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Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

Background: Anemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. According to WHO, the prevalence of anemia in pregnant women is around 35-75%, and it increases with the growth of gestational age. Objective: This study aims to increase insight and knowledge and to find out the incidence of pregnant women with anemia before and after the intervention. In addition, to analyze the effect of giving a mixture of honey to increase hemoglobin levels in anemic pregnant women. Methods: The design in this study used the Quasi-experimental design method. Quasi-experimental design (quasi-experimental) with a quantitative approach to one group design pre-test and post-test. The population in this study were all pregnant women who came to check their pregnancy at the Pratama Hidayah Clinic in January 2022. The sampling technique in this study was purposive sampling, namely taking samples based on considerations with the desired elements by inclusion criteria with the number of a sample of 15 respondents. Results: Test using the Shapiro Wilk method. The significance value of the pre-test variable is 0.994 and the significance value of the post-test variable is 0.153 or > 0.050, meaning that the data in this study are normally distributed. So the statistical test used is the T-test with a p-value of pre-test - post test of 0.000 < 0.050. Thus, it can be concluded that there is a significant difference between the average pre-test and post-test variables. This means that there is an effect of giving a mixture of honey increases hemoglobin levels in pregnant women with anemia. Conclusion: From the research conducted that there is a significant difference between the value of the pre-test and post-test, besides that there is a very strong relationship between the effect of giving a mixture of honey to the increase in hemoglobin levels in the mother. pregnant with anemia.

This study aims to determine the prevalence of refractive errors in children with Down Syndrome in eye examination activities carried out during Down Syndrome Awareness Month 2023 by the East Java Association of Parents of Children with Down Syndrome (PIK POTADS). A total of 30 children with Down Syndrome underwent eye examinations, and the results showed that 18 children (72%) had myopia, 7 children (28%) had astigmatism, and 5 children were indicated to require further referral to a pediatric ophthalmologist. These results indicate that children with Down Syndrome have a high risk of experiencing refractive errors, so regular eye examinations and medical follow-up are needed.

This study aims to determine the prevalence of refractive errors in children with Down Syndrome in eye examination activities carried out during Down Syndrome Awareness Month 2023 by the East Java Association of Parents of Children with Down Syndrome (PIK POTADS). A total of 30 children with Down Syndrome underwent eye examinations, and the results showed that 18 children (72%) had myopia, 7 children (28%) had astigmatism, and 5 children were indicated to require further referral to a pediatric ophthalmologist. These results indicate that children with Down Syndrome have a high risk of experiencing refractive errors, so regular eye examinations and medical follow-up are needed.

According to the American Heart Association or AHA, hypertension is a silent killer, with symptoms that can vary from individual to individual and are almost the same as symptoms of other diseases. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure> 140 mmHg or diastolic blood pressure> 90 mmHg. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study were all elderly (≥60 years) hypertensive patients at the Internal Medicine Polyclinic totaling 156 people, while the sample numbered 156 people by means of total sampling. Data analysis was performed using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test it is known that the incidence of hypertension affects smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity p = 0.000, meaning that there is an effect of smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity on hypertension incident. From the results of multivariate analysis it is known that the most influential variable in this study is obesity with an OR value of 62,850. The conclusion in this study is that obesity is the dominant factor influencing the incidence of hypertension in the Internal Medicine Polyclinic at Dr.R.M.Djoelham Binjai Hospital. In order to reduce the prevalence of hypertension, it is hoped that the Patients of the Internal Medicine Polyclinic at Dr, R.M.Djoelham Binjai Hospital will apply hypertension management with a healthy lifestyle so that diabetics can have controlled blood pressure levels.

