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Penurunan kognitif berkorelasi kuat dengan penurunan kualitas hidup secara keseluruhan, meningkatkan risiko isolasi sosial, depresi, dan ketergantungan sehingga perlu adanya Upaya pencegahan penurunan fungsi kognitif. Hasil wawancara dengan Kepala Puskesmas Sekaran menyampaikan bahwa dari 5 Kelurahan yang dibina oleh Puskesmas Sekaran, Kelurahan Sukorejo termasuk wilayah yang memiliki masalah kesehatan yang kompleks. Masalah kesehatan terkait lansia perlu mendapatkan perhatian yang tidak kalah penting juga. Kesehatan lansia yang di bawah pengelolaan posyandu lansia di daerah Kelurahan Sukerejo Deliksari telah berjalan dengan baik. Hanya saja wilayah tersebut terkait penanganan masalah kesehatan kognitif lansia masih perlu mendapatkan perhatian yang lebih. Salah satu gangguan fungsi kognitif pada lansia adalah demensia. Penanganan kesehatan terkait demensia di wilayah tersebut tidak ada, hal ini dikarenakan kader posyandu lansia menganggap masalah demensia atau pikun meruapakan yang wajar dan normal bagi lansia. Maka diperlukan upaya promotif dan pencegahan dengan diadakannya pengabdian masyarakat terkait peran kader dalam deteksi dini lansia dengan demensia. Setelah diberikan pendidikan kesehatan Lansia mengatakan bahwa perlu melakukan kegiatan untuk tetap menjaga daya ingat diusia senja.

When someone enters old age, symptoms such as senility or difficulty remembering new information often appear. This condition is known as dementia, a syndrome characterized by decreased cognitive function, behavioral changes, memory impairment, disorientation, and difficulty communicating and making decisions. This community service program aims to provide information and understanding about how to handle dementia that can be done at home. Activities are carried out through a counseling method consisting of a pre-test, education, and post-test, using leaflets and questionnaires containing questions to measure the level of understanding of participants. The results of the counseling showed an increase in participant knowledge, as seen from the comparison of the graph between the pre-test and post-test results. Education accompanied by brain gymnastics practices has been shown to have a positive impact on increasing participants' understanding of dementia and how to handle it. It is hoped that this counseling will continue to provide benefits to participants and can be applied in everyday life.

Dementia is a growing global health challenge due to the aging population and lifestyle changes. Early and accurate diagnosis is crucial but often difficult and costly. The Case-Based Reasoning (CBR) method in artificial intelligence offers a solution by mimicking human problem-solving based on past experiences. This study aims to develop and implement an efficient and reliable CBR-based dementia diagnosis system. The system is expected to analyze and compare patient symptoms and medical histories with documented cases to provide faster and more accurate diagnostic recommendations. The implementation of CBR in a web-based expert system using PHP and MySQL has proven effective, significantly contributing to the improvement of patient quality of life and healthcare system effectiveness.

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

Demensia merupakan kelainan yang menyebabkan seseorang mengalami kehilangan kognitif yang meliputi daya ingat, IQ, dan aktivitas sehari-hari. Fungsi kognitif menurun akibat kerusakan morfologi dan biokimia pada saraf. Aktivitas fisik akan lebih efektif jika dipadukan dengan berbagai rangsangan lainnya. (Nur Sukma, et al, 2020). Tujuannya untuk mengetahui pengaruh Brain Gym dan Multi-Exercise (Square Stepping exsercise dan Pazzel) dalam meningkatkan fungsi kognitif pada Kondisi Demensia. Metode penelitian pra-eksperimental. Sampel yang memenuhi kriteria inklusi dan eksklusi berjumlah 15 orang. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Desain penelitiannya adalah one-group pretest-posttest. Dilaksanakan selama 4 minggu dan 3 kali pertemuan. Hasil : Uji hipotesis menggunakan uji Unpaired t test dengan nilai p=0,0017 artinya p<0,05 (lebih kecil dari 0,05) yang berarti Ha diterima dan Ho ditolak yang berarti terdapat pengaruh Brain Gym dan Multi-Exercise terhadap peningkatan kognitif pada siswa. ukuran. Kesimpulan Terdapat pengaruh pemberian Brain Gym dan Multi-Exercise dari kombinasi latihan dan terdapat peningkatan kognitif pada demensia.

