Purpose Era Disruption 4.0 demands development in the management of Diabetes Mellitus (DM) by using application-based intervention that can facilitate nursing intervention. The aim was to evaluate the effect of diabetes mellitus calendar app as a Diabetes Self-Management Education (DSME) program on self-efficacy, HbA1c levels, lipid profile, and insulin in adult type 2 diabetes mellitus (T2DM). Methods It was randomized experimental designsimple random sampling used with a total sample of 30 respondents. The instruments used diabetes management self-efficacy scales and standard of operational procedure blood sampling. The statistical tests used were a Paired t-test, Wilcoxon, and an Independent t-test. Results DSME with an Android-based DM calendar affected self-efficacy (p < 0.001), HbA1c levels (p = 0.005), cholesterol (p = 0.009), triglyceride (p = 0.000), HDL-c (p = 0.048), LDL-c (p = 0.010), and insulin (p = 0.000) compared with the control group. Education with these electronic media has increased the perception of self-efficacy and improved the behavior of good self-management that can be seen from changes in controlled HbA1c level, lipid profile and insulin. Conclusion The results of this study can be used as a reference for providing educational experimental in patients with Type 2 Diabetes Mellitus (T2DM).

Introduction: Cardiac arrest is the most pre-hospital emergency cases. Approximately 30.000 people have cardiac arrest in pre-hospital and about 33% have treated with bystander. Basic life support (BLS) with cardiopulmonary resuscitation (CPR) is a first aid procedure that needs to be performed in this case. Death could occur within minutes if the first aid does not adequately performed. The study aimed to know the effect of BLS courses on the community knowledge level in the North Denpasar District. Methods: The study was a pre-experimental study with a pre-posttest design. Study participant selected by cluster random sampling technique  and 199 participants chosen as study participants. To collect the community knowledge data, a questionnaire employed in this study. American Heart Association (AHA) guideline for the public published in 2015 enrolled as a reference in organizing ten questions in the questionnaire with Guttman Scale. Results: The characteristics of respondents were 27% participants were aged between 30-39 years, 56% graduated from senior high school, 55% work as employees and 90% never attended BLS training program. There was a significant mean difference from the pre-test and post-test data. The mean difference before and after the BLS course were 8.38 and 9.74, respectively. There was a significant correlation between the BLS course and the level of knowledge (p = 0.000). Conclusion: The level of knowledge about BLS before the course was 63%. It classified into a good knowledge level. The level of knowledge about BLS after the course was significantly improved. It increased to 97.5%.

Background: Level knowledge is the result sensing human or result know someone towards an object in oder to know different once with trust, superstition, and are fallible. Where as behavior is action or deed an organism observable even learning. Diabetes Mellitus is disease metabolic to characteristic of hiperglikemia which occurs because abnormality secretion insulin, work insulin or whether both research aims to know relations level knowledge by behavior diet in patiens diabetes mellitus in Polyclinic Internal in Rumah Sakit Tingkat II Udayana. Method: This research uses descriptive correlation design with cross sectional approach, the number of samples cases wholly is 30 respondents taken by means consecutive sampling. Analyzed data in bivariat by test spearman rho. Results: The result showed that most respondent having a level knowledge enough, namely 15 people (50,0%) and behavior diet enough, namely 17 people (56,7%). The result analysis bivariat obtained value p=0,000 < ? (0,05) with price r count (0,683) > r table (0,361). Conclusion: Concluded that a significant relation exists between the level of knowledge in patiens with the diet of diabetes mellitus, where by a level close correlation coefficient is a strong positive correlation.Key words: Knowledge; Behavior; Diabetes Mellitus

Abstract-Primary dysmenorrhea is menstrual pain occurring in the absence of pelvic pathology. It was caused by the production of neurotransmitter: prostaglandins. Psychological factors or stress can also cause dysmenorrhea. Physical activity and meditation are non-pharmacological treatments for this problem because of the effectiveness to reduce chronic menstrual pain. A total 40 female adolescents aged 16 -18 years, who have primary dysmenorrhea at Senior High School of Health Bali Khresna Medika was divided into two groups randomly. Each groups contains 20 participants for physical activity treatment group and 20 for meditation treatment group. Menstrual pain scale measurements conducted in the two groups using the Visual Analogue Scale (VAS) before and after treatment. One group was delivered physical activity intervention and the other meditation twice a week for two months. The result of study showed that physical activity and meditation could reduce menstrual pain scale effectively (p<0.005). Based on the statistical analysis there was no significant difference between the effectiveness of physical activity and meditation (p>0.005) interventions. Physical activity and meditation can reduce menstrual pain level significantly.

Every two minutes one person dies of cardiac arrest. death rates can be prevented if the victim gets immediate assistance, if someone who is trained in pulmonary cardiac resuscitation (CPR) provides basic life support until medical assistance takes over. Basic life support can be done by anyone and anywhere as soon as possible at the beginning of the occurrence of cardiac arrest to increase survival. This activity aims to provided health education to the community so that they can know and demonstrate how to provide basic life support in cases of cardiac arrest. Methods: Health education uses the lecture method of discussion accompanied by demonstration with power point media which is assisted with LCD and projector for 30 minutes then followed by demonstration using CPR manikin (Cardiopulmonary Resuscitation) for 10 minutes. A sample size of 30 people in Br. Tek-Tek, Desa Peguyangan, Denpasar Utara with accidental sampling technique. Results: The minimum results achieved are 80% at the point of practicing how to provide pulmonary heart resuscitation and a value of 100% is at 2 points of each evaluation which mentions the meaning of basic life support and mentions the steps of basic life support, while for indications and contraindications from basic life support 90% of participants were able to mention it. Conclusion: Health education program activities and demonstrations about basic life support that have been implemented are very useful to increase knowledge and are expected to be able to practice and provide first aid in cases of respiratory arrest and cardiac arrest.