Diabetes Mellitus is a long-term disease characterized by abnormal blood glucose levels. DM can cause several complications, one of which is Diabetic neuropathy which contributes to the occurrence of wounds, causing dry skin, anhidrosis; which makes it easier for the skin to become damaged and wounds that are difficult to heal and can cause infections that contribute to gangrene. To overcome this problem, people with diabetes mellitus must have knowledge about diabetic wounds which include early detection and prevention of diabetic foot wounds. This type of research is analytic with a cross sectional study design with the aim of knowing the relationship between knowledge about diabetic wounds and wound prevention measures in patients with diabetes mellitus at Puskesmas Kenangan. The population in this study were all DM patients who were treated at the Puskesmas Kenangan who had not experienced gangrene complications as many as 25 people with a sample of 25 people, the sample was taken by total sampling. The results of the study. Knowledge of the majority of diabetic wounds was less as many as 15 people (60%) and the majority of wound prevention measures were bad as many as 19 people (76%). The conclusion is that there is a relationship between the knowledge of people with diabetes mellitus about diabetic wounds and wound prevention measures, indicated by the P value = 0.000 (p <0.05), meaning that there is a relationship between the respondent's knowledge and wound prevention measures. To add insight and knowledge about diabetic wounds and how to prevent injuries, it is recommended for DM patients to take part in counseling about diabetic wounds held both at the puskesmas and other health facilities. It is recommended for nurses to provide health education to DM patients in order to increase knowledge about diabetic wounds by attaching posters of wound prevention measures.

Introduction: Mini-CEX (Mini Clinical Evaluation Exercise) is a method of evaluation to assess the clinical skills of students through direct observation and provide constructive feedback. The aim of this study was to evaluate the effectiveness of Mini-CEX towards clinical competency achievement in neurological examination of clinical practice nursing students at General Hospital Medan.Methods: The research design was quasi experiment with the post-test only with control group approach. The samples were 60 respondents who divided into two groups: 27 respondents in the control group, and 33 respondents in the intervention group. Samples were chosen using the total sampling method.This study used the Mini-CEX to evaluate competency of nursing students and firstly developed in Indonesian by Nursing Study Program in Muhammadiyah University of Yogyakarta. The data were analyzed by descriptive and  Mann Whitney test.Results :The study showed that mean score of neurological examination competence in the intervention group (77±8.33) was higher than the control group (68.19 ±7.53). There were significant differences of the clinical competency between two groups of samples with p value 0.000 (p<0.05). Conclusions : Clinical practice nursing students competency were improved using Mini-CEX method. It is recommended that the nursing study program use Mini-CEX method to evaluate clinical nursing practice so that student’s learning  competency is increasing.

Hipertensi merupakan masalah kesehatan yang sering ditemukan dan mengakibatkan angka kesakitan dan kematian yang tinggi. Hipertensi merupakan the silent  disease karena penderita tidak menganggap dirinya mengidap hipertensi atau tidak mengetahui sebelum memeriksakan tekanan darah. Penyebab terjadinya hipertensi saat ini belum dapat dipastikan, namun ada beberapa faktor yang menyebabkan terjadinya hipertensi diantaranya faktor aktivitas fisik, kebiasaan merokok, obesitas dan stres. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kejadian hipertensi di Wilayah Kerja UPT Puskesmas Lalang Kecamatan Medang Deras Batubara. Penelitian ini bersifat analitik observasional dengan desain case control (kelompok kasus-kontrol). Populasi jumlah penderita hipertensi sebanyak 160 orang, dengan teknik pengambilan sampel total sampling. Pengumpulan data menggunakan kuesioner. Uji statistik yang digunakan adalah chi-square. Hasil analisis faktor aktivitas fisik, kebiasaan merokok, obesitas dan stres didapatkan nilai p value = 0,007, 0,01, 0,007, 0,003 yang berarti ada hubungan faktor aktivitas fisik, kebiasaan merokok, obesitas dan stres dengan kejadian hipertensi. Untuk itu disarankan kepada tenaga kesehatan agar dapat memberikan penyuluhan mengenai hipertensi, faktor-faktor penyebab dan cara pola hidup yang sehat dan teratur sehingga terhindar dari hipertensi. Kata kunci: hipertensi, aktivitas fisik, merokok, obesitas, stres Abstract Hypertension is a health problem that is often found and results in high morbidity and mortality. Hypertension is the silent disease because patients do not consider themselves to have hypertension or do not know before checking their blood pressure. The cause of hypertension is currently uncertain, but there are several factors that cause hypertension including physical activity factors, smoking habits, obesity and stress. The purpose of this study was to determine the factors associated with the incidence of hypertension in the Work Area of ​​the UPT Puskesmas Lalang, Medang Deras Batubara District. This research is an observational analytic with a case control design (case-control group). The population of patients with hypertension is 160 people, with a total sampling technique of sampling. Collecting data using a questionnaire. The statistical test used is chi-square. The results of the analysis of physical activity factors, smoking habits, obesity and stress obtained p value = 0.007, 0.01, 0.007, 0.003 which means there is a relationship between physical activity factors, smoking habits, obesity and stress with the incidence of hypertension. For this reason, it is recommended for health workers to be able to provide counseling about hypertension, the causative factors and how to live a healthy and regular lifestyle so as to avoid hypertension.   Keywords: hypertension, physical activity, smoking, obesity, stress

Changes in modern lifestyles, such as smoking, drinking alcohol, unbalanced eating patterns and lack of physical activity can trigger an increased incidence of hypertension. One of the hypertension therapies that utilize herbal plants is watermelon. The study aims to determine the effect of watermelon juice on Mean Arterial Pressure (MAP) in elderly people with hypertension in the Binjai Estate Health Center. This type of research is quasy-experimental one group pre-post test. The population used was all elderly with hypertension as many as 76 people. The samples in this study were 28 people using purposive sampling technique. Data analysis uses paired T-test (T-Dependent). The results showed that there was an influence of giving watermelon juice to Mean Arterial Pressure (MAP) in elderly patients with hypertension with a p-value of 0,000 with a MAP value before being given watermelon juice therapy 119.304 mmHg and the value of MAP after watermelon juice therapy was 103.039 mmHg. It is recommended that patients be expected to continue to consume watermelon juice more routinely for 7 days weighing 250 grams / day, but need to control blood pressure so that hypotension does not occur suddenly and need to improve good lifestyle.   Perubahan gaya hidup modern, seperti merokok, minuman alkohol, pola makan yang tidak seimbang dan kurangnya aktivitas fisik dapat memicu meningkatnya angka kejadian penyakit hipertensi. Salah satu terapi hipertensi yang memanfaatkan tanaman herbal yaitu semangka. Penelitian bertujuan untuk mengetahui pengaruh pemberian jus semangka terhadap Mean Arteri Pressure (MAP) pada lansia penderita hipertensi di Wilayah Kerja Puskesmas Binjai Estate. Jenis penelitian quasy-eksperiment one group pre–post test. Populasi yang digunakan adalah seluruh lansia penderita hipertensi sebanyak 76 orang. Sampel dalam penelitian ini sebanyak 28 orang dengan menggunakan teknik purposive sampling. Analisa data menggunakan uji paired T-test (T-Dependent). Hasil penelitian menunjukkan bahwa ada pengaruh pemberian jus semangka terhadap Mean Arteri Pressure (MAP) pada lansia penderita hipertensi dengan nilai p-value 0,000 dengan nilai MAP sebelum diberikan terapi jus semangka 119,304 mmHg dan nilai MAP sesudah diberikan terapi jus semangka 103,039 mmHg. Disarankan bagi  pasien diharapkan dapat melanjutkan untuk mengkonsumsi jus semangka lebih rutin selama 7 hari dengan berat 250 gram/hari, akan tetapi perlu mengontrol tekanan darah agar tidak terjadi hipotensi secara mendadak dan perlu memperbaiki pola hidup yang baik.

