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The enhancement number of incident non-infectious disease (PTM) is created through the implementation of non-infectious disease health screening and education presentation, especially for the society of Negeri Latuhalat in productive age and elders. This activity is conducted from house to house or door to door. The method that has been utilized is screening implementation also the presentation of education about the non-infectious disease in the society of Negeri Latuhalat. The steps that have been used during the activity are: planning and preparation, health checkup, also the presentation of education. The result of the screening pursuit towards non-infectious disease obtains average participant with stomach circumference above common, there are 55%, IMT overweight 45%, IMT obesity rate I 15%, hypertension 55%, diabetes 15%, high-uric acid 45%, total cholesterol 45%. Therefore, it is needed to provide education for the society of Negeri Latuhalat in allied with the changes in lifestyle for preventing the enhancement number of non-infectious diseases, particularly in productive age and elders.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

CTS is one of the diseases that occurs in many workers so it is often referred to as work-related Carpal Tunnel Syndrome. The high number of informal workers allows for high accidents in the workplace. The purpose of this study is to discuss the risk factors for the incidence of CTS in informal sector workers. This research is a descriptive research with the literature review method. The literature search strategy uses a prism flow chart, and inclusion and exclusion criteria. The databases used include: PubMed, Taylor and francis, and Google Scholar. From the 20 articles, 19 of them used the cross-sectional type of research, and 1 article used the case-control type of research. The types of informal work obtained from the 20 articles are: motorcycle taxi drivers, farmers, batik and bead craftsmen, blacksmiths, stone breakers, meatball sellers, coconut peelers, woodcarvers, tailors, angkot drivers, small-scale convection, hairstylists, and butchers. Overall, the journal articles obtained discuss related to the risk factors for the incidence of CTS in informal sector workers. Repetitive movements, length of service, length of work, hand posture (awkward), age, gender, and body mass index were found to influence the incidence of CTS in informal sector workers. Meanwhile, grasping work and a history of diabetes mellitus were not found to be related to the incidence of CTS in informal sector workers.

Diabetes melitus merupakan penyakit kronis yang membutuhkan supervisi medis berkelanjutan serta edukasi perawatan secara mandiri, apalagi dalam masa pandemic covid. Pada masa pandemi covid seseorang yang memiliki penyakit bawaan memiliki resiko tinggi untuk lebih cepat tertular penyakit covid dan bisa menyebabkan kematian. Maka dari itu penderita diabetes mellitus perlu melakukan manajemen yang baik untuk menjaga kesehatannya, meskipun tidak datang ke pelayanan Kesehatan. Manajemen diabetes yang dapat dilakukan meliputi kontrol glukosa darah, pola makan, olahraga, minum obat teratur dan perawatan kaki. Tujuan kegiatan pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan, kemampuan dan keterampilan pasien dalam penatalaksanaan diabetes dengan cara manajemen diabetes mellitus. Metode yang dilakukan dalam kegiatan ini dengan cara memberikan konseling manajemen diabetes mellitus kepada pasien saat pelaksanaan posyandu di balai Desa Karangbong. Pemberian edukasi dilakukan dengan 2 metode yaitu dengan memberikan edukasi secara langsung bersamaan dan secara individu kepada pasien. Kegiatan ini dilakukan oleh 3 tim dosen dan 5 mahasiswa keperawatan. Hasil dalam kegiatan pengabdian kepada masyarakat ini penderita diabetes dapat memahami dan meningkatkan kemampuannya tentang manajemen penatalaksanaan diabetes mellitus secara mandiri, khususnya dimasa pandemi. Pasien diabetes mellitus dapat melakukan melakukan manajemen diabetes mellitus dirumah dengan cara melakukan pengecekan kadar glukosa darah seminggu sekali, selalu melaksanakan aktivitas fisik, menjaga pola makan, minum obat sesuai aturan dan melakukan perawatan kaki setiap hari untuk mencegah terjadinya luka ulkus diabetes.   

