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Stroke is a physical disability disease, which affects the upper extremity motor system. To support post-stroke motor rehabilitation, research on IoT-based elbow exoskeleton therapy devices that help elbow therapy with flexion and extension movements. The therapy device uses DS-SERVORD5160 as the main driver to provide flexible movement. By using the ESP32 microcontroller control system equipped with a Bluetooth connection that is connected via the MIT App Inventor application from a smartphone that can be done at home to increase the effectiveness of post-stroke recovery. The results of this study with low (20°), medium (40 °) and high (60 °) modes by providing a maximum load of 2 Kg. It can be concluded that the device shows stable performance in low (20 °) and medium (40 °) modes, but in testing with high mode (60 °) with a load of 2 Kg there is a decrease in servo performance which is indicated by the instability of the servo movement which shows an angle of 56 °.

Background: Hypertension in the elderly is caused by degenerative processes and triggering factors such as poor diet, smoking, and alcohol consumption. The WHO identifies hypertension as a major risk factor for cardiovascular diseases that can lead to serious complications such as stroke and heart disease. Objective: To identify the factors influencing dietary behavior related to hypertension in elderly patients who will be treated as outpatients in the Orchid Room of Bhakti Asih General Hospital, Tangerang, focusing on knowledge, attitudes, health worker support, and family support. Research Method: This quantitative study uses primary data from questionnaires with a Field Research method. The sample consists of 40 respondents, and data analysis was conducted using the Chi-Square Test. Research Results: The results of the Chi-Square test show a significant relationship between knowledge (ρ = 0.000), attitudes (ρ = 0.012), health worker support (ρ = 0.009), and family support (ρ = 0.000) towards dietary behavior related to hypertension in the elderly. Conclusion: Overall, knowledge, attitudes, health worker support, and family support influence dietary behavior related to hypertension in the elderly, which can impact the effective management of hypertension and prevent further complications. Recommendation: For future researchers, this study has limitations, and it is hoped that further research can develop this topic with a more comprehensive research methodology approach.

Coffee is a drink that the Indonesian people have long favored. Coffee can affect blood pressure because polyphenols and potassium lower blood pressure, while caffeine increases blood pressure. The World Health Organization (WHO) has estimated that by 2025, 1.5 billion people in the world will suffer from hypertension per year. Blood pressure in adolescents who experience hypertension can have a higher risk of morbidity and mortality, not only that the more severe hypertension experienced in adolescents can lead to a fairly severe risk of complications such as heart attack, stroke, and coronary artery disease. This study aims to provide broad insights related to nutrition and hopes that our education can at least change the mindset of adolescents regarding the importance of frequent coffee consumption without clear reasons. This study used the Wilcoxon Signed Ranks Test method.This nutrition education was conducted at SMK Harapan Massa, Beji, Depok. On January 25, 2024. Using Descriptive Research type. Based on Wilcoxon analysis, 45 students experienced a decrease in scores, 3 students experienced an increase and 16 students had similar scores in the post-test and pre-test. Conclusion. there is an influence on the results of students' understanding before exposure to the material (Post-test) and after exposure (Pre-test).

Chronic diseases are degenerative conditions that significantly impact an individual's quality of life. Various degenerative diseases, such as diabetes mellitus, hypertension, and heart stroke, require immediate attention. Indonesia faces a dual burden in healthcare, grappling with both rampant infectious diseases and the rising prevalence of chronic degenerative illnesses. Therefore, health promotion efforts are crucial in preventing degenerative diseases among adolescents. This initiative targets teenagers due to their unhealthy lifestyle choices, which are evident in their smoking habits, poor dietary practices, insufficient consumption of fruits and vegetables, and a lack of physical activity. The primary objective of this initiative is to enhance awareness regarding the prevention of degenerative diseases among youth and to address the emergence of such conditions in this age group. The results of the community service activities indicate a notable increase in average knowledge from 6.61 to 13.80 and an improvement in attitudes from 9.61 to 14.47. The community service activities were successfully executed, as evidenced by the smooth conduct of the events and the active participation of the adolescents. To improve health quality, it is essential to foster awareness and enhance education among teenagers about the prevention of degenerative diseases.

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.

