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The purpose of this study was to determine the effect of the NHT type cooperative learning model on learning outcomes of basic volleyball passing techniques. This type of research is a quasi- experimental (quasi-experimental) research design using the non-randomized control group pretest- posttest design. The research subjects were 53 students of class XI AKL 1 SMK Darussalam Karangpucung Kabupaten Cilacap Regency for the 2019/2020 academic year. Learning outcome data were collected through the pretest and posttest. Data analysis used t-test with SPSS 16.0 for Windows. Experiments were carried out 3 times beyond pretest-posttest treatment. Learning outcome data were collected through objective tests, observation and performance. In the experimental group the pretest score was 66.48, while the control group was 64.0. The results of the posttest score in the experimental group obtained an average value of 82.76. While the control group obtained an average value of 78.18. The average normalized gain score obtained in each group is in the experimental group of 0.5 while the control group is 0.4. The significance number obtained is sig 0.001 <0.05. From the research results, it can be concluded that the learning outcomes of students who were given treatment using the NHT type of cooperative learning model were more improved compared to the control group given the conventional learning model. The NHT type cooperative learning model has a significant effect on the improvement of learning outcomes of the basic techniques of volleyball passing in class XI AKL 1 SMK Darussalam Karangpucung Kabupaten Cilacap.

Hypertension is an abnormal increase in blood pressure in the arteries continuously over a period of time. A person is said to be hypertensive if the systolic blood pressure is equal to or above 140 mmHg and/or the diastolic blood pressure is equal to or above 90 mmHg. The high prevalence of hypertension is one of the problems that affect public health status. The purpose of this study was to determine the effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado This research design is a pre-experimental research design (one-group pre-post test design). The population in this study amounted to 53 patients with the sample used was 17 respondents. The sampling technique used is Accidental Sampling. Data collection using blood pressure observation sheet. The results of the study found that giving boiled celery leaves before giving boiled celery leaves were 12 respondents (70.6%). And after giving boiled celery leaves, 13 respondents (76.5%). The result of p value 0.000 (<0.05) so Ha is accepted. There is an effect of giving boiled celery leaves on blood pressure in hypertensive patients in Mahawu, Manado. The conclusion in this study is that there is an effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado. Suggestions to respondents who often experience hypertension can do their own treatment when high blood pressure by boiling celery leaves.

Background: Chronic kidney disease is a progressive and irreversible renal function disorder in which the body's ability to fail to maintain the metabolism and balance of fluids and electrolytes causes uremia. One medicine for the treatment of chronic kidney failure is hemodialysis therapy. Ironically, many patients undergoing hemodialysis experience anxiety. This study aims to determine the efforts to overcome the anxiety of chronic kidney failure in patients undergoing hemodialysis in the Hemodialysis Room of Sanglah Hospital, Denpasar. Method: The research design used was a descriptive analysis approach survey. The study sample used was kidney failure patients who experienced chronic hemodialysis anxiety and light using consecutive sampling technique. Data obtained in April 2012 by filling out a questionnaire about efforts to overcome data analysis anxiety in univariate. Results: Of the 40 respondents who underwent hemodialysis, there were 28 people (70%) experiencing moderate anxiety and 12 people (30%) experiencing mild anxiety. And to overcome anxiety is 27 people (67.50%) doing cognitive therapy and 13 people (32.50) doing relaxation techniques. Conclusions: Some efforts made such as cognitive therapy and relaxation techniques can reduce anxiety in patients with chronic renal failure undergoing hemodialysis.Keywords : Chronic Kidney Failur; Hemodialysis; Fear

