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Early detection of a potential heart attack is a crucial step in preventing sudden death from heart disease. This research aims to develop an Internet of Things (IoT)-based health monitoring system capable of measuring vital body data in real time and predicting the likelihood of a heart attack from CSV data obtained from sensors, integrated through RapidMiner as learning data using a machine learning algorithm, the Support Vector Machine (SVM). The system was built using an ESP32 microcontroller connected to a MAX30102 sensor to measure heart rate and finger oxygen levels (SpO₂), as well as a DHT22 sensor to measure temperature and humidity. The resulting data is sent to the Blynk application to display real-time data according to its parameters. The initial prediction logic was developed using a rule-based method based on medical thresholds for four vital parameters. The data was then used to train an SVM model as a classification system to detect potential heart attacks. Test results showed that the system can identify abnormal conditions with a good level of accuracy and provide early warnings based on changes in vital parameters in real time. This system is expected to be an initial solution for personal health monitoring, especially for individuals at risk of heart disease. It can be further developed with cloud integration and automatic notifications to users' devices.

Cardiovascular diseases are the leading cause of death worldwide, accounting for 17.9 million deaths annually. Stroke and heart attacks often go undetected due to their silent nature. This community service activity aimed to increase community knowledge about stroke and heart attacks and conduct early detection through health screening. The activity was conducted in Lalimbue Village, Kapoiala District, Konawe Regency on May 11 and 18, 2025. Methods included healthy exercise, educational talk show, first aid workshop, and health screening (blood pressure, blood glucose, cholesterol). Knowledge evaluation used pre-test and post-test with 10 questions. Results showed 56 participants on implementation day and 17 on follow-up. Pre-test showed 23% had good knowledge, 34% moderate, and 43% poor. Post-test showed 87% good knowledge and 13% moderate. Health screening found 10.7% with hypertension and 10.7% with diabetes mellitus on implementation day. Follow-up found 47.1% with hypertension and 23.5% with diabetes mellitus. This study concluded that health education is effective in increasing community knowledge about stroke and heart attack prevention, and health screening is important for early detection of cardiovascular and metabolic diseases.

Hypertension is one of the most common diseases experienced by the community and poses a high risk of causing serious complications. Persistently elevated blood pressure can damage vital organs and increase the risk of cardiovascular diseases such as heart attacks, strokes and kidney failure. The purpose of this study is to determine the implementation of foot reflexology massage to reduce blood pressure in patients with hypertension. This research employed a case study approach involving two hypertensive patients at TK II Putri Hijau Hospital Medan. The Nursing care process included assessment, nursing diagnosis, planning, implementation, and evaluation. The results showed a decrease in both systolic and diatolic blod pressure after the foot reflexology intervention. The first patient experienced a reduction in blood pressure from 145/90 mmHg to 130/82 mmHg, while the second patient’s blood pressure from 144/89 mmHg to 128/82 mmHg. The study cocludes that the implementation of foot reflexology massage is proven to be efeective in lowering blood pressure in hypertensive patients. This therapy is recommended as a complementary intervention in nursing practice to assist in controlling hypertension.

ST-Elevation Myocardial Infarction (STEMI) is one of the manifestations of acute coronary syndrome (ACS) and is a leading cause of disability and death worldwide. The mortality rate for STEMI is reported to reach 6%–14% of all ACS deaths. Reperfusion therapy is the primary treatment, with fibrinolytics an important option, especially in healthcare facilities that do not have the capacity to perform primary Percutaneous Coronary Intervention (PCI) in less than 12 hours. The success of fibrinolytics is influenced by various risk factors, such as hypertension, dyslipidemia, diabetes mellitus, a history of heart disease, and the duration of the attack. This study aims to determine the relationship between these factors and the success rate of fibrinolytics in STEMI patients. This study used a retrospective descriptive design with a cross-sectional method. The sampling technique used total sampling of patients diagnosed with STEMI and receiving fibrinolytic therapy according to inclusion and exclusion criteria at Dr. Fauziah Hospital. Statistical analysis was performed using the Chi-Square correlation test to assess the relationship between clinical variables and fibrinolytic success. The results showed no significant association between hyperglycemia (p = 0.823), hypertension (p = 0.240), or a history of heart disease (p = 0.704) and fibrinolytic success. Similarly, the onset of stroke variable did not show a significant association with reperfusion outcomes. In conclusion, classic risk factors such as hyperglycemia, hypertension, and a history of heart disease were not associated with fibrinolytic success in STEMI patients at Dr. Fauziah Hospital. These results suggest that fibrinolytic success is likely influenced by other factors, such as timing of drug administration, protocol adherence, and individual variation in response to therapy. Further research with a larger sample size and a prospective design is recommended to strengthen these findings.

