Publication Search

This study aims to thoroughly explore the role of medical check-ups in maintaining the basic physical health of the residents of Sarirogo Village, with a particular focus on the prevention of non-communicable diseases, which have been on the rise in the area. The background of this research is based on the fact that there is a high prevalence of non-communicable diseases, such as hypertension, diabetes, and cardiovascular diseases, that often go undetected in their early stages. This is primarily due to a lack of public awareness about the importance of regular health checkups, as well as limited access to adequate healthcare services. As a result, delayed diagnoses exacerbate the overall health conditions within the community. This study employs a qualitative approach using a literature review method to analyze sources from relevant scientific journals. These sources serve as the theoretical foundation to understand the relationship between the frequency of medical check-ups and the prevention of chronic disease progression. The findings of this study highlight the significant role that medical check-ups play in the early detection of various potentially life-threatening health conditions, thereby preventing the development of more serious illnesses. Based on these findings, this research emphasizes the urgent need to enhance the accessibility of regular medical check-up services for the residents of Sarirogo Village, alongside the necessity to raise collective awareness about the benefits of routine health screenings.

The frequency of strokes is increasing, with World Health Organization (WHO) data showing that around 15 million people suffer strokes every year. From the increase in the incidence of stroke above, death and disability due to stroke are still the biggest problems from year to year. Stroke can be prevented by early detection of stroke. This research aims to determine the effect of early stroke detection training using the fast method for cadres in Nania Village, Baguala District, Ambon City.This type of research is quantitative research. This research uses a quasi-experiment research design with a pre-post test control group design. Researchers provided an explanation to respondents about the FAST Act for early detection of signs of stroke. The sample in this study was 30 health cadres in the working area of ​​the Nania Community Health Center.The research results of the Pre Test knowledge scores were (10, 12 and 13) out of the highest total score of 20, the lowest score was 8 for 1 person (3.3%) and the highest score was 15 for 1 person (3.3%). Meanwhile, the Post Test Knowledge (17 and 18) of the highest total score was 20. The lowest score was 14, amounting to 1 person (3.3%), and the highest score was 20, amounting to 4 people (13.3%).The conclusion is that there is an influence of early stroke detection training using fast methods for cadres at the Nania Community Health Center, Baguala District, Ambon City. It is hoped that the research results will provide additional knowledge for medical personnel about the importance of preventing complications in diabetes sufferers, so that as much as possible we can help reduce the rate of death or disability in stroke patients.

Background : Diabetes Mellitus is a metabolic disorder caused by the pancreas being unable to produce insulin or unable to use insulin effectively, which is characterzed by an ncrease in blood sugar levels (Hyperglicemia), usually accompanied by the appearance of symptoms such as polyuria, polydipsia and polyphagia. The prevalence of diabetes mellitus n Marwah ward from April to June was 66 patients who experienced diabetic ulcers. Objective : to determine the level of Diabetes Mellitus wounds before and after treatment using 0.9% Nacl, and to see the comparison between the two. Method : This research shows that there is no change before and after wound treatment with 0.9% Nacl. On the degree of ulcuraton, but there was a reduction before treatment with Nacl 0.9% the wound appeared to have pus and was dirty and after treatment with Nacl 0.9% the wound looked clean and the pus was reduced. Results : This study showed that there was no change in the degree of ulceration, but there was a reduction in pus in the wound and the wound looked cleaner. Conclusion : After applying wound care with 0.9% Nacl to TN.

