Introduction: Patient in the hospital faced with anxiety, in feel stronge with the hospital, medicine and treatment action although unsure prognosis of desease. The anxiety will inflict a financial loss because it will influence the attitude of the patient and immunology respons that will effect on how long the patient stay in the hospital and how much cost of treatment. This study was aimed to explain the anxiety level and imunity of patient in the hospital before and after The Al Qur’an therapy. Method: This study used Pre experiment pre-posttest design  involved 7 respondents, taken by accidental sampling.  The independent variable was The Al Qur’an therapy and the dependent variable were anxiety level and imunity (basofil, eosinofil, monocyt, limfocyt  and leucocyt). Anxiety level were collected by Hamilton Anxiey Rating Scale and the imunity were gotten from laboratory result of basofil, eosinofil, monocyt, limfocyt  and leucocyt . Data were analyzed using Wilcoxon Sign Rank Test for anxiety level and Mc Nemar for imunity with level of significance α ≤ 0.05.Result:  Results showed that The Al Qur’an therapy has an effect on decreasing anxiety level (p=0.016). In contrast, there was no effect on imunity after therapy (p = 0,625).  incision. It can be concluded that the Koran therapy was proven to reduce anxiety level and increased on imunity on patients hospitalized. Discussion: For future Further studies should be developed and include larger responden to obtain more accurate results.

Latar Belakang: Rumah sakit sejatinya bagian dari kebutuhan primer masyarakat yang selama ini menjadi prioritas utama oleh masyarakat. Perkembangan dunia yang sangat cepat menuntut rumah sakit harus beradaptasi dengan dengan perkembangan industry 4.0 saat ini. Metode: Penelitian ini ditulis dengan menggunakan analisis data sekunder yang didapat dari  Kementerian Kesehatan. Hasil: Jumlah rumah sakit di Indonesia, ditinjau dari kepemilikan baik milik pemerintah maupun swasta dari tahun 2015-2019 terus mengalami berbagai peningkatan termasuk dalam hal perbandingan tempat tidur terhadap jumlah penduduk di Indonesia. Kesimpulan: Perkembangan fasilitas atau sarana prasarana rumah sakit sangat penting di era modern sekarang ini. Peningkatan kualitas dan kuantitas rumah sakit tentu harus dibarengi dengan peningkatan tenaga kesehatan yang secara langsung berinteraksi dengan pasien maupun tenaga non kesehatan lainnya sehingga terjadi peningkatan kualitas layanan kesehatan yang diberikan.

Introduction: Nonadherence is a rampant problem among patients undergoing dialysis and can impact multiple aspects of patient care, including medications, and treatment regimens as well as dietary and fluid restriction. The purpose of this descriptive correlative research, on hemodyalysa patient with chronic renal failure was to know the influencing factors of compliance patient to fluid restriction.Methods: This study used descriptive correlative design, Data was analysed by using distibution frequency and chi square for analysys relation between variable.Results: The result revealed there were nor significant statistic difference at p > 0.05 between age, gender, education level, frequency of hemodyalysa and health education from nurse to compliance patient to fluid restriction (p = 0.647; p = 0.717; p = 0.345; p = 0.774; p = 0.273).Conclusion: Level of patient adherence to therapy not influenced by demographi factor but by the quality of interaction health workers and other factors. This study recommended for further analysis of the factors that influence the level of compliance of the patient as psychological factors (belieft , motivation), socio-economic, and social support.

Fatigue merupakan gejala umum yang terjadi pada pasien CKD yang menjalani hemodialisis. Kadar ureum, dan kreatinin yang tinggi sering kali dipakai sebagai data penunjang untuk menegakkan diagnosa CKD. Penurunan sekresi ureum dan kreatinin menyebabkan metabolisme protein dan asam laktat meningkat yang menyebabkan fatigue. Tujuan penelitian adalah untuk mengetahui hubungan kadar ureum dan kreatinin dengan tingkat fatigue pada pasien CKD yang menjalani hemodialisa diruang hemodialisa RSUD Ulin Banjarmasin. Penelitian ini menggunakan rancangan korelasi dengan pendekatan cross sectional, teknik sampling simple random dengan jumlah sampel sebanyak 60 orang, dianalisis dengan uji Kendall Tau. Hasil penelitian menunjukkan bahwa dari 60 responden sebagian besar mengalami kadar ureum tinggi sebanyak 24 orang (56,7%), kadar kreatinin tinggi sebanyak 57 orang (95%), dan mengalami tingkat fatigue lelah yaitu sebanyak 25 orang (41,7%). Terdapat hubungan kadar ureum dengan tingkat fatigue pada pasien CKD dengan nilai p = 0,008 dan terdapat hubungan kadar kreatinin dengan tingkat fatigue pada pasien CKD dengan nilai p = 0,002.Diharapkan dapat lebih memperhatikan rasa lelah dan gejala yang terkait, menghindari faktor-faktor yang meningkatkan kelelahan dan mengikuti langkah- langkah untuk mengurangi kelelahan tersebut, seperti mengatur diit makanan dan pola istirahat agar tidak terjadi peningkatan ureum dan kreatinin.

600 samples were collected from diarrheic broiler chickens and from apparently normal chickens in Fayoum Governorate .The bacteriological examination revealed that a total of 530 bacterial isolates were recovered from the 600 broiler chickens under examination. Cloacal swabs (130), cecal contents (350), unabsorbed yolk sac (40), liver and gall bladder (40) and heart blood (40).Concerning the type of isolated bacteria from broiler chickens E. coli was the predominate (59.3) %. 53.3%of isolates were from diarrheic birds and 6.0% from apparently healthy chickens, followed by Proteus mirabilis (14.8%). Out of them were 11.6% from diarrheic birds and 3.2% from apparently healthy birds. And Proteus vulgaris (3.3%). Out of them were 2.5% from diarrheic broiler chickens and 0.8% from apparently healthy one. E. coli was the most predominant bacteria recovered from the examined cases. 50 isolates of E. coli which were isolated from large intestines tested for in vitro pathogenicity using Congo red dye. The result showed fundamental variation for the growth of E. coli of diarrheic and apparently healthy origin on Cango red dye as 86% of E. coli isolated from chickens gave red colonies (pathogenic) while 16% of E. coli isolates did not bind to Congo red dye gave white colonies (non pathogenic).