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Tujuan penulisan ini adalah untuk menganalisis faktor lama penyembuhan kaki diabetes/ulkus diabetikum pada pasien DM Tipe 2. Ulkus kaki sebagai komplikasi dari diabetes melitus tipe 2 memberikan prevalensi pasien ulkus kaki diabetik (UKD) berkisar 41% dari populasi umumnya, dengan prevalensi yang lebih tinggi pada manula. Sekitar 14-24% pasien UKD memerlukan amputasi dengan rekurensi 50% setelah tiga tahun. Sekitar 15% pasien diabetes mengalami tukak kaki dan 15-20% dari ini memerlukan amputasi. Amputasi kaki diabetik cenderung terjadi seiring dengan kenaikan tingkat kematian atau morbiditas dari waktu ke waktu. Untuk mengurangi tingkat amputasi pada pasien diabetes melitus tipe 2, perlu adanya penyembuhan dengan mengetahui faktor yang mempengaruhi lama penyembuhan. Penelitian ini menggunakan metode literature review dari beberapa buku dan jurnal. Didapatkan hasil bahwa penggunanaan antibiotik, faktor kebersihan ulkus kaki, faktor tingkat keparahan infeksi saat datang, dan faktor kondisi imunitas dan gizi pasien mempengaruhi lama penyembuhan pada pasien DM Tipe 2.

Diabetes Mellitus is known as a silent killer disease because it is often not known by the sufferer and when it is known that complications have occurred to the eye (Diabetic Retinopathy), heart (diabetic chediomyopathy), repeated infections can occur, ulcers that do not heal and even amputation of fingers/toes. The design of this research is descriptive analytical with a cross sectional approach. The sample in this study were 30 people using accidental sampling. Data was collected by distributing questionnaires. Furthermore, the data were collected and tested using the chi-square test with a significance level of Asymp.ig.(p-value) = 0.000, where the p-value is smaller than the value of = 0.05. The results of the study where there was good family support with good management of 4 pillars as many as 17 respondents and good family support with poor management of 4 pillars as many as 1 respondent. While for poor family support with good management as many as 1 respondent and poor family support with poor management of 4 pillars as many as 11 respondents. The conclusion in this study is that there is a description of family support for type 2 DM patients in carrying out the 4 pillars of managing DM in the poly room at Bhayangkara Hospital, Manado

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falling in the elderly and provide assistance in balance training as an effort to prevent the risk of falling in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using. Elderly gymnastics is a series of regular, directed, and planned movements carried out with the intention of improving the functional abilities of the body. Reporting from the Panti Rapih Hospital page, this activity is carried out regularly and with movements that are not too heavy.

Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

Daun pala (Myristica fragrans) gunakan masyarakat untuk mengobati bebrapa penyakit seperti nyeri. Bahan kimia yang terkandung dalam daun pala seperti saponin, polifenol, flavanoid, dan minyak atsiri. Untuk membuktikan aktivitas ekstrak etanol daun pala (myristica fragrans) terhadap aorta tikus (rattus norvegicus) diabetes. Penelitian ini merupakan jenis penelitian yang bersifat eksperimen laboratorium (laboratory experimen) secara in vivo menggunakan hewan coba tikus putih (rattus norvegicus) jantan galur wistar. Daun pala menggunakan pelarut etanol 96%. Diperoleh hasil maserasi sebanyak 300 g, dipekatkan dengan alat rotary evaporator diperoleh ekstrak kental sebanyak 42,673 g dengan %rendamen sebesar 14,23%. Didapatkan gambaran histologi terdapat lumen diameter yang lebih tipis dan lebih lebar dan sel busa pada bagian tunika intima dan media aorta tikus.

Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is disable to produce insulin, which isenergy. Good knowledge determines adherence to diet in patients with type 2 diabetes mellitus. The purpose of this study was to determine the relationship between knowledge and dietary compliance of patients with type II diabetes mellitus at WolterMonginsidiTk.IIHospital Manado. This study was conducted in August on patients with diabetes mellitus at WolterMonginsidiTk.IIHospital Manado with population are 141 respondents and 35 respondents was taken as samples of this research with using non-probability sampling technique type which is accidental sampling technique. The type of this research was using descriptive analytic method with a cross sectional approach, and used questionnaire as research instrument. The data was collected and analysed using Chi-square test with a significance (α) ≤0.01. The results of Chi-square statistical test obtained ρ-value (α = 0.01). This means that there is a significant relationship between knowledge and dietary compliance in patients with diabetes mellitus at the WolterMonginsidiTk.II Hospital Manado. The conclusion of this studythere is a relationship between knowledge and dietary compliance in patients with diabetes mellitus. The suggestion from this study is hopefully this study can give benefit in Nursing development.  

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises. Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications. Keywords: 

Diabetes Mellitus (DM) is a chronic disorder of the body's metabolism due to the hormone insulin in the body which cannot be used effectively in regulating blood sugar balance thereby increasing the concentration of sugar levels in the blood (hyperglycemia). The purpose of this study is to be able to understand diabetes mellitus and practice diabetic foot exercises in order to minimize tissue damage. Health education about diabetes mellitus and diabetic foot exercises can increase the knowledge of Karangjongkeng villagers to try their best to prevent more severe diabetes mellitus, namely tissue damage. Health education to residents can increase the knowledge and skills of diabetic foot exercises in preventing diabetes mellitus.

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

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.

Aging or the process of getting old is a process of disappearing or decreasing health functions in meeting the needs of life. Aging is characterized by sagging skin, gray hair, poor hearing, and worsening vision.1 The WHO classification of elderly (elderly) includes middle age (45-59 years), elderly (60-59 years). 74 years), old (75 – 90 years), very old (above 90 years).2  

Gestational diabetes mellitus (GDM) is a glucose tolerance disorder that was first discovered during pregnancy which had never been diagnosed with diabetes in the mother and then showed high glucose levels during pregnancy. Women with GDM almost never give complaints even though the incidence of GDM can be threatening and very dangerous because it can cause several complications during pregnancy, childbirth and after childbirth is also one of the causes in cases of maternal and infant mortality. Pregnancy accompanied by diabetes is also at risk of causing maternal death up to 4 times 2. One other prevention that can be done is more intensive counseling and counseling from officers to all pregnant women about the description of the incidence of DMG. This activity was carried out at the Tanralili Public Health Center with the method of individual counseling to pregnant women in turn with brochures distributed to each pregnant woman, after which they took blood/glucose checks while. This activity was attended by 2 lecturers and 2 midwifery students as well as 20 pregnant women. This community service provides good benefits, namely getting knowledge about Gestational Diabetes Mellitus and being able to know glucose levels in the blood as screening so that it can prevent and detect early complications that will occur.

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%).

The use of information, media and communication technology has changed both the behavior of society and human civilization globally. The development of hospitals in Karawang is increasingly mushrooming, as well as the increasing number of degenerative diseases such as hypertension and diabetes, the increasing prevalence of chronic kidney disease. So it requires the handling of renal replacement therapy (Renal Replacement Therapy) because it is increasingly needed for cases of acute and chronic renal failure. The purpose of this research is to build an integrated and controlled information system that can simplify the patient administration process and reduce the effectiveness of the patient's time for dialysis. The methodology that the authors use in this study includes methods of identification and system design. System identification includes identification of the organization, running systems, and problem identification. The problems faced at this time in the Hemodialysis Installation. Patient data is not the same between patients who are served by hemodialysis (dialysis) and those in the application report, the transaction value for using tools and materials is sometimes empty or there is no transaction value in the application, it will cause losses to the customer. hospital. It is hoped that this system can eliminate the problems that have been happening so far.