Diabetic ketoacidosis (DKA) is a life-threatening form of diabetes mellitus emergency. Rapid and appropriate management is needed to prevent worsening condition. Fluid management in DKA is important to improve tissue perfusion, correct electrolyte imbalance, reduce blood glucose concentration and counterregulatory hormones. This case report aims to describe the fluid management in a client with instability of blood glucose levels in DKA. A 42-year-old woman was rushed to the emergency room with decreased consciousness for 3 hours. Laboratory examination results: blood glucose >600mg/dL, Base Excess <-30mmol, urine ketones +3, urine protein +2, urine glucose +4, pH 6.8, HCO3 1.9mmol/L. The client had unstable blood glucose levels while in the treatment room. Fluid management was performed by combining 0.9% NaCl, WIDA 2A, 40% dextrose bolus, and continuous insulin drip, that was adjusted according to the client's blood glucose level. After receiving fluid management, the client's blood glucose levels are stable in the range of 100 - 200mg/dL on the fifth day until the client recovered. Providing fluid management tailored to the management of DKA and client needs can improve the stability of blood glucose levels so that this fluid management intervention can be utilized for DKA clients with similar complaints.

Diabetes mellitus is a chronic heterogeneous metabolic disorder with complex pathogenesis. It is characterized by elevated blood glucose levels or hyperglycemia, which results from abnormalities in either insulin secretion or insulin action or both. Prevention of diabetic foot ulcers  is to empower families to take care for family members with diabetes. The results of the pre-test obtained showed that family knowledge was in the good category of 55.6%. After education was carried out on the role of families in caring for diabetic patients, especially preventing diabetic foot ulcers, the results showed that there was an increase in family knowledge of 70.4%. Families empowered to carry out their roles by helping families with diabetes to meet their diet, motivating them to do physical activity and supporting them to carry out routine health checks. The conclusion of this community service activity is that family empowerment is very useful for preventing diabetic foot ulcers.

Objective: We aimed to explore that the association of irisin with various anthropometric and metabolic parameters in obese diabetics and non-diabetics Iraqi women. Methods: Eighty obese Iraqi women participated in this cross-sectional study grouped into 40 obese and 40 obese diabetics. The correlation coefficient between circulating irisin levels and metabolic parameters were performed. Results: Serum irisin levels in obese group showed highly significant positive correlations with body weight, WC, BMI, FPG, fasting insulin (FI), HOMA-IR and glucagon (r=0.8684, P> 0.0001 ; r = 0.8104, P> 0.0001; r = 0.8285, P <0.0001; r = 0.5876, P> 0.0001‎; r = 0.5283, P> 0.0005‎; r = 0.0005, P <0.0001; r = 0.5244, P> 0.0005) respectively,  and significant negative correlation ‎with FPG, FI and HOMA-IR (r=-0.3246, P<0.041; r=-0.7903, P<0.0001; r=-0.6105, P<0.0001) respectively. Stepwise regression results showed that body weight, FPG, HOMA-IR and glucagon had significant independently related with irisin (β=‏2.3150, P<0.0001; β=-‎1.2200, P=‎0.0002; β=‎21.8760, P=0.02‎; β=‎-20.9800, P<‎0.005; β=‎0.0468, P=0.037) respectively. Conclusions: Irisin had a strong positive correlation with anthropometric parameters. Irisin independently associated with body weight, glucagon, HOMA-IR and FPG

Background: Diabetes mellitus (DM) is the most common metabolic disorder worldwide. DM is the most common chronic illness in adults. It is estimated that 300 million people will have DM by 2025, and it will reach approximately 439 million and the prevalence is estimated to be 7.7% by 2030. The decrease of blood glucose levels in patients with DM decreases the mortality and morbidity rates significantly.Objective: To identify the potential risk factors of poor glycemic control among patients having type2 Diabetes mellitus in Al-diwaniya city. Methods: A total of 340 patients were included in the study. This was cross sectional study conducted in the Diabetes  Center at Al-diwaniya city, Iraq, from period of 1st of February to the 1st September2023. Based on the cutoff point of Glycosylated hemoglobin of 7, the poor control were the patients with (Glycosylated hemoglobin is ≥ 7) and the good control were the diabetic patient with Glycosylated hemoglobin is <7. A questionnaire developed to gather the demographic, lipid profile, disease characteristics and lifestyles behaviors and filled by the researcher through direct interview. Results: The total number of poor controls was 221 and the good control was 119 patients. There was no significant difference between the two groups regarding sex, age, marital status and occupation. A significant association was observed between the control status and high education level (p=0.001) dyslipidemia (p=0.001), cholesterol level (P=0.002), high TG level (p<0.001), and LDL level (p=0.025). Smoking, Body Mass Index and HDL level were not significant factors (p>0.005). All disease characteristics including the duration, family history of DM, FBS, type of medication were significant factors (p<0.001). Lifestyles  behaviors including  self-monitoring, healthy diet, physical activity, and adherence were significant factors (p<0.001). Conclusion: The most important potential risk factors for poor control diabetes were dyslipidemia, poor adherence and longer duration of diabetes. Enhancement of education of the patients and their healthcare providers on these factors are great benefit in glycemic control.