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance

Background: Tuberculosis is a major public health problem and Indonesia's future threat. The World Health Organization (WHO) states that Asia is one of the regions with the highest spread of TB in the world. And Indonesia is the third largest contributor in the world with 539,000 cases and 101,000 deaths per year. This study aims to describe the level of knowledge of tuberculosis patients about preventing tuberculosis transmission. Methods: This study uses descriptive analytical design with Cross Sectional approach. The sample in this study were patients who underwent tuberculosis examination and treatment at the Blahbatuh Health Center II in Gianyar Regency, amounting to 30 people, using the Nonprobability sampling sampling technique namely Total sampling. Data collection was carried out by interview using questionnaire guidelines which included prevention of tuberculosis transmission. The data obtained then carried out descriptive statistical analysis using the SPSS program. Results: Based on the analysis of the characteristics of respondents obtained that of the 30 respondents studied, as many as 12 people (40%) respondents aged 41-50 years, 15 people (50%) respondents attended education up to high school (SMA), and as many as 11 people (37%) respondents work in the private sector. Descriptive analysis on the level of knowledge about prevention of tuberculosis transmission found that, as many as 16 people (54%) had a good level of knowledge, 10 people (33%) respondents had sufficient level of knowledge, and 4 people (13%) had less knowledge. Conclusion: Most respondents (54%) had a good level of knowledge, 33% had sufficient level of knowledge and only 13% of respondents had insufficient knowledge about preventing tuberculosis transmission. It is expected that the related parties will be more aggressive in promoting tuberculosis, especially for sufferers and their family members.Keywords: Level of Knowledge; Tuberculosis; Prevention of Transmission   ABSTRAKLatar belakang: Penyakit tuberkulosis merupakan masalah utama kesehatan masyarakat dan ancaman masa depan Indonesia. World Health Organization (WHO), menyatakan Asia termasuk kawasan dengan penyebaran TBC tertinggi di dunia. Dan Indonesia merupakan penyumbang terbesar ke-3 di dunia dengan 539.000 kasus dan 101.000 kematian pertahun. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan pasien tuberkulosis tentang pencegahan penularan tuberculosis. Metode: Penelitian ini menggunakan desain Deskriptif analitik dengan pendekatan Cross Sectional. Sampel pada penelitian ini adalah pasien yang menjalani pemeriksaan dan pengobatan TBC di Puskesmas II Blahbatuh Kabupaten Gianyar yang berjumlah 30 orang, dengan menggunakan teknik sampling Nonprobability sampling yaitu Total sampling. Pengumpulan data dilakukan dengan cara wawancara menggunakan pedoman kuesioner yang meliputi tentang pencegahan penularan tuberkulosis. Data yang diperoleh kemudian dilakukan analisis statistic deskriptif menggunakan program spss. Hasil: Berdasarkan analisis pada karakteristik responden diperoleh bahwa dari 30 responden yang diteliti, sebanyak 12 orang (40%) responden berumur 41-50 tahun, 15 orang (50%) responden mengenyam pendidikan hingga sekolah menengah atas (SMA), dan sebanyak 11 orang (37%) responden bekerja di bidang swasta. Analisis deskriptif pada tingkat pengetahuan tentang pencegahan penularan tuberculosis diperoleh bahwa, sebanyak 16 orang (54%) memiliki tingkat pengetahuan baik, 10 orang (33%) responden memiliki tingkat pengetahuan cukup, dan 4 orang (13%) memiliki pengetahuan kurang. Simpulan: Sebagian besar responden (54%) memiliki tingkat pengetahuan baik, 33% memiliki tingkat pengetahuan cukup dan hanya 13% responden yang memiliki pengetahuan kurang tentang pencegahan penularan tuberkulosis. Diharapkan pihak terkait lebih gencar dalam mempromosikan tentang penyakit tuberculosis khususnya pada penderita dan anggota keluarganya.Kata kunci: Tingkat Pengetahuan; Tuberkulosis; Pencegahan Penularan

Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

Introduction :Tubercolosis (TB) diseases is one of the most public health problems in Indonesia. Indonesia known as a the third highest of TB cases in the world after India and China. In 2010, the Ministry of Health In Indonesia reported that patient with TB in worldwide about 5,8 % cases was found in Indonesia. In Indonesia, TB drugs treatments called the OAT Program. The study about the interpersonal factors who can be related to the compliance of patient with TB determined how important the role of doctors and other health professionals to do verbal and non verbal communication with patients. The aim of this study was to describe complianced of patient with TB in OAT program at Sanjiwani general hospital, Gianyar. Method : This was observational descriptive study. Data were collected through questionnaires. The total of patient with TB who participated in this research were 78 collected by consecutive sampling technique. Result :Based on the research, the complianced of patient with TB in OAT program showed that 38 respondent (48,71%) had complianced with the OAT program and 40 respondent (51,28 %) didn’t have compliance with the OAT program. Conclusion :Most of the patient with TB in Sanjiwani general hospital didn’t have compliance with OAT program.Key words: Compliance; OAT program; Tubercolosis.

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Management of medical actions carried out in handling patients who are ODP (people under monitoring), OTG (asymptomatic people), PDP (patient under monitoring) and positive Covid-19 patients is carried out based on assumptions, such as self-isolation, hospitalization, or special treatments in the ICU (Intensive Care Unit) room. The condition of the body in each patient is different, a patient may have same symptoms but the treatment is different, especially in elderly patients. Many problems occur in determining medical action because the patient's body condition is different. Therefore, it needs to be appointed as a research. The research method used in this study was Nive Bayes algorithm with supporting application Rapid Miner. It was applied to carry out the process of testing on patient data as much as 500 data, 25 variables or patient symptoms and 3 outputs as a form of medical action. Based on the results of the analysis carried out in this study, prediction of medical actions for ODP, PDP, OTG and positive Covid-19 patients were obtained by comparing training data with testing data using Rapid Miner application. It resulted that an accuracy rate of 76.00% was obtained