Prevalensi   diabetes   tipe 2   terkait   usia   lansia   sampai   tahun   2030 mengalami peningkatan tajam karena diprediksi lebih dari 82 juta populasi lansia di negara berkembang menderita diebetes. Tipe 2 merupakan bentuk penyakit yang sering di lansia dan merupakan ancaman serius terhadap kesehatan karena terjadi komplikasi kronis. Tanda dan gejala diabetes pada lansia sering kali tidak jelas  dan  diagnosa  biasanya  terlambat.  Gejala  diabetes  dapat  muncul  tidak spesifik  dan  tidak  pasti,  seperti  keletihan,  inkontinensia  urin,  atau  perubahan status mental seperti depresi, konfusi, dan apatis. Beberapa ahli berpendapat bahwa dengan meningkatnya umur maka intoleransi terhadap glukosa juga meningkat. Peningkatan kadar gula darah pada lansia disebabkan oleh beberapa hal, yaitu fungsi pankreas dan sekresi insulin yang berkurang, perubahan karena lansia sendiri  yang berkaitan dengan resistensi insulin akibatnya kurangnya massa otot dan perubahan vaskuler, aktifitas fisik yang  berkurang,  banyak  makan  dan  kegemukan,  stress,  sering  menggunakan obat-obatan, dan adanya faktor keturunan. Stres memicu  reaksi  biokimia  tubuh melalui  2  jalur,  yaitu  neural  dan neuroendokrin. Reaksi pertama respon stres  yaitu  sekresi  sistem  saraf  simpatis untuk  mengeluarkan  norepinefrin  yang menyebabkan    peningkatan    frekuensi jantung. Kondisi ini menyebabkan glukosa darah meningkat guna sumber energi untuk perfusi.  Peningkatan hormon  stres yang diproduksi dapat  menyebabkan kadar gula darah menjadi meningkat. Kondisi yang rileks dapat mengembalikan kotra-regulasi  hormon  stres  dan  memungkinkan  tubuh  untuk  menggunakan insulin lebih efektif. Seseorang  yang  terkena  diabetes  akan  memerlukan  pengobatan  yang terus-menerus untuk  mengontrol  kadar gula  darah  dan  mencegah  komplikasi. Tapi ada pengobatan lain yang bisa dilakukan sendiri untuk membantu mencegah penyakit ini bertambah buruk. Stres yang tinggi yang dialami penderita dapat meningkatkan angka kesakitan dan kematian, sehingga dibutuhkan kemampuan penderita dalam melakukan perawatan diri   dengan memanajemen stress yang dialami.    

Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I  from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.

Ketidakpatuhan (non-compliance) dan ketidaksepahaman (non-corcondance)  pasien dalam menjalankan terapi merupakan salah satu penyebab kegagalan terapi. Hal ini sering disebabkan karena kurangnya pengetahuan dan pemahaman pasien tentang obat dan segala sesuatu yang berhubungan dengan penggunaan obat untuk terapinya. penelitian ini bertujuan untuk mengetahui efektifitas Health Education tentang cara penyuntikan insulin pada pasien Diabetes Mellitus diwilayah Kerja Puskesmas Masohi Kabupaten Maluku Tengah. Desain penelitian yang digunakan adalah one group pre test-post test design. Populasi berjumlah  118 orang. Sampel dalam penelitian ini berjumlah 20 orang dengan teknik Purposive Sampling. Dari hasil uji normalitas diperoleh nilai rata-rata pretest sebesar 5,25 dan posttest sebesar 7,80, ini menunjukkan terjadi kenaikan sebesar 2,55. Dengan demikian, nilai rata-rata pada posttest lebih baik dibandingkan dengan nilai rata-rata pada pretest. Dari hasil Uji Paired Sample t-Test menunjukkan bahwa nilai sig. 2 tailed (p-value) sebesar 0,000 < 0,05, maka H0 ditolak dan Ha diterima. Ini berarti bahwa ada efekktifitas Health education tentang Cara  Penyuntikan Insulin pada pasien Diabetes Mellitus. adanya efektifitas Health Education tentang cara penyuntikan insulin pada pasien Diabetes Mellitus diWilayah Kerja Puskesmas Masohi Kabupaten Maluku Tengah.

