Background: Chronic Obstructive Pulmonary Disease (COPD) is a debilitating lung condition characterized by persistent respiratory difficulties, with dyspnea (shortness of breath) acting as the primary symptom that severely compromises patients' quality of life. Inspiratory Muscle Training (IMT) represents a targeted intervention designed to enhance the strength of respiratory muscles and alleviate dyspnea symptoms in individuals suffering from COPD. Purpose: The primary objective of this study is to analyze the effect of IMT on the impact of COPD and the dyspnea scale. Methods: The research employed a quasi-experimental design utilizing two distinct groups: an intervention group and a control group. The study population consisted of 80 COPD patients admitted to the internal medicine ward of a general hospital. Data collection utilized the COPD Assessment Test (CAT) and the Modified Medical Research Council (mMRC) dyspnea scale to quantify the impact of COPD and the severity of breathlessness. Patients in the intervention group received IMT sessions twice a day for one day, administered consecutively for three days, with each session lasting approximately 10–20 minutes. Results: The Friedman test was utilized to evaluate the statistical significance of differences in COPD impact and dyspnea scales across three specific measurement points: baseline (initial), day 2, and day 3. The findings demonstrated a significant reduction in both the impact of COPD and the dyspnea scale within the intervention group (p = 0.001). Conversely, the control group exhibited changes only in the dyspnea scale (p = 0.037), with no significant improvement in the overall impact of COPD. Conclusion: The study concludes that IMT is proven effective in increasing respiratory muscle strength, improving pulmonary ventilation, and reducing symptoms of shortness of breath in COPD patients. Furthermore, the role of nurses in the implementation of IMT is identified as critical for maximizing the therapeutic benefits, thereby reducing the impact of COPD and dyspnea. Keywords: COPD, Dyspnea, Impact of COPD, Inspiratory Muscle Training, Nursing Intervention.
Clean and Healthy Living Behavior (PHBS) is a habit applied by the community in daily life to achieve optimal health. The PHBS education and socialization program in Betung Selatan Village aims to increase public awareness of the importance of healthy living behavior. The methods used include counseling, demonstrations, and community satisfaction surveys. The results showed an increase in awareness of maintaining environmental cleanliness and implementing a healthy lifestyle. Survey results show that 85% of residents routinely wash their hands with soap, 90% have closed trash bins, and 80% adopt a healthy diet. This study emphasizes the importance of health education as part of efforts to improve the quality of life of the community.
Adolescence is a transition period from childhood to adulthood, during this period many changes occur from biological, psychological, intellectual and economic changes. [1]. Based on data from the World Health Organization (WHO), as many as 33% of women experience reproductive health problems with poor conditions [3]. Meanwhile, based on data from the Global School Health Survey (GSHS), it states that around 3.3% of adolescents aged 15 to 19 years are diagnosed with AIDS, and there are only around 9.9% of adolescents aged 15-19 years who know about HIV/AIDS, as many as 0.7% of women and 4.5% of men stated that they had had sexual relations (Free Sex) [4]. The method used in this activity is counseling with lectures, and media slide presentations, leaflets, and flip charts. The target of this counseling is adolescent girls. This activity is measured by pretest evaluation, posttest with 15 questions to participants about reproductive health, reproductive health disorders and prevention of reproductive health disorders. The activity went well and had minimal obstacles. Reproductive health education for adolescent girls increased participants' knowledge by an average of 36.8 points. Fifty-three participants (88.3%) experienced a score increase of ≥ 36, while only seven (11.7%) experienced a score increase of ≤ 36.
