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Stroke is a brain function disorder that occurs suddenly due to blockage or rupture of brain blood vessels. The problem that often arises in stroke patients is movement disorders, patients experience problems or difficulty when walking because they experience problems with muscle strength and body balance or you could say immobilization. Based on these conditions, non-pharmacological management is needed, namely ROM. to find out the results of the application of passive ROM to increase muscle strength in non-hemorrhagic stroke patients in the ICU X Hospital. Descriptive research using case studies, in this application muscle strength was measured before and after being given Range of Motion passive (ROM). Passive ROM is carried out 2x a day for 5 days. Muscle strength Mr. W from (upper extremity) 4/0 and (lower extremity) 3/0 becomes (upper extremity) 5/2 and (lower extremity) 4/2. Power to Mr. P (upper extremity) 5/3 and (lower extremity) 5/3 become (upper extremity) 5/4 and (lower extremity) 5/4. there was an increase in muscle strength in both respondents after ROM was carried out

Background: Hypertension is one of the factors that is the main cause of death for stroke sufferers and is also a factor that can aggravate heart attacks. Non-pharmacological treatment usually includes exercise, improving diet and relaxing. Autogenic relaxation is relaxation that comes from oneself by using a word or sentence that calms a person's mind and is proven to be able to control several body functions such as blood pressure and blood flow. Objective: To determine the application of autogenic relaxation to reduce blood pressure in hypertension patients in the lotus ward at RSUD dr. Soediran Mangun Sumarso Wonogiri. Method: Autogenic relaxation with patients suffering from hypertension was carried out on 2 respondents for 3 days with a duration of 15-20 minutes and blood pressure was measured before and after application. Results: It was found that there was an effect of autogenic relaxation on reducing blood pressure in the blood pressure of respondents Mrs. W 215/109 to 177/96 and Mrs. N 173/100 to 158/92. Conclusion: Based on research that has been conducted, auogenic relaxation has been proven to be significant in reducing blood pressure in hypertension patients.      

Hypertension is a chronic condition characterized by an increase in systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90mmHg in the walls of arterial blood vessels. Hypertension rarely causes symptoms so many do not realize that they have suffered from hypertension. This condition needs more attention, as hypertension can cause a variety of chronic diseases such as strokes, heart failure and even death. Efforts to implement hypertension can basically be done through both pharmacological and non-pharmacological therapies. To find out the results of application of Inner Breath Relief Technique with combination of Dzikir Asmaul Husna against blood pressure in hypertensive patients in RSUD Dr. Soediran Mangun Sumarso. This research design uses case study methods with descriptive research modes. Blood pressure test results after application of deep breath relaxation technique with a combination of dzikir asmaul husna at Tn. I 165/98 mmHg whereas at N. S 194/112 mm Hg due to N.S as a control group. There was a change in blood pressure before and after the application of deep breath relief therapy with the combination of dzikir asmaul husna in Mr. I.

Introduction: Hypertension or high blood pressure is a disease characterized by an increase in blood pressure above normal that is progressive. Hypertension has become a world health problem due to its high prevalence and risk of causing heart, stroke, and kidney complications. The purpose of this study was to see if stress, smoking, diet and physical activity had a relationship with the incidence of hypertension in the working area of the UPTD Ladang Tuha Health Center, Paya Ateuk Village. Methods: This study uses a quantitative research design that uses an analytical descriptive method with a cross sectional approach. The population in this study is all heads of families in Paya Ateuk Village as many as 558 people. The sample selection technique used was purpose sampling which was determined by the slovin formula and obtained 85 samples. The collected data was then tested univariately to see the frequency distribution and bivariate using the chi-square (P-Value) test to see the influence between the variables. Results:  The level of community stress was related to hypertension (p-value 0.000 < 0.05). Smoking habits also had a significant relationship (p-value 0.037 < 0.05). Diet was shown to be closely related to hypertension rates (p-value 0.000 < 0.05). Physical activity showed a significant correlation with hypertension (p-value 0.001 < 0.05). Conclusion: stress, smoking, diet and physical activity have a relationship with the occurrence of hypertension, this is supported by test results that get a P-value of less than 0.05.  

