Gout Hyperuricemia atau penyakit Asam Urat dapat terjadi akibat penumpukan Purin dalam tubuh yang diakibatkan oleh banyak faktor, salah satunya makan makanan dengan kandungan Purin yang tinggi. Indonesia dianggap sebagai negara dengan pengidap Asam Urat tertinggi di dunia. Beberapa daerah di Indonesia telah diteliti dan menunjukkan hasil yang cukup tinggi. Salah satu pemicunya adalah konsumsi makanan dengan kadar Purin yang tinggi. Penelitian ini bermaksud untuk melihat hubungan antara asupan makanan tinggi Purin dengan tingkat Asam Urat dalam tubuh masyarakat di Kelurahan Karangrejo Sumbersari Jember. Pengambilan data menggunakan kuesioner dan wawancara. Responden penelitian dipilih menggunakan teknik purposive sampling dan didapatkan 30 responden memenuhi kriteria yang ditetapkan. Hasil penelitian menunjukkan 10 orang positif memiliki Asam Urat yang tinggi dan berpotensi terkena penyakit Asam Urat. Responden lain kadar Asam Uratnya tercatat rendah dan sebagian besar normal. Melalui sesi wawancara, diketahui bahwa alasan utama yang menjadi penyebab responden positif memiliki tingkat Asam Urat tinggi adalah dari Pola Makan yang tidak sehat, di mana mereka sering mengonsumsi daging jeroan dan makanan berlemak sehari-hari. Selain itu ditemukan alasan lain seperti kurangnya edukasi pencegahan dan penanganan potensi penyakit Asam Urat serta terbatasnya akses menuju puskesmas.

The older adults get, the greater the risk of someone getting gout. It is caused by a decrease in hormone levels when the hormone oestrogen decreases in the body; there is only a tiny amount of the hormone oestrogen, which helps remove uric acid through the urine and can cause the disposal of uric acid to become uncontrolled, resulting in a buildup of degenerative diseases, one of which is gout. One of the non-pharmacological actions that can be used to reduce uric acid levels is by giving soursop leaf boiled water. This study aims to determine the effect of soursop leaf-boiled water on reducing uric acid levels in the elderly before and after the intervention. This research method used quasi-pre- and post-testing in the intervention group. The sampling technique used was random sampling of 65 respondents using an observation sheet with SOP for soursop leaf stew. The analysis showed that the average uric acid level before giving soursop leaf decoction was 42.2%, with high uric acid levels. While the average high uric acid level after administration of soursop leaf-boiled water is 12.3% with moderate uric acid levels and as much as 87.7% with average or low uric acid levels, The results of the marginal homogeneity test obtained a P value of 0.001 (<0.05), meaning that there was a significant difference in mean between the pretest and post-test, which affected giving soursop leaf boiled water to reduce uric acid levels in the elderly—suggestions for health services to provide facilities to health service workers so they can apply traditional medicine.

Cat's whiskers leaf plant (Ortosiphon aristatues.) is one of the plants that is efficacious as a medicinal plant. The part of the cat's whiskers leaf plant is used, namely the leaves that contain saponin compounds, flavonoids, alkaloids and tannins. The purpose of this study was to determine the most effective inhibition produced by the ethanol extract of the leaves of the cat's whiskers (Ortosiphon aristatues.) against the growth of Staphyloccocus aureus bacteria. The benefit of this research is to increase knowledge about the antimicrobial potential of ethanol extract of cat whiskers (Ortosiphon arietatus) leaves against the growth of Staphyloccocus aureus bacteria. This research method uses the diffusion method for wells. The sample used was cat whiskers leaf extract with pure strain of Staphyloccocus aureus. Treatment with cat whiskers leaf extract, the results of the test of the inhibitory activity of the cat whiskers leaf extract showed an average difference at a concentration of 65% with a diameter of 22 mm, a concentration of 70% with a diameter of 25 mm, and a concentration of 75% with a diameter of 30 mm. Ethanol extract of cat whiskers leaves with a concentration of 65%, 70%, and 75% effectiveness in inhibiting the growth of Staphylococcus aureus bacteria. Based on observations, it was shown that the ethanolic extract of Kumis Kucing leaves gave the most effective inhibitory concentration at a concentration of 75% against Staphyloccocus aureus bacteria. with a diameter of 30 mm

Background: Family is two or more individuals who are joined by blood relations, marital relations or adoption and they live in one household, interact with each other and in their respective roles create and maintain culture. Signs and symptoms of gout are an increase in serum uric acid, severe pain that comes on suddenly, stiff movements, easily tired and lethargic. skin rash, sore throat, decreased appetite, red tongue. According to the World Health Organization (WHO) in 2019, 81% of sufferers of Gout Arthritis in Indonesia only 24% went to the doctor. while 71% tend to immediately consume over-the-counter pain relievers. Method: The method used in collecting this data is interview. Case study by carrying out nursing care for 5 days in the family of Mr. A especially Mrs. U by doing non-pharmacological therapy with warm compresses of lemongrass. Purpose: the purpose of doing this warm lemongrass compress is so that pain in the fingers and palms of the patient decreases. Results: After intervention with hot lemongrass compresses for 5 days, the pain was reduced, the patient's uric acid decreased to 4.7, and no tingling was felt. During the intervention, patients were also given education on how to manage their diet and a clean and healthy lifestyle. Conclusion: The conclusion drawn is the importance of regulating diet and maintaining a clean and healthy lifestyle in order to avoid diseases, especially gout.

