Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin atau aktivitas insulin. Salah satu komplikasi dari Diabetes Melitus Tipe 2 yang mempengaruhi sistem saraf perifer yaitu Peripheral Arthery Disease (PAD) merupakan suatu kondisi dimana terdapat terdapat lesi di pembuluh darah sehingga menyebabkan aliran darah dalam arteri yang mensuplai darah ke ekstermitas menjadi terbatas. Senam kaki diabetes dapat membantu sirkulasi darah dan memperkuat otot-otot kecil kaki dan mencegah terjadinya kelainan bentuk kaki. Sikulasi darah pada daerah kaki dapat diukur melalui pemeriksaan non invasive salah satunya adalah dengan pemeriksaan ankle brachial index. Penelitian ini bertujuan untuk menguji Pengaruh senam kaki Diabetes Terhadap Ankle Brachial Index Pada Pasien DM Tipe. Jenis penelitian ini merupakan eksperimenental studies dengan pre test dan post test. Sampel penelitian ini sebanyak 10 orang dengan teknik purposive sampling. Hasil penelitian rata-rata ankle brachial index pasien setelah pemberian terapi senam kaki mengalami peningkatan dengan nilai ABI sebelum pemberian terapi senam kaki (pretest) sebagian besar tergolong berat yaitu 4 responden (40%) meningkat menjadi normal sebanyak 5 responden (50%) setelah diberikan terapi senam kaki (posttest). Dan dari hasil t hitung sebesar 4.714, hal ini diketahui bahwa nilai t hitung lebih besar dari t tabel (4.714>1.833), yang berarti H0 ditolak dan Hα diterima, sedangkan nilai p=0.001 lebih kecil dari tingkat kemaknaan α=0,05 hal ini menunjukan ada perbedaan yang bermakna antara ankle brachial index sebelum dan sesudah pemberian terapi senam kaki.

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Fainting usually occurs suddenly, syncope can be caused due to too long in the hot sun. Syncope can also be caused by external diseases (weather, wind, heat) or emotional or shocking diseases. The purpose of this study was to determine the effect of health education by the audiovisual method on first aid knowledge in students who experienced syncope in Delitua 1 Public High School. This research method is Pre Experimental with the research design used by One Group Pre Test Post Test. The sampling technique uses Systematic Random Sampling with a sample of 65 students. The results of the study using the Wilcoxon test (The Signed Rank Test) obtained a significant value of 0.013 <0.05. The conclusions of the results of this study indicate that there is an effect of health education by the audiovisual method on first aid knowledge in students who experience syncope in Delitua 1 Public High School.

Objective: Stoma is a surgical procedure commonly used for the treatment of colorectal cancer patients, this will affect the patient's sexuality problems. This research study with qualitative and quantitative research designs published between 2008 to 2018 in English articles. Methods: PubMed, EBSCO, and Google Scholar, are sought to evaluate the risk of sexual dysfunction in colorectal cancer patients with stoma. Results: Research that has been explored in nine consists of mixed methods case control, case control retrospective study, systematic review, phenomenology study, multiple logistic regression, prospective descriptive study, longitudinal study, cross sectional design, descriptive comparison study. Most of the findings of the study show that sexual dysfunction is a problem of concern. Conclusions: evaluating sexual dysfunction problems in colorectal cancer patients with stoma, are the basic essence of nursing intervention. Health care professionals must be more aware of the problems of risk factors for sexual dysfunction experienced by patients after making stoma, so that services and treatments performed are more optimal.

“Chronic kidney failure is a progressive and irreversible decline in kidney function, in which the body is unable to maintain fluid balance and electrolyte metabolism. In practice, patients must limit the liquid diet to prevent complications. However, this action can affect several aspects of the human body, namely dry mouth or xerostomyadue to reduce saliva production. To reduce patient complaints, the action that can be done is to stimulate the salivary glands with chemical stimulation using acidic vitamin C lozenges. The purpose of this study was to determine the stimulating effects of vitamin C lozenges to increase salivary secretion in patients with chronic renal failure undergoing hemodialysis therapy at Sembiring General Hospital. This study used a Pre-experimental design with a pretest-posttest design. The sample amounted to 48 respondents, using Purposive Sampling techniques. Data analysis techniques using Paired t Test to determine whether there are significant differences in salivary secretion at the pretest and posttest. Based on statistical test Paired t Test data analysis conducted found significant differences amount of secretion of saliva before and after the value of p = 0.000 p <0.005 found a significant increase in the secretion of saliva between pretest saliva and posttest conclusion, the stimulation of the provision of lozenges vitamin C has the effect of increasing salivary secretion in patients with chronic kidney failure undergoing hemodialysis therapy at Sembiring General Hospital”.   Keywords: Stimulation, Saliva Secretion, Chronic Kidney Failure.