: Hiperkolesterolemia adalah keadaan kadar kolesterol didalam darah melebihi 200mg/dL. Data RISKESDAS 2013 menunjukkan bahwa 35.9% penduduk Indonesia berusia ≥15 tahun mengalami hiperkolesterolemia. Tujuan kegiatan ini adalah memeriksa kadar kolesterol dan memberikan informasi mengenai hiperkolesterolemia. Kegiatan PKM diawali dengan koordinasi dengan mitra, dan saat pelaksanaan PKM dilakukan pengukuran kadar kolesterol dari darah kapiler serta konsultasi dengan tim kesehatan. Kegiatan PKM diikuti oleh 143 orang, yang terdiri dari 43 laki-laki (30%) dan 100 perempuan (70%). Hasil pemeriksaan menunjukkan bahwa 63 peserta memiliki kadar kolesterol melebihi 200 mg/dL (44%), dengan laki-laki sebanyak 21 peserta (48.84%) dan perempuan 42 peserta (42%). Tingginya kadar kolsterol menunjukan bahwa asupan makanan pada remaja masih tinggi karbohidrat dan kolesterol. Sedentary lifestyle juga memicu penumpukan kolesterol dalam tubuh, dan dapat memicu penurunan kualitas hidup para remaja. Kadar kolesterol tinggi dapat memicu timbulnya berbagai macam penyakit seperti penyakit jantung koroner, stroke, dan obesitas. Sehingga perlu dilakukan pemeriksaan kesehatan berkala.

The development of the automotive world to date has grown rapidly, especially two-wheeled vehicles. Large temperature changes in lubricating oil viscosity, even if the value is too low, will reduce the lubrication of engine parts, increase friction between metals, and cause engine parts to heat up quickly. Efforts to control and overcome excessive engine heat can replace mineral-based lubricating oils with environmentally friendly and biodegradable lubricating oils. The purpose of this study is to determine the effect of using a mixture of cooking oil and surfactants C64H124O26 and C42H80NO8P as engine lubricants on the power and temperature produced by motorized vehicles. The independent variables of this research are RPM variation and mixture of pure cooking oil with lecithin and polysorbate surfactant (2.5%, 5%, 7.5%). The dependent variables are engine temperature and power. The control variables of this research are testing at room temperature, 4 stroke 125CC matic vehicle, and Raw Material using Palm cooking oil. The test method uses an infrared thermo gun for temperature and Dyno test for the highest power test on the type of Cooking Oil + Polyosrbate 7.5% with an average overall power of 5.872, then for the lowest temperature on the type of Cooking Oil + Polysorbate 2.5% with an average value of 86.2ºC.

Hypertension is a condition of increased systolic or diastolic blood pressure. Basic Health Research (Riskesdas) shows that the prevalence of hypertension nationally is increasing. The aim of this PKM is to check blood pressure and provide appropriate information about hypertension, so that it can prevent, screen, and carry out early intervention. The PKM include checking blood pressure and providing hypertension health counselling. The PKM was attended by 149 participants, with 57 male participants (38%) and 92 female participants (62%). Blood pressure examination showed that 50 participants had high blood pressure (34%). There were 19 male participants (33.3%) and 31 female participants (33.7%) who had high blood pressure. High sodium intake is one of the factors that causes hypertension. High fat diets and lack of physical activity will affect the elasticity of blood vessels, which leads to hypertension. High and uncontrolled blood pressure can cause strokes and heart attacks. So regular health checks need to be carried out.

Complications such as stroke, heart attack, kidney failure, and heart failure can arise as a result of hypertension as a long-standing disease. Foot massage can help lower blood pressure and dilate blood vessels, reducing complications of hypertension. The aim of EBPN is to analyze the application of Evidence Based Practice Nursing (EBPN) foot massage therapy in hypertensive patients. The method for implementing EBPN through case studies uses a descriptive method with a One Group Pretest-Posttest approach to foot massage therapy (3 times for 15 minutes in 3 consecutive days) to reduce blood pressure. The sample consisted of 1 female respondent and 2 male respondents. The tensimeter and observation sheet are the measuring tools used. EBPN results: All 3 (100%) respondents had suffered from hypertension for > 5 years. There was a change in blood pressure before and after the intervention with the results: respondent 1 BP 139/85 mmHg to 130/80 mmHg, respondent 2 BP 139/88 mmHg to BP 130/82 mmHg, and respondent 3 BP 147/97 mmHg to BP 138/89 mmHg. The average decrease in systolic blood pressure in the 3 respondents was 8.5 mmHg, while diastole decreased by an average of 5.8 mmHg. The suggestion for hypertension sufferers is that hospital staff can offer foot massage as a method to lower blood pressure to patients suffering from hypertension.

