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Hypertension as silent disease or silent killer i.e. escalation of systolic blood pressure is higher or equal to 140mmHg, and escalation of diastolic pressure is higher or equal to 90 mmHg. High prevalence of hypertension need to get the right treatment. The situation analyst at Dr. R. Koesma Tuban Hospital, obtained two from five patient have not complied with instructions by local doctor. This Study intend : (1) acknowledge relationship level of knowledge toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital, (2) acknowledge relationship family support toward diet obedience in outpatient hypertension at Dr. R. Koesma Tuban Hospital. This Study uses correlation, using a cross sectional approach. This study held in Dr. R. Koesma Tuban Hospital and several respondent houses. Sample of this study come to 22 respondent using total sampling technique. Data retrieval by  test and questionnaires. Then, the data were analyzed by frequency distribution and Chi-square Test. Based on the results of this research were obtained respondents have good knowledge (27,3%) Family support with a good values (50%). Result of bivarate analysis knowledge p value>0,05, so then there is uncorelattion between knowledge with diet obedience. Whereas, result of family support p value <0,05, so then there is a relationship between family support with diet obedience. Conclusion from the data show, that the variable level of knowledge has no relationship diet obedience in outpatients at Dr. R. Koesma Tuban, while family support be found relationship,  toward diet obedience outpatient at Dr. R. Koesma Tuban Hospital.  

. Helminth infection is one of the health problems in all tropical countries in the world including Indonesia. Ascaris lumbricoides is one of the Soil Transmitted Helminths (STH). Stunting are the age group that is vulnerable to helminth infection including ascariasis. A. lumbricoides infection can cause serious effects if not treated and without a clean and healthy lifestyle. Therefore, it is necessary to conduct research on the prevalence of A. lumbricoides infection and hemoglobin (Hb) level in its infected hosts. The design of this study was observational analytic with cross sectional study. The subjects of the stunting in Bone Village. The sample technique used in this method is the total population. Diagnosis was performed microscopically by Kato-Katz method and Hb levels were measured using a hematology analyzer. Microscopy examination found 6.4% eggs of A. lumbricoides and a low hemoglobin level of 22,5%, students infected with A. lumbricoides in Bone Village with very low hygiene and sanitation.

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.

Comparison Of Metabolic Value On MR-Spectroscopy With and Without Contrast Media at Persahabatan Hospital, East Jakarta. Magnetic Resonance Spectroscopy is a non-invasive technique that can be used to measure the metabolism of several biochemical components in body tissue, especially the brain. Based on observations made by the author at Persahabatan Hospital, the spectroscopy technique used at Persahabatan Hospital is a multi-voxle technique, with sequences selction namely s2D_PRESS_144, where the spectroscopy images are taken after administering contrast and prevalence for tumor cases in the Radiology Installation at Persahabatan Hospital, with 5 data from the month May-August 2023. To determine the validity of this opinion, the authors performed pre and post- contrast MR-Spectroscopy on patients with contrast and compared the results with patients without contrast. In this study the author used a quantitative analysis type of research with an experimental approach aimed at whether the administration of contrast material affects the results of MR-Spectroscopy in patients with brain tumor cases. Where the research data comes from primary data in the Radiology installation at Persahabatan Hospital from May - August 2023 using 5 patient data. Results: Based on an observational study carried out on primary data from 5 patients, there were differences in metabolic values with and without contrast media in brain tumor cases. And MR-Spectroscopy examination without contrast is better to use than with contrast, although from the overall data it turns out there are some data that say post- contrast is higher.

