Background: Complete Basic Immunization (IDL) is an indicator in the immunization program. IDL aims to actively gain early immunity. IDL data at Puskesmas X in 2021 was 83.5% and there was a decrease in the percentage rate in 2022 to 82.87%. Based on an initial survey, on May 9-19, 2023, it was found that out of 73 mothers who brought their children to the posyandu for immunization, around 22 children (30%) were not fully immunized. Objective: Knowing the factors that influence the completeness of immunization in the working area of Puskesmas X Pekanbaru City. Methods: Using analytic observational study design, with cross sectional research design. This research was conducted at Puskesmas X Pekanbaru city. The sampling technique was done by accidental sampling. Variables of knowledge level, and education were analyzed using Kendall Tau test, while variables of employment, family support, mother's attitude and number of children used contingency coefficient test. Results:  The results of the Kendall Tau test analysis of the variable level of knowledge, and education obtained a p value of 0.001 and 0.392 respectively. While in the contingency coefficient test the variables of employment, family support, maternal attitudes and number of children obtained a p value of 0.889; 0.000; 0.000 and 0.455 respectively. Conclusion: There is a significant relationship between the level of knowledge, mother's attitude and family support with the completeness of basic immunization of infants aged 12-24 months in the working area of Puskesmas X Pekanbaru City.

Chronic Obstructive Pulmonary Disease (COPD) is a lung condition characterized by persistent and typically progressive respiratory symptoms and airflow limitation. This disease is associated with an excessive chronic inflammatory response in the airways and lung parenchyma due to exposure to harmful gases or particles. The objective of this study is to evaluate the changes in oxygen saturation and activity tolerance in COPD patients before and after performing home-based walking exercises, pursed lips breathing, and effective coughing. The research method used a descriptive design in the form of a case report with a nursing process approach. The instruments used included assessment sheets and oximetry to measure oxygen saturation. The study subjects were patients with COPD. The results showed that before the intervention, the patient's (Mrs. E) oxygen saturation was 96%, and she reported difficulty engaging in activities due to fatigue and shortness of breath. After three days of intervention, her oxygen saturation increased to 99%, and she was able to perform outdoor activities without experiencing shortness of breath. In conclusion, home-based walking exercises, pursed lips breathing, and effective coughing can improve oxygen saturation, increase activity tolerance, and reduce dyspnea and fatigue
 

The month of Ramadan is a special time for Muslims to worship, erase sins, and gain the rewards and pleasure of Allah SWT. Shaum or fasting, the primary worship during this month, involves abstaining from things that invalidate the fast. However, fasting is not intended to be difficult, as stated in the Qur'an, Surah Al-Baqarah: 185, which emphasizes ease rather than hardship in fasting. Besides its spiritual aspects, fasting also has health benefits, such as helping patients with obesity and heart disease. For patients with chronic kidney disease who require hemodialysis, fasting can be particularly challenging. Hemodialysis is a life-saving method that involves cleaning the blood outside the body. In Islam, there are principles of ushul fiqh that provide rukhsah or legal concessions for those who face difficulties in fulfilling religious obligations due to certain conditions. However, if a kidney failure patient insists on fasting despite having been granted rukhsah, this is known as azimah. This study aims to explore the status of azimah for hemodialysis patients who choose to fast from an Islamic perspective. Using a qualitative approach through literature review and in-depth interviews with fiqh experts, this research seeks to understand the legal implications and medical conditions involved. The results are expected to provide clearer insights into the practice of fasting for hemodialysis patients within the context of Islamic jurisprudence.

Abnormal pain is a general term encompassing various health complaints affecting the area between the chest and pelvis (including the abdominal wall and internal organs), with varying intensity, duration, and pain points. The research aims to identify the application of nursing care for acute pain by providing warm compresses to a patient with the initials Ny.W, who experienced abnormal pain in the Lavender ward at Kardinah Regional Hospital, Tegal City. This study applied a descriptive design. Data were collected through several stages, including anamnesis (gathering of medical history), direct observation, physical assessment, and documentation. The research findings indicated that the patient's issue was resolved on the third day, marked by a reduction in pain intensity. Overall, the nursing problem was managed within three days through the intervention of warm compresses as a nursing action.