Hypertension is the main trigger factor for stroke events, both hemorrhagic and ischemic strokes. One of the complications of hypertension is that it can cause an increase in peripheral blood pressure, causing a poor hemodynamic system and thickening of the blood vessels and hypertrophy of the heart muscle. Hypertension which continuously causes atherosclerotic plaque will trigger a stroke. Objective : to determine the results of applying dhikr therapy to reduce blood pressure in Hemorrhagic Stroke patients in the ICU. Method : Descriptive research using case studies, this application carried out blood pressure measurements before and after being given dhikr therapy, dhikr therapy was carried out 3 times a day for 3 days. Results : Blood pressure Mr. Y from 155/96 mmHg to 150/90 mmHg. Meanwhile, Mr. R from 156/116 mmHg to 148/94 mmHg. Conclusion : there was a decrease in blood pressure in both respondents after dhikr therapy.

The most common health problem suffered by the elderly is hypertension. In Indonesia, hypertension is in first place with the most problems experienced by the elderly, followed by arthritis, diabetes mellitus, heart disease and stroke. One non-pharmacological treatment that can be done is consuming Ambon bananas twice a day for 7 days. Objective: This research is to determine the effect of Ambon bananas on reducing blood pressure in elderly people with hypertension in the Tebing Tanjung Balai Karimun health center working area. This research design uses a Group Experimental with a Quasy Experiment design using a One Group Pretest and Posttest Design. The respondents in this study were 30 respondents divided into 15 intervention groups and 15 control groups. The sampling technique used was purposive sampling. Results: statistical paired sample t test showed p value = 0.000 (< 0.05) so Ho was rejected. This shows that there is an influence of consumption of Ambon bananas on reducing blood pressure in the intervention group. Conclusion: with this research, consumption of Ambon bananas can be used as a non-pharmacological therapy to lower blood pressure. Suggestion: Respondents should always apply non-pharmacological walking exercises to control blood pressure.

In order to achieve production targets for fuel and petrochemical products to support national energy security, reliable equipment is needed to support the operation of petroleum processing refineries. Main equipment such as injection pumps must be able to adapt to the expected operational conditions. Check valve is one of the supporting components of injection pump reliability. Research was conducted to determine the velocity characteristics of two ball type check valve designs using Computational Fluid Dynamics (CFD) numerical simulations. In this research, three variations of pump stroke length were simulated, namely 25%, 50% and 100% with three variations of solid particle size, namely 200, 250 and 300 microns. The fluid that passes through the check valve is a solid-liquid mixture of catalyst and particles. The analysis carried out is by comparing the velocity values as well as the flow patterns produced for each variations used. The simulation results show that of all the variations tested, the model with a stroke length of 100% produces the maximum velocity. In addition, the size of solid particles is inversely proportional to fluid velocity and flow. From the results of this research, it was also found that model 2 has more potential for backflow towards suction, and also model 2 has more potential for clogging because particles that should flow stop inside the check valve.

Introduction: Hypertension (HTN), defined as systolic blood pressure (SBP) >140 mmHg or diastolic blood pressure (DBP) >90 mmHg, is a major health problem that is growing worldwide. It is the most common risk factor for cardiovascular disease and affects nearly two-thirds of adults aged 60 years or older. The side effects caused by experiencing prolonged high blood pressure are kidney damage (kidney failure), heart (coronary heart disease) and brain which can lead to stroke if not detected early and receive adequate treatment. And can also cause death. Risk factors for complications of hypertension include elderly age, medication compliance, and lifestyle. Empowerment of the elderly can be through non-pharmacological therapy. An example of non-pharmacological therapy is by doing anti-hypertension exercises. The purpose of this program is for the elderly to be able to learn about hypertension and apply how to do anti-hypertension exercises. The method used is providing education to the elderly and applying anti-hypertension exercises with participants (elderly). Implementation of health education and anti-hypertension exercise activities for the elderly at the UPTD for Elderly Social Services in Binjai in November 2023. Most participants were able to answer questions during the question and answer session after the presentation of the material and participants were able to follow the instructor's exercise movement directions. Health education about hypertension and anti-hypertension exercise for the elderly is a program that can help increase physical activity in the elderly which can lower blood pressure in the elderly.