Adolescent nutritional problems are a continuation of childhood nutritional problems such as iron deficiency anemia. Prolonged iron deficiency can cause anemia. Teenagers need more to replace iron lost along with menstrual blood. Anemia in adolescent girls is currently still high, according to WHO, the world prevalence of anemia ranges from 40-88%. The majority of students at SMP Negeri 5 Nekamese are young women who are vulnerable to suffering from anemia, so it is necessary to conduct anemia education and measure hemoglobin (Hb) in young women. The aim of this community service is to increase the knowledge of young women about anemia and school health so that it becomes a healthy and anemia-free school. The empowerment method in this community service activity uses the Question and Answer Lecture method. Counseling was conducted for young women in grades 7, 8 and 9 at SMP Negeri 5 Nekamese on September 9 2023, which was attended by 30 young women. The activity began with preparations for making an examination stand, distributing leaflets, explaining material or counseling using the lecture method of question and answer and evaluation. Before the counseling is carried out, a pre-test is carried out, then after the counseling a post-test is carried out. The implication of this community service activity is an increase in young women's knowledge about anemia and healthy schools. It is hoped that after carrying out this activity, young women can prevent anemia during adolescence by increasing their food consumption patterns to be diverse, nutritious, balanced and safe.

Data from the World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% of the total world population. Based on data on hypertension in the elderly in the Tangan-Tangan Community Health Center, Southwest Aceh Regency in 2021, there were 517 people, in 2022 there were 668 people, while in 2023, starting from January-August, there were 712 people. The aim of the research is to determine the factors that influence the quality of life of elderly people with hypertension in the Tangan-Tangan Community Health Center Area, Southwest Aceh Regency. The research design uses the Analytical Survey method with a Cross Sectional approach. The population in this study were all elderly people who experienced hypertension in the Tangan-Tangan Health Center Working Area, Southwest Aceh Regency, totaling 712 people. The sample consisted of 88 people using Quota sampling technique. Data analysis uses univariate, bivariate and multivariate analysis. The results of the research show that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency, while the dominant factor is family support. The conclusion of this research is that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency. It is recommended that the Tangan-Tangan Health Center create a program as a forum for hypertensive patients to always carry out efforts to control blood pressure as a form of monitoring and maintaining the patient's quality of life.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

Breasts are organs that play a role in the lactation process. In men, this organ does not develop and does not have a function in the lactation process like in women. According to. cancer is characterized by the growth of abnormal cells beyond normal limits and can attack adjacent parts of the body or metastasize to other organs which can result in death for the sufferer. Cancer is also called malignant tumor and neoplasm. Breast cancer sufferers often find out about their disease too late, so they come to the hospital when it is in the final stage. Early detection is very necessary so that breast cancer sufferers can be treated more quickly. The prevalence of cancer in Bali Province in 2018 was 2.3 per 1000 population. This incidence increased compared to the 2013 Riskesdas results of 2.0 per 1000 population (Riskesdas, 2018). The total number of breast cancer cases recorded in the Medical Records Installation at Sanglah General Hospital Denpasar for the period 1 January – 31 December 2022 and which met the inclusion criteria was 70 people with a monthly average of 5.83%, around 6 patients. Inclusion criteria are breast cancer patients with stage II-IV and who have had a mastectomy. Based on a report from the Bali Province Integrated Disease Survey, it was found that the incidence of breast cancer in 2019 was 437 cases. especially in Denpasar City, the incidence of breast cancer was 293 cases. Denpasar City is an area that has the highest incidence of breast cancer in Bali.

The incidence of injuries is increasing every year, both acute wounds and chronic wounds. A recent study in America showed that the prevalence of patients with wounds was 3.50 per 1000 population. The majority of wounds in the world's population are wounds due to surgery/trauma (48.00%), foot ulcers (28.00%), decubitus wounds (21.00%). In 2009, MedMarket Diligence, a wound association in America conducted research on the incidence of wounds in the world based on disease etiology. Data obtained for surgical wounds were 110.30 million cases, trauma wounds 1.60 million cases, abrasions there were 20.40 million cases, burns 10 million cases, decubitus ulcers 8.50 million cases, venous ulcers 12.50 million cases, diabetic ulcers 13.50 million cases, amputations 0.20 million per year, carcinoma 0.60 million per year, melanoma 0.10 million, skin cancer complications there are 0.10 million cases. Injuries that occur in all our daily activities. Abrasions due to falls, injuries from sharp objects such as knives, nails and so on are considered minor injuries.