Type 2 diabetes mellitus represents a persistent metabolic dysfunction marked by elevated blood glucose levels attributable to insulin resistance. Geriatrics pertains specifically to individuals aged 60 years and older. Managing diabetes mellitus necessitates intricate therapeutic interventions, often comprising single or combined pharmacological agents aimed at achieving euglycemia. The concurrent administration of multiple medications, termed polypharmacy, amplifies the likelihood of pharmacological interactions. This investigation endeavors to delineate potential drug interactions observed in geriatric inpatients afflicted with type 2 diabetes mellitus at Dr. Moewardi Regional General Hospital in Surakarta throughout the calendar year 2023. The study adopted a descriptive observational design employing a cross-sectional approach. Data collection was conducted retrospectively through purposive sampling based on the medical records of geriatric patients at Dr. Moewardi Regional General Hospital in Surakarta. Inclusion criteria encompassed patients aged 60 years and older diagnosed with type 2 diabetes mellitus who had been hospitalized. Exclusion criteria included incomplete or illegible medical records, patients diagnosed with anemia and hemoglobinopathies, and those who expired during treatment. The findings revealed that out of 100 patients, 96 experienced drug interactions. Most patients (47.00%) were aged between 66 and 74 years. Females constituted a larger proportion (51.00%) of the patient cohort. Among hospitalized patients, 83 (83.00%) were admitted for 2-6 days. A total of 70 patients (70.00%) were prescribed between 4 and 13 medications. The predominant severity level of drug interactions was moderate, comprising 1,017 cases (74.60%). Pharmacodynamic mechanisms accounted for most drug interactions observed, totaling 1,054 cases (77.30%).  

Stroke is a fuctional disorder tahat manifest as nerve paralysis, resulting from either an obstruction of blood flow to the brain due to a lock of oxygen or a cessation of blood supply due to blockage or bleeding. The risk factors are blood pressure, cholesterol, history of diabetes mellitus, history of smooking, atrial fibrillation, body mass index, physical activity, and family history of stroke. This study aims to determine the factors associated with stroke incidence. This typeof researchis descriptive and has a retrospective study design. The sampling technique used was accidental sampling wit a sample size of 60 respondents, where the population was 4355stroke patients. The research results used the stroke risk scorecard (SRSC)measuring tool. The statistical is Chi-square. The research results showed that the majority of respondents were erderly, aged 46-65 tahun years (80,0%), male (50,0%), female (50,0%) and had comorbid hypertension (56,7%). N  The Chi-square test revealed several risk factors, including blood pressuare, a history ofdiabetes mellitus,smoking history, atrial fibrilation, BMI, and family history of risk. Menwhile, the results of the multiple linear regression test show that the most dominant variable is physical activity, with a standardized cooefficient betta valueof 0,366. It is hoped that the results of this research can be used as a basis for input for health servise providers to provide comprehensive nursing care for stroke patients.  