Hypertension is an increasing global health problem. By 2025, it is estimated that 1.5 billion people will suffer from hypertension, with 10.44 million deaths annually caused by hypertension and its complications. Most cases are idiopathic, related to genetic factors, diet and lifestyle. Uncontrolled hypertension significantly increases the risk of cardiovascular disease, kidney failure, and stroke. This activity uses the PDCA (Plan-Do-Check-Act) method for blood pressure screening and counseling in adults at PT. Narindo, North Jakarta. The results of blood pressure examination showed that 4 people (3.08%) had grade 3 hypertension, 7 people (5.38%) had grade 2 hypertension, 20 people (15.38%) had grade 1 hypertension. Monitor blood pressure regularly and increasing public health knowledge can increase awareness and encourage healthy lifestyle changes, reducing the prevalence and complications of hypertension.

The transfer of land ownership is often done through sales and purchases. People who are under guardianship may also do the transaction through specific procedures that have been regulated in Indonesia. This research aims to answer the two problem formulations raised, namely what are the requirements for the sale and purchase of land and buildings by sellers who are under guardianship due to a stroke based on the laws and regulations in Indonesia and what are the legal consequences of buying and selling land and buildings by sellers who are suffering from a stroke (Case Study of Supreme Court Decision Number 3586 K/Pdt/2020)? This normative-empirical legal research uses a law and case approach by obtaining data through literature studies and interviews. A seller who is under guardianship due to a stroke must have a court determination regarding guardianship and the appointment of a curator to represent him in carrying out legal acts of buying and selling land and buildings. Because the seller who was suffering from a stroke in the case study was not proven to be incompetent, the Sale and Purchase Deed was legally valid.

Hyperlipidemia, characterized by elevated levels of lipids such as cholesterol and triglycerides in the blood, significantly increases the risk of atherosclerosis, which causes cardiovascular disease, ischemic stroke, and peripheral arterial disease. Genetic tendencies and unhealthy lifestyles such as diet, smoking, and physical activity can cause this. This condition often does not cause symptoms, so it is necessary to carry out regular health checks. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for hyperlipidemia in the elderly at the Hana Nursing Home, South Tangerang. This activity included 61 respondents, and 28 people (45.9%) experienced hypercholesterolemia. These results highlight the importance of routine lipid screening in identifying individuals at risk early, enabling timely intervention. This examination can significantly reduce morbidity and mortality, thereby improving overall quality of life.

Digital Pathology Image Analysis (DPIA) is one of the areas where deep learning (DL) techniques offer modern, cutting-edge functionality. Convolutional Neural Network (CNN) technology outperforms the competition in classification, segmentation, and detection tasks while being just one of numerous DL techniques. Classification, segmentation, and detection methods can often be used to address DPIA concerns. Some difficulties can also be resolved using pre- and post-processing techniques. However, other CNN models have been investigated for use in addressing DPIA-related issues. Furthermore, the research seeks to explore how susceptible the model is to adversarial attacks and suggest strategies to counteract them. To predict ischemic strokes caused by blood clots, the authors of this study developed CNN with a pixel brightness transformation (PBT) technique for image enhancement and developed several approaches of image augmentation techniques to increase and provide the learning model with more diverse features. Also, adversarial training was integrated into CNN models to train the model with perturbed data in order to assess the impact of adversarial noise at different stages of training. Several metrics, including precision, F1-score, accuracy, and recall, are utilized to assess the experiments' effectiveness. The research findings indicate that employing transfer learning with a deep learning model achieved an accuracy of up to 97% using the ReLU activation function. Also, data augmentation helps improve the accuracy of the model.