Background: Lumbosacral radiology plays a crucial role in evaluating spinal disorders, particularly Herniated Nucleus Pulposus (HNP), which is a common cause of low back pain in productive age groups. The quality of radiographic images determines diagnostic accuracy, with patient positioning, either erect or supine, influencing the clarity of spinal structures. The erect position allows weight bearing effects, making changes in intervertebral disc spaces and vertebral alignment more visible, while the supine position reflects a non-load condition with limited visualization. Thus, examination positioning is essential to produce representative diagnostic images and support accurate clinical decision-making. Purpose: Provides an anteroposterior (AP) projection of the lumbosacral radiograph in the erect and supine positions in cases of Herniated Nucleus Pulposus (HNP). Method: This study was conducted in 2025 at the Radiology Department of Siloam Sriwijaya Hospital, Palembang, involving radiographers and radiologists in lumbosacral radiographic examinations of HNP patients. The research objects were radiographic results in AP projection with erect and supine positions, selected through purposive sampling. Data were collected via observation, interviews, and medical record documentation, and analyzed using a qualitative descriptive comparative approach. Results: The erect position provided clearer visualization of spinal structural changes due to weight bearing, while the supine position was less optimal in displaying abnormalities because of the absence of load on the lumbosacral segment. Conclusion: Lumbosacral radiography in HNP cases can be performed in both erect and supine positions, each with advantages and limitations. The erect position better demonstrates spinal changes under weight bearing, whereas the supine position serves as an alternative for patients unable to stand or experiencing severe pain, despite less optimal visualization. Examination positioning should therefore be adapted to patient clinical conditions to optimize diagnostic outcomes. Suggestion: Position selection in lumbosacral radiography for HNP should be tailored to patient clinical conditions and diagnostic objectives. The erect position is recommended for assessing structural changes under weight bearing, while the supine position may be used as an alternative for patients with mobility limitations or severe pain, with attention to patient comfort and safety to enhance diagnostic accuracy. Keywords: Erect position; HNP; Lumbosacral radiography; Supine position; Visual diagnosis Pendahuluan: Radiologi lumbosakral memiliki peran penting dalam menilai kelainan tulang belakang, khususnya Hernia Nukleus Pulposus (HNP) yang sering menjadi penyebab nyeri punggung bawah pada usia produktif. Kualitas citra radiografi sangat menentukan akurasi diagnosis, di mana posisi pemeriksaan pasien, baik erect maupun supine, memengaruhi kejelasan gambaran struktur tulang belakang. Posisi erect memungkinkan efek weight bearing sehingga perubahan celah diskus intervertebralis dan alignment vertebra tampak lebih nyata, sedangkan posisi supine menggambarkan kondisi tanpa beban dengan keterbatasan visualisasi kelainan. Pemilihan posisi pemeriksaan menjadi aspek penting dalam menghasilkan citra diagnostik yang representatif dan mendukung pengambilan keputusan klinis yang tepat. Tujuan: Memberikan gambaran radiografi lumbosakral posisi erect dan supine proyeksi anteroposterior (AP) pada kasus Hernia Nukleus Pulposus (HNP). Metode: Kegiatan dilaksanakan pada tahun 2025 di Instalasi Radiologi Rumah Sakit Siloam Sriwijaya Palembang, Sumatera Selatan, dengan melibatkan radiografer dan dokter radiologi dalam pemeriksaan radiografi lumbosakral pada pasien HNP. Objek penelitian berupa hasil radiografi proyeksi anteroposterior (AP) dengan posisi erect dan supine yang dipilih melalui purposive sampling. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi rekam medis. Analisis dilakukan menggunakan pendekatan kualitatif deskriptif komparatif. Hasil: Posisi erect memberikan gambaran lebih jelas terhadap perubahan struktur tulang belakang karena adanya beban tubuh (weight bearing), sedangkan posisi supine cenderung kurang optimal dalam menampilkan kelainan akibat tidak adanya tekanan pada segmen lumbosakral. Simpulan: Pemeriksaan radiografi lumbosakral pada kasus HNP dapat dilakukan dengan posisi erect maupun supine, masing-masing memiliki kelebihan dan keterbatasan. Posisi erect lebih jelas menampilkan perubahan struktur tulang belakang karena adanya beban tubuh (weight bearing), sedangkan posisi supine menjadi alternatif bagi pasien yang tidak mampu berdiri atau mengalami nyeri berat meskipun gambaran kelainan kurang optimal. Oleh karena itu, pemilihan posisi pemeriksaan harus mempertimbangkan kondisi klinis pasien agar hasil radiografi mendukung diagnosis secara optimal. Saran: Pemilihan posisi pemeriksaan radiografi lumbosakral pada kasus HNP dapat disesuaikan dengan kondisi klinis pasien dan tujuan diagnostik. Posisi erect lebih dianjurkan untuk menilai perubahan struktur akibat beban tubuh (weight bearing), sedangkan posisi supine dapat digunakan sebagai alternatif bagi pasien dengan keterbatasan mobilisasi atau nyeri berat, dengan tetap memperhatikan kenyamanan dan keselamatan pasien untuk meningkatkan akurasi diagnosis.
Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels due to impaired insulin secretion or action, which can lead to ineffective peripheral perfusion. This study aimed to determine the effect of Buerger Allen Exercise (BAE) on peripheral perfusion in patients with diabetes mellitus at risk for ineffective peripheral perfusion. The study used a descriptive method with two respondents who met the inclusion criteria in the inpatient ward of X Hospital, South Sumtera. Client 1 received Buerger Allen Exercise (BAE) twice daily for three days, while Client 2 was only observed. Measurement of the Ankle Brachial Index (ABI) showed an increase from 0.7 to 1.0 in Client 1, accompanied by warmer skin and reduced numbness. Client 2 showed no significant change. It can be concluded that Buerger Allen Exercise (BAE) is effective in improving peripheral perfusion in patients with diabetes mellitus.
