Background:The achievement of countermeasures for tuberculosis treatment in Mentawai Islands District is still very low. This can be seen from the cure rate for new smear positive cases in 2016, which has not reached the target of 84.44%. While the data shows that of the 10 existing Puskesmas in Mentawai Islands District, the highest incidence of pulmonary Tuberculosis in Sikakap Health Center is 51 people. This study aims to determine the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Health Center Mentawai Islands District in 2018. Methodology:This type of research is descriptive with a cross sectional study method. The population was all patients who visited the Sikakap Health Center who were examined by doctors the last 3 months (January to March 2018) totaling 315 people. A sample of 42 people was taken by simple random sampling method. Data collection was carried out through interviews using interview guidelines in the form of a questionnaire. Data analysis was univariate and bivariate using chi-square test. Results:Based on the results of the study found 59.5% of respondents experienced pulmonary Tuberculosis, 64.3% of respondents had environmental sanitation that did not meet the requirements. Statistically obtained the relationship between environmental sanitation with the incidence of pulmonary TB in Sikakap Public Health Center in Mentawai Islands District in 2018 (p = 0,024). Conclusion:Thereisasignificantcorrelationbetweenenvironmental sanitation with the incidence of pulmonary Tuberculosis. It is expected that health workers through the holder of the Pulmonary TB program to better screen patients who drop out of medication and improve counseling about prevention of pulmonary Tuberculosis.

Background: Chronic obstructive pulmonary disease (COPD) is a disease that is a problem throughout the world where its prevalence, morbidity and mortality are increasing every year. The high number of COPD visits is due to persistent and progressive shortness of breath complaints. Existing pharmacological therapies for COPD have not shown improvement in the long-term decline in pulmonary function that is a hallmark of COPD. It is very necessary for companion therapy that is non-pharmacological treatment is expected to be able to complete pharmacological treatment in reducing shortness of breath of COPD patients with pursed-lip breathing exercise.Methods: This study uses a quassy experiment design with two group pretest and posttes design approaches. This study was in obstructive pulmonary disease patients in the lung hospital in West Sumatra with an intervention group of 16 and a control of 16 respondents. Data analysis using univariate and bivariate using independent t-test statistics.Results: The results showed the average decrease in shortness of breath in the control group without pretest 3.19 and posttest 2.56 in the pretest pursed lip breathing exercise intervention group 3.19 and posttest performed 1.69. Test statistic p-value 0.026.Conclusions: There is an effect of pursed lip breathing exercise on reducing the level of shortness of breath in patients with chronic obstructive pulmonary disease.

At this moment, majority of nurser was graduated from diploma, not bachelor level. High motivation and encouragement were needed to through this study. It was reflected  by the facr that number of study participant in NR 8 program increaced from the last period. The purpose of this study is to determine the factors associated with NR 8 Student Motivation In Continuing Nursing Education Programme at Stikes Syedza Saintika Padang 2017. This type of study is descriptive analytic with cross sectional design, which held on  July 28 to August 11, 2017. The Population was all NR 8 Nursing Program students  at Stikes Syedza Saintika Padang in 2017 (n=122), with a sample of 55 people. This study was using proportional stratified random sampling, and analyzed by Chi-Square test. The results showed that less than half of respondents had low motivation (40,0%), low interest (41,8%), low appreciation (47,3%) and family supporting(41,8%) in Nursing education at Stikes Syedza Saintika Padang in 2017. The analysis shows that there is a significant relationship between interest factor (p = 0,000), reward factor (p = 0,024) and family supporting factors (p = 0,000) on students motivation in countinuing Nursing education at Stikes Syedza Saintika Padang 2017. The final Conclusion from this study, we found the relation ship between personal interest, appreciation, and family support, with motivation during nurse education.  Suggestion from this study is candidate of profesional nurse can develop interest in continuing nursing education in order to increase the quality of Indonesian nurse resources.