Publication Search

Heart failure is a collection of clinical findings due to structural and functional disorders of ventricular filling and blood ejection. Heart failure can be caused by various medical conditions, including hypertension and myocardial infarction. In addition, heart failure can also be caused by congenital abnormalities, kidney disorders, lung disorders, infections, autoimmune diseases, and malignancies. Based on data, mortality due to heart failure reaches 50% in the first 5 years. Heart failure is responsible for 287,000 deaths per year. About half of people with heart failure die within five years of being diagnosed. The initial symptoms that commonly occur in patients with heart failure are dyspnea (shortness of breath), fatigue and fluid retention. Therapy for patients with heart failure includes non-pharmacological therapy and pharmacological therapy.

Pleural effusion is the accumulation of abnormal fluid in the pleural space that can be caused by various conditions, such as infections (tuberculosis, pneumonia), malignancies, heart failure, or other systemic diseases. Clinical manifestations are generally shortness of breath, pleuritic chest pain, and cough. Diagnosis enforcement is carried out through clinical examination, radiology (thoracic photo, ultrasound), and pleural fluid analysis. Management of pleural effusion depends on the cause and volume of fluid. In cases of massive pleural effusion or those that cause significant respiratory distress, the installation of a pigtail catheter is one of the options for fluid drainage. Pigtail catheter is an effective minimally invasive method of gradual removal of pleural fluid, with a relatively low risk of complications. The method in this final scientific paper uses a case study method with a nursing care approach for Mrs. L with respiratory system disorders: pleural effusion in the inpatient room of St. Laura, Santa Elisabeth Hospital Medan. Results: The signs and symptoms that arise in the case of pleural effusion were all obtained in accordance with the theory and data found in the field, in addition to the determination of nursing diagnosis was also adjusted to the SDKI obtained. The determination of the intervention given to the client with pleural effusion, in the form of nebulizer therapy, semi-fowler positioning, and the installation of water seal drainage (PIGTAIL Installation).

Hypertension is a serious medical condition that can increase the risk of heart disease, stroke, and kidney failure. This study aims to describe the prevalence of hypertension in the Poasia District community, Southeast Sulawesi, as well as the importance of education regarding blood pressure measurement. The method used is descriptive research with a cross-sectional approach, where data is collected through blood pressure measurements in individuals aged 13-65 years. The results showed that of the total individuals examined, there were variations in the cardiovascular health category, with 15 people in the normal category, 10 people prehypertensive, and 15 people experiencing hypertension. The educational program implemented was successful in increasing public awareness about the dangers of hypertension and the importance of regular blood pressure measurements. The conclusion of this research confirms that continuous health education and collaboration between various parties are very important in efforts to prevent and control hypertension in society.

Blood pressure is the amount of blood flowing through blood vessels, and its normal value is <120/80 mmHg. Unbalanced blood pressure, such as hypertension (>140/90 mmHg) or hypotension (<90/60 mmHg), can be harmful to health. Hypotension causes dizziness and fainting due to inadequate blood supply, while hypertension increases the risk of heart disease, stroke and kidney failure. Hypertension in adolescents is influenced by lifestyle, obesity, stress, sleep duration and family history.

Through Presidential Regulation No. 82 of 2018, concerning Health Insurance in article 48, one of the benefits of promotive preventive services is health history screening services. Health history screening abbreviated as SRK is a preventive effort that can detect participants with a potential risk of diabetes, hypertension, kidney failure and coronary heart disease. This SRK filling activity is very beneficial for JKN participants, one of which is that they can find out the potential risk of disease as early as possible for themselves and their family members. Some people still have minimal knowledge about the Mobile JKN application, there are several obstacles in the community, especially the elderly who experience either a lack of smartphones or a lack of understanding of how to use the Mobile JKN application, so these obstacles are the main problems that occur in the Marpoyan Damai area, especially in the Jl. nurul. The aim of the activity is to increase the public's insight and knowledge regarding how to use and benefit the Mobile JKN application in health history screening. In this case, the service team will provide education and assistance with health screening through the BPJS application as an effort to prevent disease. The location for this activity will be carried out in one of the neighborhoods in Pekanbaru City, namely the RT 01 RW 21 Tangkerang Tengah neighborhood, Pekanbaru City. The aim is that after this community service is carried out, it can improve the level of public health through health screening in the application and also increase the knowledge of the community in the area regarding the use of family medicinal plants (herbal medicine)

