Background: Caries is the most common disease among various oral diseases and it still a majorproblem in developing countries impact on 60% -90% of school-age children and adults. Theimpact of caries that is not treated in children is toothache, and it caused reduction nutrition inchildren. Nutrition decrease affected in development of children. Objective: to describedentalcaries in elementary school students in 9-12 yearsold in Rambipuji.. Method: The type ofresearch used was descriptive observational study using cross-sectional data through elementaryschool students at Rambipuji in the period January 14-11 February 2019. Results: Caries is a toppriority in school-age children up to adults. Results: The results showed that female students used cariesmore than 55% and based on dental elements using caries, the mandibular first second molarsimproved caries more. Conclusion: female students have more caries difficulties. Distributionbased onteeth publishedcaries,firstand secondmolarsfirstcariesmore

Health services are products in the form of services or goods produced by a producer, in this case, it can be a provider or health institution (Retnaningsih, 2013). The research formulation is whether there is a difference in the quality of health services for inpatients and outpatients participating in national health insurance at the Toto Kabila Regional General Hospital. This research aims to determine the differences in the level of quality of health services for inpatients and outpatients participating in national health insurance at the Toto Kabila Regional General Hospital. The sample in this study consisted of 48 inpatients and 48 outpatients at Toto Kabila Hospital. The results of data analysis showed significant differences in service quality based on service availability between inpatients and outpatients with a p-value = 0.004, namely =0.05. The difference in service quality based on service continuity is significant between inpatients and outpatients with a p-value = 0.000, namely =0.05. The difference in service quality based on medical support services is significant between inpatients and outpatients with a p-value = 0.000, namely =0.05

During pregnancy, the body needs more Iron than before pregnancy. Iron in pregnant women isrequired to form blood, red, fetus, and placenta. Formulation study: How Influence Consumption Freshwater Fish Meatballs to Increased HB Levels in Second Trimester Pregnant Women. Research purposes that know the influence of consumption of freshwater fishmeatballs to enhancement HB levels in the Mothers second trimester of pregnancy. Types of research with use method experiment. Study This was conducted at the Telaga Jaya Health Center, Gorontalo Regency. Deep sample study This is a pregnant mother in the Telaga Jaya Community Health Center area, totaling 63 people, who used the method experiment. Results of bivariate data analysis There is an influence of Frequency consumption of Tilapia fish meatballs one time/ day, two times/ day, and three times/ day to improvement Hb levels in second-trimester pregnant women in the Telaga Jaya area with p-value = 0.00< a = 0.05, Yes influence of the level of compliance consumption Tilapia fish meatballs to improvement Hb levels in the mother second trimester pregnant in the Telaga Jaya Community Health Center area with p-value = 0.01 < a = 0.05 and exists influence before and after consume Tilapia fish meatballs to increased Hb in the mother second trimester of pregnancy with p-value = 0.00 < a = 0.05.

Nausea is the most common thing in pregnancy that is a symptom of discomfort that occurs in the early stages of pregnancies. This event has a considerable physical, social and psychological impact on women. The emotional and physical impact includes feelings of anxiety about the possibility of affecting the fetus. Research on the implementation of vomiting nausea in pregnancy found as many as 3030 articles, taken from the Pubmed database between 1875 and 2024. The purpose of the bibliometric analysis is to find out the research trends, the most widely used keywords, the journal of the most publishers, the authors instance and the country of collaboration of the author of the article. The keywords most commonly used by the authors are human, female, pregnancy, hyperemesis gravidarum, vomiting, nausea, treatment outcome. The American Journal of Obstetrics and Gynecology ranks first as the most widely published journal on Treatment vomiting and nausea, with a total of 144 articles. The highest affiliation of authors is from the University of Amsterdam and the Université de Californie, which have a total of 75 authors in common. The University of Toronto is in the next position with 64 authors, followed by the university of Cambridge with 70 authors. Multiple Country Publications (MCP) and Single Country Publication (SCP) collaborations are from the United States, China and Canada.