Diabetes Mellitus is a medical condition usually characterized by blood glucose levels that exceed normal limits. Glucose in the blood comes from carbohydrates consumed through food, which are then stored as glycogen in the liver and skeletal muscles. Diabetes mellitus has a serious impact as the main cause of chronic complications, including coronary heart disease and stroke which accounts for 65% of deaths. Other complications, such as retinopathy and diabetic foot, are major causes of disability. Overall, these complications increase mortality, morbidity, disability, and the burden of medical costs. This article presents the results of research regarding blood glucose levels among the people of Kasilampe Village, Kendari City, Southeast Sulawesi. This activity involved 50 respondents consisting of 15 men (30%) and 35 women (70%). The aim of this research is to identify blood sugar levels and increase public understanding of the importance of carrying out regular health checks. The method used in this research is the accidental sampling method, namely by selecting individuals who are accessible and willing to take blood glucose level checks.The examination results showed that 35 respondents (70%) had blood glucose levels below 140 mg/dL, which indicates good glucose control. Based on the results of the examination, there were 7 respondents (14%) in the range of 140-199 mg/dL, which indicates that the respondent's glucose level was included in the pre-diabetes category and 8 respondents (16%) had glucose levels ≥ 200 mg/dL, which indicates that the The respondent's glucose is included in the Diabetes category. These findings emphasize the need for appropriate health interventions and education regarding healthy eating patterns to prevent diabetes mellitus. It is hoped that this activity can become the basis for a more effective diabetes prevention program in the community.

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.

Stroke is the world's second biggest cause of death after heart attacks. Ischemic stroke is caused by a blockage of blood vessels in the brain, resulting in a lack of oxygenated blood flow and the degeneration and death of brain tissue. This study aimed to determine the relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Tanjung Mulia Medan. This is analytical survey research with cross sectional approach. The population of study was 126 respondents and the sample was determined using SPSS application obtained 56 respondents. The measurement of sleep quality used PSQI questionnaire and functional status using the Barthel index. Data analysis used pre-analysis, univariate and bivariate. The result of chi-square statistical test obtained that the P value was 0.009. Where the value was smaller than the α value of <0.05, then there was a relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Medan. The results showed that 77.1% of respondents had poor sleep quality. 14.4% of respondents were in the category of moderate dependence functional status. The results of the analysis obtained a p value = 0.000 (<α=0.05) with a degree of relationship of 0.009. The study concluded that there is a significant relationship between sleep quality and functional status in post-stroke patients at Mitra Medika Hospital. It is suggested that the nursing profession increase sleep quality in post-stroke patients in order to accelerate functional status recovery.

Hypertension and diabetes mellitus are significant health issues that can lead to serious complications such as cardiovascular diseases, stroke, and kidney failure. Efforts to control these diseases are essential to improving the quality of life for communities. Based on this background, the community service team from Mitra Bunda Health Institute organized health education and screenings on Nguan Island, Batam City. This initiative aimed to provide prevention and management of hypertension and diabetes mellitus for residents of RT 001 and RT 002 of Nguan Island. The implementation methods included blood pressure and blood sugar tests, health education through visual media, and health promotion adhering to health protocols. The high level of community participation reflects a positive response to efforts aimed at preventing and managing these diseases. Evaluation results show that the activities were successfully carried out, with participants following health education sessions and screenings in an orderly manner according to the established health protocols. Collaboration among the community, cadres, neighborhood heads, and local authorities has had a positive impact on raising awareness about the importance of managing hypertension and diabetes mellitus. These activities are planned to be conducted regularly to create a healthier environment on Nguan Island. Full support from various parties is essential to ensure the sustainability of this program for the improvement of community health.

Sports injuries are injuries that occur during training, competition or after exercise. Sports injuries occur due to the inability of tissues (muscles, joints, tendons, skin) and other organs to receive training loads during exercise. Factors that influence the occurrence of injuries, namely individual conditions (age, gender, character, experience, warm-up, posture abnormalities), sports facilities (shape and size of equipment), sports characteristics (type of sport), physical environment (temperature and humidity). If not treated immediately, it can cause cerebral vascular disorders (heat stroke) and immediately do an examination if you experience an injury during exercise, so that you can get fast and proper treatment. On this occasion, lecturers from the Faculty of Health Sciences, Anwar Medika University (UAM) Sidoarjo held counseling activities for vocational students in the Krian Sidoarjo sub-district area. The purpose of this counseling is expected so that later SMK students can play an active role in conveying and implementing the knowledge in this activity to help the community around their place of residence.

