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ABSTRACT Cigarette consumption is one of the main risk factors that can cause various non-communicable diseases, such as coronary heart disease, stroke, lung cancer, and even death. In a cigarette, there are around 70 substances that can cause cancer and contain more than 5,000 chemicals that can have a negative impact on health. In Indonesia, cigarette consumption is regulated by the Republic of Indonesia Government Regulation Number 109 of 2012 concerning the Safeguarding of Materials Containing Addictive Substances in the Form of Tobacco Products for Health. In chapter IV, the fifth section, Articles 49-52 regulate non-smoking areas where someone cannot consume cigarettes in non-smoking areas. This research is descriptive research with survey methods and sample collection using purposive sampling from Tarumanagara University cleaning service with a sample size of 108 respondents. As many as 67.6% of respondents were male and 71.3% were active smokers. Conclusion: most respondents (78.8%) had good knowledge about the dangers of smoking and as many as 89.8% were aware of government regulations governing cigarette consumption

Hypertension is a non-communicable disease that many people need to pay attention to, especially the elderly, therefore it requires more comprehensive and integrated treatment over a long period of time. Uncontrolled hypertension results in a 7 times chance of suffering a stroke, a 6 times chance of suffering from coronary heart disease and a 3 times chance of suffering a heart attack. Based on this description, researchers are interested in conducting research on the effect of walking activity on blood pressure in elderly hypertensive sufferers at UPT Mojokerto. The aim of this study was to determine the effect of walking activity on blood pressure in elderly hypertensive sufferers at UPT Mojokerto. This type of research method is experimental. With a Pre-Experimental research design, and using a One Group Pretest-Posttest research design. From a population of 46 elderly people at UPT Pesanggrahan Mojokerto, a sample of 10 elderly people was taken. Determining the number of samples using purposive sampling. The instrument used is a sphygmomanometer. Implement a 30 minute walking activity exercise program for 2 weeks at a frequency of 3 times per week. The data analysis techniques used are descriptive tests, normality tests using Shapiro-Wilk and hypothesis testing using paired tests in the SPSS statistical version 23 application. The results of the descriptive test research showed that the average difference between pretest and posttest diastolic blood pressure was (4.00 mmHg) and the average difference between pretest and posttest systolic blood pressure (6.00 mmHg). And from the hypothesis test, the t-count significance value = 0.004 with a significance level of α = 0.05. Because the p-value is <0.05, there is an influence of walking activity on reducing the blood pressure of hypertension in the elderly at UPT Pesanggrahan Mojokerto.

Urban workers are increasingly vulnerable to heat stress due to rising global temperatures, especially in cities affected by the Urban Heat Island (UHI) effect. This heat stress poses significant risks to worker health and productivity, exacerbating health issues such as dehydration, heat exhaustion, and heat stroke, while also reducing work efficiency. The study aims to assess the effectiveness of green rooftop designs as a mitigation strategy for heat stress in urban workplace environments. Green rooftops are increasingly seen as a sustainable solution for urban heat management, offering benefits in temperature regulation, energy efficiency, and overall worker well-being. This study examines various heat stress mitigation strategies, including green roofs, industrial fans, and shading systems, focusing on their comparative effectiveness in reducing temperatures and improving worker comfort. The research involved environmental temperature measurements inside and outside urban workplaces, the use of wearable heat sensors to monitor workers’ heat stress levels, and building energy simulations to predict the impact of green rooftops on indoor climate control. Results indicate that green rooftops reduced workplace temperatures by an average of 3.8°C and decreased heat-stress-related complaints by 35%. In comparison to industrial fans and shading systems, green rooftops provided superior long-term relief, reducing heat stress and improving both worker productivity and environmental quality. The findings support the integration of green rooftops into urban workplace designs as a viable climate adaptation strategy. Future research should explore optimizing green rooftop designs for different climates and assessing their long-term benefits for worker health and urban resilience.

Background: Stroke is a health problem that we often encounter in today's modern society, stroke is a very serious disease phenomenon in Indonesia and throughout the world. Stroke is a condition where the blood supply to the brain is disrupted due to a blockage or rupture. blood vessels of a person with various symptoms such as hemiparesis, slurred speech, loss of balance and decreased muscle strength and difficulty walking. Stroke is one of the causes of decreased muscle strength where muscle strength is a contraction in the striated muscle fibers (voluntary muscles) that lasts briefly and each contraction occurs on a single stimulus from the nerve. Objective: to determine the results of applying passive Range of Motion (ROM) exercises to increasing muscle strength in the Neuro Center ward of RSUD DR. Soediran Mangun Sumarso Wonogiri. Method: the application of this journal uses a qualitative description method. Results: the results after the implementation was an increase in muscle strength in both respondents. Conclusion: there is an increase in muscle strength in both respondents, Range of Motion (ROM) Exercise therapy can increase muscle strength in stroke sufferers.