Background: Diabetes mellitus (DM) is a degenerative disease caused by damage to the pancreas in production or insulin cannot work effectively. Purslane Leaf Extract (Portulaca Oleracea) can help lower blood sugar levels. The purpose of this study was to analyze the effect of purslane leaf extract (Portulaca Oleracea) on blood sugar levels in alloxan-induced rats as a diabetes model.Methods: The rats in this study were 30 rats divided into 5 groups, each group consisting of 6 rats. The negative control group was only given aquadest and standard rat feed, while the other group was induced with 35 mg/200gBW of alloxan. The positive group was treated with standard rat diet, treatment group 1 was given purslane leaf extract at a dose of 60 mg/200grBB, treatment group 2 was given purslane leaf extract at a dose of 90 mg/200grBB and treatment group 3 was given purslane leaf extract at a dose of 110 mg/200grBW rats. Analysis of the results used the Kruskall Wallis test followed by Post Hoc Mann Whitney analysis. Results: The results of the Kruskal Wallis test on blood sugar levels showed that there was an effect after administration of purslane leaf extract among the five treatment groups p= 0.000 (p<0.05). The results of the Mann Whitney test showed that purslane leaf extract had effective antidiabetic at a dose 60 mg/200grBB p= 0.011 (p<0.05).Conclusion: Based on the results of this study, it can be concluded that purslane leaf extract can reduce blood sugar levels.    

Kulit buah rambai (Baccaurea motleyana) merupakan salah satu bagian tumbuhan yang dapat digunakan untuk menurunkan kadar glukosa darah pada mencit yang telah dinduksi aloksan. Tujuan penelitian ini untuk mengetahui keamanan dalam penggunaan tumbuhan sebagai obat herbal agar tidak menimbulkan efek berbahaya yang tidak diinginkan, maka perlu dilakukan uji toksisitas pada hati mencit. Hati merupakan organ tubuh sasaran zat toksik karena memegang peranan penting dalam proses metabolisme tubuh. Rancangan penelitian dalam penelitian ini ialah Rancangan Acak Lengkap (RAL) dengan 6 perlakuan dan 4 ulangan. Perlakuan terdiri kontrol negatif (akuades), kontrol positif (Glibenklamid), dan ekstrak etanol      kulit buah rambai dengan dosis bertingkat 200 mg/kgBB, 400 mg/kgBB, 800 mg/kgBB, 1600 mg/kgBB yang diberikan secara oral. Data dianalisis menggunakan analisis varians (ANAVA) dan apabila perlakuan berpengaruh maka diuji lanjut menggunakan uji jarak berganda Duncan dengan taraf kepercayaan 5%. Hasil pengamatan menunjukkan pemberian ekstrak etanol kulit buah rambai berpengaruh nyata terhadap kerusakan pada sel-sel hati mencit diabetes berupa hiperemi dan hemoragi. Perlu adanya penelitian lebih lanjut mengenai uji toksisitas sub kronis dan kronis terhadap pemberian ekstrak etanol kulit buah rambai. Penelitian lanjut yang dapat dilakukan yaitu pengujian toksisitas pada organ lainnya seperti ginjal, otak, jantung, limpa dan lain-lain.

Diabetes Mellitus (DM) salah satu penyakit yang prevalensinya terus mengalami peningkatan di dunia, baik pada negara maju ataupun negara sedang berkembang, Indonesia menempati urutan ke 4 tertinggi di dunia. Diantara berbagai propinsi yang ada di Indonesia, Jawa Tengah memiliki prevalensi DM yang cukup tinggi..Senam kaki diabetes adalah senam yang dilakukan untuk membantu memperbaiki sirkulasi darah dan memperkuat otot-otot paha serta mengatasi keterbataan pergerakan sendi.Senam kaki diabetes mampu meningkatkan sensitivas kaki.Tujuan penelitian ini untuk Mengetahui adanya pengaruh pemberian senam kaki terhadap tingkat sensitivas pada pasien Diabetes Mellitus.Metode penelitian ini menggunakan jenis penelitian eksperimen semu (Quasy Eksperiment) dengan pendekatan pretest postest. Teknik Sampling yang digunakan adalah Accidental Sampling dengan jumlah responden adalah 15. Intrumen penelitiannya adalah kuesioner. Uji analisa menggunakan uji Wilcoxon.Hasilnya sesudah pemberian senam kaki, sensitifitas kaki dengan kapas paling banyak yaitu ada 8 responden (62%) dan sensitifitas kaki dengan sikat ada 5 responden (38%). Ada pengaruh pemberian senam kaki terhadap peningkatan sensitifitas kaki pada pasien diabetes mellitusdengan ρ value 0,001 (< 0,05). Nilai Z sebesar – 3.419 menunjukkan bahwa tingkat pengaruh termasuk sangat rendah dengan nilai probabilitas 0,03% dan dibuktikan dengan table Z. Ada pengaruh pemberian senam kaki diabetes terhadap peningkatan sensitifitas kaki pada pasien diabetes mellitus.

