Background: Ceflurane, which is a halogenated ether, is packaged in liquid form, colorless, non-explosive, odorless and non-irritating so it is good for inhalation induction. Research objective: To find out the effect of sevoflurane on blood pressure in patients under general anesthesia. Research Method: The design of this study is a quantitative type using a descriptive approach with a population of 36 people The sample used in this study is purposive sampling with as many as 33 respondents This research was conducted at Ibnu Sina Hospital,Gresik Regency during February-May 2024. The variable in this study is an overview of the effect of sevoflurane on blood pressure. results: An overview of the effect of sevoflurane on blood pressure showed that of the 33 respondents, they had a blood pressure of 15 minutes after being given sevoflurane with an average of 113.36, a median of 114.00, a standard deviation of 10.977 with the blood pressure of general patients after being given sevoflurane at least 93 mmHg and a maximum of 140 mmHg. Conclusion: Based on the study, the picture of the effect of sevoflurane on blood pressure in general anesthesia patients decreased.

Background: Diabetic ulcers are complications that occur in clients with Diabetes Mellitus (DM) due to poor glycemic control. The slow healing process of wounds can increase the risk of wound complications, which will affect the duration of healing. Objective: To determine the relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers at Bhakti Asih General Hospital in Tangerang City. Method: This is a quantitative study with a Cross-Sectional approach. The sample consists of 62 DM patients using purposive sampling technique. The instruments used in this study are questionnaires on knowledge, family support, and the Depression Anxiety Stress Scale 42 (DASS 42). Data were analyzed using Spearman's rho test and presented in the form of frequency distribution tables. Results: The findings show that the majority of the knowledge variable indicates good family support (94.9%), and the stress level variable falls into the moderate stress category (66.7%). The correlation coefficient in this study shows a significant positive correlation between knowledge and family support with the level of stress in DM patients with diabetic ulcers (r = 0.490; p = 0.001), concluding that as family support increases, the level of stress in DM patients with diabetic ulcers improves. Conclusion: There is a relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers in the Nusa Indah room at Bhakti Asih General Hospital in Tangerang City.
 

Background: Spinal anesthesia is a type of extensive nerve block by inserting a local anesthetic drug into the subarachnoid space at the lumbar level (Rehatta, 2019). This method produces anesthesia by blocking transmission, deactivating motor and sensory abilities, thus creating loss of pain sensation in the perineum. lower abdomen to lower extremities. Among the effects of spinal anesthesia that often occur, post-spinal anesthesia headache is a complication that often does not receive special attention. Due to the minor effects of spinal anesthesia. Management of headaches after spinal anesthesia, one of which is using non-pharmacological techniques with Head Up therapy, namely providing a 30 degree head elevation position with the aim of increasing blood flow to the brain in an effort to maximize oxygen flow to the brain which is believed to reduce the sensation of headaches. Objective: To analyze the effect of giving Head up therapy on headaches in post-operative patients with spinal anesthesia. Method: This research is a quantitative research using a type of experiment with a pre-experimental design, post-test control group design. Sampling technique: accidental sampling Population: The population of this study was 300 people. Sample: This study involved 76 respondents with a division of 38 respondents who were given Head Up therapy and 38 respondents who were not given Head Up therapy. Data analysis: Data were analyzed using the Mann Whitney test. The research instruments were Head Up SOP and Posttest Numeric Rating Scale (NRS) questionnaire. This research was carried out in February-April 2024 at Dr Hardjono Ponorogo Regional Hospital. Results: Based on research and after data analysis, the significance value (P value) in the Mann Whitney test was 0.001 (p>0.05). Conclusion: It was found that there was an effect of giving Head up therapy to post-operative patients with spinal anesthesia

Asfiksia neonatorum merupakan suatu keadaan pada bayi baru lahir yang mengalami gagal bernapas secara spontan dan teratur segera setelah lahir, sehingga bayi tidak dapat memasukkan oksigen dan tidak dapat mengeluarkan zat asam arang dari tubuhnya. World Health Organization (WHO) menyatakan bahwa angka kematian bayi sebagian besar disebabkan oleh asfiksia (20-60%), infeksi (25-30%), bayi dengan berat lahir rendah (25-30%), dan trauma persalinan (5-10%). Indonesia merupakan negara dengan AKB dengan asfiksia tertinggi kelima untuk negara ASEAN pada tahun 2011 yaitu 35 kematian per 1000 kelahiran. angka kematian bayi (AKB) di indonesia adalah 32/1000 kelahiran hidup dan kematian neonatal 19/1000 kelahiran hidup. Tujuan penelitian adalah Memberikan Asuhan kebidanan Bayi Baru Lahir pada By. S Dengan Asfiksia sedang Di Rumah Sakit Mitra Sejati kota Medan Tahun 2020 dengan menggunakan 7 langkah varney. Jenis penelitian ini adalah penelitan deskriptif. Subjek penelitian adalah By Ny. S dengan Asfiksia Sedang. Penelitian ini dilakukan di Rumah Sakit Mitra Sejati dilakukan dari bulan Maret pada tanggal 27 maret- 29 maret 2020. Hasil penelitian ini adalah tidak terdapat kesenjangan teori dan praktek. Setelah di berikan KIE dan tindakan yang benar masalah asfiksia sedang pada bayi yang di alami dapat teratasi dan keadaan pasien menjadi lebih baik. Disarankan kepada tenaga kesehatan untuk dapat meningkatkan mutu pelayan bayi baru lahir dengan asfiksia sedang yang komprehensip untuk mencegah komplikasi ataupun kelainan pada bayi.
                                                                               
 

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.
 