As we get older,blood pressure will increase,causing the risk of hypertension. Hypertension is a degeneratif disease.Bload pressure that is left for a long time can cause damage to body organs such as stroke,coronary heart disease,which can cause death.Therefore,incereasing potassium intake is also one of the non- phamacological management of hypertension.This is done by consuming fruit and vegetables high in potassium,one of which is cucumber.There are several ways to cinsume cucumber.In this background,it is popular to use cucumber as Infused Water.The aim of this research for specifications,thare is an effect of giving infused water on reducing blood pressure in elderly people suffering from hypertension in the area of Desa SindangJaya Kec.Cipanas Kab,Cianjur.This research uses a quasi-experimental research design with a one group pretest-posttest design.The population in this study is all elderly people with hypertension in the SindangJaya village area.The sample for this research was taken using a purposive sampling technique and obtained a sample of using the Wilcoxon Signed Rank T-Test.There was a significant 2-tailed influene on the systolic and diastolic blood pressure of the respondents before administering cucumber infused water and after administering cucumber infused water,it was 0.000 < 0.005.There was a difference or effect of administering cucumber infused water on the systolic and diastolic blood pressure of respondents in the SindangJaya Village area,Cipanas district.Cianjur.There is an effect of giving cucumber infused water on reduccing blood pressure in elderly people suffering from hypertension in Sindangjaya village area,cipanas district,cianjur district in 2023.it s hoped that they wil be albe to continue on there awn by carrying out camplementry treatment by comsuming cucumber infused water so that blood pressure can remain normal.

The success of stroke treatment is determined by the speed and accuracy of treatment. The golden time in treating stroke is ± 3 hours. Integrated Referral System SISRUTE is a tool that facilitates the transfer of health services between various health facilities.Rapid reporting through the web application is facilitated by this system.. The aim of this research is the relationship between the use of an integrated referral system (SISRUTE) and the speed of success in emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta0Health Office. The research method that will be used is an analytical research design with a correlational The design was cross-sectional, with a population of 340 participants and 77 participants chosen for the sample size. Using the parametric Chi-Square test. The results show a relationship between using the integrated road system (SISRUTE)..and the success rate of speed of emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta Health0Office0with a p-vlue of 0.014 < 0.05. Conclusion: The use of an integrated referral system can influence the success rate of stroke emergency treatment.    

With an unhealthy lifestyle such as having a smoking habit, irregular and unhealthy eating patterns will have an impact on hypertension or high blood pressure, which later on from the bad habits above will have further impacts, namely complications of heart disease, heart failure, stroke. , and damage to the kidneys. Problems that can cause an increase in blood pressure can be controlled or prevented by using cucumber and young coconut water.To determine the effect of giving cucumber juice mixed with young coconut water on reducing blood pressure in hypertensive patients. This type of research is in the form of an experiment with a Pre Test and Post Test With Control Group Design research design. The sample in this study was 50 respondents who were divided into two groups, namely 25 samples of treatment group respondents who were given 200 grams of cucumber juice mixed with young coconut water and 25 samples of control group respondents who were not given treatment. The statistical test used to determine the effect uses the T-test. The results of this study indicate that there was an influence on blood pressure in the treatment group given cucumber juice mixed with young coconut water in hypertension sufferers, namely that the results of statistical tests obtained an average value of pre-systolic blood pressure of 161.12 mmHg and an average value of post-systolic blood pressure. systolic blood pressure was 128.48 mmHg and the average value of pre-diastolic blood pressure was 91.16 mmHg and the average value of post-diastolic blood pressure was 80.00 mmHg. A p-value of 0.000 (< 0.05) for systolic blood pressure obtained a p-value of 0.000 (< 0.05) and diastolic blood pressure obtained a p-value of 0.000 (< 0.05). Due to the benefits of cucumber and young coconut water which are beneficial for lowering blood pressure. There is an effect of giving cucumber juice mixed with young coconut water on changes in systolic and diastolic blood pressure in the treatment group and can reduce blood pressure in patients suffering from hypertension aged 40 - 70 years at Posbindu Srikandi RT.004/RW.07 Kel. Lenteng Agung.