Post-stroke seizures are a common complication in post-stroke patients, reported that around 8-15% of cases can develop into post-stroke epilepsy. A 62-year-old man complained of seizures 1x since 2 hours before entering the hospital. The patient experienced seizures for about 5 minutes at home. During the seizure, it began with the patient's mouth as if chewing something and his eyes glaring upwards. Then followed by stiffness in the hands and feet and continued with jerking movements. When the seizure occurred, the patient was also unconscious and foaming at the mouth. Seizures have occurred frequently since last year after the patient had a stroke. The seizures that occurred in the patient have occurred frequently since one month the patient had a stroke in 2019. The last history of seizures was 2 weeks ago while being treated in the hospital with a duration of approximately 30 minutes and a second awakening occurred 2 hours after the first awakening. The patient has weakness on the right side of the body and has been unable to speak since the first stroke. We gave phenytoin 100 mg/12 hours. CT scan of the head in 2024 showed no abnormalities and no infarction or bleeding. Seizures in post-stroke patients are divided into early onset seizures and late onset seizures. Male stroke patients aged <65 years with a history of hypertension have a higher risk of experiencing Post-Stroke Epilepsy (PSE). Patients in this case have a high risk of experiencing PSE due to a history of stroke, in addition there is a history of uncontrolled hypertension and age <65 years.

Stroke is a functional disorder of the brain with varied clinical manifestations, which occurs suddenly due to disturbances in cerebral blood circulation. Stroke is a major cause of mortality and disability despite its increasing prevalence. Promotive and preventive efforts are still the main priority in efforts to reduce morbidity, disability and mortality. Early detection of someone who has risk factors is very necessary considering that stroke can attack anyone at any time. STIKES Kesdam IV/Diponegoro is a health university that has a vision of global competitiveness, so it really supports the Tri Dharma of Higher Education activities at the international level, including carrying out community service activities in the health sector in the Philippines. This community service activity is a promotional activity in the form of education about stroke and a preventive activity in the form of screening for stroke risk factors directly to the community. Screening is carried out for 3 stroke risk factors, namely blood pressure, cholesterol levels and blood sugar levels. The results of community service showed that after providing education using posters and leaflets, there was an increase in the knowledge of LBB Mabini Apartelle residents regarding definitions, modifiable risk factors, and stroke prevention. The health screening results of the 20 people examined showed that 40% had a risk of stroke from measuring blood pressure and 20% had a risk of stroke from measuring cholesterol.

Hypertension, or high blood pressure, is a condition in which the pressure in the arteries increases. In general, this condition often does not cause symptoms, but blood pressure that is too high can increase the risk of stroke, aneurysm, heart failure, heart attack, and kidney damage. This study aims to analyze the effects of giving boiled celery water to elderly people with hypertension in Bintungan Bejangkar Village, Batahan District, Mandailing Natal Regency in 2022. This study is an experimental type with a one group pre-post test design. In this design, researchers use one group of subjects who will be observed before and after being given treatment. The study was conducted in Bintungan Bejangkar Village, Batahan District, Mandailing Natal Regency in 2022. The study population was 51 people, with a sample of 20 people selected using the Simple Random Sampling technique. The results of the study analyzed using the Wilcoxon test showed that the calculated Z value for systolic blood pressure was -2.911 with a p-value of 0.004. Based on these results, it can be concluded that giving boiled celery water has an effect on reducing blood pressure, both systolic and diastolic, in the elderly with hypertension in the Bintungan Bejangkar Village area, Batahan District, Mandailing Natal Regency in 2022.

Discussing calligraphy as an Islamic artwork is very interesting because it displays the beauty and meaning of each stroke of the letters, especially in the Qur'an. Calligraphy is a visual and correspondence skill. It also helps to learn and understand the Arabic language. Arabic is essential to the teaching of Islam as it serves as a way to convey strictly and paves the way for Islamic history and scholarly works. The subjective differentiation strategy was used in this study to examine the relationship between the excellence of students in Arabic language education at Imam Bonjol State Islamic University Padang West Sumatra and their ability to compose Arabic and calligraphy as an improvement in learning, which allows them to concentrate on culture and expression related to Arabic. The consequences of this study indicate that interest in calligraphy as a whole has an impact on students' Arabic composing ability and aptitude. Students who have both interests and abilities will generally get greater help from others, but students who are basically interested need greater help. This study shows how important calligraphy is to further develop Arabic composing ability and demonstrates the work of the contrasting supporting elements of interest and ability.