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Maumere Gymnastic activities within the framework of the healthy living community movement (GERMAS) teluk lada village, sobang-pandeglang sub-district aiim to improve the health of skills in community gymnastic sports in teluk lada village, especially maumere gymanstic which is well known to the community and studied in schools. The purpose of this activity is to improve the skills of students who practice sport and the community in the field of cultural creation gymnastics, especailly maumere gymnastics, considering that this gymnastics has long been known by the community, from tradisional music to movement that are easy for childern to learn and can be enjoyed by young people. All levels of society, and is expected to improve public health in the area to support government activities, namely GERMAS.

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.

The risk of falling can be a serious complication in the elderly because falls in the elderly can cause serious injury and disability. Handling that can be applied to reduce the risk of falling is by otago  and ankle exercises. The purpose of this study was to analyze the effectiveness of otago  and ankle exercises on reducing the risk of falling in the elderly in Tegalsiwalan Village, Tegalsiwalan, Probolinggo.This type of research is a pre experimental design with a pre post design approach. The population of 40 people with 36 respondents who met the inclusion requirements of the study, were selected by purposive sampling technique. The berg balance scale obsevatio sheet is the tool employed, and the data is subsequently gathered using the editing, coding, scoring and tabulating processes. The data obtained were analyzed using the Chi square and the Wilcoxon hypothesis test in both groups. The results showed that the p value was 0.002 in the group given the otago exercise and the p value was 0.014 in the group given the ankle exercise. For the comparison test, the value of sig(2-tailed) was 0.245 > 0.05. So there is no difference between otago exercise and ankle exercise in reducing the risk of falling in the elderly.The next researcher gave the same intervention both for group one and group two. So that further researchers can combine these two interventions, so that the result are maximized.    

uric acid is the result of purine metabolism, it will cause pain and rheumatic pain in the joints. Handling to reduce pain is with warm ginger compresses and rgonomic exercises. The purpose of this study was to analyze the effectiveness of ginger warm compresses and ergonomic exercises on reducing gout arthritis pain in the elderly in Mojolegi Village, Gading District, Probolinggo Regency.This type of research is quasi-experimental with a cross over group design approach. The population of 51 people was selected by purposive sampling technique and obtained 36 respondents who met the inclusion and exclusion requirements of the study. The instrument used is the numerical pain scale observation sheet (NRS). The results showed that the pain scale of ginger warm compresses for period I pre-test was 5.17 post-test 3.00, period II pre-test was 3.94 post-test 2.39. In the ergonomic exercise group, period I pre-test was 5.39 post-test 3.67, period II pre-test was 3.89 post-test 2.61. The results of data analysis obtained valuesρV 0.000 in the warm ginger compress group and the ergonomic exercise group so that it can be concluded that both therapies were equally effective, there was no difference between warm ginger compress and ergonomic exercise in reducing gout arthritis pain in the elderly.Ginger warm compresses and ergonomic exercises are non-pharmacological measures that can be applied to relieve pain and provide a sense of comfort. Thus, implementing these two therapies requires sufficient recovery time (wash out) so that the effects of the first intervention are not carried over to the second intervention.    

A village is a legal community unit with household management based on rights of origin and customs recognized by the central government and domiciled in a regional district, a village is led by a village head who is elected through elections, each elected village head is responsible for the next 6 years and can re-nominate for 3 consecutive times, the village head has the duty to organize village administration, carry out development and empower the community and umkm in the village, during his tenure, a village head gets an allocation of village funds and village funds to exercise his authority over the community village.

Osteoarthritis of the knee in the elderly can cause pain due to the degradation of joint cartilage in which the joint cartilage is damaged which is characterized by changes in the joint capsule and damage to the cartilage located at the bone joints. Knee Pain Exercise and warm compresses are two methods that can be used to manage knee osteoarthritis pain.. The purpose of this study was to analyze the effectiveness of knee pain exercise and warm compresses on reducing knee osteoarthritis pain in the elderly. Using a purposive sampling technique, a sample of 40 respondents was drawn from the population of up to 125 people. A cross-over group design technique and a quasi-experimental approach were used in the research design. The instrument used was a Numeric Rating Scale (NRS) observation sheet. The normality of the data was tested using the Kolmogorov-Smirnov. The hypotheses were tested and analyzed using paired samples T test with p-value 0.000 on each variable which means that there is an effect of knee pain exercise and warm compresses on knee osteoarthritis pain. The effectiveness test used independent samples test and it was found that warm compresses had the smallest mean value (2.55), which means that warm compresses were more effective in reducing knee osteoarthritis pain than knee pain exercise. It is expected that the elderly who experience knee osteoarthritis pain do regular exercise which is a physical exercise to reduce knee osteoarthritis pain.    

