Background: Based on the results of observations made in September 2022-December 2022 in the medical record storage room of the Tk. IV Dr. R. Ismoyo Kendari, there were 427 inpatient medical records and 254 (59%) inpatient medical records that suffered damage caused by physical, chemical and biological factors. The purpose of this study was to determine the causes and types of damage to the medical records of inpatients due to physical, chemical and biological factors in the medical record storage room of the Tk Army Hospital. IVDr. R. Ismoyo Kendari.Methods: This study used a qualitative analytic descriptive design, especially the cross sectional type. The sample in this study consisted of 4 medical record officers, namely 1 Head of Medical Records, 1 Secretary of Medical Records, 1 registration officer and 1 filling officer in the medical record storage room of the Tk Army Hospital. IV Dr.R.Ismoyo Kendari and 254 medical records of inpatients in September 2022 - December 2022 who were damaged. The research instrument used observation, checklists, and interview guidelines. Results: The results of this study indicate that physical factors, chemical factors, and biological factors cause damage caused by negligence of officers, exposure to sunlight, dust, ink, rust, mold, and insects. Conclusion:The conclusion of this study found forms of damage such as torn, detached/missing medical record forms, and yellow to brown in color as a result of physical factors, chemical factors, and biological factors.

Background: Diarrhea is the biggest contributor to the number one mortality rate among toddlers in Indonesia. Based on data findings from the Denpasar City Health Office, cases of diarrhea under five in Denpasar City from 2020-2022 have increased. Therefore, it is necessary to provide information in the form of a digital map that can be used to find out trends, descriptions of demographic characteristics, and the distribution of cases of diarrhea under five in the city of Denpasar. Methods: This study uses a quantitative descriptive research method. The sample in this study was 354 data from toddler patients with diarrhea. Data collection for arrest is carried out by taking the coordinates of the patient directly in the field. Results: The results of this study indicate that the trend of cases of diarrhea in children under five from 2020-2022 has increased. Based on the incident, the highest cases of diarrhea in toddlers occurred in South Denpasar District and the lowest cases occurred in East Denpasar District. Demographic data shows that diarrhea among toddlers is most common in toddlers aged less than two years and is male and is supported by an unhealthy environment and overcrowding. Conclusion: Therefore the use of the ArcView application can be a solution to make it easier for the Health Office or other health installations to obtain complete information about cases of diarrhea under five from reporting the presentation of statistical data in map form.

Background: Writing a complete diagnosis can produce the right coding because the diagnosis is written in a complete, clear, specific, and consistent manner. Writing clear, complete, and consistent diagnoses can produce quality data (Hatta, 2008). Based on observations made for 1 month from 23 January to 23 February 2023, 39 claim files were returned by the Health Social Security Administering Body due to inaccuracies in the diagnosis code.. This was caused by the doctor's notes that were not clearly legible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files, while the purpose of this study was to find out the relationship between doctor's notes that were not clearly legible and the use of abbreviations for patient diagnoses for inaccuracies in the diagnosis code as a condition for filing claims for inpatient patients participating in the Health Social Security Administration at Surya Husadha General Hospital. Methods: The design in this study used a quantitative analytic descriptive research design and porpusive sampling research type, and the sample in this study were all inpatient claim files returned by Health Social Security Administering Body claims for inaccuracies in the diagnosis code totaling 39 claim files. Doctor's notes were illegible in 24 (61.5%) claim files and the use of abbreviations in patient diagnoses in 15 (38.5%) claim files. Result: From the results of this study it was found that there was a relationship between illegible doctor's notes and inaccuracy of the diagnostic code with a p value of 0.001 <0.05 and the use of abbreviations in patient diagnoses for inaccuracy of patient diagnosis codes with a p value of 0.003 <0.05.

Background: Pneumonia is part of respiratory tract infections in children and is one of the diseases that causes the most deaths in toddlers. According to data from the Ministry of Health of the Republic of Indonesia for 2021, based on 34 provinces of pneumonia in toddlers, Bali ranks ninth with the largest coverage of pneumonia in toddlers, namely 28.6% of cases with 23 cases of deaths in toddlers. The purpose of this research is to describe the mapping and patterns the spread of pneumonia in toddlers in Denpasar City in 2022 based on Geographic Information Systems (GIS Methods The design in this study uses descriptive quantitative with the research design used is cross sectional. Sampling of 260 samples was carried out using a purposive sampling technique. Data analysis using spatial classification analysis. Results: From the results of the study it was found that the spread of pneumonia in toddlers in Denpasar City in 2022 was classified into three categories namely high, medium and low. The pattern of distribution of pneumonia cases in Denpasar City in 2022 is the highest in West Denpasar District with 94 cases. Conclusion: The conclusion of this research is that the West Denpasar Subdistrict region has the highest cases and the lowest cases are found in the East Denpasar Subdistrict region. Age, gender and population density are risk factors that influence the high incidence of pneumonia in children under five in Denpasar City.

