Osteoarthritis is a disease characterized by joint pain. For this reason, non-pharmacological interventions for rheumatic exercises are needed regularly and routinely to reduce joint pain. This study aims to determine the effect of rheumatic exercise on joint pain in patients with osteoarthritis. Type of research is a pre-experimental design with a One Group Pretest – Posttest approach. The study population was patients with osteoarthritis. The sampling used is non-probability sampling with Accidental Sampling technique, the number of samples as many as 27 people. The research instrument used rheumatic gymnastics SOP and pain instrument with a numeric rating scale. Data analysis using the Wilcoxon test. The results showed that the patient's joint pain before rheumatic exercise was moderate pain average pain scale 4.70, after rheumatic exercise the joint pain experienced mild pain with average scale 3.63. The results of the statistical test showed that the p-value was 0.012 < (0.05), so the research hypothesis was accepted. The conclusion of the study showed that there was an effect of rheumatic exercise on joint pain in patients with osteoarthritis. It is hoped that health workers can apply rheumatic exercise therapy as an alternative to non-pharmacological therapy in reducing joint pain in patients with osteoarthritis.  Keywords: Rheumatic gymnastics; Joint pain; Osteoarthritis

<p><em>Diabetes Mellitus is a global problem that occurs at this time Diabetes Mellitus sufferers are at risk of experiencing various complications if not properly controlled and can cause death. This study aimed to determine the effect of walking for 30 minutes on reducing blood sugar levels in Type 2 Diabetes Mellitus patients in Kwala Mencirim Village. This research is a type of quantitative research using a Quasi-experimental research design, with the One Group Pre-post Test Design research design. The research was conducted in Kwala Mencirim Village, Langkat Regency, North Sumatra Province. The time of this research was in May–August 2021. The population of this study were all Type 2 Diabetes Mellitus sufferers in Kwala Mencirim Village, totaling 80. The research sample was 10 patients with Type 2 Diabetes Mellitus. The sampling technique used Purposive Sampling. Data collection was carried out using observation sheets, blood sugar digital devices. Data analysis was performed by paired t-test with Wilcoxon. The results showed an effect of walking 30 minutes on reducing blood sugar levels in patients with Type 2 diabetes mellitus (p=0.001 &lt;α 0.05) in Kwala Mencirim Village, Langkat Regency, North Sumatra Province. With an average pretest blood sugar level of 220 mg/dl and a post-test of 212 mg/dl. It is recommended for Health Workers to be able to apply 30 minutes of walking therapy to reduce or stabilize Blood Sugar Levels in Type 2 Diabetes Mellitus patients and it is suggested to the public, especially people with Diabetes Mellitus, to more routinely do 30 minutes of walking therapy without drugs.</em></p><strong><em>Keyword: Blood Sugar Levels, Type 2 Diabetes Patients, Walking</em></strong>

Nyeri merupakan bagian dari pengalaman hidup sehari-hari. Nyeri mempunyai sifat yang unik, karena di satu sisi nyeri menimbulkan derita bagi yang bersangkutan, tetapi disisi lain nyeri juga menunjukkan suatu manfaat. Nyeri bukan hanya merupakan modalitas sensori tetapi juga merupakan suatu pengalaman.penelitian ini bertujuan untuk mengetahui hubungan pengetahuan perawat dengan penerapan standart operasional prosedur manajemen nyeri di rumah sakit mitra medika tanjung mulia medan .desain yang digunakan dalam penelitian ini deskriftif korasional dengan pendekatan closs sectional. Sampel penelitian ini adalah perawat  IGD yang berjumlah 25 orang yang diambil berdasarkan total sampling. Instrument yang digunakan adalah kuesioner yang terdiri dari kuesioner pengetahuan dan kuesioner SOP manajemen nyeri. analisa hasil penelitian dengan uji shi-quare. Hasil penelitian menunjukkan terdapat hubungan pengetahuan dan sop manajemen nyeri dengan nilai sig-p=0,004 atau <nilai- α=0,05 . disarankan kepada perawat untuk menjaga keselamatan pasien dengan menerapkan SOP dalam setiap tindakan yang dilakukan oleh perawat.

Health promotion is the process of enabling people to increase control over and to improve their health. Health promotion is a global issue. In the most city in Indonesia, health is improving. In this case, we collected the elderly data from Deli Serdang, North Sumatera, Indonesia. The aim of this study to classify the elderly dataset using Support Vector Machine and Logistic Regression as a machine learning approach. The result of this study indicated the SVM and Logistic Regression is available to train and test the dataset. The dominant sample in this study is female. The evaluation of the elderly dataset using two models of machine learning indicated there is a positive attitude with the age for health promotion.