STIKES Kesdam IV/Diponegoro as one of the health universities has great potential in the form of human resources (HR) to play a role in the development of the target area in the health sector. The results of an interview with the Head of the Sekaran Community Health Center revealed that of the 5 sub-districts managed by the Sekaran Community Health Center, Sukorejo Sub-District is an area that has complex health problems. Health problems related to the elderly need attention that is no less important. The health of the elderly under the management of the elderly posyandu in the Sukerejo Deliksari sub-district area has been going well. It's just that this area related to handling the cognitive health problems of the elderly still needs more attention. One of the cognitive function disorders in the elderly is dementia. There is no health care related to dementia in this area, this is because elderly posyandu cadres consider the problem of dementia or senile dementia to be natural and normal for the elderly. So promotive and preventive efforts are needed by holding community service related to cadre training in early detection of elderly people with dementia health problems.

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

Background: The prevalence of elderly people continues to increase every year. This is directly proportional to the problems that continue to occur. One of them is a decrease in cognitive abilities which results in dementia. One of the risk factors for dementia is the level of physical activity. Decreased physical activity is believed to be one of the causes of dementia in the elderly, along with other risk factors. Objective: To determine the relationship between physical activity levels and risk factors for dementia in elderly posyandu participants in RW 03, Dinoyo Village. Research Method: This research uses descriptive analytical methods with a cross-sectional design. The method with sampling of both variables is carried out in the same time period. The total sample was 51 elderly posyandu participants in RW 03 Dinoyo Village who met the inclusion criteria. The measurement instrument uses the IPAQ-SF questionnaire to measure physical activity levels and the MMSE questionnaire to measure cognitive abilities. The correlation test used the Spearman Rho test with IBM SPSS 25. Results: Based on the Spearman Rho correlation test, the result was p = 0.339 (p > 0.05). The results showed that there was no relationship between the level of physical activity and the risk of dementia. Conclusion: There is no significant relationship between the level of physical activity and the risk of dementia in respondents. The lack of results in this study was caused by several factors, namely the limited research design and other supporting factors that were not studied.

Menopause dikaitkan dengan peningkatan risiko penyakit kardiovaskular. Hal tersebut dikarenakan adanya pengaruh hormon estrogen yang dapat melindungi wanita dari penyakit kardiovaskular salah satunya hipertensi. Kurangnya aktifitas fisik yang dilakukan oleh wanita menopause adalah salah satu dari banyak faktor yang berkontribusi terhadap peningkatan maupun kejadian tekanan darah tinggi atau hipertensi. Tujuan penelitian ini adalah menganalisis Hubungan Aktivitas Fisik Dengan Kejadian Hipertensi Pada Wanita Menopause di Wilayah Kerja Puskesmas Telaga Kabupaten Gorontalo. Desain penelitian ini adalah desain penelitian analitik dengan rancangan cross sectional dengan jumlah sampel sebanyak 45 orang diambil dengan menggunakan teknik sampling yaitu purposive sampling. Hasil penelitian yang diperoleh nilai p value (0.003) < α (0.05), jika p < α berarti hipotesis diterima. Statistic dan metode chi square hasil nilai p = (0.003) < = 0.05. yang berarti Ha diterima. Aktivitas Fisik berhubungan dengan Kejadian Hipertensi Pada Wanita Menopause di Wilayah Kerja Puskesmas Telaga Kabupaten Gorontalo. Perlunya penelitian lanjutan dengan mengendalikan dengan meneliti faktor-faktor beresiko terjadinya hipertensi seperti kebiasaan merokok, konsumsi garam, kualitas dan kuantitas tidur, stress serta faktor pemicunya sehingga diharapkan mendapatkan hasil penelitian yang lebih baik.  Demensia,Vitamin D,Lansia,Kognitif    

Public service is a form of realization of orderly government administration to make it easier for citizens, including marginalized groups of people such as the poor who are cared for by the state (one of them is neglected elderly) in fulfilling various complexities of daily needs. The government gives privileges to neglected elderly in population and health services because in the administrative process they cannot be equated with members of the public in general. The factor of dementia and neglect is an important highlight of special services. Type of this research is descriptive qualitative at the Institution owned by the Provincial Government of DKI Jakarta, Tresna Werdha Social Institution (PSTW) Budi Mulia 3. The results of this study indicate that the population and health services provided by PSTW BM 3 have fulfilled service facilities quite well in terms of Tangible, Dementia elderly get convenience in the process of obtaining a Population Identification Number (NIK) and KTP-El even though it is scheduled once a year. Reliability is quite good in terms of timeliness, Responsiveness The services provided are good, supported by the intensity of coordination, Assurance of data security is well maintained in privacy so that it is safe, and Emphaty for both Dukcapil and Jamkesda are ready 24 hours in receiving service requests from PSTW BM 3 with a follow-up process on work days.