Introduction: Stroke occurs when the blood supply to the brain is blocked and blood vessels in the brain burst. The brain can't get the blood and oxygen it needs, so brain cells die. In this case, the patient complained of a feeling of weakness and heaviness in the left side of the body, which made it difficult for him to carry out everyday activities. Objective: To determine the role of physical therapy in individuals with left hemiparesis after stroke on muscle strength, spasticity, and functional ability using infrared intervention, electrical stimulation, and exercise therapy. Method: Subjective and objective examinations were carried out, followed by physiotherapeutic intervention in 3 weeks. Results: After physiotherapeutic intervention, the results showed an increase muscle strength using manual muscle testing (MMT) of  the hip muscle group T1=2 to T3=2+, the knee muscle group T1=2 to T3=-3. Reduced muscle tone according to the Asworth scale in the shoulder area T1=1+ to T3=1, as well as functional ability according to the Barthel index with results from T1=65 to T3=70. Conclusion: Physiotherapeutic interventions using infrared, electrical stimulation, and exercise therapy can increase muscle strength, reduce spasticity, and improve functional ability in individuals with left-sided hemiparesis after stroke

Non-hemorrhagic stroke is a clinical sign of dysfunction or damage to brain tissue caused by lack of blood flow to the brain, thereby disrupting the need for blood and oxygen in brain tissue. Slow stroke back massage therapy is a non-pharmacological therapy to overcome problems in patients with stroke. This research aims to be able to carry out nursing care for clients with non-hemorrhagic stroke using slow stroke back massage therapy in the Flamboyan Room at RSUD dr. T.C Hillers Maumere. The research design used was a case study. The approach used is a nursing care approach which includes identifying data from assessment results, nursing diagnoses, planning, implementation and evaluation. Slow stroke back massage therapy is carried out for 3 days. Data collection techniques used a medical-surgical nursing care assessment format, observation and literature study. The results of the case study showed that clients were diagnosed with ineffective cerebral perfusion and impaired physical mobility. The application of slow stroke back massage therapy showed improvements or changes on the third day, which resulted in the client experiencing a decrease in blood pressure from 180/100 mmHg to 160/90mmHg, not complaining of dizziness, and the patient's right hand was starting to be able to move. The conclusion of this case study is that slow stroke back massage therapy is effective in reducing blood pressure and also helps in increasing physical mobility in non-hemorrhagic stroke patients.

Menopausal women have a higher risk of hypertension than those who have not been menopausal. Hypertension can damage organs and cause stroke, kidney failure and heart attack. The purpose of the study was to determine the incidence of hypertension in menopausal women in the Working Area of the Lok Batu Health Center. This research method uses quantitative analytical surveys with a cross sectional approach. The population is all menopausal women in the Working Area of Lok Batu Health Center as many as 156 people with purposive sampling techniques as many as 61 respondents. Chi square data analysis technique. The results showed that the majority of the incidence of level 2 hypertension was 33 respondents (54.1%), hormonal birth control history was 42 respondents (68.9%), normal BMI was 33 respondents (54.1%), basic education was 57 respondents (93.4%), working as many as 40 respondents (65.6%). The results of statistical tests using chi square had no relationship between family planning history p = 0.531 (p > 0.05), body mass index p = 0.458 (p > 0.05), education p = 0.403 (p > 0.05) and work p = 0.399 (p > 0.05) with the incidence of hypertension in menopausal women in the working area of the Lok Batu Health Center.

Hypertension is defined as persistent blood pressure with a systolic pressure ≥140/90 mmHg. Hypertension is one of the risk factors that most influences the incidence of heart disease, blood vessels and stroke. Hypertension often shows no symptoms, so it is only realized when it has caused organ disorders such as heart dysfunction or stroke. One of the causes of hypertension is unhealthy lifestyle factors, one of which is a lack of vegetable consumption which has the risk of causing hypertension. Based on Field Learning Practice (PBL) 1 activities, namely community diagnosis in Citangkolo Hamlet, Kujangsari Village, Langensari District, Banjar City, in 2023, a priority health problem was found, namely hypertension, with the number of sufferers reaching a percentage of 54% of the total 231 people. This is due to the lack of vegetable consumption in the community. Based on this problem, PBL 2 activities were carried out, by carrying out innovative intervention activities for the SI ELNINO program (Alternative Intervention for Citangkolo Hypertension Reducing Plants) which was carried out so that people would pay more attention to consumption patterns by planting pak choy and celery vegetables as a form of control, namely reducing the blood pressure of hypertension sufferers. . This activity is carried out in the form of counseling and providing education, Training of Trainers, and planting by empowering the Women Farmers Group (KWT) with a vegetable planting movement. This activity was attended by posbindu cadres, KWT, and the Citangkolo hamlet community. Through outreach activities there is a significant increase in public knowledge regarding hypertension as proven by the results of the pretest and posttest with a p-value <0.001. So this activity has succeeded in increasing the knowledge of the Citangkolo hamlet community regarding hypertension.