This study delves into the correlation between service management quality and ANC visit attendance at PMB Suryani, Medan City in 2023. Using a quantitative approach with a structured questionnaire, the research reveals a significant association between service management quality and ANC visit attendance, with factors like staff competency, facility infrastructure, waiting time, and overall satisfaction playing crucial roles. Enhancing service management quality emerges as pivotal for encouraging regular ANC visit attendance, suggesting the need for improvements in staff training, facility infrastructure, waiting times, and patient satisfaction. By investing in these areas, PMB Suryani, Medan City can positively impact maternal and child health outcomes. Additionally, further research is recommended to explore additional factors influencing ANC visit attendance and assess long-term impacts on maternal and child health.

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.
 
 
 

Tuberculosis (TB) was still a global challenge in the world of health and required special attention to increase the level of patient compliance with treatment. This study aimed to explore the relationship between patient knowledge, attitudes, and actions and the level of adherence to taking medication in TB patients at the Pulmonary Polyclinic of Subulussalam City Hospital. The study used an observational analytical design with a cross-sectional approach. The research population involved all TB patients undergoing treatment at Subulussalam City Hospital, with a sample of 76 respondents selected through accidental sampling. Data were collected through interviews using the MMAS-8 questionnaire, and data analysis was carried out using the chi-square test. The majority of respondents showed a high level of knowledge (47.37%), poor attitudes (59.21%), and good actions (64.47%), but the level of compliance was low (46.05%). Statistical analysis showed that there was a significant relationship between knowledge (p=0.000), attitudes (p=0.014), and actions (p=0.010) with the level of adherence to taking medication. The knowledge, attitudes, and actions of TB patients at the Lung Polyclinic of Subulussalam City Hospital had a significant effect on their level of compliance in taking medication. Efforts were needed to increase patient understanding and special approaches to increase compliance to support the success of TB therapy.

According to WHO (2019), in the Southeast Asia region the elderly population is 8% or around 142 million people. In 2050 it is estimated that the elderly population will increase 3 times from 2013. In 2000 the number of elderly is around 5,300,000 (7.4%) of the total population, while in 2010 the number of elderly is 24,000,000 (9.77%) of the total elderly reached 28,800,000 (11.34%) of the total population. Data from the Central Bureau of Statistics shows that the elderly population in Indonesia in 2007 increased to 18.7 million people, then in 2010 it increased to 23.9 million people (9.77%). In 2020 it is predicted that the number of elderly people will reach 28.8 million (11.34%). Based on data from the Republic of Indonesia Ministry of Health (2019), Indonesia is entering a period of aging population, where there is an increase in life expectancy followed by an increase in the number of elderly people. Indonesia has experienced an increase in the number of elderly people from 18 million people (7.56%) in 2010, to 25.9 million people (9.7%) in 2019, and is expected to continue to increase in 2035 to 48.2 million people (15.77%) .

Sensorineural deafness is a type of hearing loss that commonly occurs due to noise exposure in the workplace, including in palm oil mills (PKS). This condition can reduce the quality of life of workers and have an impact on productivity. This study aims to identify the prevalence and factors that influence the occurrence of sensorineural deafness in palm oil mill workers, with a focus on the Pekanbaru area. This research method uses observational research, measuring deafness using a tuning fork. at PT X in July 2020. Results. From the analysis univariate It was found that 58.6% of PKS workers experienced sensorineural deafness. The conclusion is that more than half of the workers experiencing sensorineural deafness .

Introduction: Water quality parameters are indicated by the presence of E. coli bacteria. These bacteria come from human feces, warm-blooded animals, and non-fecal coliforms. Decree of the Health Minister of the Republic of Indonesia Number 907/MENKES/VII/2002 concerning requirements and supervision of drinking water quality states that good drinking water has a zero total coliform and fecal coliform. Methods: This research uses a descriptive approach with a cross-sectional design. It aims to determine the quality of water sources in Sulkatan village. Ten (10) water sources were used as the samples using total sampling method. The collected samples were then taken to the laboratory to be tested with a series of MPN tests Results and Discussion: The results show that the amount of Escherichia coli bacteria in water samples in Sulkatan Village is 0MPN/100 ml. It is owing to the location of the water source that is far from industrial activities, household waste and residential areas. Conclusion: The quality of the tested well-water samples is good and within normal limits in accordance with the Decree of the Health Minister of the Republic of Indonesia Number 907/MENKES/VII/2002