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

Hypertension is a condition where systolic blood pressure is equal to or more than 140 mmHg and diastolic blood pressure is more than or equal to 90 mmHg. The cause of hypertension can be influenced by genetic factors, environmental factors or influenced by a combination of these two factors. From the causative factors, hypertension can be classified into 2, namely: primary or essential hypertension for which the cause is not known, and secondary hypertension which is hypertension arising from other diseases. According to the American Heart Association in 2019, there were about 4 billion people on the Asian continent, but levels of awareness, treatment and blood pressure control tend to be low. The Chinese population has a presentation of 47% of the population who are aware and check themselves for hypertension, 14% of whom are undergoing treatment. Singapore has 74% of people aware of hypertension and 69% undergoing treatment. In America, about 46% of adults have hypertension, about 40% of whom are African-American-non-Hispanic men and women. Women aged 20 to 34 years, 13% had hypertension; nearly 86% of the condition was in their mid-70s. Men at that age also had the same condition, increasing from about 26% to 80%.

The elderly are a group of people who are vulnerable to degenerative diseases such as hypertension, diabetes mellitus, and others. The causes include a lack of knowledge about healthy diet and the lack of health checks. The purpose of this community service activity is to improve the quality of life of the elderly in Kelurahan Utama of South Cimahi by socializing healthy diets and conducting health checks. Media used for healthy diet counseling are power points, videos, and posters. Health examinations conducted include measurements of body mass index, blood pressure, blood glucose levels, triglycerides, total cholesterol, and uric acid. The results of the health examination showed quite a lot of elderly people who suffer from degenerative diseases. Through this activity, the elderly in Kelurahan Utama of South Cimahi gained knowledge about healthy diet in order to avoid various diseases and know the disease that is being experienced so that they can immediately undergo proper treatment.

Monitoring realizes efforts to improve the quality of health services. To obtain information on patient condition data during treatment. The monitoring process is done manually. So that it has an impact on the service and condition of the patient during treatment. The design of monitoring the patient's body temperature and heart during treatment with IoT can be controlled through the NodeMCU sensor ESP8266, MLX9014, MAX30100 sensor and Arduino IDE software program. Furthermore, it can detect the patient's temperature and the patient's heart rate during treatment. And processed by the NodeMCU ESP8266, the data from the two sensors is displayed on the SSD1306 OLED LCD and also to the smartphone of the medical officer on duty via Blynk. In order for the tool to work properly and optimally, it is necessary to adjust the pin placement so that it can work optimally. The problem of internet connection interference causes delays, resulting in a mismatch between the measurement of the test equipment and the standard tool. Data values are taken with an accuracy of 70%-93% for the MAX30100 sensor, for the temperature sensor it is close to optimal with a value that is read on a standard tool with an accuracy of 97%-99%.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

The elderly group during the pandemic is the group most at risk of experiencing severity/morbidity and mortality due to Covid-19 disease. This is because elderly patients (geriatric) generally have various comorbidities, such as cardiovascular disease, chronic respiratory disease, diabetes mellitus and hypertension. The elderly as a vulnerable group, of course, really need the right information related to Covid-19 with the right media. Media that can be used to provide information on Covid-19 to the elderly are posters and power points. This provision can be done by nurses. This research will be conducted on 50 elderly people at Kelurahan Bendungan Semarang. The study was conducted by measuring the level of knowledge with a knowledge level questionnaire about the problem of covid-19, before and after treatment. The design of this study was a quasi-experimental pre-test post-test with control group. The research sample was determined by total sampling with certain criteria, namely: 1) elderly aged 60 years and over, 2) can read, write, communicate well, 3) do not experience sensory, cognitive, and movement disorders, 4) participate in all activities with 100% attendance. The division of the group was 25 people for the intervention group and 25 people for the control group. The provision of posters and PPT media was held 4 times in 4 weeks. This is done in combination because the combination of the two media can increase the level of better knowledge, especially for the elderly who have experienced a decline in function. There is an increase in the level of knowledge from low level 4 people (16%), medium level 15 people (60%), high level 6 people (24%) to low level 1 person (4%), medium level 9 people (36%), high level 15 people (60%).