 

Diabetes mellitus is a chronic metabolic disease that causes hyperglycemia. Diabetic neuropathy is a complication of diabetes mellitus due to hyperglycemia. People who experience diabetic neuropathy complain of tingling, numbness, stabbing pain sensations, burning pain sensations, squeezing sensations, and allodynia, which can reduce their quality of life. Administering vitamin B reduces patient symptoms and improves nerve cell function. The aim of this study was to explain the effect of vitamin B on patients with diabetic neuropathy based on a literature review. The research method used was literature review. The results of this study, based on some of the reviewed literature, found that vitamin B has an effect on reducing pain complaints in neuropathic patients with diabetes mellitus.

Penyebab kematian bayi baru lahir menunjukkan bahwa proporsi penyebab kematian neonatal kelompok umur 0-7 hari tertinggi adalah premature dan berat badan lahir rendah / LBW (35%), kemungkinan asfiksia lahir (33%). Penyakit penyebab kematian neonatal kelompok umur 8-28 hari tertinggi adalah infeksi sebesar (57,1%), (termasuk sepsis, pneumoni, diare), kemudian feeding problem (24,3%). Tujuan: untuk melaksanakan Asuhan Kebidanan Berat Badan Lahir Rendah pada By,Ny.M Di Klinik Bersalin Roslena Medan Tahun 2019 dengan menggunakan metode SOAP. Metode studi kasus: studi kasus ini menggunakan metode deskrtiptif. Kesimpulan: Asuhan kebidanan  dilaksanakan menggunakan pendekatan dengan pendokumentasian SOAP (Subjektif, Objektif, Assasment, Planning). Tidak ditemukan kesenjangan pada  hasil data Subjektif dan Objektif. Sehingga setelah semua data terkumpul dapat disimpulkan Analisa dan melakukan Penatalaksanaan sesuai dengan teori.
 

Background: Because of the very high mortality in children and children under the age of five, bronchopneumonia is the leading cause of death in children under the age of five worldwide. When viruses, bacteria, microbes and fungi enter the lungs through the respiratory system, they infect the lung parenchyma and cause pneumonia.
Objective: Analyzing ineffective airway clearance nursing care in children with bronchopneumonia by collaborative action of administering a nebulizer in the Picu Room of Prof. Hospital. Dr. H Aloei Saboe
Methods: Participants in this study, which used a quasi-experimental design, received treatment or intervention before measuring and analyzing the impacts. The pre-post-test group design method served as the basis for the research design. In children with bronchopneumonia, this strategy is used to check the results before and after administration of the nebulizer. Two young people who fight against crime become samples.
Results: The results of the study show the overall evaluation results after nursing actions, namely: Based on the results before being given a nebulizer to patients the problem was not resolved in 2 patients and after being given a nebulizer to patients the problem was resolved in 2 patients
Conclusion: Based on the description above, inhalation therapy to reduce symptoms of shortness of breath in children with bronchopneumonia is effective where inhalation therapy or steam inhalation therapy using drugs can widen the bronchial airways resulting in complaints such as shortness of breath and disappearance of breath sounds.

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.
 
 

The aim of this study was to analyze the results of Hb screening of pregnant women in the third trimester and birth weight. Cross sectional observational research. Population of third trimester pregnant women in the Labuhan Rasoki Health Center area, Southeast Padangsidimpuan District, Padangsidimpuan City. The total sample population was 30 respondents. Data were collected for Hb examination using the Easy Touch GHb tool and weighing newborns. Pearson correlation test data analysis.       Results: Relationship between age and birth weight. Pearson correlation coefficient value (r) -0.464, significance level (p) 0.007, significant between age and birth weight of the baby. Parity with an r value of -0.300, significance level (p) 0.007, is not significant between parity and birth weight. The r value of pregnancy spacing is -0.234. significance level (p) 0.198, there is a significant relationship between pregnancy distance and birth weight. LILA r value is -0.030, significance level (p) 0.869, there is no significant relationship between LILA measurements and birth weight of the baby. Hemoglobin, r value 0.751, significance level (p) 0.058. There is a significant relationship between third trimester Hb levels and baby birth weight.elationship between external factors which are significantly related to birth weight, age, gestational interval and the Hb level of pregnant women. Arm circumference and parity were not related to birth weight. Pregnant women's Hb is checked every trimester, the data supports care planning.