Long waiting time is one component that has the potential to cause patient dissatisfaction. If the waiting time is long, it will reduce patient comfort and affect patient utility in the future. The method used in this research is Literature Review, namely by collecting and processing research data that has existed before with the 2018-2022 range. The results of this study found that there was a waiting time for drugs, both concoctions and standard drugs, that were not in accordance with the minimum service standards, so that waste was found. There are various types of waste that are found resulting in long drug waiting times such as too many processes to the long process of submitting drug prescriptions to pharmaceutical installations, which causes many inefficient and ineffective activities to arise. Based on this, there is a waiting time for drugs, both concoctions and standard drugs, that are not in accordance with the minimum service standards, so that waste is found. Thus the length of waiting time in preparing the drug is influenced by several factors such as speed and completeness of patient data up to re-submission which takes a lot of time.

The aim of this research is to determine the role of the Diffusion Weighted Imaging (DWI) sequence in Soft Tissue MRI examinations of the neck in cases of nasopharyngeal cancer and to determine the advantages of using the Diffusion Weighted Imaging (DWI) sequence in MRI Soft Tissue examinations of the neck in cases of nasopharyngeal cancer. The research method used was a descriptive qualitative research method with a literature study method. The results of the literature review research showed: 1) Nasopharyngeal cancer, especially squamous cell carcinoma, can be treated with radiation therapy where treatment failure is still a serious problem, especially in advanced cases. DWI and ADC are imaging methods that utilize the movement of water inside. DWI provides additional information regarding response to treatment in hard-to-reach cases of nasopharyngeal cancer. plays an important role in detection, evaluation of response to treatment, and early monitoring of chemoradiotherapy therapy. DWI also provides information that helps distinguish between tissue experiencing post-RTH fibrosis and areas that may contain active cancer cells. DWI and ADC are also useful in tumor staging, delineation of target volumes, and detection of tumor recurrence. Elevated ADC may be indicative of a favorable response to therapy, whereas low pretreatment ADC values ​​may predict a favorable response. In the diagnosis of nasopharyngeal cancer, DWI and ADC also help differentiate squamous cell carcinoma subtypes, predict response to chemoradiation therapy, and determine the appropriate time for alternative treatment regimens. 2) DWI and ADC provide advantages in the diagnosis and monitoring of nasopharyngeal cancer. DWI can image restrictions on water diffusion within tissue, helping to detect areas of high cell density associated with tumors. Its advantages include sensitivity to microenvironmental changes and the ability to early identify recurrence or secondary cancer post-radiation therapy.

Computer Vision Syndrome  (CVS) encompasses a constellation of ocular and extraocular symptoms in digital devices users who either habitually or compulsively use digital devices for long periods of time. Digital devices emit blue light (400-490 nm) and generate electromagnetic fields, both of which interfere with the circadian rhythms. This study aims to determine the association between CVS and sleep quality of nursing students. The type of research was observational analytics with a cross-sectional approach and conduct proportionate stratified random sampling. CVS was measured by using CVS-Q, while sleep quality was measured by using PSQI. The analysis used univariate analysis to see the frequency distribution and bivariate used Chi-Square. The result of the data analysis showed that 68,4% of the nursing students experienced CVS. The number of respondents who experienced poor sleep quality was 151 (63.7%). Poor sleep quality was present in 71% of individuals with CVS and 48% of students without CVS. The difference was statistically significant (p=0.001) with OR=2,651. CVS is significantly associated with sleep quality in nurse students. Therefore, it is necessary to apply appropriate behaviors and attitudes to use digital devices and prevent CVS from occurring so that the individual's sleep quality becomes better.

About 90% of mothers giving birth are always accompanied by pain, while pain during labor is a common thing. Physiological events during labor can traumatize the mother because of the pain she experiences. Some mothers are even traumatized to get pregnant and give birth again because they are afraid they will experience the same pain. Severe pain during labor causes the mother to experience psychological disorders.The research design is a research using a quantitative approach. The research design used in this study was a quasi-experimental with two group pretest-posttest design with a sample of 36 pregnant women divided into 2 control groups 18 interventions 18 and the researchers selected respondents using purposive sampling technique. The average value of pain intensity without intervention in the control group was 6, while in the intervention group it decreased with an average of 3.5. There is an effectiveness of the influence of effleurage massage on reducing pain in mothers giving birth at the UPT Ciruas Health Center. It is suggested that the results of this study can add insight in digging information on the effectiveness and influence of massage effleuage on the pain level of women in childbirth during an active phase as part of a management of complementary midwifery care and traditional health which makes culture in Indonesia and the world.