The study of the background with the student at clean-up elementary school has not yet formed his character, it can be seen from the student doing his duty to see his friend, cleaning the class being told by the teacher. The purpose of this study is to describe the independent character education through extracurricular scout activities at devotion nusshal elementary school, which is between 666 and its support factors and constraints. It is a qualitative descriptive study. Research subjects are principals and extracurricular scouts. Data collection through observation, interviews, and documentation. The results of this study explain that the implementation of extra-curricular scout activities can establish a student's independent character is seen in the self-reliance attitudes of each student based on the regular exercise and camp exercises. To the performance of independent character education in extracurricular activities the self-forming self-help group of self-supporting values includes confidence, responsibility, hard work, being able to make decisions, being able to work alone, and respecting time.

Background; Stroke is a blood circulation disorder in the brain which results in the death of brain tissue. Stroke patients who experience hemiparesis can result in functional impairment, impaired mobility, impaired daily activities and irreversible disability. Purpose: This study aims to determine the results of implementing rubber ball ROM exercise on muscle strength in non-hemorrhagic stroke patients. Methods: The application was carried out using a descriptive method with a case study design in non-hemorrhagic stroke patients who are at risk of experiencing muscle weakness. The application of the rubber ball rom exercise was carried out for 4 consecutive days by holding the rubber ball for 5 seconds and repeated 7 times. Results: There was an increase in muscle strength of 1 degree in both respondents after the rubber ball ROM exercise. Conclusion: The results of the application to the two respondents between before and after being given the rubber ball ROM exercise showed an increase in muscle strength. So that rubber ball ROM exercise can be used as a non-pharmacological technique to increase muscle strength in stroke patients.

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.

Hypertension is  a health problem that is commonly found in the elderly. 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. Hypertension can occur due to various factors,  namely: unhealthy diet / diet, smoking lifestyle and alcohol consumption, obesity or excessive weight, lack of  exercise / physical activity, excessive salt intake, consumption of saturated fat, use of estrogen, lack of fruit and vegetable intake. Efforts to overcome hypertension can be done with pharmacological  and non-pharmacological therapies  .  Non-pharmacological therapies  can be done by modifying lifestyle, complementary therapies  such as; hydrotherapy (foot bath) and physical exercise. In the Nursing Interventions Classification (NIC) warm water foot soak is one of the interventions of nursing diagnosis, namely peripheral tissue perfusion disorders. Descriptive research using case study design. There was a decrease in  blood pressure in  hypertensive elderly after  hydrotherapy soaked feet warm water. There are differences in  the development of lowering blood  pressure in  hypertensive elderly before and after  hydrotherapy soak feet warm water.    

Special attention should be paid to reproductive health, especially among adolescents, especially women. Dysmenorrhea is pain experienced in adolescence.  The causes of dysmenorrhea are levels of the hormone progesterone, prostaglandins, and stress/factors. Exercise for dysmenorrhea can prevent it. Dysmenorrhea gymnastics is a technique that guarantees comfortable and stress-free conditions during dysmenorrhea. The body produces endorphins during exercise. The purpose of this study was to the Effect of Dysminore Gymnastics on Reducing Pain Scale in Female Students at STIKes Pelita Ibu Campus. This study used pre-experimental research methods. Conducted on 161 students with a research period of 3 days and a sampling technique, namely accidental sampling. The results of the analysis using the McNemar Test X2 value calculated 103,221 > 3.841 and p value 0.000 < 0.05, meaning dysminore exercise has an effect on reducing menstrual pain. It was concluded that there was an influence of Dysminore Gymnastics on Decreasing the Pain Scale in Female Students at the STIKes Pelita Ibu Campus. It is recommended the need for increased education for women and especially menstrual pain sufferers where by improving exercise routines both before menstruation and while menstruation is highly recommended as a prevention of menstrual pain which has an impact on limiting activities.