The background of this research is based on a brain disease, namely stroke. Stroke results in much higher mortality and morbidity. Viewed from the aspects of risk of death, high medical costs, decreased quality of life and increased prevalence, stroke has a broad impact. Apart from that, decubitus problems also arise in stroke sufferers due to prolonged pressure, the parts that experience bruising are the hips, buttocks, foot joints and heels. Based on a preliminary study conducted at the Tangerang Regency General Hospital, there were 89 patients with a diagnosis of stroke starting from 2022. Meanwhile, in the Cempaka room, it was found that during the assessment there was 1 case with a diagnosis of stroke on January 2 2024. The results of this research are effectiveness. right and left tilt positions in reducing pressure sores or decubitus in patients with stroke. The conclusion of this study is that the right and left side positions are non-pharmacological techniques for reducing pressure ulcers or decubitus and can be used in patients who experience problems with prolonged bed rest. The suggestion from this research is that intervention in right and left tilt positions can be carried out according to the 2021 PPNI SOP.

Background: Stroke is a manifestation of systemic disease in the elderly in the form of circulatory disorders to the brain that cause neurologic deficits, it is necessary to carry out appropriate nursing interventions or action plans such as joint strengthening exercises / Range Of Motion (ROM) techniques. Objective: To identify research articles about the duration of administration and the effects before and after ROM nursing actions were given on muscle strength, walking balance and joint span in non-hemorrhagic stroke patients with impaired physical mobility. Research Methods: This research is a literature review study by searching for articles through Google Scholar. Research results: The results of a literature review on 4 research articles on ROM nursing actions in stroke, there is an effect before and after being given ROM actions on stroke by increasing muscle strength, walking balance and joint range of motion. Conclusion: The results in 4 research articles on ROM nursing actions in stroke related to the time of giving ROM actions with different durations of administration and there was an effect before and after being given ROM actions on stroke. Suggestion: For stroke patients, it can be used as a reference for information in healing stroke. Nurses need to routinely apply ROM in the hospital to stroke and post-stroke patients to reduce severe paralysis problems.

The formulation of the problem in this study is: Is there an effect of wrist flexibility exercises on the ability to drive strokes in badminton games for Yadika Langowan high school students? The research objectives were: to determine the effect of wrist flexibility exercises on the ability to drive strokes in badminton games for Yadika Langowan high school students. Research Hypothesis: There is an effect of wrist flexibility exercises on the ability to hit drive in badminton games for Yadika Langowan high school students. The research method used is the experimental method. The population of this study were all students of class XI SMA Yadika Langoawan and the sample consisted of 20 students who were taken randomly and then divided into 2 groups, namely group A as the experimental group with 10 students, and group B as the control group with 10 students. Data collection instrument: Drive Shot Test in Badminton Games. The research design used: Pre-test and post-test with randomized groups. Testing the hypothesis using statistical techniques with the t test. The results of calculations using the t-test statistic obtained the t observation value of tob = 4.079, while from the table the critical value of t with a significant level a = 0.05; n_1+n_2-2 obtained t table value as big as ttab = 2.101. This fact shows that the value of tob = 4.079 > ttab = 2.101, thus the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted.  

Degenerative diseases are chronic diseases that affect a person's quality of life. There are various degenerative diseases that should be treated as early as possible, such as diabetes mellitus, high blood pressure, heart stroke and other degenerative diseases. Indonesia bears a double burden of disease in the health sector, namely infectious diseases are still rampant and coupled with chronic degenerative diseases. Efforts to promote health are very important in efforts to prevent degenerative diseases in adolescence. This health promotion is carried out in adolescents because of the unhealthy lifestyle of adolescents, this can be seen from the smoking habits of adolescents and the habit of eating unhealthy foods or snacks carelessly, lack of consumption of vegetables and fruits, and minimal physical activity such as sports in efforts to prevent degenerative diseases in adolescents. The purpose of this activity is to increase knowledge about the prevention of degenerative diseases among adolescents and as an effort to overcome the problem of the emergence of degenerative diseases in adolescence. The results of community service activities show an increase in average knowledge from 6.61 to 13.80 and an increase in attitudes from 9.61 to 14.47. Community service activities can be carried out well, this is seen from the smooth running of the event and the participation of teenagers. Improving the quality of health needs to be done by raising awareness and increasing education for teenagers about preventing degenerative diseases.