. The Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus (SARS- CoV2) has led to a pandemic situation. According to the WHO classification, COVID-19 patients could be classified with severity as uncomplicated illness, mild pneumonia, severe pneumonia, acute respiratory distress syndrome (ARDS), sepsis and septic shock.Case illustration: A 25 year old female, with a chief complaint of shortness of breath and cough, history of cesarean section surgery with indications of severe preeclampsia and hysterectomy for uterine atony.  weeks previously the patient was confirmed positive for COVID-19 without symptoms and tested negative through the Polymerase Chain Reaction (PCR) follow up examination. The Chest X-Ray showed the right lung atelectasis, bronchitis and minimal pleural effusion. CT scan of the chest showed a  ground glass opacity in almost all bilateral lung segments with septal thickening in according with the picture of COVID pneumonia with cardiomegaly. The patient was intubated and put on  a ventilator due to acute respiratory failure and the drugs include antiviral (oseltamivir), chloroquine, antibiotic (meropenem) and steroid (methylprednisolon) intravenous.Discussion: Post COVID-19 fibrosis is one of the emerging complications of COVID 19 pneumonia and ARDS. This case report highlights ARDS in patient with Pulmonary Post Covid-19 and its challenges in diagnosis and treatment. The combination treatment of mechanical ventilation and drugs such as antiviral,chloroquine, antibiotic, steroid intravenous could give the good outcome for the patient of ARDS due to Pulmonary Fibrosis Post COVID - 19
 

In the implementation of education, each university has learning outcomes that must be achieved by students graduating from the institution. To find out the predetermined learning outcomes have been achieved or not, measurable indicators are needed. One of the indicators used to measure the quality of university graduates is the achievement index achieved by students. In academic settings, many studies show that there is a positive relationship between self-efficacy and academic achievement. In addition, student academic achievement is also influenced by another aspect, namely resilience. Therefore, this research was conducted with the aim of knowing the relationship between the level of self-efficacy and resilience with academic achievement in 2nd semester students of Politeknik Negeri Indramayu. The method used in this research is a quantitative method. The sampling technique in this study was random sampling technique, with a total sample of 213 students. The results of data analysis showed that the significance score obtained was below 0.05. This means that there is a relationship between self-efficacy and resilience with academic achievement in 2nd semester students of Politeknik Negeri Indramayu. The higher the self-efficacy and resilience, the higher the academic achievement achieved. Conversely, the lower the level of self-efficacy and resilience, the lower the academic achievement.

Gizi memiliki peran penting dalam pembangunan kualitas sumber daya manusia. ‎Ketidakseimbangan Gizi dapat menurunkan kualitas SDM. Stunting (tubuh pendek) ‎menggambarkan Status Gizi Kurang dari -2 Standar Deviasi. Stunting ini terjadi akibat ‎beberapa faktor diantaranya faktor nutrisi. Tujuan penelitian ini ‎adalah mengetahui ‎Hubungan Antara Status Gizi Balita dengan Kejadian Stunting ‎di Puskesmas Kota ‎Timur. Jenis penelitian adalah cross-sectional dengan pendekatan kuantitatif. Hasil ‎penelitian  Ada Hubungan antara Status Gizi Balita dengan Kejadian Stunting (tubuh ‎pendek) di Puskesmas Kota Timur tahun 2022. Kesimpulannya hasil penelitian di ‎Wilayah Kerja Puskesmas Kota Timur menunjukkan bahwa sebagian besar Balita ‎memiliki status Gizi termasuk dalam kategori Status Gizi Kurang yaitu sebanyak 11 ‎Balita (13,9%) dan sebagian besar Balita termasuk dalam kategori Stunting yaitu ‎sebanyak 10 balita (12,7%). Sarannya untuk mengatasi masalah Stunting diperlukan ‎pemberian informasi tentang Gizi agar sesuai dengan kebutuhan Balita.
 