Hypertension is a strong and important risk factor for cardiovascular diseases and kidney diseases, such as coronary heart disease, heart failure, and kidney failure. High blood pressure can be influenced by genetic factors, environmental factors and the interaction between the two factors.This study aims to determine the relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.The research design used in this study uses an analytical survey method with a cross-sectional approach. This study was conducted at the Heart Polyclinic of Wulan Windy Marelan General Hospital, Medan in 2024. The population in this study were coronary heart patients totaling 4676 respondents from December 2023-February 2024. The sampling technique used was purposive sampling with reference to the Slovin formula, namely 100 respondents. The data collection instrument used univariate and bivariate analysis. The test used was the Chi-Square test. Research results Based on statistical tests using the chi-square test, the p-value = (0.038) (α = <0.05) is obtained, which is less than or not more than α = 0.05, which means that Ho is rejected, Ha is accepted, which means that there is a significant relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.The conclusion in this study shows that statistically there is a relationship between hypertension and lifestyle in coronary heart disease patients at Wulan Windy Marelan General Hospital in 2024.

Giving thanks in success is a natural and important part of a believer's life, especially when life is filled with abundance. However, the ability to remain grateful in the midst of failures and difficulties is a challenge in itself that tests the firmness of faith. In his letter to the Philippians, the Apostle Paul provides an example and an important message on how to remain grateful to God, even when he himself faced prison and suffering. This paper aims to explore the deep meaning of thanksgiving based on Philippians and how it can be applied in the daily lives of believers. Using a descriptive approach and relying on the Bible as the main source, this study reveals that Paul taught four main dimensions of thanksgiving: thanksgiving in suffering, thanksgiving in service, thanksgiving for Christ, and thanksgiving for God's blessings. True thanksgiving comes from a deep relationship with God, which enables one to remain steadfast in the midst of life's challenges. These principles become relevant to help believers live life with a grateful heart, both in easy and difficult circumstances, and find true peace in their faith journey.

Organophosphates are a group of compounds with toxic potential that inhibit cholinesterase, leading to the accumulation of acetylcholine at muscarinic, nicotinic receptors, and the central nervous system, which can result in death. Organophosphates are the most toxic insecticides compared to other types of pesticides and are often responsible for poisoning in humans. The symptoms of organophosphate poisoning vary widely. Each symptom depends largely on persistent acetylcholine stimulation or depression, followed by stimulation of the central and peripheral nervous systems. Early symptoms such as salivation, lacrimation, urination, and diarrhea (SLUD) occur in acute organophosphate poisoning due to stimulation of muscarinic receptors, leading to an increase in acetylcholine levels in the blood, eyes, and smooth muscles. Management of organophosphate poisoning involves stabilizing the patient, decontamination, and administering antidotes such as antimuscarinic agents, oximes, and anticonvulsants. Complications from organophosphate poisoning include respiratory failure, seizures, aspiration pneumonia, and even death. Postmortem examination of organophosphate poisoning may reveal cyanosis on the lips, fingertips, and nails, systemic or pulmonary congestion, dilation of the right heart, dark bluish-red livor mortis that forms more quickly, and a wider distribution of livor mortis due to high carbon dioxide levels.

Non-communicable diseases cannot be transmitted to others, but their development occurs slowly over a long period of time. One of the non-communicable diseases that is a priority in global health today is hypertension. Hypertension often causes complications such as stroke, heart disease, and kidney failure. The aim is to describe the incidence of hypertension in Posbindu PTM Bumiroso participants. The quantitative descriptive method using the total sampling technique obtained 38 respondents. The data was analyzed descriptively to describe the results of the respondents' blood pressure examinations. The results of the study based on the classification of hypertension, participants who experienced pre-hypertension and hypertension level 1 were 12 (31.58%), hypertension level 2 was 9 (23.68%) and normal was 5 (12.16%). The conclusion is that more than half of Posbindu PTM participants experience hypertension, as a suggestion, they can carry out routine checks at the nearest health facility.    

Hypertension is a condition of the blood circulation system that causes an increase in blood pressure above normal values ​​or blood pressure ≥140/90 mmHg. Prolonged increase in blood pressure can trigger the risk of stroke, heart failure, and kidney failure. Community service activities are one of the efforts to implement physiotherapy services, one form of counseling is by addressing problems that are widely complained about by the community. The purpose of the counseling is to provide knowledge about hypertension and how to do exercises to reduce neck pain independently at home. The method used is in the form of education and stretching exercises using leaflets as a counseling medium. Counseling is carried out by providing pre-tests and post-tests in the form of questions to patients to assess the effectiveness of the counseling that will be given to the elderly community. The results of the counseling went smoothly and from the evaluation there was an increase in participant knowledge from 0% to 100%, which in counseling activities can increase participant knowledge about how to deal with neck pain caused by hypertension.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.