Nursing theories are attempts to describe or explain nursing phenomena. Through nursing theory, it can be distinguished whether it includes scientific disciplines or other activities. Apart from being used to develop a model related to nursing concepts, nursing theory also has characteristics including: nursing theory identifies and explains special concepts related to real things in nursing. The main concepts identified in Betty Neuman's theoretical approach are the holistic approach, open system (including function, input and output, feedback, negent-copy, and stability), environment (including the created environment), client system (including five client variables, basic structure, line of resistance, normal line of defense, and flexible line of defense), health (fitness to disease), stressors, degree of reaction, prevention as intervention (three levels), and recovery.

Deep vein thrombosis (DVT) is an occurrence of blood clot (thrombus) formation in the deep veins, most commonly affecting the veins in the legs and arms that lead to the heart. A prospective multicenter cohort study in China involving 862 hospital-based patients with acute stroke showed an overall DVT incidence of 12.4% within 2 weeks after acute stroke. The objective of this article is to comprehensively understand DVT. The methods employed include a systematic summary of information from 15 data sources to provide insights into DVT, covering aspects such as Definition, Etiology, Epidemiology,Classification, Pathogenesis, Clinical Manifestations, Diagnosis, and DVT management

Stroke patients are susceptible to respiratory problems and complications in the lungs, namely pneumonia, which most often occurs during stroke treatment. The aims of this study is to review the various literature on interventions that nurses can do to prevent and treat pneumonia in stroke patients. Search methods using electronic databases Science Direct, Scopus, Pubmed, and Google Scholar with a search range of 2017-2022. The inclusion criteria were research conducted on all stroke patients, both ischemic and hemorrhagic, the intervention given was a nursing action, and the outcome assessed was pneumonia. Five articles were reviewed and found several interventions used to prevent and reduce the incidence of pneumonia in stroke patients. Nursing actions that can be done are dysphagia screening and oral care. Conclusion: Dysphagia screening and and oral care can used to prevent and reduce the incidence of pneumonia in stroke patients.

Pre-hospital stroke is a service provided when and during the victim is first found, during the transportation process until the patient arrives at the hospital. Pre-hospital stroke treatment can be a determinant of the condition and subsequent treatment. The aim of this research is to determine the effect of pre-hospital education about stroke on community knowledge in carrying out pre-hospital stroke aid measures in Kombos Timur Subdistrict, Environment V, Manado City.This research is an experimental design research with a One Group pretest-posttest design. The sampling technique is purposive sampling. The sample was 15, the instrument used was a questionnaire, then the data collected was tested using the Mac-Nemar test.The research results showed that the largest gender in the study was male, with respondents (53.3%). The highest level of education was junior high school with 8 respondents (53.3%) with the highest age being adults 46-55 years as many as 7 respondents (46.7%) while the highest education was junior high school with 8 respondents (53.3%). The conclusion in this study is that there is an influence of pre-hospital education about stroke on public knowledge in carrying out pre-hospital stroke aid measures. The suggestions in this research are that it is hoped that this research will be used as a source of knowledge for patients regarding knowledge in carrying out pre-hospital stroke procedures, so that it can be applied by families at home so that this education will be more beneficial.

Stroke is one of several priority health problems that is often reported by the Gemolong Community, Sragen. Strokes do not only attack the elderly, but people of productive age can experience strokes. Stroke events can be prevented by reducing risk factors for stroke, and proper management of stroke attacks can prevent morbidity and mortality. This community service activity aims to increase the knowledge and skills of Aisyiyah administrators in promoting stroke prevention and handling stroke attacks appropriately. The methods used in service activities are training and simulation which includes program outreach, providing education about stroke prevention and treatment. The output of the service, namely the participants' knowledge and skills regarding stroke prevention and treatment, increases. This can be seen from the increasing pre-test and post-test results. Likewise, regarding the cadre's skills in how to treat stroke sequelae with bed transfer and ROM, the cadre is able to demonstrate bed transfer and ROM correctly according to what has been taught.