Hypertriglyceridemia is a metabolic condition that often occurs in the elderly and contributes greatly to an increased risk of cardiovascular diseases such as stroke, heart attack, and acute pancreatitis. This condition often does not show symptoms in the early stages, so regular triglyceride level checks are an important step for early detection. The Community Service Program (PKM) at Panti Werdha Hana aims to increase awareness of the elderly about the importance of early detection of dyslipidemia through blood triglyceride level screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes lipid profile examination and educational counseling on risk factors and prevention of hypertriglyceridemia. Of the 76 elderly participants, it was found that 33 people (43.42%) had high triglyceride levels, while 43 people (56.58%) showed normal levels. These results emphasize the importance of routine checks and education to reduce the risk of cardiometabolic disease and support a healthier and more independent quality of life for the elderly.

Degenerative diseases are chronic diseases that can affect a person's quality of life in the future. One example of degenerative diseases is diabetes mellitus and hypertension. Hypertension is defined as one of the most dangerous health problems worldwide because hypertension is a major risk factor that can cause cardiovascular diseases such as heart attack, heart failure, stroke. The purpose of this study was to determine the relationship between family history, type of work, and stress level on the incidence of hypertension in Kebonkalapa hamlet, Kutapohaci. The research method used a nonparametric test technique using the chi square statistical test and was processed using the IBM SPSS 25 application. The results of the analysis obtained from this study found that family history, type of work, and stress level were not associated with the incidence of hypertension in Kebonkalapa hamlet, Kutapohaci because the p-value was greater than 0.05.    

Hypertension is a chronic disease that often attacks the elderly and can cause serious complications, including stroke and heart disease. This study aims to evaluate the use of antihypertensives and analyze drug interactions based on severity in hospitalized patients at RSU Royal Prima Marelan. The research method is descriptive retrospective of patient medical records in 2024. The results showed that the majority of patients were women (62.5%) aged 60–74 years (50%). The use of a combination of two antihypertensive drugs was most commonly found (40%), with the combination of amlodipine and candesartan being the most frequently used. The severity of the most drug interactions was in the moderate category (82.35%), followed by major (10.50%) and minor (7.14%). The most significant interactions occurred in the combination of candesartan and spironolactone (major), and amlodipine and bisoprolol (moderate).    

Rheumatoid arthritis (RA), a chronic inflammatory autoimmune disorder, is characterized by persistent synovial inflammation, erosion of bone and cartilage, leading to joint destruction. It can attack the joints and other parts of the body such as tendons, ligaments, and bones.  In serious cases, it can affect other organs such as the lungs, heart, nervous system, and eyes. Foot massage is effective to reduce pain. Before implementation of foot massage, the average pain scale was 6 (moderate pain). After implementation of foot massage  the pain scale decreased to 2 (mild pain). Through empowering the elderly, the elderly are taught and assisted in performing safe and effective foot massage techniques to reduce pain, improve blood circulation, and reduce joint stiffness due to rheumatoid arthritis. The conclusion of this community service activity shows that the use of foot massage is effective for patients with rheumatoid arthritis who experience pain.

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).

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.

The prevalence of insomnia in Indonesia is still high compared to other countries, especially in adolescents. The prevalence is about 67% including low insomnia at 55, 8% and moderate insomnia at 23, 3%. The impact of insomnia on adolescents such as body weakness, lethargy, lack of concentration, and enthusiasm until it becomes a serious problem such as sleep disorders, heart attack, cancer, obesity, and other various lethal diseases. This study aimed to determine the correlation between smartphone addiction and stress levels on the incidence of insomnia in adolescents at SMA Negeri 8 Banda Aceh. The research method used was an analytical design with a cross-sectional approach. The population was 537 teenagers and the sample was 84, chosen using the Proportional Random Sampling technique and Univariate and bivariate analysis using the Chi-Square test. The data were gathered using the Perceived Stress Scale (PSS) questionnaire, Smartphone Addiction Scale Short Version (SAS-SV), and Biological Psychiatry Study Group Jakarta Insomnia Rating Scale (KSPBJ-IRS). The result showed that of 84 respondents, most of them did not experience insomnia 41 respondents (48,8%), did not experience smartphone addiction 43 respondents (51,2%), and experienced low stress 48 respondents (57,1%). So there was a relationship between smartphone addiction (p=0,002) and stress level (p=0,007) toward insomnia in adolescents. In conclusion, there was a correlation between smartphone addiction and stress levels toward the incidence of insomnia in adolescents. This research suggests that research institutes concerned with health education conduct cross-sector collaboration regarding smartphone usage, such as the Health Office and Public Health Centres.