Introduction: Diabetes mellitus is a degenerative disease with an increasing number of patients characterized by hyperglycemia due to impaired insulin secretion. Ineffective management in managing DM disease will result in complications such as peripheral artery disease (PAP). One of the examinations that can be done to find out the condition of the blood vessels of the lower extremities is by measuring the Ankle Brachial Index. One of the efforts to prevent the occurrence of PAP is by exercising diabetic feet. The purpose of this study is to analyze the picture of the Ankle Brachial Index in the Persadia Community who undergo diabetic foot exercises at Subang Hospital. Method: The method used in this study is quantitative descriptive. The sample in this study was 59 people taken using a simple random sampling technique. Data collection in this study used a sphygmomanometer and observation sheet, data analysis using frequency distribution. Results: The results of the study showed that the characteristics of respondents in the Persadia Community were 59 women (100.0%) with an average age of 50.03 years, IRT jobs as many as 28 people (47.5%) with the last high school education level of 35 people (59.3%). Meanwhile, the majority of ABI scores in the persadia community with an average score of 1.02. Conclusion: This study can be an input for DM patients to conduct routine ABI examinations to detect early vascular disorders in the extremities and as a prevention of the risk of leg ulcers.    

Hypertension is a non-communicable disease that always increases every year. Hypertension is known as a silent killer because patients who suffer from hypertension rarely feel the symptoms. Common symptoms of hypertension can be headaches in the back of the neck, blurred vision, and others. The blood pressure of hypertension sufferers is above 140/90 mmHg. This study aims to see the pattern of prescribing antihypertensive drugs in BPJS Kesehatan patients including gender, age, patient diagnosis, and combination of antihypertensive drug classes. The method used is descriptive observational research. This study was conducted using 195 prescriptions in the period November 2023. The results obtained were that hypertension sufferers were more dominated by women with a total of 131 sufferers with a percentage of 67% compared to men with a total of 64 sufferers with a percentage of 33%. The age most affected by hypertension is people aged 51 years - 75 years with a total of 143 people and a percentage of 73.33%. 92 of 195 (47.18%) patients did not have other diseases such as diabetes mellitus, hyperlipidemia, heart, GI, and asthma. Single therapy of antihypertensive drugs was most commonly prescribed by doctors with a total of 127 patients with a presentation of 65.13% compared to patients who used combination therapy of two or more antihypertensive drugs. Calcium antagonist or CCB drugs were most commonly used by BPJS patients at several pharmacies in the Bandung area used in the prescription analysis with a total of 107 patients with a percentage of 54.87%.

Balanitis is an inflammatory disease of the tip of the penis that commonly occurs in uncircumcised men as a result of poor hygiene and aeration or because of irritation by smegma and in many cases preputial dysfunction is a causal or contributing factor. Balanitis generally attacks uncircumcised men, characterized by the glans and foreskin becoming red and inflamed. In circumcised men who do not have a foreskin, these symptoms only affect the tip of the penis. This condition often occurs due to the fungus Candida albicans, the same organism that causes vaginal yeast infections in women. Balanitis (which is also referred to as balanoposthitis) can also be caused by various other fungal or bacterial infections, or can occur due to sensitivity reactions to common chemicals. Diabetes can increase the chance of developing balanitis, especially if blood sugar is not well controlled. Currently, people who experience illness or events that have not occurred before in the genitals will consult or diagnose their illness with a specialist in skin diseases to find out what disease they are experiencing. This requires time, energy and costs just to consult a doctor. The aim of conducting this research is that currently there is no system for diagnosing inflammation of the male foreskin. For this reason, the author will create an alternative application system that can diagnose diseases that occur in the male genitals more easily by asking questions about the symptoms or events experienced as factors in the disease and providing a percentage value regarding the severity of the disease experienced.

Background: Diabetic foot ulcers are one of the most common complications in patients with diabetes mellitus. Patients with diabetic foot wounds have various degrees of anxiety. One of the anxiety measurement tools is HARS (Hamilton Anxiety Rating Scale). Progressive muscle relaxation is one of the non-pharmacological treatments to reduce anxiety. Objective: To describe the results of the implementation of progressive muscle relaxation on anxiety levels in patients with diabetic foot wounds. Methods: This study used a descriptive research design case study approach by observing the anxiety level of diabetic foot wound patients on 2 respondents, carried out in the morning and evening for 5 consecutive days with a frequency of 15 minutes. The instruments used were HARS (Hamilton Anxiety Rating Scale) scale sheet, SOP (Standard Operating Procedure) progressive muscle relaxation, anxiety level observation sheet, stopwatch. Results: Results: There were changes in anxiety levels before and after progressive muscle relaxation in Mrs. S from moderate (27) to mild (15). While in Mrs. I from moderate (26) to mild (15).  Conclusion: The application of progressive muscle relaxation can be useful for reducing anxiety levels in both diabetic foot wound patients.    

Diabetes mellitus (DM) is a chronic disease in which glucose levels in the blood are high because the body cannot use enough insulin. Diabetes mellitus has increased significantly both at the world and regional levels. The high incidence of DM has an impact on physical and psychological problems in DM sufferers. One of them is the impact of DM complications and anxiety. Spiritual support is a belief in a relationship with the Almighty, the Almighty Creator and spiritual support can influence the adaptive coping of someone who experiences psychological problems, one of which is anxiety. This study aims to analyze the relationship between spiritual support and anxiety levels in people with type 2 diabetes mellitus. This research design uses a cross-sectional approach. The number of samples in this study was 71 respondents with data collection techniques using purposive sampling. The statistical test used is the Spearman rank test. The results of the research show that there is a relationship between spiritual support and the level of anxiety in type 2 diabetes mellitus sufferers at the Tlogosari Wetan Community Health Center in 2024 with a significant p value = 0.001 and a correlation coefficient r value (– 0.402). It was concluded that the strength of the relationship between spiritual support and the level of anxiety is a moderate relationship, namely in the range 0.40 - 0.599 with a negative correlation direction, which means that the higher the spiritual support, the lower the level of anxiety.

Diabetic ulcers are the most feared problem by diabetes mellitus patients because they have a negative impact on patients such as tissue death, wounds that are difficult to heal, foul smelling, reddish and black. The more severe the leg injury, the patient must undergo amputation. This problem causes disturbances in the individual's self-concept, especially self-esteem. In this case, the family has a significant role in determining the health status of individuals who experience illness or illness. Research objectives This literature review aims to find variables to be studied from various theories with problems to be studied as reference material in the discussion of research results. The method in this research is this study was obtained by searching for written sources in the National Library, Google Scholar, national journals and international journals that are relevant to the problems studied. Keywords used are family support, self-esteem and diabetic ulcers. The results showed that from the 5 journals obtained, the results obtained were that the five journals had a relationship between family support and self-esteem in diabetic ulcer patients.

Word Health Organization defines a cause of death as an illness, disease or injury that causes or contributes to death. Diabetes mellitus is a major comorbidity and cardiac arrest is the highest cause of death. Cardiovascular disease is more common in men with an average age of 57 years. There are many types of cardiovascular disease, but the most common and well-known are coronary heart disease and stroke. Basic Health (Riskesdas) in 2018 reported that the incidence of heart and blood vessel disease is increasing from year to year. The main factor in heart disease is uncontrolled blood sugar, while the most common macrovascular complication of diabetes mellitus is coronary heart disease. Causative factors The prevalence of type 2 diabetes mellitus is caused by the interaction between gene susceptibility factors and environmental exposure as follows Genetics and Environment The occurrence of coronary heart disease is closely related to the presence of disorders affecting the blood vessels called atherosclerosis. This research uses a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). with inclusion and exclusioncriteria, the risk of cardiovascular death and myocardial infarction was higher with increasing values ​​of lysis time and maximum turbidity.

Diabetic ulcers are one of the complications of diabetes mellitus. Diabetic ulcers can be aggravated by the presence of vascular disorders, such as arteries and veins because they will give a painful sensation to the ulcer area. Therefore, proper wound care is needed to minimize the effects of these vascular disorders, namely by reducing the compression of the wound dressing. This study aims to look at the development of diabetic ulcers accompanied by arterial and venous vascular disorders by providing decreased dressing compression during wound care. The research design used is a single case study on a patient with grade IV diabetic ulcer accompanied by arterial and venous vascular disorders. The intervention was to decrease dressing compression for 10 days of wound care.. From the wound care, improvement was obtained with reduced slough, the firm boundaries of the wound began to appear, the wound area was reduced from 10 x 7 cm to 9.3 x 7 cm. Decreasing dressing compression during wound care is considered a positive development for diabetic ulcers with arterial and venous compromise.

Gangrenous wounds are a chronic complication in diabetes mellitus patients. Gangrene is dead tissue that is slightly black in color and has a distinctive odor due to the presence of bacteria. Gangrene not only has a physical impact on the patient, but also has an impact on his psychosocial life. This study aims to gain an in-depth understanding of the psychosocial support of patients with gangrene wounds in type 2 diabetes mellitus patients. The design of this research is correlational which aims to reveal the relationship between psychosocial support and the healing process of gangrene wounds in type 2 diabetes mellitus patients at the Ibnu Sina Clinic Sejahtera Jenggawah and uses a cross sectional approach. The population in this study were type 2 diabetes mellitus patients who had gangrenous wounds at the Ibnu Sina Sejahtera Jenggawah Clinic with a sample of 33 respondents. The sampling technique uses total sampling. The results of research using the Spearman Rho Test showed that the p value was 0.001 with a calculated r value of 0.563 in the strong correlation category and the direction of the correlation was positive, which means that the better the psychosocial support, the better the wound healing process for the patient. Every patient with gangrenous wounds is expected to receive various kinds of support, including psychosocial support. Based on this, the patient's family should provide psychosocial support in order to speed up the wound healing process.

Diabetic neuropathy is a complication of type 2 diabetes mellitus which is caused by lesions or nerve dysfunction in the lower extremities due to chronic hyperglycemia through peripheral and central mechanisms which can cause symptoms of tingling, numbness, numbness, pain, burning sensation, etc. sleep, thus affecting the sleep quality of people with type 2 diabetes mellitus. This aim is to analyze the relationship between diabetic neuropathy and sleep quality in people with type 2 diabetes mellitus at the Baladhika Husada Hospital, Jember. This research uses a correlation research design with a Cross-Sectional Study approach with a sample size of 43 respondents taken using the Pusposive Sampling technique. The statistical test results for diabetic neuropathy with sleep quality using the Spearman Rho test showed that the p value was 0.002 and r = 0.456, which means that diabetic neuropathy has a sufficient relationship with sleep quality. There is a negative relationship between diabetic neuropathy and the sleep quality of type 2 diabetes mellitus patients, so it can be said that increasing the severity of diabetic neuropathy will also affect the sleep quality of sufferers. The results of this research can be used as a guide for sufferers of type 2 diabetes mellitus with diabetic neuropathy to increase self-awareness in paying attention to lifestyle, maintaining diet, and routinely controlling medication in health services, in order to reduce the symptoms of diabetic neuropathy so as to improve the quality of sleep of sufferers.

Understanding psychosocial aspects, including Self-compassion, is predicted to help overcome psychological barriers in diabetic patients. This study aimed to determine the relationship between Self-compassion, self-regulation, and psychological well-being in diabetic patients—correlative descriptive research design with a cross-sectional approach. The total population was 31 diabetic patients registered as Prolanis participants at the Pajarakan Health Center, Probolinggo. Data collection was done using the Self-compassion Scale (SCS-SF) questionnaire, Self-Regulation Questionnaire (TRSQ). Data were analyzed using the SPSS Spearman Rank. The results showed that Self-compassion was mostly good for as many as 20 (64.5%), good scores dominated self-regulation by as many as 14 (45.2%) respondents. The Spearman rank bivariate test results showed a significant relationship between Self-compassion with self-regulation with p-value = 0.000 (p < 0.05) with r = 0.385. Self-compassion has essential implications in the formation of self-regulation of diabetic patients. Keywords: diabetes, Self-compassion, self-regulation.