Dementia is a cognitive decline that is so severe that it interferes with activities of daily living and social activities. Cognitive decline in dementia usually begins with a decline in memory or memory (forgetfulness). Cognitive function is the main human capital in the activities of daily life. Brain gymnastics is a light exercise that is carried out with cross movements in order to harmonize and optimize the performance of the right and left brain so that it can improve cognitive function. This study aims to determine the results of the application of brain exercise on cognitive function in the elderly with dementia. Quantitative research with a cross sectional approach and sampling collection technique with purposive sampling with a sample of 34 respondents. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. It was found from this study that before brain exercise, normal cognitive function was 0, while moderate was 2 respondents (5.9%) and mild cognitive function was 32 respondents (94.1%). After brain exercise, normal cognitive function was 14 respondents (41.2%) while 20 respondents (58.8%) had moderate cognitive function and 0. mild cognitive function.

Birth Ball is a birth ball that can be used by mothers in labor in the first stage to a position that can help progress labor. The purpose of this study was to determine the effect of the Birth Ball on reducing the intensity of labor pain during the first active phase. The type of research used in this study was a quasy experiment. The research was conducted at PMB Karmila, Bantan District. The population in this study were all third trimester pregnant women. The sample in this study were 20 pregnant women using purposive sampling. Data analysis was carried out univariately, bivariately using the T-Dependent statistical test (paired T-Test). The results showed that there was an effect of birth ball on the intensity of labor pain in the first stage. to the community, especially primigravida women who experience labor pain to be able to do birth ball therapy to reduce the level of pain in the first stage of labor.\
 
 
 

value = 0.000 or valuer rAdolescence is a period of transition between childhood into adulthood, problem that often occurs in adolescence are less nutrition resulted in malnourished. Hb is a quantitative indicator to determine iron deficiency with the most severe level. Menstruation adalahperdarahan derived from this research uterus.Jenis Praeksperimen with the design of "The One Shot Case Study" to obtain information about the menstrual cycle in young girls. The sample in this study were taken by the formula vincean as many as 52 samples. With independent variable hemoglobin levels in young women and adolescents dependent variable menstrual cycle putri.Pada univariate analysis presented in the form of a frequency distribution expressed in absolute frequency which is the number of occurrences and relative frequencies in the form of presentation (%) and on a bivariate analysis used chi-test square.Hasil research shows the majority of respondents have irregular menstrual cycles 61.5% and the mean Hb 10-11gr%, based on chi-square statistical test showed  < = 0.000.r0.005, so it can be concluded that Ho refused and Ha received means there singnifikan relationship between hemoglobin levels with the menstrual cycle in young women are a significant association between hemoglobin levels with the menstrual cycle, where the better levels of hemoglobin, the possibility of a regular menstrual cycle is getting better, with the value.

Every hospital, industry and other sector experiences shifts in activity on a regular basis, and if the pace of construction and progress of the plant continues, this is absolutely necessary for the foreseeable future. Each individual's experience of fatigue is unique and subjective. Various conditions can result in fatigue accompanied by a decrease in body capacity and endurance while on duty. This study aimed to investigate the relationship between work fatigue and shift work in industrial plant employees. The research method used was a survey using questionnaires distributed to employees of industrial factories working in a shift system. The results showed a significant relationship between work fatigue and shift work in employees of industrial plants. High job fatigue can have a negative impact on employees' physical and mental health, as well as increase the risk of workplace errors and accidents. These findings point to the importance of effective shift management in reducing burnout and improving employee well-being. This research contributes to the understanding of the relationship between work burnout and shift work in employees of industrial plants. The practical implication of this study is the importance of greater attention to shift management in order to maintain employee well-being and productivity..

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ??the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than ? (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence.  due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae

Abstract. Cervical cancer is a disease caused by malignant tumors in the uterine area (cervical) as a result of uncontrolled growth of tissue and damage to the surrounding normal tissue. Family as a source of support plays an important role in providing support to improve the quality of life of cancer patients. The purpose of this study was to analyze the relationship between family support and the quality of life of cervical cancer patients. This type of research is descriptive quantitative. The sampling method is by accidental sampling. The sample of this study were cancer patients undergoing treatment with a total of 32 samples. The instrument used is a questionnaire. The results showed that more than half (56.25%) of the respondents were aged 46-65 years, more than half (53%) of the respondents did not work, and some (50%) of the respondents were in stage 3, and most (91%) family support in improving the quality of life of cervical cancer patients. The results of this study can be used as health promotion educational material about risk factors for cervical cancer and to re-effectively provide health counseling services for sufferers and their families who are diagnosed by doctors as having difficult cases to recover, so that patients can express their feelings about the illness they are suffering from so that it has an impact on their quality of life. better.
Abstrak. Kanker serviks merupakan penyakit akibat tumor ganas pada daerah rahim (leher rahim) sebagai akibat dari adanya pertumbuhan jaringan yang tidak terkontrol dan merusak jaringan normal disekitarnya. Keluarga sebagai sumber dukungan berperan penting dalam memberikan dukungan untuk meningkatkan kualitas hidup pasien kanker. Tujuan penelitian untuk menganalisis hubungan antara dukungan keluarga dengan kualitas hidup pasien kanker servik. Jenis penelitian ini adalah deksripti kuantitatif. Cara pengambilan sampel dengan cara accidental sampling. Sampel penelitian ini adalah pasien kanker yang menjalani pengobatan dengan jumlah 32 sampel. Instrument yang digunakan adalah kuesioner. Hasil penelitian menunjukan bahwa lebih dari sebagian (56,25%) responden berusia 46-65 tahun, lebih dari sebagian (53%) responden tidak bekerja, dan sebagian (50%) responden berada pada stadium 3, dan sebagian besar (91%) keluarga mendukung dalam meningkatkan kualitas hidup pasien kanker serviks. Hasil penelitian ini dapat digunakan sebagai bahan edukasi promosi kesehatan tentang faktor risiko kanker serviks dan mengefektifkan kembali layanan konsling kesehatan untuk penderita dan keluarga yang didiagnosa oleh dokter mengidap kasus sulit untuk sembuh, sehinga pasien dapat mengkungkapkan perasaan  mengenai penyakit yang dideritanya sehingga berdampak pada kualitas hidup yang lebih baik.
 

