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Hydrotherapy or water therapy is a method of treatment and healing with water for get the profit therapeutic in the treatment of disease. Diabetes Mellitus is a degenerative disease, which need an effort to suppress the increased.incidence of the disease. This,the aims of the research.to determine the effect of hydrotherapy to decrease blood sugar.random diabetes mellitus type 2 patients. The method of this research is a quasi experimental Two Grup  pretest  posttest design, the sampling, techniques used purposive sampling approach. Total respondent are 22 peoples, 11 respondents, for the control group and 11 intervention group. Data collection Uses A direct observation.sheet and measurement of blood sugar. Statistic analysis using  independent T test. Indicates that there was a discreption between the average blood sugar and the action of hidroterapy in control grup and intervention groups (p=0,0001). Therefore it is assumed that  hydrotherapy.would lower the  blood sugar  when DM 2, hydrotherapy  patients  can be used as a hyperglycemic management of diabetes mellitus.

Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts, with greater emphasis on promotive and preventive efforts, to achieve the highest level of public health in the working area. Puskesmas Accreditation is an acknowledgment given by an independent Accreditation provider established by the Minister after meeting Accreditation standards. The purpose of this study was to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This type of research is analytic to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This study uses a case control study approach (case and control), where independent variables are determined first, then the dependent variable is searched through a questionnaire that has been tested. A sample of 92 people, 46 were sampled for cases (Puskesmas Tiga Dolok) and 46 for controls (puskesmas Huta Bayu) using consecutive sampling techniques. Based on the results of bivariate test studies, that the dimensions of service quality related to the health center accreditation status (p <0.05) are tangibles, reliability, responsiveness, and assurance dimensions. Factors that are not related to the health center accreditation status (p> 0.05) are empathy dimensions. From the multivariate test results, it is known that the most dominant factor on the status of puskesmas accreditation is the quality of service based on the dimensions of responsiveness.

Cancer is an abnormal cell growth which tend to be attack the surrounding tissue and spread to other organs which is far away. The cause of cancer is uncontrolled cell proliferation. Whereas the complaints that often appear on patients with cancer is pain. Cancer pain is one result of the most feared cancer patients. In fact, pain is the most recent cancer symptom. When according to the intensity that the patient feel subjectively. This research aimed to analyzed the relationship between pain control with pain intensity on cancer patients. With descriptive correlation research design. Data collection started from February to April 2018. With the number of 96 respondents by using total samplingas the research instrument that used as method of sample collecting, demographic data, pain control questionnaires and observation sheets. The result of the research showed that the sign value is 0,005 which showed the correlation between pain control score with pain intensity is significant correlation value is -0,284. With a negative direction. Wherees the better of pain control means the lower of pain intensity. The correlation between pain control with pain intensity is two way relationship. Suggestion : Hopefully this research can be useful in the future in controlling of pain cancer patients.

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