One of the traditional cultures that is currently still practiced by the Adonara community is the fight war. The story of the battle war in the Adonara Area, East Flores Regency, is the battle between Lewobunga Village and Lewonara Village. This rivalry war was triggered by the ownership of customary land rights between Lewobunga Village and Lewonara Village, where the Lewobunga Village Community inaugurated Riangbunga Hamlet Lewobunga Village heard the inauguration the Lewonara Village people did not agree and began to carry out their act of disacceptance by attacking the Lewobunga Village community. So there was a prolonged war and conflict that caused many casualties. This study found several things: (1) The factors that cause the occurrence of murder cases due to customary land disputes are: unclear land boundaries, differences in historical narratives, lack of recognition of land ownership, war revenge and lack of attention from the local government. (2) Settlement efforts carried out by traditional leaders by gathering the entire community and inviting traditional leaders in neighboring villages in the Kiwangona area to perform the traditional ritual of bau lolon to pray that the fight war will not be repeated by declaring the reket kame lo'oko (weapons of war are released) with this statement the community expresses their hearts by declaring that the war will stop or there will be no more wars and this traditional ritual is sacred.

This study aims to describe the shape of the silek taralak movement in Maninjau, Tanjung Raya District. The type of research used is qualitative research with a descriptive method of analysis. The instruments used are their own lamps with supporting instruments such as stationery, cameras, and mobile phones. Data was collected by means of literature studies, observations, interviews, and documentation. The steps used to analyze the data are data collection, data reduction, data presentation, and conclusion drawn. The results show that Silek Taralak aims to create complete control over the opponent through fast, precise, and devastating attacks, by maximizing the impact on the vital areas of the opponent's body. Each attack technique in Silek Taralak is specifically designed to attack the vital parts of the opponent's body with the aim of disabling or controlling them. Attacks are generally focused on the heartburn, right rib, back, elbow, neck, and shoulder, using various techniques such as punches, locks, fractures, and slams. Techniques such as Elo suok and Masuak kida attack heartburn and ribs, while Ampai breaks the opponent's hands and elbows. There are also attacks that emphasize locks and slams, such as Tangkok smoked and Kungkuang karo, which lock the opponent's neck and hands before knocking them down or slamming them. In addition to offensive attacks, defensive techniques such as Tapiak raok and Gelek function to deflect the opponent's attacks, followed by effective counterattacks.

Rheumatism is a disease in which the body attacks its own joints. As a result, the joints become swollen, painful and mayy change shape. This disease not only attacks the joints, but also important organ such as the hearth and lungs. The purpose of this paper is to provide nursing care to the family of Mr. M who has members with rheumatism. Mr.M’s family who has a member with rheumatism. The author will conduct assesment, diagnosis, implementation and evaluation of the health problems faced by the family. The methods used are interviews, observation and dokumentation. The results of this writing are expected to be a new innovation in providing effective family nursing care for people with rheumatism in the community.    

Cardiopulmonary Resuscitation (CPR) or CPR is help for patients experiencing a heart attack where basic living rock is needed by applying pressure to the chest. Nurses have an important role in implementing cardiopulmonary resuscitation (CPR), especially in the emergency room. Skills in carrying out actions can have a direct impact on patient safety. Steps can be taken to improve the overall quality of medical treatment by increasing the education, knowledge and skills of attached nurses. The aim of this research is to find out the relationship between education and PK level with the accuracy of nurses in carrying out cardiopulmonary resuscitation measures in the ICU and emergency rooms at Prikasih Hospital in 2024. The research method that will be used is an analytical research design with a correlational design with a cross-sectional approach, a population of 40 technical respondents total sample and sample size of 40 respondents. Using the non-parametric Rank Spearman Rho test. The results show a relationship between education and the accuracy of nurses in carrying out cardiopulmonary resuscitation (CPR) in the ICU and ER with a P-Value of 0.026 < 0.05. And there is a relationship between the PK level and the accuracy of nurses in carrying out cardiopulmonary resuscitation (CPR) in the ICU and ER with a P-Value of 0.002 < 0.05. The conclusion is that education and level PK are very important in carrying out actions, because a person's knowledge can be seen from the abilities or skills they have, therefore education and level PK greatly influence the accuracy of cardiac resuscitation actions.    

Background: Spinal anaesthesia (SA) is associated with many complications among which the most common side effects are hypotension and bradycardia, The aim of the current study was to assess the effects of prophylactic atropine in prevention of spinal anaesthesia induced hypotension and bradycardia in male.  Aim of the Study: The aim of the current study was to assess the effects of prophylactic atropine in prevention of spinal anaesthesia induced hypotension and bradycardia in male.  Method: Seventy (70) patients aged 25-60 years old, they had more than one type of surgery. the patients were monitored by the anaesthesiologist, and we monitored the patient’s vital sign related to the operation period, such as blood pressure, heart rate, body temperature, and oxygen saturation, for patients who received atropine before the operation and patients who received atropine during the operation.  Results: There were statistically significant differences in the results of the men who received atropine at the beginning of the operation, while for the people who did not receive atropine at the beginning of the operation, there were values that were not statistically significant in the variables of systolic and diastolic blood pressure and heart rate within 5 minutes of receiving spinal anaesthesia. Conclusion: Prophylactic atropine within 1 min of induction of spinal anaesthesia in male patients undergoing surgery reduce the incidence of hypotension and bradycardia.

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 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, 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.