Special attention should be paid to reproductive health, especially among adolescents, especially women. Dysmenorrhea is pain experienced in adolescence.  The causes of dysmenorrhea are levels of the hormone progesterone, prostaglandins, and stress/factors. Exercise for dysmenorrhea can prevent it. Dysmenorrhea gymnastics is a technique that guarantees comfortable and stress-free conditions during dysmenorrhea. The body produces endorphins during exercise. The purpose of this study was to the Effect of Dysminore Gymnastics on Reducing Pain Scale in Female Students at STIKes Pelita Ibu Campus. This study used pre-experimental research methods. Conducted on 161 students with a research period of 3 days and a sampling technique, namely accidental sampling. The results of the analysis using the McNemar Test X2 value calculated 103,221 > 3.841 and p value 0.000 < 0.05, meaning dysminore exercise has an effect on reducing menstrual pain. It was concluded that there was an influence of Dysminore Gymnastics on Decreasing the Pain Scale in Female Students at the STIKes Pelita Ibu Campus. It is recommended the need for increased education for women and especially menstrual pain sufferers where by improving exercise routines both before menstruation and while menstruation is highly recommended as a prevention of menstrual pain which has an impact on limiting activities.

Background: Most hypertensive patients do not exhibit symptoms, although some symptoms occur unintentionally and are believed to be related to hypertension. This results in an increase in blood pressure with advancing age. Aging causes physiological changes in the body, such as the thickening of arterial walls due to the accumulation of collagen in the muscle layer, leading to the narrowing and stiffening of blood vessels starting at the age of 45 years. Objective: Aims to determine the results of implementing Isometric handgrip exercise in elderly hypertension patients. Method: A descriptive research design with a case study approach was conducted on two respondents. Results: Before the implementation of Isometric handgrip exercise, both respondents were at moderate risk of hypertension, however after performing the Isometric handgrip exercise with two contractions lasting 45 seconds each and a 15-second rest between the contractions, their blood pressure decreased. Conclusion: Isometric handgrip exercise shows a good influence on elderly hypertension patients.

Background. Heart attacks are difficult to detect early because the symptoms can vary and are not always specific. Not everyone experiences the same symptoms, and often a heart attack can occur without any obvious symptoms. Heart attack is a serious condition and can threaten a person's life. Sports activity, although it has many health benefits, can also increase the risk of heart attack, especially in people who have certain risk factors. The purpose of community service is to carry out counseling activities for early detection of heart attacks during badminton sports.Method. The activities carried out included checking blood pressure and health counseling to members of the badminton sports community Results. Community service activities will be held on August 12, 2023 in the Badminton community at 19.30 - 20.30 WIB. The number of members participating in counseling was 50 people.Conclusion. The knowledge of members of the Badminton community about early detection of heart attacks during exercise has increased after being given counseling.

Elderly is a process of experiencing anatomical, physiological and biochemical aging in organ tissues which can affect the state of function and ability of the body as a whole (Fatmah, 2019). In Indonesia, fracture cases are the third largest cause of death under coronary heart disease and tuberculosis. According to data compiled by Wrong Diagnosis (Ropyanto, et al, 2013), Indonesia is the largest country in Southeast Asia that experiences the most fractures of 1.3 million each year out of a population of around 238 million. In postoperative fracture patients, they experience delays in making movements due to muscle weakness and perceived pain (Ningsih, 2019). In an elderly person, it will bring about a complete change in his physique related to a decrease in the ability of the body's tissues, especially in physiological functions in the musculoskeletal system and the neurological system. One of the changes that occur in the elderly is a change in decreased muscle strength, the impact of decreased muscle strength is an increased risk of falling and causes walking to be less stable (Padila, 2020). Purpose: ROM is an exercise used to improve normal joint movement to increase muscle tone. Doing ROM exercises early can increase muscle strength so that it can stimulate more motor units involved, there will be an increase in muscle strength (Anggriani et al., 2020) Method: Using a muscle strength scale instrument. Conclusion: That Range Of Motion has benefits and is