Hospitalization is a condition where a child is sick and undergoing treatment in a hospital. This condition causes stress for children and parents. Stress in parents can have a negative impact on children because it affects the healing process. This research was carried out to see the effect of PMR therapy on reducing parental stress facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Tanjungpinang Hospital in 2023. The research design is a quasi-experimental pre-test post-test design involving 2 groups, intervention and control group. The independent variable is PMR therapy and the dependent variable is stress level. The population in this study was 36 respondents, namely parents whose children were being treated in the pediatric inpatient room. The results of the analysis in the intervention group using the Paired T Test obtained a significant value of .001 < 0.05, so it could be said that Ho was rejected and Ha was accepted. There is a significant effect of Progressive Muscle Relaxation (PMR) Therapy on reducing the stress of parents facing hospitalization in the children's inpatient room at Raja Ahmad Tabib Hospital, Tanjungpinang. Meanwhile, in the control group, there was an increase in stress in the post-test group.

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.

The purpose of this study was to find out the strengths, weaknesses, opportunities and threats of community support as a mental health management solution for adolescents in Indonesia. This study uses a qualitative research approach with descriptive analysis techniques and utilizes SWOT analysis to achieve research objectives. The results of this study include, first, the strengths of community support as a mental health management solution for adolescents in Indonesia is the high population of Indonesian people and the high number of puskesmas operating in Indonesia. Second, the weakness of community support as a mental health management solution for adolescents in Indonesia is the low level of mental health literacy and the low number of health facilities providing mental health services. The three opportunities for community support as a mental health management solution for adolescents in Indonesia are the development of information technology and the development of communication technology. Fourth, threats to community support as a mental health management solution for adolescents in Indonesia are the high use of social media by adolescents and the presence of the Covid-19 pandemic. Then this research also formulates four strategies based on SO, ST, WO and WT.

Introduction: Cutaneous larva migrans (CLM) is a parasitic infestation that commonly occurs in warm climates among people who have contact with contaminated soil. This is caused by the migration of hookworm larvae into human skin. Clinically, itchy, erythematous, linear serpiginous tracts appear within days to months after exposure to infected sand or soil. Diagnosis is based on clinical presentation. CLM can heal on its own and usually resolves within a few weeks to several months without treatment . Case report: This case report is about a 30-year-old female patient with complaints of itching on the little finger of the left foot since 4 days ago accompanied by multiple erythematous papules with serpiginous arrangement, the surface of the left dorsal leg. Conclusion: CLM associated with hookworm is diagnosed clinically based on the typical clinical appearance, as well as a history of travel to endemic areas and exposure to contaminated soil/sand.

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.

The number of domestic violence in Serang Regency in 2019 was 102 cases. Around 60.6% of pregnant women are at risk of experiencing violence compared to women who are not pregnant (Ministry of Health, 2019). Preliminary data for pregnant women from the As-Soheh Medika clinic in 2022 reached 360 and the average patient for pregnant women was 30 people  in 2022. Data for September - December  2022 for pregnant women at the As-Soheh Medika clinic, 100 pregnant women.The method used in this study is to use a quantitative correlation approach. The sample for this study was 30 samples of pregnant women who experienced domestic violence during September - December 2022. The analysis used was univariate and bivariate with chi-square. Results: The incidence of physical violence was 4%, economic violence was 31.33%, psychological violence was 30.67% and psychological impact was 21%. The method used is univariate analysis in the form of a frequency distribution. There is a significant relationship between the psychological impact and the incidence of domestic violence in pregnant women with a P value of 0.00001 for physical violence, a P value of 0.01 for economic violence, and a P value of 0.003 for psychological violence. Conclusion: The most dominant incidence of domestic violence among pregnant women at the As-Soheh Medika Clinic in 2022 is economic violence at 31.33%. Psychological violence is 30.67% and physical violence is 4%. The number of events that experience psychological impact on pregnant women at the As-Soheh Medika Clinic in 2022 is 21%. There is a significant relationship between psychological impact and physical violence (p value 0.00001), economic violence (p value 0.01) and psychological violence (p value 0.003) for pregnant women at the As-Soheh Medika Clinic in 2022.