This study examines the legality of pig valve transplantation in humans from an Islamic perspective, with the aim of understanding the differences of opinion that exist among scholars and medical professionals. This literature review identified two main views: first, arguments in favor of the use of pig valves in emergency situations, which adhere to the principle that patient safety should be the top priority. Proponents of this view argue that in critical conditions, such as heart failure, the use of pig valves can be justified to save lives, given the limited halal alternatives available. Second, there is a view that rejects the use of pig valves, arguing that the laws of halal and haram in Islam cannot be ignored, even in a medical context. Opponents argue that more sharia-compliant solutions should be sought, such as the use of valves made from synthetic materials or halal animals. This study shows that the legal issue of pig valve transplantation is multidimensional, encompassing medical, ethical, and religious aspects. Therefore, a constructive dialogue is needed between scholars, medical practitioners, and the community to find a solution that is acceptable to all parties, while respecting Islamic principles in medical decision-making.

Congestive Heart Failure is the inability of the heart to pump blood effectively throughout the body. The heart is said to fail not because it stops working, but because it does not pump as hard as it should. One way to reduce the risk of skin integrity disorders is by using the bed transfer technique. This article uses a case study design and the subjects used in this case are Congestive Heart Failure patients treated at RSI Malahayati Medan with nursing problems at risk of skin integrity disorders. The results of the application which had been carried out for 3 days showed different results with the Braden score assessment on the first day getting a score of 12 and the second day getting a score of 14. Conclusion: giving the bed transfer technique can prevent the risk of damage to skin integrity in Congestive Heart Failure patients who experience total bedrest . Suggestions are given to patients to know and carry out bed transfer techniques to prevent the risk of damage to skin integrity.

Background: The impact of hypertension that is not treated properly and uncontrolled will cause various complications, such as heart failure and coronary heart disease, in the brain there is a stroke, if it hits the kidneys there is chronic kidney failure, and if it hits the eyes there will be visual impairment. The various complications that may arise are very serious diseases and have an impact on the patient's psychology because of their low quality of life. Objective: To describe the results of blood pressure comparison before and after the application of Red Ginger Water Foot Soak Therapy in the elderly. Methods: This study used a descriptive research design with a case study approach by observing blood pressure in 2 elderly respondents, carried out 5 days for 1 consecutive week within 15 minutes. The instruments used are observation sheets, Blood Plesure Monitor, and stopwatch. Results: There is a decrease in blood pressure after giving Warm Red Ginger Water Foot Soak to Mrs. T from stage 2 hypertension to stage 1 hypertension and to Mr. S from stage 1 hypertension to stage 1 hypertension. S from stage 1 hypertension to prehypertension. Conclusion: The application of warm red ginger water foot soak therapy can potentially reduce blood pressure in the elderly with hypertension in both respondents.

The development of Information Technology is now entering various sectors, including health, and is implemented in Bidadari Binjai Hospital. As a health institution that is committed to excellent service and quality, Bidadari Binjai Hospital needs to innovate technology. One health issue that requires attention is rubella, an airborne infectious disease that has the potential to cause serious disorders such as hearing loss, cataracts, speech delay, and heart failure in toddlers and children. The initial symptoms of rubella are often similar to other common diseases, so public understanding of these symptoms is very important for quick treatment. This research aims to develop an information technology-based system that is able to predict rubella using the backpropagation method. This method is expected to improve the accuracy of diagnosis and make it easier for people to recognize rubella symptoms early on. The proposed system aims to provide better diagnosis support at Bidadari Binjai Hospital, as well as increase public awareness and knowledge about rubella disease. From the research conducted, the results of the accuracy rate obtained when conducting a test program were selected according to the symptoms and the results obtained were rubella disease with a 100% accuracy rate.