Uncontrolled diabetes could lead to serious complication. Diabetes therapy consists of four pillars where nutrition education is very important in managing the disease. Objective : To analyze the effect of nutrition education (Diabetes’ four pillars management) through android mobile application on the knowledge of Diabetes’ four pillars management in patients with DMT2. Method : A quasi experiment research with a pretest posttest control group design. Twenty-six participants were selected by simple random sampling method. Data were collected based on identity and knowledge which were done by interviewing with questionnaires. Changes on knowledge levels were determined by Mann Whitney test. Result : There were significant changes on knowledges related to diabetes (p=0.034), medical nutrition therapy (p=0.008) and physical exercise (0.014) between intervention and control groups, and there was an increase in pharmacological therapy knowledge but we did not observe any significant differences between intervention and control group (p=0.976). Conclusion : Nutrition education (Diabetes four pillars management) through android mobile application can increase knowledge of diabetes, medical nutrition therapy and physical exercise

This study aims to evaluate the impact of ergonomic exercises on blood pressure in hypertensive patients in the village of Setia Suka Maju Sirihit – Rihit. The research employed a One Group Pre-test – Post method using purposive sampling, with 10 respondents selected from a population of 50 who met the criteria. Data were collected using an ordinal scale and observational instruments. The results of the Wilcoxon Signed Ranks Test using SPSS indicated significance < 0.05 (p=0.00), signifying the influence of ergonomic exercises on lowering blood pressure. The conclusion of this study asserts the effectiveness of ergonomic exercises in reducing blood pressure in hypertensive patients in Setia Suka Maju Sirihit – Rihit Village, Pahae Jae Subdistrict, North Tapanuli Regency in 2023.

This training aims to provide understanding and skills to participants in using the mail merge technique to make invitation letters to parents en masse. Mass invitation letters are often required in educational contexts, such as parent meetings at schools. The mail merge method allows for the creation of personalized and efficient invitation letters, by combining data from separate sources into a letter template. During the training, participants will be taught about mail merge concepts, data preparation steps, creating letter templates using word processing software, and merging data into templates. The training will also discuss the benefits of using mail merge, including time efficiency and accuracy in conveying information to parents. Through a combination of theory and practical exercises, participants are expected to master the steps in making mass invitation letters using mail merge. The results of this training are expected to give participants the ability to create personalized and efficient invitation letters to parents in various contexts, including education and other organizations. Thus, this training contributes in improving the effectiveness of communication in various activities involving sending mass invitation letters to parents.

PHBS stands for Clean and Healthy Living Behavior, which is a set of behaviors that are practiced on the basis of awareness as an effort to keep oneself healthy and actively helping the health of the surrounding environment. This activity uses the PAR (Participatory Action Research) research method involving conducting research to define a problem or applying information into action as a solution to a problem that has been defined. In the study of participatory action research there are at least six types of approaches, namely formative, system improvement, problem solving, model analysis, participatory, and critical corporate self. -consciousness). The approach taken in this action study is problem solving and participatory, because they are considered the most relevant to community empowerment efforts. The results of this activity include; conducting PHBS education in households and in public places, conducting morning exercise activities with residents, establishing Integrated Service Posts (Posyandu), and conducting education on the Handwashing Movement and Distribution of Handwashing Tubs

 Older adults are someone who is over 60 years old, which is the final stage of the development of human life, or someone who is starting to enter the stage of the aging process. This study aimed to determine the difference in effectiveness of giving bay leaf decoction with hypertension exercise to older adults with hypertension to reduce blood pressure in Karangayu, Semarang Barat, before and after the intervention. This research method used quasi-experimental pre-and post-tests for two intervention groups, 1 and 2. The sampling technique used was non-probability sampling on 74 respondents, using pre-test and post-test observation sheets with SOP for boiled bay leaves and SOP for hypertension exercises. This study showed that the average blood pressure before being given the bay leaf decoction intervention in group 1 was 89.2% with severe pain. In contrast, the average blood pressure after being given bay leaf decoction intervention was 86.5%, with mild blood pressure. For group 2, the average blood pressure before being given the hypertension exercise intervention was 94.6% with severe pain. Meanwhile, the average blood pressure after the hypertension exercise intervention was 75.7% with mild blood pressure. The results of the marginal homogeneity test obtained a P value of 0.001 (<0.05), meaning that there was a significant difference in mean between the pre-test and post-test, which affected the effect of giving bay leaf decoction with hypertension exercise on blood pressure in the older adults. Advice to health services, such as Posbindu (Pos Pembinaan Terpadu), on how to provide non-drug treatment with bay leaf decoction and hypertension gymnastics, which means physical exercise and traditional medicine, as part of training for Posbindu officers in secondary prevention services for high blood pressure in older adults.