Every human being experiences pain such as during chronic pain, infection, surgery or other medical interventions. In overcoming pain in patients, it is necessary to administer drugs in the form of analgesics. One of the herbal plants that can be used is Moringa leaves (Moringa oleiferaLamk) which contains metabolite compounds such as flavonoids, alkaloids, steroids and tannins that have analgesic activity. The aim of this research is to assess the analgesic activity of Moringa leaf extract (Moringa oleiferaLamk) in mice (Mus musculus) using 96% ethanol solvent and writhing reflexmethod. The experimental animals were divided into 3 groups: negative control group (Na-CMC 0.5%), positive control group (aspirin) and treatment group (Moringa leaf extract). The treatment material is given orally. Animals were treated with 0.6% acetic acid injection intraperitoneally to give the effect of pain in mice. Measurement of the analgesic effect with the writhing reflexmethod is seen from the number of writhing. Based on the results of the study it can be concluded that the administration of Moringa leaf extract (Moringa oleiferaLamk) with the writhing reflexmethod has analgesic activity, which can reduce the pain response characterized by a decrease in the number of writhing in mice (Mus musculus

Acute respiratory failure (ARF) represents a critical condition wherein the respiratory system fails to maintain adequate gas exchange, leading to hypoxemia, hypercapnia, or both. The etiology of ARF is multifactorial, encompassing a wide array of pulmonary and extrapulmonary disorders. Prompt diagnosis and intervention are paramount to improving patient outcomes. This article provides a comprehensive review of the pathophysiology underlying ARF, diagnostic approaches, and the latest advancements in therapeutic strategies. We explore both invasive and non-invasive treatment modalities, including mechanical ventilation, extracorporeal membrane oxygenation (ECMO), pharmacotherapy, and supportive care measures. By integrating recent clinical evidence, we aim toelucidate the evolving landscape of ARF management, highlighting best practices and emerging innovations in the field.

Evaluation of information systems in the health domain goes beyond exclusively technological considerations but also includes evaluation of human and organizational dimensions. The information system evaluation model frequently health used is called HOT-Fit (Human Organization Technology-Fit). This model considers the complex interactions between human, organizational, and technological elements in the context of health information systems. This research aims to analyze the implementation of the Laboratory Information System using the HOT Fit method at the Maxima Clinical Laboratory. The research method used is quantitative with across-sectional research design using a survey approach. Research subjects include laboratory managers, laboratory staff, information system users, and patients. Primary data was collected through questionnaires and interviews, while secondary data was obtained from related documents. The data analysis technique used is descriptive analysis and Partial Least Square ( PLS ). The research results show that there is a significant influence between system quality (p-value = 0.041), information quality (p-value= 0.003), service quality (p-value = 0.003), and user satisfaction (p-value = 0.041). Research findings can be used as evaluation and improvement material for laboratory managers to increase the effectiveness and efficiency of health services by optimizing the use of information systems

The incidence and prevalence of type 2 diabetes in adolescents varies according to ethnicity and other factors. Populations with a high incidence and prevalence of type 2 diabetes in young people also have a higher risk of developing type 2 diabetes in adults. This research aims to analyze the determinants of PTM Diabetes Mellitus at the Tilango Community Health Center. Analytical survey research method with a cross-sectional study design. The population is all Prolanis patients at the Tilango Community Health Center in 2023 totaling 104 people. Sampling used total sampling, so the total sample was 104 people. Analysis was carried out using the chi-square test and multiple logistic regression test. The research results of the multiple logistic regression test obtained the variables diet (0.016) and hypertension (0.003). The largest OR value was obtained for the diet variable (11.075). This research concludes that thereis a relationship between diet, obesity, genetic history, hypertension, physical activity, and the incidence of PTM diabetes mellitus at the Tilango Health Center. Diet is the variable most related to the incidence of PTM Diabetes Mellitus at the Tilango Community Health Center, excessive eating patterns have an 11.075 times greater chance of developing diabetes mellitus.

ntroduction: Hyperthyroidism, a common endocrinologicalcondition characterized by excess production of thyroid hormones, has profound and varied effects on the cardiovascular system. The thyroid hormones, triiodothyronine (T3) and thyroxine (T4), play essential roles in regulating basal metabolism and cardiovascular function.Objective: To provide a comprehensive understanding of the various cardiac complications associated with hyperthyroidism and their clinical implications. Methods: This study constitutes a systematic review, classified as exploratory and descriptive. The preparation of the research was a bibliographical search in electronic databases on methods associated with RSL (Systematic Literature Review) and the applications of SMARTER (Simple Multi-Attribute Rating Technique using Exploiting Rankings). Results: A comprehensive systematic search of the literature yielded a total of 5689 articles referring to the incidence of obesity and overweight in adolescents, of which 20 articles were eligible to be included in this systematic review. Conclusion: Continuous research and therapeutic innovation play vital roles in the evolution of the treatment of hyperthyroidism and its cardiovascular complications. The development of personalized approaches that consider the genetic and clinical particularities of each patient can significantly improve quality of life and reduce associated morbidity and mortality.