Introduction: Cirrhosis is a chronic liver disease characterized by fibrosis is reversible, disorganization lobules and vascular structures, as well as regenerative nodules of hepatocytes. The overall incidence of cirrhosis in the United States an estimated 360 per 100,000 populations. The cause is largely due to alcoholic liver disease and chronic viral infections. Sarjito hospital in Yogyakarta, the number of patients with liver cirrhosis range in 4.1% of patients admitted to the internal medicine during the period of 1 year in 2004. Etiology of cirrhosis affects the handling of the disease. Therapy was carried out aimed at reducing disease progression, avoid ingredients that can add to liver damage, prevention and treatment of complications. Educating patients and families about the disease and the complications that may occur will greatly help improve treatment outcomes, and is expected to help improve the quality of life of patients. Case: Patient male, aged 43 years, Muslims, Madurese, came to the clinic and hospital with complaints of weakness since a week before coming, said to the entire body limp. This makes patients reluctant to perform daily activities. Patients also complain of pain in the gut. This pain is often felt after eating and drinking accompanied by nausea and vomiting, so patients are less appetite. Patients stated that the feeling of pain is also accompanied by a feeling of fullness in the abdomen. Frequency of urination is increased since the last few months, is said to be more than 4 times a day to urinate, but once the urinary volume of about ¼ cup aqua (240 cc) with a brownish color like tea. The desire to defecate patient is said to be normal.

Aging is a process characterized by a wide range of changes that occur in an individual, both mentally, socially, and physically. Along with increasing age, it is associated with changes in the quality of life of the individual. Unfortunately, these changes tend to be associated to a less good. It is associated with various factors, such as changes in socio-economic environment in the sense to stop working due to retirement, the inability to take part in society, loss of family and friends, the dependence of physical needs, a decrease in physical conditions, and lack of attention from people around, especially families in meeting the needs of physically and mentally the elderly. This condition can cause severe morbidity for the elderly if not handled properly, causing a bad impact on quality of life for the elderly which leads to increased morbidity and mortality. Based on these problems, the authors conducted a study to determine the level of quality of life for the elderly associated with various risk factors in the elderly in Puskesmas Tampaksiring I as a step advocacy in improving the programs of promotion and prevention in dealing with problems of the elderly in Puskesmas Tampaksiring I.

                This study is a cross - sectional descriptive study . Samples are elderly aged 60 years and older with a sample size of 90 people selected randomly in Tampaksiring Village and Village Sanding District Tampaksiring Gianyar regency using multistage random sampling technique. Data were obtained through interviews with respondents using a structured questionnaire.

                The results showed that the lack or poor quality of life associated with the age group > 70 years, male gender, low education levels, status is not married or a widow / widower, did not work, the level of monthly income is low, and the presence of > 2 chronic disease.

Diarrhea is still potential to grow in Indonesia as a public health problem. In Bali, the prevalence of diarrhea in Jembrana ranks fourth highest. Negara Public Healthcare I have patients with high diarrhea disease. If the distribution of diarrhea cases in 2014 were reported to the Negara Public Healthcare I were analyzed by age group, the most visible cases of diarrhea suffered by a toddler groups, as many as 119 cases or 23% of the total 521 cases were settled in the village Banyubiru Jembrana District of the State. In order to anticipate this public health problem, Negara Public Healthcare I has implemented a range of activities covered by the Environmental Health Program, Disease Eradication Program, and the Community Health Promotion Program.

The study was conducted in the Village area Banyubiru, District Negara, Jembrana in March-April 2014 using descriptive cross sectional study design with the interview method. The sample in this study were selected through simple random sampling technique. Based on research that has been done, it can be inferred picture characteristics, knowledge, maternal behavior, environment, and the incidence of diarrhea respondents with lower education, children under five suffer from diarrhea in infants in the village Banyubiru

Introduction: Epilepsy is a neurological disease that is characterized by episodes of seizures which can be accompanied by loss of consciousness of the patient. Although it is usually accompanied by loss of consciousness, there are several types of seizures without loss of consciousness. The disease is caused by the instability of electrical charges in the brain which in turn interfere with muscle coordination and manifest in muscle stiffness or repetitive pounding on the muscle. Classification of epileptic seizure according to ILAE 1981 include some general seizures, partial / focal seizures, and not classified seizures. Case: A 57-year-old woman, Balinese, come to the ER with complaints a limp, escorted by residents because of fainting. Patients do not know what happened so he brought the ER. Patients know who she is, what's her name, where she was, and the current time. Patient say she felt a little dizziness, no nausea, no vomiting. Patients are found to fall unconscious. At that time the patient was at work with his daily activity carrying stuff. Before fainting said patient lying at the scene while stamping hands and feet. Not checked how long the patient was lying. From families were dropping, the patient has a history of epilepsy, had been hospitalized in the hospital with a diagnosis of epilepsy, but never control the drug after the return of hospitalization.

This study was conducted to determine the image's participation in the prevention of DHF carried by people in Puskesmas Tegallalang I and prove that the participation of poor people prevention has experienced a higher risk for suffering from DHF. Methods: This was an analytic observational study with case control design. In this study, the researchers distinguish the population into two, namely the population of cases and population control / comparator (not the case). Samples in the case group number of 28 cases were determined by quota sampling technique selected and adapted to the proportion of each banjar in that village. The instrument used was a questionnaire. Results: The results showed as many as 60.7% had poor participation (value score of questionnaire 0-18). While in the control group, only 37.5% had poor participation. From 84 research samples, amounting to 45.2% or 38 people have poor participation on the prevention of DHF. Results showed the value of the odds ratio (OR) of 2.57 with a 95% confidence interval (1.01 to 6.53). Hypothesis test Chi Square shows the results of p = 0.04. It showed statistically with the participation of poor groups will have the possibility of 2.57 times to suffer from DHF than either group participation. Conclusion: Overview of participation in dengue prevention is done by people in Puskesmas Tegallalang I mostly included the participation of both groups. There are significant community participation in prevention of DHF to the increased incidence of DHF in Puskesmas Tegallalang I.