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Maternal hypertension remains one of the major contributors to maternal morbidity and mortality in Indonesia and globally. This study aimed to analyze the prevalence, mortality trends, and geographical disparities of maternal hypertension in Indonesia during the 2022–2023 period. The research employed a descriptive design using secondary data obtained from official reports of the Indonesian Ministry of Health, national health surveys, and Maternal Perinatal Death Notification (MPDN) data. Data analysis was conducted descriptively by examining prevalence rates, maternal mortality due to hypertension, regional distribution, and temporal trends across provinces in Indonesia. The findings showed a slight but consistent decline in both the prevalence and mortality rates of maternal hypertension from 2022 to 2023 in most provinces. However, significant regional disparities remained evident. Provinces in eastern Indonesia, including Papua Barat, Nusa Tenggara Timur, Maluku, and several provinces in Sulawesi and Kalimantan, consistently recorded higher prevalence and mortality rates compared to provinces in Java and Bali. Meanwhile, provinces with better healthcare infrastructure and maternal referral systems demonstrated lower mortality outcomes. The study also revealed a strong association between high prevalence and increased maternal mortality, indicating the importance of healthcare accessibility, antenatal care quality, and emergency obstetric services in reducing maternal health burdens. These findings emphasize the need for region-specific maternal health interventions, improved healthcare distribution, early detection programs, and strengthened referral systems to reduce maternal hypertension disparities and improve maternal health outcomes in Indonesia.

Cardiovascular dysfunction is a disorder of the blood vessels, such as hypertension, heart failure, and stroke. In 2016, cardiovascular disease was the leading cause of death worldwide, based on data from the World Health Organization (WHO). Coronary Heart Disease (CHD) is the leading cause of death, along with stroke, as shown by the Sample Registration System survey in 2014.This case involves a 64-year-old male, Mr. N, who presented to the emergency department of RSUD dr. Fauziah Bireuen with complaints of chest pain that developed gradually and worsened over the past month. The pain was located across the entire chest and radiated to the back and neck. The pain was described as severe, like being crushed by a heavy load, worsened during strenuous activities such as cutting grass and chopping wood, and relieved when the patient bent forward. The pain could occur at any time, with a Visual Analog Scale (VAS) score of 10 (severe pain). The patient also reported easy fatigue during heavy physical activity over the past month. Laboratory examination revealed elevated leukocytes, mean corpuscular volume (MCV), segmented neutrophils, troponin I, cholesterol, and triglycerides. The patient was diagnosed with extensive anterior ST-elevation myocardial infarction (STEMI) post successful fibrinolytic therapy.

Aortic dissection is a cardiovascular emergency characterized by a tear in the aortic intima layer and the formation of a false lumen, posing risks of fatal complications such as rupture and organ malperfusion. Stanford type B dissections may be managed conservatively; however, complicated cases require intervention. Thoracic Endovascular Aortic Repair (TEVAR) has emerged as the preferred modality, offering lower perioperative morbidity and mortality compared to open surgery. To report the first TEVAR procedure performed in Manado on a patient with Stanford type B aortic dissection, highlighting the technical approach, operative challenges, and clinical outcomes. A 62-year-old male with a history of hypertension and chronic chest pain was referred following a CT angiography that revealed a Stanford type B aortic dissection with an entry site in the proximal descending aorta. TEVAR was performed with stent-graft placement in zone 2 and a chimney graft to preserve perfusion of the left subclavian artery (LSA). Intraoperative aortography confirmed false lumen exclusion without endoleak. The patient showed significant clinical improvement and recovered without postoperative complications. The procedure was technically and clinically successful, with no major complications. Postoperative evaluation confirmed stable stent position and maintained LSA perfusion. This case demonstrates that TEVAR can be safely implemented in non-tertiary regional hospitals with thorough preparation. The first TEVAR procedure in Manado illustrates that this technique can be an effective solution for complicated type B aortic dissections. This experience marks a milestone in the development of endovascular services in resource-limited settings and may serve as a reference for similar institutions in Indonesia.

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

Introduction: Periodontitis treatment depends on the severity of the disease, pocket depth, and bone damage. It consists of (1) emergency phase, (2) non-surgical phase, (3) surgical phase, and (4) maintenance or restorative phase. Each phase plays a crucial role in ensuring healing and controlling periodontitis. The non-surgical phase involves scaling and root planing to remove plaque and tartar, while the surgical phase addresses bone damage and pocket reduction. The maintenance phase is critical to preventing disease recurrence. Objective: The purpose of this case report is to demonstrate the success of curettage in a patient with chronic localized periodontitis stage II grade A and stage I hypertension, within a two-week post-treatment period. Case: A 52-year-old female patient presented at RSGM Soelastri with complaints of bleeding gums during tooth brushing. The patient reported gum bleeding around the lower front teeth for the past six months, without any pain. She was regularly taking antihypertensive medication (amlodipine). Examination revealed deep periodontal pockets in teeth 41 and 42, accompanied by gum swelling, indicating chronic localized periodontitis stage II grade A. The patient also had a history of stage I hypertension, which required careful management during treatment. Conclusion: The treatment for chronic localized periodontitis stage II grade A on teeth 41 and 42 with stage I hypertension was curettage. After two weeks of treatment, the patient showed significant improvement, including reduced bleeding and a decrease in pocket depth, with stable hypertension control. Curettage proved effective in managing the condition, with careful consideration of the patient's hypertension risk factors.