Background: Hypertension is a common condition in primary health care, affecting approximately 25% of the adult population and more than 50% of those aged over 65 years. As the "silent killer of hypertension", it can cause stroke, which is a major cause of morbidity and mortality worldwide. This study aims to detect early signs of stroke using the BE-FAST method in the elderly in Karangasem, Bali, and to spread the effectiveness of this method in reducing the risk of stroke. Method: This community-based education program uses the POAC (Planning, Organizing, Actuating and Controlling) approach. A total of 79 elderly participants were recruited and underwent health examinations, including blood pressure measurements and the BE-FAST screening test. The BE-FAST method assesses balance, eyes, face, arms, speech, and timing to identify early signs of stroke. Results: The results showed that 55.7% of participants had hypertension, and 67.1% had difficulty moving their legs and arms on one side of their body. Additionally, 36.7% had difficulty opening their eyes or experienced vision problems, and 32.9% experienced facial weakness or numbness. The BE-FAST method is effective in detecting early signs of stroke, with a sensitivity of 92%. Conclusion: This study highlights the importance of early detection of stroke using the BE-FAST method in the elderly population. The research results show that this method is effective in identifying early signs of stroke and can be easily taught and applied in the community. Application of this method can reduce the risk of stroke and associated morbidity and mortality.

A clean environment is an important factor in creating a comfortable and healthy learning atmosphere, especially in elementary schools where children are growing physically and mentally. The concept of introducing a clean environment from an early age has a strategic role in forming positive habits that will have an impact in the future. With the introduction of a clean environment program in elementary schools, it is hoped that students will understand the importance of maintaining a clean environment, both at school and at home prevention of stroke on the quality of life of the elderly.To provide an introduction to the concept of a clean environment in elementary schools, with the main aim of developing students' awareness and behavior in maintaining cleanliness from an early age. Implementation of Community Service Activities at State Elementary School 041 State Elementary School 041 has carried out community service activities regularly every week. This activity involves the entire school community, including the principal, teachers, students and school staff. Community service activities are carried out on Fridays every week, with a duration of around 1-2 hours. This research shows that community service activities in elementary schools are effective in introducing students to a clean environment. This activity can increase students' awareness and concern for the environment, build cooperation and a sense of shared responsibility in maintaining the cleanliness of the school environment, and become a learning tool that supports the creation of a clean and healthy environment.

Stroke is a blood circulation disorder in the brain or blockage of blood in the brain which causes disruption of the nervous function of the brain and usually occurs suddenly. Nervous system disorders that occur in stroke sufferers can cause specific symptoms, such as: paralysis of the limbs, problems when speaking including slurred speech, imbalance, changes in consciousness, and even vision problems. The aim of this research is how nursing care is provided for ischemic stroke patients at RSI Malahayati Medan. The research method was carried out at RSI Malahayati Medan in April 2024 with a population of 1 person and the sample in this study was 1 person suffering from SNH (Non-Hemorrhagic Stroke). The results of this research are the evaluation and results of implementation of Mr. T who survived 3 days from the first day to the last day, showing significant changes. On the first day, his muscle strength, three prone to movement, 2 physical weakness, worsened, on the second day, muscle strength, 3, prone to movement, 3 weakness. Physically improved, on the third day muscle strength, 5 susceptibility to movement, 5 physical weakness improved. The conclusion of this research is based on the nursing care that was carried out on Mr. T for 3 days, namely 28 April 2024 - 30 April 2024 with a stroke through implementing range of motion ROM to increase muscle strength in stroke patients at the Malahayati Islamic Hospital in Medan.

Stroke is a term used to describe neurological changes caused by a disruption in the blood supply to part of the brain. Stroke can cause a decrease or even loss of function controlled by these tissues, one of the symptoms that arises is muscle weakness in the affected body parts such as the fingers. Stroke is a clinical sign that develops rapidly due to focal or global brain function disorders, it can cause death for no other cause than vascular. One way to increase muscle strength and help recovery of extremities is by holding a serrated rubber ball therapy. This article uses a case study design and the subjects used in this case are patients with non-hemorrhagic stroke disorders who are treated at RSI Malahayati Medan with nursing problems of impaired physical mobility due to muscle weakness in the extremities. The results of implementing the intervention showed that after the serrated rubber ball grasping therapy was carried out for 4 days, it was carried out 2 times in 1 day with a duration of 7-10 minutes. After 4 days of intervention, muscle strength of 5-4 was obtained. Conclusion: The application of the serrated rubber ball grasping therapy technique in non-hemorrhagic stroke patients can be used to help increase muscle strength. Suggestion: It is hoped that patients can carry out independent therapeutic actions by holding a serrated rubber ball when they experience weakness in the muscles of the extremities.

The level of knowledge of the patient's family in the Stroke Unit at RSUD dr. Soediran Mangun Soemarso regarding "Prevention of Decubitus in Bedrest Patients in the Stroke Unit of Dr. Soediran Mangun Sumarso Wonogiri Hospital" is still quite low. Therefore, the group carried out PKM health education regarding the prevention of decubitus ulcers in bedrest patients in order to increase the knowledge of the patient's family in the Stroke Unit of RSUD dr. Soediran Mangun Soemarso Wonogiri. The activity target to be achieved from this activity is 100% of patient families in the Stroke Unit of RSUD dr. Soediran Mangun Soemarso Wonogiri who attended the event knew and understood how to prevent decubitus ulcers in bed rest patients.