Background: Osgood-Schlatter (OSD) Including the most common injuries that occur during productive age, this condition occurs due to inflammation of the patellar tendon insertion at the tuberosity of the tibia. Osgood Schlatter usually occurs in children and adolescents who are active in sports, usually occurs in male adolescents aged 13-14 years and female adolescents aged 10-11 years. Purpose: Reducing pain in the right knee, reducing edema, maintaining muscle strength and increasing muscle mass M.Quadriceps, M.Hamstrings, M.Gastrocnemius, M.Gluteus, M.Adductor hip, M.Pectineus, M.Adductor longus, M. Adductor brevis, M. Adductor magnus, M. Gracilis. evaluated with 8 items sport scale. Methods: This study involved boys aged 12 years who experienced Osgood-schlatter. The exercise program was carried out for 3 weeks. Results: In this study, patients were followed up every week. The patient underwent physiotherapy sessions for 3 weeks. Patients are given measurements for muscle strength, increase in LGS, changes in segment circumference, and are obtained from the patient's ADL. Conclusion: In this study it can be concluded that after being given intervention for 3 weeks there were still no changes in Pain Level, Muscle Strength Level, Range of Joint Motion, Segment Circumference and Activity Daily Living in patients with the Osgood- Schalatter condition.

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Background: A non-communicable disease that mostly affects the elderly in Indonesia is cardiovascular disease, which is the biggest cause of death for people aged 65 years and over with a higher number of deaths in developing countries. One of the non-communicable diseases commonly experienced by the elderly in society is hypertension or high blood pressure. Hypertension that occurs in society often causes problems, one of which is sleep quality disturbances. Sleep quality is one of the risk factors for hypertension. Inadequate sleep quality results in physiological and psychological balance disorders. Hypertension can be prevented by controlling risk factors, most of which are behavioral factors in the form of life habits, one of which is sleep quality. The purpose of this study was to describe the quality of sleep in the elderly with hypertension Methods: This study used a descriptive method with a quantitative approach using a questionnaire and the sampling technique used was purposive sampling with a total sample of 61 respondents. Results: The most respondents were 60-74 years old with a total of 50.83%, the most sex was women with 57.4%. The most common sleep quality for the elderly was poor sleep quality at 64%. Conclusion: Most of the sleep quality of elderly with hypertension in Marga Village is poor, where hypertension affects the quality of sleep of the elderly so that it is hoped that the elderly will check their blood pressure regularly and carry out therapy to help stabilize blood pressure so that the quality of sleep can be improved.

Background: Dengue hemorrhagic fever is caused by transmission of the dengue virus by the Aedes aegypti mosquito. Dengue hemorrhagic fever is common in tropical countries such as Indonesia, where new cases are found every year. According to WHO that dengue fever is the leading cause of hospitalization for children. Dengue hemorrhagic disease is more susceptible to infection in children because the child's immune system is still very weak, so the virus is easy to multiply quickly in the body. Knowing the pattern of treatment and analysis of potential drug interactions in pediatric patients with dengue hemorrhagic fever at the East Kalimantan Hospital. Methods: The research is non-experimental observational with a descriptive research design. The approach method used is the cross sectional method. Identification of data collection is carried out retrospectively, by taking sources from medical records for the years 2020-2021. Results: Of the 47 patient samples, the most cases were male patients as many as 27 patients (57%) with the age of 11 years as many as 11 patients (23%) with a length of stay of less than 7 days as many as 45 patients (96%). Based on the pattern of treatment, the most widely used therapy was the rehydration group (RL) 28 patients (60%). In the case of drug interactions occurred as many as 2 cases (3%). Conclusion: In this study show that there are cases of drug interactions.

Background: The COVID-19 pandemic has caused a lot of anxiety, chaos and mental disorders when the COVID-19 cases in Bali as of 23 November 2020 recorded 13,331 positive cases with details of 762 active cases, 12,155 people recovered and 414 people died. In Tembuku sub-district was recorded 170 positive cases which resulted in health workers getting more depressed and worried because of the workload, they must remember the complete PPE (Personal Protective Equipment) every time they serve patients. In addition, the fear of infection and infection triggers a psychological problem that is detrimental and has a detrimental effect. Methods: This study used a descriptive method with a quantitative approach by using a measuring instrument in the form of a DASS 14 questionnaire. The population in this study was 32 respondents . The sampling technique used was total sampling. Results: The results of this research showed the most respondents were female with a total of 72%, the age category was dominated by the age of 26-35 years, 63% probability, the highest education was DIII with 84%. The highest count rate was the severe level at 43%. Conclusion: Most respondents experienced anxiety during the COVID-19 pandemic. The recommendation of this research is Government can provide moral emotional support to nurses so that they can increase self-confidence.

Background: Children are the greatest family asset, where in their growth and development stages children need proper nutrition, stimulation, and parenting so that they are in their golden age or golden age (0-5 years). Based on the National Household Health Survey (SKRT), there are 75 million children under five who have difficulty controlling BAK and defecating (bedwetting) until preschool age. Toilet training is best done from an early age to instill good habits in children. This study aims to determine the level of maternal knowledge about toilet training for toddlers at the Kepaon Denpasar Praja Praja hostel.
 Methods: This study uses descriptive research methods. The research was carried out in the Denpasar Kepaon Raksaka Praja Dormitory, with a total sample of 44 mothers. The sampling technique used in this study was total sampling. The method of data collection is by distributing questionnaire sheets. The data were processed using the Excel Microsof computer program and SPSS.
 Results: The results of the research of 44 respondents, namely the level of knowledge of mothers about toilet training for toddlers, all of them had a sufficient level of knowledge as much as 32 (72.7%), as many as 6 respondents (13.6%) had a good level of knowledge, and as many as 6 respondents (13.6%) have a low level of knowledge.
 Conclusion: It can be concluded that the level of mother's knowledge about toilet training for toddlers in the Denpasar Kepaon Praja Raksaka hostel is in the sufficient category.