Covid-19 is an infectious disease caused by acute respiratory syndrome coronavirus 2. Covid-19 infection can increase the risk of pneumonia in pregnant women compared to non-pregnant women. Pregnant women who experience anxiety will have an impact on the mother and fetus. One of them is miscarriage and premature birth. The principles of preventing the transmission of coronavirus in pregnant women include universal precautions by always washing hands with soap for 20 seconds or hand sanitizer, using personal protective equipment (cloth masks), maintaining body condition by diligently exercising and getting enough rest, eating with balanced nutrition, and practice cough-sneezing etiquette. The purpose of this study was to determine the relationship between knowledge and anxiety of pregnant women facing childbirth during the COVID-19 pandemic at Sari Mutiara Lubuk Pakam Hospital. The research design used in this study was cross sectional. The total population in this study were 216 pregnant women and using a total sampling technique so that a sample of 43 pregnant women was obtained. From the research, it was found that there was a relationship between knowledge and anxiety of pregnant women facing childbirth during the Covid-19 pandemic at Sari Mutiara Lubuk Pakam Hospital. This research shows that there is a significant relationship. The results of data analysis with the Chi Square test were obtained with a significance level of <0.05, the results were p = 0.027, indicating H1 was accepted and H0 was rejected, meaning that there was a significant relationship between knowledge and anxiety of pregnant women facing childbirth during the COVID-19. It is recommended that pregnant women always pay attention to their health and increase their knowledge, especially regarding nutritious and highly nutritious foods and reduce anxiety before delivery during the COVID-19 pandemic.   Abstrak Covid-19 merupakan penyakit menular yang disebabkan oleh sindrom pernapasan akut coronavirus 2. Infeksi Covid-19 dapat meningkatkan risiko pneumonia pada wanita hamil dibandingkan dengan wanita yang tidak hamil. Ibu hamil yang mengalami rasa cemas akan berdampak pada ibu dan janinnya. Salah satunya adalah keguguran dan kelahiran prematur. Prinsip-prinsip pencegahan penularan coronavirus pada ibu hamil meliputi universal precaution dengan selalu cuci tangan memakai sabun selama 20 detik atau hand sanitizer, pemakaian alat pelindung diri (masker kain), menjaga kondisi tubuh dengan rajin olah raga dan istirahat cukup, makan dengan gizi yang seimbang, dan mempraktikan etika batuk-bersin. Tujuan dari penelitian ini adalah mengetahui hubungan pengetahuan dengan kecemasan ibu hamil menghadapi persalinan pada masa pandemi covid-19 di RSU Sari Mutiara Lubuk Pakam. Desain penelitian yang digunakan dalam penelitian ini adalah cross sectional. Jumlah populasi dalam penelitian ini adalah sebanyak 216 orang ibu hamil dan menggunakan teknik total sampling sehingga didapatkan sampel sebanyak 43 orang ibu hamil. Dari penelitian diperoleh hasil bahwa ada hubungan pengetahuan dengan kecemasan ibu hamil menghadapi persalinan pada masa pandemi Covid-19 di  RSU Sari Mutiara Lubuk Pakam. Dalam penelitian ini menunjukkan bahwa adanya hubungan yang signifikan. Hasil analisa data dengan uji Chi Square diperoleh dengan tingkat kemaknaan <0,05 didapatkan hasil p=0,027, menandakan H1 diterima dan H0 ditolak, artinya terdapat hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil menghadapi persalinan pada masa pandemi covid-19 di RSU Sari Mutiara Lubuk Pakam. Disarankan kepada ibu hamil selalu memperhatikan kesehatan dan meningkatkan pengetahuannya terutama mengenai makanan yang bergizi dan bernutrisi tinggi dan mengurangi kecemasan menjelang persalinan pada masa pandemi covid-19.