The government has carried out a TTD program but the prevalence of anemia still cannot be reduced. The red Dragon Fruit (Hylocereus polyrhizus) is effective for controlling iron deficiency and is almost entirely absorbable and helps increase iron absorption from food through the formation of ferrous ascorbate complexes. This study aims to determine the tendency of increasing hemoglobin (Hb) levels in anemic pregnant women before and after giving blood enhancer supplements and dragon fruit. This research method uses a quasy experiment research design. The population of this study is anemic pregnant women recorded in the Awayan Health Center area in December – January 2023. The final hemoglobin content of the intervention group was mostly not anemic amounted to 14 people (93.33%), while the hemoglobin content of the control group was mostly mild anemia amounted to 9 people (29.97%). Research shows that there is a significant increase in hemoglobin levels between before and after blood enhancer tablets and dragon fruit additives where p value = 0.000 and there is an effect of Hb levels after intervention from test results 1.1 times with a confidence level of 95%.    

Hypertension is a chronic degenerative disease that many people suffer from. In several studies, coastal and fishing community groups are said to have a fairly high prevalence of hypertension when compared with other community groups. The aim of this study was to determine the factors associated with the incidence of hypertension in fishermen. This type of research is quantitative with a cross sectional design. The population in this study were all fishermen in Titawaai Village, Nusalaut District, Central Maluku Regency. Determining the sample in this study used a total sampling technique totaling 58 respondents. The research results showed that there was a relationship between sodium consumption and the incidence of hypertension with ρ value = 0.000, a relationship between smoking habits and the incidence of hypertension with ρ value = 0.002, a relationship between caffeine consumption and the incidence of hypertension with ρ value = 0.004, a relationship between stress and the incidence of hypertension with ρ value = 0.012. The conclusion of this research is that there is a relationship between sodium consumption, smoking habits, caffeine consumption and tres with the incidence of hypertension. It is recommended that existing health facilities in the community be able to improve health services by ordering them to maritime communities.

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal

One of the development frameworks for North Minahasa to be more advanced is that the government continues to improve and improve programs on stunting prevention in North Minahasa Regency, because in the last 5 years the stunting prevalence rate in North Minahasa is quite high, even in 2018 North Minahasa Regency became a district. with the highest stunting rate in North Sulawesi reaching 35.44%. Therefore, the authors are interested in conducting research with the title " NORTH MINAHASA TOWARDS STUNTING FREE ".  This study aims to find out how or what efforts are made by the North Minahasa Regency Government specifically at the Health Office regarding the stunting prevention and prevention process in order to realize stunting-free North Minahasa 2022, as well as what factors are the obstacles in this stunting prevention process. This study uses a qualitative descriptive research method with an inductive approach. Data collection techniques used are through interviews, observation and documentation. The data analysis technique used is data reduction, data presentation and then drawing conclusions. Based on the analysis conducted by the researchers, the stunting management process in North Minahasa Regency so far has been going well. All of this cannot be separated from the important role of the Regent of North Minahasa, Mr. Joune J.E Ganda, who always supports and provides input as well as programs in the handling of stunting in North Minahasa in order to realize a stunting-free North Minahasa in 2022.      

. 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.

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.  

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.

Stunting is a growth and development disorder in children caused by poor nutrition and frequent and insufficient psychosocial stimulation infections. Stunting usually occurs due to several factors such as environmental factors, genetic factors, socioeconomic conditions, infectious diseases and exclusive breastfeeding. In DISKOMINFOTIK Bengkalis Regency, it is said that the prevalence of stunting in Bengkalis Regency in 2021 will reach 21.9 percent and drop to 8.4 percent in 2022. This is what caused us as KKN Bangun Kampung students at Riau University to realize the socialization of stunting in Wonosari Village as our flagship program. From these conditions, we as KKN Bangun Kampung Wonosari Village Students together with the head of the PKK and Posyandu cadres make every effort to provide knowledge about the understanding, symptoms and ways to prevent stunting to PKK mothers and members of the Wonosari Village posyandu cadre.