Background: Abdominal MSCT examination is a type of radiodiagnostic examination that uses the MSCT device. Considering that the abdomen is close to organs that have radiosensitive properties such as the gonads and ovaries, it is necessary to monitor the radiation dose received so that it does not exceed the predetermined I-DRL value. The prevalence of contrast Abdominal MSCT examinations in the Radiodiagnostic Installation at Dr Hasan Sadikin Bandung Hospital was recorded during the last 3 months, there were 327 Contrast Abdominal MSCT examinations out of a total of 880 examinations with a percentage of contrast Abdominal MSCT examinations of 0.37%. This proves that contrast Abdominal MSCT examinations are often carried out but evaluation has never been carried out regarding the radiation dose received by the patient. Method: The type of research used in this research is descriptive quantitative with an observational approach by collecting data from patients with contrast Abdominal MSCT examinations during the period January-March 2023 with a sample of 128 patients. The local DRL value is calculated using the 2nd quart formula in the SPSS statistical application, then this local DRL value is compared with the I-DRL value determined by BAPETEN. Results: Calculation of the 50th percentile value of CTDIvol and DLP on 128 samples. The results show a CTDIvol value of 15.91 mGy and DLP of 740 mGy*cm. The DRL (50 percentile) values ​​based on gender are 13.71 mGy and 743 mGy*cm for men, and 17.74 mGy and 792 mGy*cm for women. Based on abdominal thickness, patients with a thickness of 10-19 cm have values ​​of 12.19 mGy and 587 mGy*cm, while patients with a thickness of 20-30 cm have values ​​of 22.57 mGy and 965 mGy*cm. For the most clinical cases (Ca Recti) the values ​​were 11.27 mGy and 586 mGy*cm. Conclusion: The 2nd quartile value (50 percentile) of CTDIvol and DLP received by patients during the Contrast Abdominal MSCT examination at the Radiodiagnostic Installation of RSUP Dr. Hasan Sadikin Bandung is in accordance with the standard values ​​set by BAPETEN/I-DRL 2021. However, special attention is needed for patients with an abdominal thickness of 20-30 cm, where the CTDIvol value exceeds the standards set by BAPETEN/I-DRL 2021.

Diabetes Mellitus is a metabolic disorder that occurs chronically or chronically because the body does not have enough insulin hormone due to interference with insulin secretion, the insulin hormone does not work as it should or both (Hendry et al., 2023). The International Diabetes Mellitus Federation (IDF) organization estimates that at least 463 million people aged 20-79 years in the world suffered from diabetes mellitus in 2019 or equivalent to a prevalence rate of 9.3% of the total population of the same age. Based on gender, IDF estimates that the prevalence of diabetes in 2019 is 9% in women and 9.65% in men. (Indonesian Ministry of Health, 2020). Prevalence data from the Indonesian Ministry of Health in 2013-2018, there are 4 provinces with the highest prevalence, namely DKI Jakarta 3.4% East Kalimantan 3.1% In Yogyakarta 3.1%, North Sulawesi 3% and Central Java 2.1% ( Research and Development Agency, Republic of Indonesia Ministry of Health, 2019).

Hypertension is one of the most common cardiovascular diseases and is most common in society. Hypertension is now a major problem for all of us, not only in Indonesia but in the world, because hypertension is a risk factor for heart disease, kidney failure, diabetes and stroke (Indonesian Ministry of Health, 2019). Data from the World Health Organization (WHO) in 2018 shows that around 1.13 billion people in the world have hypertension, meaning that 1 in 3 people in the world are diagnosed with hypertension. The number of people with hypertension continues to increase every year, it is estimated that by 2025 there will be 1.5 billion people affected by hypertension and it is estimated that every year 10.44 million people die due to hypertension and its complications (Ministry of Health, 2019). Based on Riskesdas 2018, the prevalence of hypertension based on measurement results in the population aged 18 years was 34.1%, the highest in South Kalimantan (44.1%), while the lowest was in Papua (22.2%). Hypertension occurred in the age group 31-44 years (31.6%), age 45-54 years (45.3%), age 55-64 years (55.2%). From the prevalence of hypertension of 34.1%, it is known that 8.8% were diagnosed with hypertension and 13.3% of people diagnosed with hypertension did not take medication and 32.3% did not regularly take medication. This shows that the majority of hypertension sufferers do not know that they have hypertension and therefore do not receive treatment (Ministry of Health, 2019).

Diabetes mellitus is a serious problem in public health and one of the four priority non-communicable diseases that are of global concern (Dewi, 2022). The etiology of type 2 diabetes mellitus is insulin resistance, with higher than normal insulin concentrations required to maintain normoglycemia. When insulin production by pancreatic beta cells is inadequate to compensate for increased insulin resistance, blood glucose levels will increase. Secondly, pancreatic beta cell dysfunction occurs as a result of a combination of genetic and environmental factors. Lastly, environmental factors which also play an important role in the occurrence of DM are obesity, eating too much and lack of physical activity (Dewi, 2022). Diabetes mellitus was the direct cause of death for 1.6 million people in 2016. The latest data released by the International Diabetes Federation (FDA) shows that around 415 million people aged 20-79 years worldwide experienced diabetes mellitus in 2015. This figure is predicted will increase to 642 million people in 2040 with prevalence increasing from 8.8% to 10.4%. China, India and the United States are the three countries with the highest number of diabetes mellitus sufferers. According to the World Diabetes Foundation, from 2014 until now 382 million people in Indonesia suffer from diabetes mellitus. This number is predicted to increase to 592 million people in 2035 (Maria, 2021).