Hypertension is an increase in blood pressure above normal values ​​due to various factors. Normal hypertension values ​​are in the range of 90/60 mmHg to 120/80 mmHg. Systolic pressure values ​​of more than 139 mmHg and diastolic pressure of more than 89 mmHg are categorized as hypertension. With increasing prevalence, hypertension is becoming a global health problem. In the world, an estimated 1.13 billion people aged 30 to 70 years suffer from hypertension, and this disease is a major risk factor for cardiovascular disease and stroke. In Indonesia, the prevalence of hypertension is estimated to reach more than 40% in the adult population in 2019 (WHO, 2019). The purpose of this activity is to prevent an increase in the prevalence of hypertension. The method used is to provide counseling and screening for hypertension risk factors. The results obtained are blood pressure data, anthropometry and hypertension exercises. It can be concluded that this activity was successful because there was an increase in the pre-test to post-test value of 25.21 points so that this activity can be sustainable to prevent hypertension patients.

Post-stroke hemiparesis is a weakness or inability to move on one side of the body, making it difficult to do daily activities, such as eating or dressing. Weakness on one side of the arm and leg can cause loss of balance in walking, impaired ability to pick up objects, decreased precision of movement, muscle weakness, and lack of coordination. Motor Relearning Program (MRP) focuses on relearning certain movements, tasks and motor skills that lead to the ability to perform a task. The motor relearning approach emphasizes training in motor tasks. This technique provides functional training and identification of key motor tasks, such as sitting, standing or walking. Objective: This study was conducted to determine the effect of increasing functional ability using the Motor Relearning Program (MRP) on Post-Stroke Hemiparesis patients at the Nur Medika Luwuk Clinic. Method: The research design used was an experimental method with a One-Group Pre-test and Post Test design model. The sample determination used the total sampling technique with a sample size of 10 respondents aged 45-65 years. The Barthel Index was measured to determine the functional ability of the respondents. The results of the study were analyzed using the Shapiro-Wilk normality test and the Wilcoxon sign rank test. Results: The results of the Wilcoxon sign rank test obtained an Asymp.Sig. (2-tailed) value of 0.003 <0.05, which means that there is an effect of the Motor Relearning Program (MRP) on improving the functional abilities of hemiparesis patients at the Nur Medika Luwuk Clinic.

The results of the 2018 Riskesdas show an increase in the prevalence of non-communicable diseases (NCDs) compared to 2013 data, such as cancer, stroke, chronic kidney disease, diabetes mellitus, and hypertension. The prevalence of diabetes mellitus increased from 6.9% to 8.5%, while hypertension increased from 25.8% to 34.1% based on blood sugar and blood pressure examinations. In this context, community empowerment is very important to increase awareness of the importance of routine health checks and early detection of NCDs. One strategic effort is the establishment of Posbindu in each region to facilitate public health checks. However, several regions, including Cipta Graha Mandiri Housing in Tasikmalaya City, do not yet have Posbindu due to low community participation in routine health checks and limited procurement of Posbindu by the Health Center. This condition risks making people unaware of their health problems, which can cause serious complications and reduce quality of life. Through this empowerment program, it is hoped that the community will be more active in maintaining their health, carrying out early detection of NCDs, and increasing awareness of the importance of a healthy lifestyle.

High blood pressure or hypertension is a significant global public health problem, especially in the productive age group (18-64 years). Hypertension often does not show symptoms in the early stages, but if left untreated, it can lead to serious complications such as cardiovascular disease, stroke, and kidney failure. This Community Service activity was carried out on teachers at Santo Yoseph High School, Cakung, East Jakarta. The purpose of this activity is to screen for hypertension through blood pressure checks. This activity was designed using the Plan-Do-Check-Action (PDCA) method as a sustainable method for processes or activities. The results showed that 27 teachers (38.04%) had high blood pressure. This screening program is important because it can increase public awareness of hypertension, which can be prevented by monitoring blood pressure early and regularly, so that it can improve overall health outcomes and quality of life.

This research focuses on the use of hand tracking technology in a drawing program based on the MediaPipe framework. The aim of this study is to develop a digital drawing system that can track hand movements in real-time without additional input devices like a mouse or stylus. This technology utilizes computer vision algorithms to detect and track the user's hand movements, which are then translated into strokes on the screen. The study employs a descriptive-qualitative method with a software experimentation approach. The results show that the system has a high level of accuracy and is responsive to hand movements, providing a more natural and intuitive user experience. The implications of this research are significant in supporting technology-based educational and creative applications.