Not mandatory

Background: Nurses are a high-risk profession group that experiences lower back pain (LBP). Nurses who suffer from LBP may have difficulty standing up from a sitting position and lifting patients. One of the reasons that cause a high number of cases of lower back pain among nurses is the constant handling of patients manually, such as moving or transferring patients using the nurses body strength. This study was conducted to determine the number of nurses who have lower back pain in Cheras Rehabilitation Hospital as well as the factors contributing to their LBP. Methods: A quantitative, cross-sectional, and, survey-based design was used as the research methodology to conduct this study. A total of 211 nurses in Cheras Rehabilitation Hospital were selected for this study. Results: The outcome indicated that the frequency of LBP occurrences is indeed higher among nurses, with 60.7% reporting LBP due to their job involving prolonged patients lifting. The problem of LBP developed among them after they began working as nurses, and most of them did not seek treatment to cure their LBP. Among the factors that contribute to the problem of LBP are lifting patients frequently, standing for long periods, the type of discipline work in, and working hours per week. Conclusions: Addressing these issues through ergonomic interventions, safe patient handling practices, and policies to reduce prolonged standing and excessive work hours is crucial for improving nurses occupational health and well-being.

Background: Tuberculosis (TB) is one of the infectious diseases that has become a global health challenge, including in Indonesia. This study aims to analyze the TB control program at the Kedaton Health Center, Bandar Lampung City, using the Input-Process-Output approach. Methods: The data used consisted of primary data, such as in-depth interviews and observations, as well as secondary data from the TB program achievement report for the last three years (2022–2024). Results: The results of the analysis show significant fluctuations in the achievement of the target, with case detection coverage decreasing from 91.76% in 2023 to 40.78% in 2024. The main inhibiting factors include limited human resources, low public awareness, lack of supporting facilities, and suboptimal program management structure. Health workers who concurrently work and the number of tracking cadres is minimal, reducing the effectiveness of case tracking. In addition, social stigma against TB is an obstacle in early detection and treatment. Conclusion: To overcome this obstacle, it is recommended to strengthen human resources, optimize facilities such as transportation and diagnostic tools, and improve public education through a community-based approach. The implementation of this strategy is expected to increase the effectiveness of the TB program at the Kedaton Health Center, support the achievement of national targets, and contribute to global efforts to reduce the burden of TB disease.

Gestational diabetes mellitus (GDM) and preterm premature rupture of membranes (PPROM) are significant obstetric conditions associated with heightened maternal and neonatal morbidity and mortality. Globally, complications of preterm birth, particularly due to PPROM, account for 35% of neonatal deaths. The coexistence of GDM and PPROM compounds risks, exacerbating adverse neonatal outcomes. This report about a 21 years old primigravida at 32–34 weeks of gestation with untreated GDM and PPROM for over 12 hours. The patient presented with decreased fetal movement and was managed conservatively with corticosteroids, antibiotics, and tocolytics. However, signs of fetal distress necessitated cesarean delivery, resulting in the birth of a male neonate 2370 g, APGAR 2/3, with asphyxia, respiratory distress, and hypoglycemia. Postnatal complications included jaundice and neonatal sepsis, which required 22 days of intensive NICU care with respiratory support, dextrose infusion, and antibiotics. The neonate showed gradual improvement. The coexistence of GDM and PPROM significantly increases the risk of adverse neonatal outcomes such as respiratory distress, hypoglycemia, jaundice, and sepsis. Early diagnosis, glycemic control, prophylactic antibiotics, and administration of corticosteroids are critical to improving maternal and neonatal outcomes. This case underscores the importance of a multidisciplinary approach and further research to refine best practices in managing GDM complicated by PPROM.

Background: Hypertension is one of the most common cardiovascular diseases experienced by many elderly people. This study intends to assess the impact of Gayatri Mantra meditation on lowering blood pressure in elderly hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. Methods: This study used a pretest and posttest research design. The samples consisted of 20 participants in the intervention group and 20 in the control group. The meditation intervention was carried out for 3 weeks, with a frequency of two sessions a week, each lasting 15 minutes. Results: Before the intervention, 55% of participants in the intervention group had Stage 2 hypertension, while 60% in the control group had Stage 1 hypertension. After the intervention, 70% of the intervention group experienced a reduction in blood pressure to Stage 1, whereas the control group exhibited no significant change. A paired sample t test showed a p-value of 0.000 (<0.05), indicating a statistically significant effect. Conclusions: The study concludes that Gayatri Mantra meditation significantly reduces blood pressure in elderly individuals with hypertension in Banjar Abiantimbul, Pemecutan Kelod Village, Denpasar, Indonesia. These results suggest that meditation-based interventions could be integrated into hypertension management programs for elderly populations.

Background: Malaria continues to pose a major public health threat globally, affecting millions and causing numerous fatalities annually. This research consolidates findings on private sector healthcare involvement in combating and preventing malaria across different nations. Methodology: A systematic review was conducted following PRISMA guidelines, extracting relevant studies from PubMed, ScienceDirect, Cochrane, and Semantic Scholar databases. Selection criteria included observational or interventional research examining private healthcare role in malaria prevention, published in English between 2015-2024. Analysis was supported by NotebookLM. Results: The review identified 24 qualifying studies. Private healthcare providers, including clinics and pharmacies, contribute to malaria management through diagnosis, rapid testing, and treatment advice globally. Though these entities possess some malaria-related knowledge, it remains incomplete. Case reporting and surveillance participation exists among private providers but remains restricted to few facilities. Conclusions: Enhanced frameworks and regulations are essential to strengthen public-private partnerships and expand private sector engagement in malaria diagnosis, treatment, and advisory services. Implementation strategies should be tailored to each country specific context and malaria epidemiology.