Congestive Heart Failure (CHF) is a medical condition that affects various body systems and causes the heart to be unable to pump blood properly to meet metabolic needs. To increase oxygen levels in CHF patients, one approach is to change body position. This study used a descriptive method to evaluate the impact of the semi-Fowler position on oxygen levels. This study involved 10 patients in the ICU Room of RSUD Ir. Soekarno Sukoharjo, with the semi-Fowler position at a 45° angle applied for 15 minutes after eating at 13:00, from 23 to 25 May 2023. Patients who met the inclusion criteria were those with oxygen saturation <95%, while patients who refused or experienced complications were not included. The instruments used included the SOP for the 45° semi-Fowler position and the Mindray PM 60 oximeter. The results showed that the 45° semi-Fowler position could increase oxygen saturation by around 2%, with a variation in increase between 2% and 4%. In conclusion, the 45° semi-Fowler position can increase oxygen levels by around 3-4% in CHF patients, as well as help reduce shortness of breath.    

Cardiogenic acute pulmonary edema is a medical emergency that requires early detection and prompt management. This condition is characterized by symptoms of acute heart failure accompanied by hypoxia. This is caused by fluid accumulation in the interstitial space of the lungs, making it difficult to exchange O2 and CO2 due to increased pulmonary capillary pressure. A 72-year-old man was reported to have acute heart failure leading to acute pulmonary edema which was caused by his acute coronary syndrome. Physical examination found blood pressure 160/100, pulse 105 x/min, respiration 42 x/min, jugular venous pressure 5+5 cmH2O, thorax found ronkhi sound (+/+), and oedema extremities. Thoracic X-ray examination found bat-wing appearance, electrocardiography found pathological Q. II-III-aVF and T. Inversion V4-V6, I-aVL, troponin 1.02 ng/mL. Immediate management was given with the target of reducing morbidity and mortality.  

Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by increased blood glucose (hyperglycemia). The aim of the case study is to describe the application of jogging to reduce fasting blood sugar levels in people with type 2 diabetes mellitus. The research used descriptive research with jogging carried out 3 times during 3 consecutive days for 30 minutes by checking fasting blood sugar before and after jogging. Researchers used 2 clients whose inclusion did not have dangerous diseases such as heart disease, kidney failure, asthma. Have a history of Type 2 Diabetes Mellitus for more than 2 years, age more than 45 years, no diabetes mellitus wounds on the legs, fasting blood sugar measurement results before the procedure 126mg/dl – 200mg/dl. Subject 1's results from measuring pre-test fasting blood sugar levels were 175 mg/dl and post-test results were 166 mg/dl. The results of subject 2 from measuring pre-test fasting blood sugar levels were 134 mg/dl, and the post-test results were 127 mg/dl, the results of both subjects experienced a significant decrease in fasting blood sugar levels. The results of this case study are the basis for further case studies, especially those related to jogging or other physical activities for people with type 2 diabetes mellitus.    

Congestive heart failure is a pathophysiological condition in which the heart as a pump is unable to meet the need for blood for tissue metabolism. It has been reported that a 56-year-old patient with complaints of shortness of breath is felt to be worse when sleeping in a supine position and improves when sitting in a sitting position. The complaint was accompanied by chest pain that radiated to the back and left arm and palpitations. Patients also complain of getting tired easily when doing activities even to walk to the bathroom. On physical examination, it was found that irregular S1-S2 was accompanied by a murmur. On the examination of ECG and Echocardiograph, it was found that the picture of AF and EF was 41%. In the thorax photo examination, cardiomegaly. The management of this patient is the administration of drugs that reduce shortness of breath and chest pain in patients.

Hypertension is a cardiovascular disease and chronic medical condition in which blood pressure increases with systolic 140 mmHg and diastolic 90 mmHg. The longer the patient suffers from hypertension, it will lead to complications such as heart failure, kidney failure, and stroke and also cause physical symptoms such as psychological problems, namely anxiety, which can affect a person's quality of life. The purpose of this study was to determine the relationship between anxiety levels and quality of life in hypertensive patients at Kalijati Subang Health Center. The research method used is quantitative. The sampling technique in this study used purposive sampling and obtained a total sample of 91 people. Data analysis in this study used bivariate analysis with the Spearman RankTest. The study's results obtained a p-value of 0.001 (<0.05), which can be interpreted as a relationship between anxiety and quality of life in hypertensive patients at Piskesmas Kalijati Subang. The conclusion that can be explained is that the level of anxiety is related to the quality of life in hypertensive patients at the Kalijati Subang Health Center. From this study, it is hoped that puskesmas can maintain in intervening with patients who experience anxiety so that the quality of life in hypertensive patients is getting better.