Dull skin is a skin condition that is full of dead skin cells. The cause of dull skin is due to lack of water supply, pollution and sunlight and lack of facial care. Facial care can be done using a face mask. Facial masks are treatments intended to treat facial skin. Rice water is obtained from washing rice. Cherry water contains vitamins that are beneficial for skin health. Greentea has antioxidants that are good for skin health. The abundant content of EGCG antioxidants in greentea has the ability to rejuvenate damaged skin cells. The aim of this research is to create a mask based on leri and greentea water which functions to treat dull skin. The research method used is descriptive qualitative. Data collection methods used are literature, interviews, experiments and documentation. The experiment was carried out at the Laboratory of the Make-Up Study Program of the Kartini Academy of Social Welfare, Jalan Sultan Agung, No. 77, Gajahmungkur Village, Gajah Mungkur District, Semarang City. The experiment was carried out 3 times with the composition of (1) 15 grams of water powder and 10 grams of greantea, (2) 15 grams of water powder and 15 grams of grentea, (3) 10 grams of water powder and 15 grams of grenteea. From the results of these three experiments, this experiment produced a mask with a green color, coarse texture and a fresh scent of greentea.

Abstract. Gout often attacks people over the age of 30, this is because at that age the declining esterogenous levels can cause uric acid levels in the blood to increase. High uric acid levels can be overcome with a variety of treatments including nonpharmacological treatment in the form of giving pineapple juice. Prevention that can be done to keep uric acid levels normal is by limiting purine foods, choosing low-purine foods, avoiding taking drugs, and taking vitamin C supplements including consuming pineapple juice. The purpose of this study was to determine uric acid levels before and after giving pineapple juice and to determine the difference in results before and after giving pineapple juice on uric acid levels in menopausal women. The research method was pre experiment and the method of examining uric acid levels using the POCT method. The population in the study were 25 menopausal women aged 45-55 years in RW 3 Kaliwadas Village, Cirebon Regency. The sample in the study was 22 menopausal women, with the sampling technique using purposive sampling. Data from the examination of uric acid levels before and after the administration of pineapple juice obtained the results of 21 samples that experienced a decrease (95.45%) and 1 sample that experienced an increase (4.45%) with an average uric acid level before 5.6 mg/dL with the highest level of 8.4 mg/dL and the lowest level of 4.7 mg/dL and the average after 5.3 mg/dL with the highest level of 8.4 mg/dL and the lowest level of 3.7 mg/dL. The research data were analyzed using a normality test and paired sample T-test obtained Sig. (2-tailed) 0.000 <0.005. based on this study it can be concluded that there is an influence on uric acid levels before and after being given pineapple juice.

Tuberculosis is a lung infection caused by the bacteria Mycobacterium tuberculosis. Early detection is one of the ways to detect tuberculosis. The first detection of tuberculosis is with the Molecular Rapid Test, which is one of the technologies being developed using GeneXpert. Patients with positive Molecular Rapid Test results will be treated with rifampicin for 6 months, then further screening of Acid-Fast Bacilli microscopically will be carried out to determine whether the patient is still positive for pulmonary tuberculosis or not. The purpose of this study was to determine the relationship between acid-fast bacillus examination in tuberculosis patients with positive molecular rapid test results. This study will be conducted experimentally. The results of calculations using the Wilcoxon Test showed that there was a relationship between TCM examination results and BTA follow-up screening in TB patients after and before rifampicin treatment for 6 months.    

Fever can be interpreted as a body temperature that is higher (>37°C) than normal temperature because of the temperature control center in the hypothalamus, the temperature control center balances temperature during health or fever by regulating the formation and release of heat. For this reason, the purpose of this study was to determine the antipyretic effectiveness of various concentrations of extracts. In this study, 5% peptone was used to induce fever in 15 white rats which were divided into 5 treatment groups. Groups 1 was given 1% NaCMC as a negative control, groups 2 was given paracetamol 9 mg/200gBB) as a positive control, groups 3 was given 10% lire leaf extract (2 mg/200gBB), groups 4 was given 20% lire leaf extract (4 mg/200gBB), and groups 5 was given 40% lire leaf extract (8 mg/200gBB). This results of this study obtained extract levels of 7,44% and there was a weak antipyretic effect at concentrations of 10% and 20% lire leaf extract, while the greatest antipyretic effect was found in 40% lire leaf extract, almost comparable to 9 mg paracetamol.

Turi (Sesbania grandiflora L) is native to Southeast Asia. This plant is used as a medicinal plant and also a vegetable. Turi (Sesbania grandiflora L) is a plant that is efficacious for the treatment of various diseases such as analgesic, antipyretic, diuretic and laxative. The purpose of this study was to identify the content of secondary metabolites in turi leaf extract extracted with ethanol, ethyl acetate and n-hexane as solvents. This research was conducted in two stages, namely extraction by maceration method using ethanol, ethyl acetate and n-hexane as solvents. And the identification stage of secondary metabolites consisting of identification of alkaloids, steroids, terpenoids, saponins and flavonoids. The results showed that the positive ethanol and ethyl acetate extracts contained flavonoids, saponins, terpenoids and steroids, while the negative n-hexane extract contained secondary metabolites.