. Indonesia merupakan negara yang memiliki beragam hasil alam yang melimpah, salah satunya tanaman obat. Negara Indonesia yang merupakan negara kepulauan memungkinkan setiap daerah memiliki komoditi hasil alam tersendiri. Hal ini juga mempengaruhi cara pengobatan tradisional yang berbeda pula untuk tiap - tiap daerah. Negara Indonesia dikenal karena memiliki beragam suku dengan ciri khas masing - masing. Keragaman suku ini juga membuat adanya perbedaan dari jenis warisan budaya, baik itu terkait kepercayaan, upacara, maupun pengobatan menggunakan obat tradisional. Penelitian ini merupakan penelitian eksperimental laboratorium, untuk mengetahui ekstrak ikan gabus ( Channa Striata ) terhadap proses penyembuhan luka bakar mencit ( Mus muscullus ) yang tampak mengalami perubahan. Rancangan dalam penelitian ini adalah rancangan acak lengkap ( RAL ) yaitu dengan konsentrasi K1 ( diberi aquadest ), K2 ( ekstrak ikan gabus 0.30 g / kg BB ), dan K3 ( ekstrak ikan gabus 0,50 g / kg BB ), dan K4 ( ekstrak ikan gabus 1,00 g / kg BB ). Hasil uji Homogenitas terlihat bahwa nilai sig sebesar 0,110 yang artinya sig > p.sig 0.05. sehingga dapat di simpulkan bawah varian data luka bakar adalah homogen.Berdasarkan hasil uji Anova, maka diperoleh bahwa pemberian ekstrak ikan gabus terhadap diameter luka bakar berbeda atau berpengaruh nyata sampai hari ke 10 ada berbedaan signifikan ( p < 0,05 ) antara kelompok variasi dosis dengan kontrol negatif 1,00 g / kg BB memberikan efek penyembuhan terbaik sebesar ( 2.35 % ) pada hari ke 10 jika dibandingkan dengan dosis 0,30 g / kg BB ( 2.5975 % ) dan dosis 0,50 g / kg BB ( 2.5175 % ). Kesimpulan dari penelitian ini menunjukan ekstrak ikan gabus dengan dosis 1,00 g / kg BB memiliki efek penyembuhan tercepat terhadap luka bakar. 
 
 

Family planning is a government program to limit the birth rate. One of them is the use of effective contraceptives Intra Uterine Device (IUD), but in general in Central Kalimantan the demand for contraceptives is very low, especially in the working area of the Timpah Health Center. The purpose of the study was to analyze factors associated with the low interest of women of childbearing age in the use of Intra Uterine Device contraceptives at UPT Puskesmas Timpah. The method used is quantitative research with a cross sectional design. The data collection instrument uses questionnaires taken with Total Sampling techniques. The respondents were women of childbearing age. The results of the study of women of childbearing age on IUD birth control were obtained by 11 respondents having moderate interest (55%), knowledge level less than 23 respondents (57.5%), low parity < 2 children as many as 30 people (75%), elementary / junior high school graduate education 24 people (60%), husbands did not support 28 people (70%). The results of the chi-square test on Fisher Exact p-value obtained knowledge with interest p = 0.432, parity with interest p = 1,000, education with interest p = 0.407, husband support with interest p = 1,000.

Angka Kematian Ibu (AKI) merupakan salah satu indikator yang peka terhadap kualitas dan aksesibilitas fasilitas pelayanan kesehatan, berdasarkan Organisasi Kesehatan Dunia (WHO) AKI diperkirakan sebanyak 500.000 kematian   setiap   tahun dan   99% diantaranya terjadi di  negara berkembang. Melalui kunjungan antenatal care, komplikasi yang mungkin ada atau akan timbul pada kehamilan tersebut lekas  diketahui, dan  segera    dapat     diatasi sebelum     berpengaruh tidak baik terhadap kehamilan tersebut. Faktor internal sangat berperan  untuk  ibu  hamil  melakukan  Asuhan  antenatal,  beberapa dari faktor internal merupakan sebab dari dilakukannya dan tidak dilakukannya Asuhan antenatal secara rutin. Faktor internal meliputi usia ibu hamil, pengetahuan, dan paritas. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan Antenatal Care (ANC) pada ibu hamil di puskesmas Rijali kota Ambon. Metode yang dipakai dengan deskriptif analitik dengan menggunakan desain cross sectional dengan sampel sebanyak 95 ibu hamil yang telah melahirkan kurang lebih 30 hari yang lalu yang pernah melakukan kunjungan antenatal care kemudian dilakukan analisa dengan uji chis quare. Hasil penelitian menunjukkan terdapat pengaruh  usia ibu hamil terhadap kunjungan antenatal care yaitu p=0,017 (p< 0,05), pengetahuan ibu hamil terhadap kunjungan antenatal care yaitu p=0,030 (p<0,05), namun tidak ada pengaruh parietas terhadap kunjungan antenatal care dengan nilai p=0,051 (p>0,05).