HIV stands for Human Immunodeficiency Virus, a virus which weakens immune system, while Acquired Immune Deficiency Syndrome (AIDS) is a collection of disease symptoms due to decreased immunity, which are acquired (not genetic). Education about HIV/AIDS to reduce the incidence rate of, because so far there is no medication or vaccine to prevent the spread of HIV/AIDS. To date, health education extension in order to enhance knowledge of HIV/AIDS is quite successful. The attempt to increase knowledge for formal and informal education as well as general and religious education is made by integrating HIV/AIDS materials systematically. The results of preliminary study on 10 students indicated that 40% (four student)can answer more than five questions , and 60 % ( 6 students ) can only be answered fewer than five questions investigators.Objective: To identify the effects of health education extension about HIV/AIDS on knowledge in tenth grade students at SMA Namira Medan Tahun 2022. Methods: This research employed a Quasi Experiment Design with one group pretest-posttest. Subjects of the research were tenth grade students of SMA Namira Medan. Sampling employed purposive sampling with a sample size of 40 students. Hypothesis was analyzed using statistical test, namely Wilcoxon test. Results: The Wilcoxon test indicated that there were significant differences in knowledge with p value of<0.05 (p = 0.001) and Z >1,96 (Z=3,212). Conclusion: There are effects of health education extension about HIV/AIDS on the knowledge of tenth grade students of SMA Namira Medan Tahun 2022 as indicated with p <0.05 (p =0.001) and Z >1,96 (Z=3,212).
Keywords: extension, knowledge, HIV/AIDS

Basalioma, also known as basal cell carcinoma (BCC), is the most common skin malignancy found throughout the world. Basaliomas commonly occur in the elderly population, which is associated with cumulative sun exposure and other exogenous damage. Older (65–79 years) to very old (>80 years) white individuals showed the highest increase in basalioma incidence rates. In Indonesia, data from the Cancer Registration Agency in 2009 shows that skin cancer ranks 4th out of the 10 most common types of cancer. The most common location is in the nose area. The incidence of metastasis is 0.01-0.1%, and occurs lymphogenously and hematogenously. The most significant causes are exposure to ultraviolet radiation and genetic predisposition. Basaliomas tend to occur in areas of chronic sun exposure and therefore the majority, about 74%, occur on the head, face and neck. Basaliomas usually arise from the lowest layers of the epidermis, although a small number may originate from the outer root sheath of the pilosebaceous unit. The incidence of basalioma is directly proportional to age and inversely proportional to the amount of melanin pigment in the epidermis. Surgery remains the first line of treatment for this disease. Surgical modalities include electrodessication, curettage, excision, cryosurgery, and Mohs micrographic surgery..
 

Contraception as a form of prevention of pregnancy is one of the essences of family planning problems (KB) officially used by the National Family Planning Coordinating Board (BKKBN). One type of effective contraception that mothers choose is the type of injectable contraception. To determine the effect of DMPA injection use on weight gain in family planning acceptor in Puskesmas Tompobulu Gowa. Analytical observational with cross sectional study approach. This research was conducted at Puskesmas Tompobulu Kab. Gowa on 31 July - 31 August 2017. The sample in this study is total sampling with as many as 51 respondents of the instrument in this study is using a questionnaire. Statistical test using computerized system by using chi-square test at significance level 95% (? = 0,05). The Result of this research is p-value = 0.000 with significance level <0,05. This shows that there is significant influence between the duration of contraceptive use to weight gain. And obtained by p-value = 0,002 with significance level <0,05 this shows there is significant influence of physical activity activity to weight gain. The longer duration of use of DMPA injection will be more at risk of obesity on contraceptive injectors. The fewer activities performed by the KB acceptor will be more at risk of weight gain. This research is expected to be useful and become input for practice area in giving injection contraception service and observe acceptor body weight every time at visit.