Hypertension is now a global problem because its prevalence continues to increase in line with lifestyle changes. Blood pressure that continues to increase causes the heart's workload to become excessive, triggering damage to blood vessels, heart failure, kidney failure, and blindness. Hypertension can be treated with non-pharmacological techniques, one of which is with morning walks. Purpose: to determine the effect of implementing morning walks on blood pressure in elderly people with hypertension in Bendungan Village, Sragen Regency. Method: This research method is a case study and descriptive research using pretest and posttest observation sheets. In this case study, the researcher used a tensimeter to measure the respondent's blood pressure, carried out for 30 minutes a week (frequency 4 times). Results: The results of the implementation showed that there was a different decrease in blood pressure between respondent 1 and respondent 2 after implementing morning walks for 30 minutes 4 times a week. Both respondents were categorized as grade 2 hypertension decreasing to degree 1 hypertension. Conclusion: The conclusion from the application results is that the rate of decrease in blood pressure in Mrs. M is greater, namely systolic pressure of 24 mmHg diastolic 1 mmHg while Ny. W decreased systolic pressure 15 mmHg diastolic 6 mmHg.

Background: According to the Indonesian Ministry of Health in 2016, the prevalence of adolescent girls in Indonesia who experienced menstrual pain was around 55% (Susanti, et al, 2018). Based on a preliminary study conducted by researchers on December 5 2022 at MTS Al Mukmin Cemani Grogol Sukoharjo. Information obtained was that 6 out of 10 students said they experienced menstrual pain at the beginning of menstruation as well as feeling lazy to move, weak body and easily felt tired. So from the results of the information obtained, it is necessary to reduce menstrual pain by giving chocolate to find out its effect. Objective: To determine whether there is an effect of giving chocolate on reducing menstrual pain in class VII MTS Al Mukmin Cemani Grogol Sukoharjo. Research method: this research uses a pre-experiment with a one group pretest posttest design. The sample of this research is 20 respondents. Results and discussion: This research uses the Wilcoxon statistical test with a pre-test mean of 3.10 and a post-test mean of 1.10 so that a p-value (asymp.sig 2-tailed) is 0.000 < 0.05, this means H0 is rejected and H1 is accepted. H1 is accepted, meaning there is a significant effect before and after being given chocolate on changes in pain reduction. Conclusion: There is an effect of giving chocolate on reducing the intensity of menstrual pain as proven by the analysis results of p value (0.000) < α value (0.05).

Background : The elderly will experience various declines that have an impact on one of the problems in the endocrine system, namely diabetes mellitus. One of the reasons for lack of physical exercise. Data from Riskesdas 2018, the prevalence of diabetes mellitus diagnosed aged 65 to 74 years is 6.03%. Based on data from PKD Mliwis cadres, there were 76 cases of elderly people with DM. One of the recommended physical exercises for diabetic patients is walking. Walking can help muscles absorb blood sugar in the body. Purpose: To find out the results of implementing walking in the elderly on blood sugar levels in Mliwis Village. Method: This type of case study research uses descriptive research methods. Prior to the research, interviews and observations were carried out through observation sheets (pre-test) and after the intervention, results were observed (post-test). Management of diabetes mellitus by walking is given 3 times in 1 week. This therapy is given for 3 days in 30 minutes at one meeting. Results: Obtained an average reduction in sugar levels in the first respondent by 11,6 mg/dl while the second respondent obtained an average decrease of 16 mg/dl. Conclusion: This walking therapy can reduce blood sugar levels in 2 respondents.

Background: High levels of stress can result in biological, psychological and social problems and even serious harm to a person. Emotional prevalence in Central Java is characterized by 95,461 depressive symptoms. Stress in students can originate from activities and also academic assignments. Objective: Therapy that can be carried out by Muslims with an Islamic approach, namely psychoreligious by listening to the holy verses of the Koran or murottal Al-Qur'an. This research aims to determine the effect of providing murottal Al-Qur'an on stress levels in students at 'Aisyiyah University, Surakarta. The research respondents were students at 'Aisyiyah University, Surakarta, female, aged 18-22 years, from the faculty of health sciences and not deaf. Methods: This study measured the stress level of the pretest and posttest design. The subjects of this study amounted to 2 respondents. The questionnaire used in this study was the DASS (Depression Anxiety Stress Scale) questionnaire to measure student stress levels. Results: Before being given murottal Al-Qur'an the level of stress was high, and after being given murottal Al-Qur'an the level of stress was mild. Conclusion: The results show that there is a significant reduction in stress levels in 'Aisyiyah Surakarta University students, after being given Al-Qur'an murottals.  