Diabetes Mellitus merupakan suatu penyakit menahun atau kronis yang ditandai oleh hiperglikemiaatau kadar glukosa darah melebihi nilai normal. Pengobatan non farmakologi diabetes mellitus dapat menggunakan tanaman herbal, seperti kulit manggis. Data yang di peroleh dari Puskesmas Joho terdapat 12 responden yang memiliki riwayat diabetes mellitus di desa Joho Baru, Joho, Sukoharjo. Tujuan penelitian ini untuk mengetahui pengaruh kulit buah manggis terhadap penurunan kadar gula darah pada penderita diabetes mellitus. Metode penelitian menggunakan pretest-posttest Design. Teknik penggambilan sampel Accidental Sampling, sejumlah 12 responden. Uji normalitas yang dilakukan adalah uji shapiro-walk dan teknik analisa menggunakan Wilcoxon test. dengan hasil didapatkan ada pengaruh kulit manggis terhadap penurunan kadar gula darah yang signifikan (p) 0.002 karena nilai p (<0.05) ), maka hipotesis alternatif (Ha) diterima, yang artinya dimana ada pengaruh kadar gula darah sebelum dan sesudah diberikan kulit manggis

Diabetes Mellitus is known as a silent killer disease because it is often not known by the sufferer and when it is known that complications have occurred to the eye (Diabetic Retinopathy), heart (diabetic chediomyopathy), repeated infections can occur, ulcers that do not heal and even amputation of fingers/toes. The design of this research is descriptive analytical with a cross sectional approach. The sample in this study were 30 people using accidental sampling. Data was collected by distributing questionnaires. Furthermore, the data were collected and tested using the chi-square test with a significance level of Asymp.ig.(p-value) = 0.000, where the p-value is smaller than the value of = 0.05. The results of the study where there was good family support with good management of 4 pillars as many as 17 respondents and good family support with poor management of 4 pillars as many as 1 respondent. While for poor family support with good management as many as 1 respondent and poor family support with poor management of 4 pillars as many as 11 respondents. The conclusion in this study is that there is a description of family support for type 2 DM patients in carrying out the 4 pillars of managing DM in the poly room at Bhayangkara Hospital, Manado

Tujuan penulisan ini adalah untuk menganalisis faktor lama penyembuhan kaki diabetes/ulkus diabetikum pada pasien DM Tipe 2. Ulkus kaki sebagai komplikasi dari diabetes melitus tipe 2 memberikan prevalensi pasien ulkus kaki diabetik (UKD) berkisar 41% dari populasi umumnya, dengan prevalensi yang lebih tinggi pada manula. Sekitar 14-24% pasien UKD memerlukan amputasi dengan rekurensi 50% setelah tiga tahun. Sekitar 15% pasien diabetes mengalami tukak kaki dan 15-20% dari ini memerlukan amputasi. Amputasi kaki diabetik cenderung terjadi seiring dengan kenaikan tingkat kematian atau morbiditas dari waktu ke waktu. Untuk mengurangi tingkat amputasi pada pasien diabetes melitus tipe 2, perlu adanya penyembuhan dengan mengetahui faktor yang mempengaruhi lama penyembuhan. Penelitian ini menggunakan metode literature review dari beberapa buku dan jurnal. Didapatkan hasil bahwa penggunanaan antibiotik, faktor kebersihan ulkus kaki, faktor tingkat keparahan infeksi saat datang, dan faktor kondisi imunitas dan gizi pasien mempengaruhi lama penyembuhan pada pasien DM Tipe 2.

