health sector. The purpose of this study was to determine the Implementation of the Hospital Management Information System (SIMRS) in the influence of SIMRS on health services. With various service management information systems and different features, it is necessary to have regulations and make minimum standards that must be set by the ministry of health in order to achieve uniform services and be able to carry out full electronic-based activities, the need for the capacity of the ministry of health to provide applications for hospitals that are still unfamiliar with SIMRS and ongoing training and need more monitoring. The research design used in the preparation of this article is a literature review method related to Hospital Management Information Systems in Health Services. Search results using several databases such as Scopus, Google Scholar and also by collecting information that has been obtained from online journal article literature sourced from reference books and books related to the topic. The results of 8 articles obtained that the Effect of Utilizing Management Information Systems on Health Services in Hospitals by increasing Human Resources (HR), Standard Operating Procedures (SOP) for Facilities and Infrastructure, Implementation of Hospital Management Information Systems (SIMRS), Improving the Quality of Health Services, and Hospital Promotion and Service Policy. It can be concluded that the management information system in health services is something that integrates the entire process flow of hospital services in the form of a network that improves human resources for health services, quality information systems in hospitals. This strategy becomes an arrangement or equipment that provides information to develop to achieve the objectives of its activities.