Background; Hypertension is a "sillent killer" disease that is mostly experienced by the elderly. According to data from the World Health Organization (WHO) in 2021, the prevalence is 1.28 billion people with hypertension aged 30-79 years. The prevalence of the elderly in the world and Indonesia continues to increase because the elderly experience a decline in physical conditions, including the cardiovascular system, which increases the risk of degenerative diseases such as hypertension. Therefore, progressive muscle relaxation can be used as an alternative therapy for the elderly with hypertension. The Objectives of the research; Knowing the results of the implementation of progressive muscle relaxation on blood pressure in the elderly with hypertension. Method; This application uses a case study method by observing blood pressure in two elderly respondents. The instruments used are observation sheets, sphygmomanometer, and stopwatch. Results; After application for 20 minutes with a frequency of four times a week for two consecutive weeks showed a decrease in blood pressure in both respondents to prehypertension. Summary; Progressive muscle relaxation therapy can potentially reduce blood pressure in the elderly with hypertension.

Background: Schizophrenia is a psychiatric disorder that affects the work of the brain. The resulting disorders can attack thoughts, perceptions, emotions, movements, and behaviors. Based on the records of the Indonesian Ministry of Health in 2019, the prevalence in Indonesia with the highest psychiatric disorders is found in Bali and Yogyakarta Provinces with each prevalence showing 11.1% and 10.4% per 1000 with people with schizophrenia / psychosis. One of the therapies to reduce anxiety in schizophrenic patients with hallucinations is environmental therapy using drawing methods. Objective: To know the results of the implementation of occupational therapy drawing on the decrease in signs and symptoms of hallucinations in patients with hallucinatory sensory perception disorders. Method: applying sensory stimulation therapy applied to 2 patients in the form of a case study. Results: After the application of occupational therapy, both respondents experienced a decrease in hallucination scores, with a total score of 14 and 5 classified as moderate hallucinations. Conclusion: Based on the data obtained, both respondents experienced a development that was originally classified as a very severe hallucination to moderate hallucination.

Based on accident statistics data at PT. Nindya Citra Kharisma KSO, many accident cases are due to poor behavior in the use of Personal Protective Equipment (PPE) caused by low knowledge about PPE. Therefore, quantitative research was conducted on the relation of knowledge with the behavior of using Personal Protective Equipment (PPE) in workers of the "Mainline 1" project of PT. Nindya Citra Kharisma KSO in 2023. . This research is a quantitative research with an analytical descriptive design with a cross sectional method. The population in this study was 60 workers. In data collection using total sampling, then the data obtained is analyzed to describe relationships and images using the chi square test. Based on the results of the study, it is known that 65.5% have bad knowledge, show behavior in the use of bad personal protective equipment with a p-value of 0.050, meaning that there is a relation between knowledge and the behavior of using Personal Protective Equipment (PPE) with a Prevalence Ratio (PR) of 1.966. Researchers suggest that HSE is advised to reinforce the Tool Box Talk schedule, require workers to follow TBT and be present on time and provide strict sanctions if workers are absent or arrive late 3 times in a row.

Hypertension is one of the issues challenging the medical community today. In Indonesia, the prevalence of hypertension is 34.1%, or 63,309,630 million individuals. Since hypertension is frequently referred to as the "silent killer," it needs to be treated right once in order to prevent problems like heart failure, stroke, and kidney failure as well as other disorders caused by hypertension. One of the treatments for hypertension is complementary therapy such as yoga therapy. Objective: This research aims to determine the changes in blood pressure as a result of the implementation of yoga exercises in hypertensive patients in Jebres Village, Surakarta City. Methods: This research used a descriptive case study  method by observing 2 female respondents aged 45-55 years who were given the implementation of yoga exercises for 4 meetings in 2 weeks with a time of ± 15-20 minutes. Results: Blood pressure dropped following the application of yoga exercises, and grade 1 patients were included. Conclusion: The application of yoga exercises can reduce blood pressure in patients with hypertension.

Background: Breast cancer occurs when cells in the breast tissue grow uncontrollably and take over healthy breast tissue and its surroundings. The prevalence of breast cancer in Indonesia is 18/100,000 women. Riskesdas data for 2018 shows the prevalence of breast cancer in Indonesia is 61,682 cases. Based on the 2018 Riskesdas data, the prevalence of cancer in East Nusa Tenggara in 2018 was 1.49% or the equivalent of 44,782 cases. Purpose: The aim of this study was to determine the knowledge of women of childbearing age about breast self-examination (BSE) in the working area of the Oesapa Health Center. Methods: This research uses a descriptive research type. The sample in this study were 68 WUS in the working area of the Oesapa Health Center. Sampling technique with Proportional Random Sampling. Data analysis using frequency distribution. Results: The results of this study were then given an interpretation based on the variables studied based on the criteria of good, sufficient and lacking. The results of this study indicate that women of childbearing age in the working area of the Oesapa Health Center have less knowledge about BSE with a total of 27 people (39.7%), 25 people (36.8%) have sufficient knowledge and 16 people have good knowledge. Conclusion: Most of the knowledge of women of childbearing age about breast self-examination (BSE) is mostly in the less category.

Background: Adolescents who experience nutritional deficiencies such as iron, calcium, vitamins, magnesium and folic acid can cause anemia. The prevalence rate of anemia in Indonesia in adolescents aged 15-24 years is 32%. The proportion of anemia in women is higher than in men. Honey is a medicine for all kinds of diseases, honey containsl important mineralsl that helpl in thel production ofl hemoglobin. Thenl honey helpsl increase calciuml absorption, hemoglobinl count andl treats or prevents anemial due tol nutritional lfactors. Objective: To determinel the effectl of giving honey onl an increase inl HB inl female adolescents who experience anemia. Methods: The research design was the Pre Experiment and the One Group Pretest Posttest approach, a sample of 23 young girls of class X, the sample used was total sampling. Test analysis using the Paired Simple T Test. The results of the study: The results of the Paired Simple T Test based on HB values before and after being given treatment showed a significant value of 0.000 <0.05 with an average value of an increase of 0.5 gr/dl. Conclusion: Therel is a positive effectl of givingl honey onl the increasel in HB inl female adolescents who experience anemia.

Hypertension is a condition with blood pressure that exceeds normal limits. If hypertension is not controlled properly, it can cause damage to blood vessels and can even lead to the risk of death. According to the 2018 Riskesdas, it shows that the prevalence of people with high blood pressure is 34.11%. The prevalence of high blood pressure in women is 36.85% higher than that of men, 31.34%. Data obtained from the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, the number of hypertension sufferers has increased from 2019-2021. This study aims to determine the risk factors (hereditary, obesity, smoking habits, eating habits, and physical activity) associated with the incidence in adult women in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency. The type of research used was an analytical design. cross sectional. The population in this study was adult women aged 30-49 years in the Working Area of ??the Sitinjak Health Center, Angkola Barat District, South Tapanuli Regency, as many as 105 people. The sample in this study amounted to 51 people, the sampling technique was this study using a non-probability sampling technique, namely accidental sampling. Data were obtained from the Community Health Center and through interviews using a questionnaire. Methods of data analysis were analyzed univariately, bivariately using Chi-Square test at 95% confidence level (P<0.05) and multivariate test with multiple regression tests. The results showed that hereditary variables, obesity, eating habits were related to the incidence of hypertension. The most dominant variable is eating habits. It is suggested to respondents to change their bad living habits for the better to prevent hypertension and for health workers to conduct health education to the public about how to prevent hypertension, for example by reducing consumption of foods that trigger hypertension.

Based on population projection data, it is estimated that in 2017 there will be 23.66 million elderly people in Indonesia (9.03%). The number of elderly people is predicted in 2020 (27.08 million), 2025 (33.69 million), 2030 (40.95 million) and 2035 (48.19 million) (Ministry of Health RI, 2017). The prevalence of dementia (per 1000 people) in Indonesia in 2005 was 191.4 incidents, in 2020 it is estimated to be 314.1 incidents, and will increase in 2050 to around 932 incidents. The data obtained in the work area of ​​the Telaga District Public Health Center were 134 elderly, of which 38 had dementia. From the results of interviews obtained from health workers at the puskesmas and families, they said that often the elderly forgot many activities such as bathing, taking medicine and others, so the family had to remind them to take a bath, take medicine and so on. Further interviews conducted by researchers on the elderly, some said that they rarely consume vitamins, especially vitamin D, are lazy to exercise, do light activities or sunbathe every morning which can increase the risk of developing dementia.