The elderly are an age group that is prone to falls. The purpose of this service is to detect the risk of falling in the elderly and provide assistance in balance training as an effort to prevent the risk of falling in the elderly. Falls occur due to unintentional loss of balance resulting in failure of postural stability, or unexpected and sudden changes resulting in a position landing on the floor. Associated risk factors include current health status (living in the community, nursing home, hospital, frail or active state), diseases suffered (diabetes, hip fracture, stroke) and general changes related to aging (decreased balance, coordination, muscle strength, visual impairment, etc.). The output targets to be achieved are in the form of publications in accredited national journals and copyright for videos of community service activities. The method used is a fall risk detection examination using. Elderly gymnastics is a series of regular, directed, and planned movements carried out with the intention of improving the functional abilities of the body. Reporting from the Panti Rapih Hospital page, this activity is carried out regularly and with movements that are not too heavy.

Background: Coronary artery disease (CAD) is the main cause of death in the world. In this study we assessed the ankle-brachial index (ABI) as a screening tool for CAD. Methods: Between 2020 and 2023, a large population-based cross-sectional study was conducted on 4,207 new patients referred to Harapan Kita Hospital. The patients underwent selective coronary angiography via a radial artery approach. ABI was calculated for all patients. Researchers compared ABI with coronary angiography results to determine the specificity and sensitivity of ABI as a screening tool. Results: Abnormal ABI was significantly more common in patients with proven severe CAD (893, 54.8%) than in patients with proven mild CAD (33, 4.7%) or no CAD (94, 5.3% ). The specificity of the ABI was 95.3% and the sensitivity was 54.8%. ABI is associated with risk factors such as smoking, male gender, hypertension, diabetes mellitus and dyslipidemia. Conclusion: ABI can be used as a screening test to prevent CAD with a specificity of 95.3%. We need to consider risk factors other than ABI to improve screening sensitivity. Multidimensional scoring systems should consider risk factors and other noninvasive tests in addition to ABI to develop an ideal screening system for CAD

Daun pala (Myristica fragrans) gunakan masyarakat untuk mengobati bebrapa penyakit seperti nyeri. Bahan kimia yang terkandung dalam daun pala seperti saponin, polifenol, flavanoid, dan minyak atsiri. Untuk membuktikan aktivitas ekstrak etanol daun pala (myristica fragrans) terhadap aorta tikus (rattus norvegicus) diabetes. Penelitian ini merupakan jenis penelitian yang bersifat eksperimen laboratorium (laboratory experimen) secara in vivo menggunakan hewan coba tikus putih (rattus norvegicus) jantan galur wistar. Daun pala menggunakan pelarut etanol 96%. Diperoleh hasil maserasi sebanyak 300 g, dipekatkan dengan alat rotary evaporator diperoleh ekstrak kental sebanyak 42,673 g dengan %rendamen sebesar 14,23%. Didapatkan gambaran histologi terdapat lumen diameter yang lebih tipis dan lebih lebar dan sel busa pada bagian tunika intima dan media aorta tikus.

Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is disable to produce insulin, which isenergy. Good knowledge determines adherence to diet in patients with type 2 diabetes mellitus. The purpose of this study was to determine the relationship between knowledge and dietary compliance of patients with type II diabetes mellitus at WolterMonginsidiTk.IIHospital Manado. This study was conducted in August on patients with diabetes mellitus at WolterMonginsidiTk.IIHospital Manado with population are 141 respondents and 35 respondents was taken as samples of this research with using non-probability sampling technique type which is accidental sampling technique. The type of this research was using descriptive analytic method with a cross sectional approach, and used questionnaire as research instrument. The data was collected and analysed using Chi-square test with a significance (α) ≤0.01. The results of Chi-square statistical test obtained ρ-value (α = 0.01). This means that there is a significant relationship between knowledge and dietary compliance in patients with diabetes mellitus at the WolterMonginsidiTk.II Hospital Manado. The conclusion of this studythere is a relationship between knowledge and dietary compliance in patients with diabetes mellitus. The suggestion from this study is hopefully this study can give benefit in Nursing development.  

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises. Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications. Keywords: