Introduction: The development and support of digital technology have provided new opportunities to provide learning in the form of interesting educational games for early childhood. Because children are closely related to games, digital educational games are a strategic step to provide new experiences in learning, especially to improve children's memory and fine motor skills. Purpose: The purpose of this community service is to carry out play therapy using card media with Augmented Reality which children have never done before. Methods: Play therapy activities focused on school-age children are carried out by lecturers and a group of students from the D3 Nursing Study Program STIKes Muhammadiyah Ciamis. The method in play therapy activities uses simulation methods and direct practice in games using Augmented Reality card media. Location This service was held at SDN 1 Kalipucang Pangandaran with 20 students participating. Results: This community service activity can illustrate how play therapy improves fine motor skills and memory in early childhood by using the Augmented Reality card approach that is displayed on the cellphone screen and changes from a 2-dimensional image to a 3-dimensional image. The children became very enthusiastic and became very curious about what kind of images would appear from the Augmented Reality cards they held. The overall age of children is (6-13 years) and in this game, they have memory and fine motor skills that are quite good according to their developmental age. Conclusion: During the play therapy activities, it was successful and it was concluded that children were able to remember and know what type of cards and objects or creatures they were exploring with the help of a smartphone screen.

Objective: This case study was conducted to describe a progressive muscle relaxation intervention in reducing pain in appendicitis patients. Method: This study uses a case study design with an evidence-based practice approach that focuses on nursing interventions. This research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. Participants in this study were Ny patients. C, 35 years old, female, complains of right lower quadrant abdominal pain. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data becomes a reference for periodic evaluation of nursing implementation. Results: Patients gave recognition of decreased pain after being given a progressive muscle relaxation intervention with a pain scale of 4 out of 5 (0-10) and a scale of 3 out of 4 (0-10).   Conclusion: Progressive muscle relaxation intervention should be suspected to be effective in reducing pain in appendicitis patients as evidenced by subjective patient recognition. Theoretically, this study does not conflict with previous research so that it can be a reference in future research. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, progressive muscle relaxation intervention can be an alternative intervention to reduce pain levels in patients with chronic diseases such as appendicitis in hospitals and health centers.

Introduction: Drug abuse is closely related to crime, traffic accidents and is currently at the stage of transmission of the HIV/AIDS virus. The sharp increase in HIV prevalence among injecting drug users is caused by the use of unsterile needles and syringes coupled with the practice of group injection. Various efforts to control and prevent drugs and HIV/AIDS have been carried out, one of which is to empower the potential and knowledge of youth through youth organizations. Objective: to implement and increase knowledge to be directly and actively involved in the prevention of drug abuse and eradication in order to avoid and prevent the risk of HIV-AIDS transmission. Method: The methodology used is that this consultation is based on strategy, implementation and action, and ends with an assessment conducted at the end of the update, using the number of surveys available to the community according to the required survey needs. Result: The implementation of socialization of the dangers of drugs and the risk of HIV-AIDS to Wibawa Mukti youth organizations in Ciharalang village gave significant results because increasing youth knowledge about the dangers of injecting drugs has a role in encouraging the participation of all elements of the local community to avoid drug use. Conclussion: The implementation of socialization of the dangers of drugs and the risk of hiv-aids to youth youth organizations in the village of ciharalang gave significant results because increasing youth knowledge about the dangers of injecting drug abuse has a role in encouraging the participation of all elements of the local community to avoid drug use.

Immunization is a program that is much needed in the prevention of various infectious diseases and avoiding disabilities and child mortality. One of the efforts carried out by the government is by providing counseling to mothers to bring their children to get immunizations, especially carrying out 5 Complete Basic Immunizations, namely Hepatitis B, BCG, Polio, DPT, Measles and also striving to ensure access to services in areas reached by work the same as across other sectors. This is to determine the relationship between the mother's level of knowledge and the completeness of basic immunization for children at the Bungatanjung Posyandu, Cigembor Village, the working area of the Ciamis Health Center. The research method in this study is to use quantitative research methods with a cross-sectional research design, a population of 47 mothers, and sampling using a total sampling method. The results of the study showed that there were 30 people (78.9%) in good category knowledge, 8 people in poor category knowledge (21.1%), 33 people (86.8%) who completed basic immunization in the complete category, and 5 incomplete categories. (13.2%) with a statistical p-value of 0.022. The conclusion of this study is that there is a significant relationship between the level of maternal knowledge and the completeness of basic immunizations for children at the Bungatanjung Posyandu, Cigembor Village, the working area of the Ciamis Health Center.

There needs to be an effort in the management of Diabetes mellitus to keep blood sugar levels as close to normal as possible to prevent complications. Diabetes mellitus control can be done through four pillars, namely education, medical nutrition therapy, physical exercise, and pharmacological intervention. According to data from the District Health Office. Ciamis in 2019 there were 305 people suffering from diabetes mellitus in Kawali sub-district. The purpose of the study was to determine the effect of the four pillars of diabetes mellitus control on the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. This research is a descriptive-analytic study using a cross-sectional approach. Samples were taken using the purposive sampling method as many as 30 respondents. Data were collected using questionnaires and observation sheets. Data analysis used the Chi-Square test with a 95% confidence level. The results showed that 83% of respondents had a good level of education, 60% had appropriate medical nutrition therapy settings, 60% did not do physical exercise, and 66.7% adhered to pharmacological interventions. The results of statistical tests showed that there was a relationship between the pillars of education, medical nutrition therapy, and pharmacological intervention with the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. There is no relationship between physical exercise and the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district