The prevalence of hypertension in Indonesia in 2020 is 31.7% of the population aged 18 years and over. Around 80% of people with hypertension are classified as essential hypertension. Blood pressure in hypertensive sufferers can be lowered pharmacologically and non-pharmacologically. Pharmacological reduction can be done by taking drugs recommended to lower blood pressure. Non-pharmacologically, you can reduce blood pressure by modifying your lifestyle and consuming medicinal plants. Medicinal plants can be used as alternative medicines for the prevention and control of hypertension which do not have side effects, are cheap and easy to obtain because they can be cultivated yourself. The aim of this community service is to provide education about the benefits of medicinal plants for first aid for minor health problems through traditional medicine which has the potential to treat and prevent hypertension. The service method carried out consists of two stages, namely counseling and planting traditional medicinal plants. This activity was attended by 20 participants. From the results of the evaluation and discussion, participants enthusiastically asked about herbs around their homes and people were willing to plant herbs in their yards.

Hypertension is a blood vessel disease that has a high risk of causing serious complications and death. The role of the family in preventing complications and death due to hypertension is very important, especially in emergency conditions. One effort to reduce this risk is through health education. This study aims to determine the effect of hypertension emergency education on the knowledge of families of hypertension with at the Pratama Agung Amanah Ternate General Clinic. This study used a pre-experimental method with a one group pre-test post-test design. The sample used was 30 respondents selected through total sampling. Data were collected using a questionnaire and then analyzed. The Mc. Nemar statistical test showed significant results with a p value ≤ 0.001 which indicated a significant effect between hypertension emergency education on the knowledge of families of hypertension sufferers. The conclusion of this study shows that hypertension emergency education has a positive effect on increasing the knowledge of families of hypertension with. The results of this study are expected to increase understanding of the importance of handling hypertension emergencies as an initial step in prevention.

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.      

Neonatal maternal emergencies are a contributing cause of maternal mortality, including hypertension disorders, namely preeclampsia/eclampsia (33.07%), obstetric hemorrhage (27.03%), other obstetric complications 12.04%, infections in pregnancy (6.06%) (Indonesian Ministry of Health, 2019). Maternal mortality and morbidity can actually be reduced or prevented with various improvements in the field of obstetric health services. In Indonesia, obstetric emergency problems occur due to four delays, namely being late in recognizing danger signs and risks, being late in making a decision to seek help, being late in getting transportation to reach a more capable health service facility, and being late in getting help at a referral facility. Bangun Rejo Village is one of the villages in the Tanjung Morawa Community Health Center which has the highest risk of pregnant women compared to other villages. Involvement in decision making regarding referrals is still predominantly obtained from the family, so that family knowledge regarding emergency problems and pregnancy complications experienced by the mother greatly influences the accuracy of decision making to refer/contact a midwife/health worker so that treatment can be obtained more quickly. This activity aims to increase the knowledge of health workers, namely village midwives and cadres, in providing excellent maternal and neonatal emergency services in Bangun Rejo Village. This activity was attended by 9 midwives and 11 cadres from 11 hamlets in Bnagun Rejo Village. The results of this activity were that there was an increase in partners' knowledge before and after the intervention in the "good" category, which increased by 53% and in the "poor" category, which decreased by 53%. The initial pretest score was 45% which increased in the post test to 98%.  It is necessary to increase the knowledge and abilities of village midwives and cadres in Bnagun Rejo Village regarding maternal and neonatal emergency services.

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

Stroke is an acute clinical manifestation resulting from neurological dysfunction in the brain, spinal cord and retina, either partial or complete, that persists for 24 hours or causes death due to blood vessel disorders. According to the American Heart Association (AHA), in 2015 the prevalence of stroke reached 33 million patients worldwide. According to Basic Health Research (Riskesdas) in 2007, the national prevalence of stroke was 8.3 per 1,000 population. The highest stroke prevalence was found in Aceh (16.6 per 1,000 population) and the lowest in Papua (3.8 per 1,000 population). Many factors can influence the incidence of stroke, one of which is hypertension. Hypertension is a major risk factor for stroke. Often referred to as the silent killer because hypertension increases the risk of stroke by 6 times. It is said to be hypertension if blood pressure is greater than 140/90 mmHg. Stroke cases are included in the Doctor Competency Standards with grade 3B, which means a general practitioner must be able to make a clinical diagnosis based on anamnesis, physical examination and simple additional examinations. The general practitioner must be able to decide and provide preliminary therapy, as well as refer to relevant specialists (emergency cases).

Hypertension is a condition in which blood vessels have high blood pressure (systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥ 90 mmHg). Hypertension is often referred to as the silent killer because it can attack anyone suddenly and it is a disease that can result in death. This community service aims to invite the public to understand the emergency management of the elderly with hypertension. This community service was carried out for 30 people with hypertension at RT 013 RW 007 Kel. Kedaung Kec. Cengkareng, West Jakarta. This activity was carried out on July 8 2022, including; checking blood pressure and education on emergency management of elderly people with hypertension. The knowledge evaluation instrument uses a hypertension knowledge questionnaire and blood pressure assessment using a sphygmomanometer. Providing emergency education for the elderly with hypertension increases the knowledge score, the score before is 42 and the score after is 83 so that the post-test score increases 98% from the pre-test score. The results of blood pressure examinations for elderly people with BP > 140/90 mmHg were 21 people (70%) and elderly people with BP < 140/90 mmHg were 9 people (30%). Providing emergency education for the elderly with hypertension can increase the knowledge of the elderly regarding hypertension so that their quality of life is maintained.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.