Diabetes is a serious chronic disease that occurs because the pancreas does not produce enough insulin (a hormone that regulates blood sugar or glucose), or when the body cannot effectively use the insulin it produces. WHO data shows that the incidence of non-communicable diseases in 2004 reached 48 , 30% is slightly higher than the incidence rate of infectious diseases, namely 47.50% [1]. According to the Ministry of Health in 2012 diabetes caused 1.5 million deaths. Some Indonesian people, this disease is better known as diabetes or blood sugar. This research was developed through secondary data processing from the Pima Indians Diabetes Dataset health database which was taken from the Kaggle dataset and can be accessed through https://www.kaggle.com/uciml/pima-indians-diabetes-database. Where the data itself consists of 768 records with several medical predictor variables (Pregnancies, Glucose, Blood Pressure, Skin Thickness, Insulin, BMI, Diabetes Pedigree Function, Age and Outcome). Then the data will be processed using the Particle Swarm Optimization (PSO) feature selection to increase the accuracy value and the Naive Bayes algorithm to determine the accuracy results of the diagnosis of diabetes. From the results of research that has been done for the accuracy of the classification algorithm Naive Bayes is 74.61%, while the accuracy of the classification algorithm with Particle Swarm Optimization is 77.34% with an accuracy difference of 2.73%. So it can be concluded that the application of the Particle Swarm Optimization technique is able to select attributes in the Naive Bayes Algorithm, and can produce a better level of diabetes diagnosis accuracy than using only the individual method, namely the Naive Bayes algorithm. Keywords: Diabetes, Particle Swarm Optimization, Naive Bayes Algorithm

Gerakan Masyarakat Hidup Sehat (GERMAS) merupakan program yang dicanangkan oleh kementrian kesehatan untuk menurunkan resiko utama penyakit menular dan penyakit tidak menular (PTM) terutama melalui intervensi gizi 1000 hari pertama kehidupan, memperbaiki pola konsumsi gizi seimbang seluruh keluarga, meningkatkan aktiftas fisik teratur dan terukur, meningkatkan pola hidup sehat, meningkatkan lingkungan sehat serta mengurangi konsumsi rokok dan alkohol. Data wawancara didapatkan hasil bahwa sebagian besar masyarakat sebanyak 48 % jarang memeriksakan kesehatan sedini mungkin, warga akan pergi kepusat kesehatan terdekat jika sudah mulai muncul tanda dan gejala penyakitnya. Pelaksanaan DD- PTM dilaksanakan dalam sehari, warga dikumpulkan dalam aula Kelurahan Bulustalan, Kegiatan diawali dengan senam kebugaran secara serentak, kemudian dilanjutkan dengan pemeriksaan kesehatan. Pemeriksaan kesehatan yang dilakukan yaitu pengukuran antopometri berupa tinggi badan, berat badan, lingkar perut, pengukuran tekanan  darah  dan  pengukuran  gula  darah  sewaktu.  Dari  50  orang  warga  yang mengikuti pelaksanaan DD-PTM, sebanyak 24 % warga (12 orang ) baru mengetahui bahwa mengidap pra diabetes mellitus, , sebanyak 16 % ( 8 orang) sudah mengetahui bahwa menderita hipertensi dan diabetes mellitus, sebanyak 6 % ( 3 orang) memiliki lingkar perut lebih dari 100 cm, sebanyak 54% (27 orang) dalam kondisi sehat.Warga cukup antusias terhadap kegiatan yang dilaksanakan. Data yang didapat dalam kegiatan DD- PTM ini diserahkan kepada pihak Puskesmas Pandanaran sebagai rekap data status kesehatan wilayah binaan. Data yang didapat akan ditindaklanjuti dengan memotivasi warga untuk memeriksakan kesehatannya di Puskesmas Pandanaran.    

Prediabetes will become a widespread health problem and have a serious impact (emerging epidemic. Prediabetes condition is a condition of a person before suffering from diabetes mellitus which is characterized by an increase in hyperglycemic status above the normal laboratory threshold value, but does not increase in diabetics. The prevalence of diabetes increases every year, data shows 5-14% of prediabetic conditions will become diabetic every year. There has been a shift in the age of people with diabetes, from previously a disease that affects the elderly, to a disease that attacks at a young age. If young age is identical with type 1 diabetes, now individuals are the group of young adults also suffers from type 2 diabetes mellitus. Likewise with prediabetes, the number of young adults who experience prediabetes is increasing every year. Students are a group of young adults who have a combination of risk factors for hyperglycemia. Life such as reduced physical activity because it is not necessary to exercise regularly for a certain period of time such as in the previous education period makes students have a high risk of developing prediabetes conditions. Efforts to detect non-communicable diseases early in the community are expected to help reduce and prevent the incidence of prediabetes that occurs in Kesdam IV/Diponegoro Akper students.