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Stroke is a non-communicable disease that still has the highest death rate in the world. Even though stroke is not transmitted from one sufferer to another through contact, prevention must still be improved. Lifestyle and socioeconomics are thought to be one of the biggest factors that cause strokes. This activity aims to prevent and manage stroke by increasing knowledge in detecting signs and symptoms of stroke, preventing recurrent strokes and changing lifestyle modification behavior. Community service activity methods include health education, health checks to identify risk factors for hypertension/stroke, empowering families to recognize signs and symptoms of stroke, controlling stroke risk factors and lifestyle modification. The results of the activity showed that the majority of respondents had had one stroke (60%), the majority of families had sufficient knowledge (60%) about preventing recurrent strokes, the majority of respondents had a low risk (50%). Increased knowledge of patients and families in detecting signs of preventing stroke risk factors is targeted at changing behavior and improving healthy lifestyles to prevent recurrent strokes.

Diabetes Mellitus is a group of chronic metabolic disorders due to abnormal metabolism of carbohydrates, fats, and proteins, characterized by hyperglycemia which is results in long-term microvascular, macrovascular and neuropathic complications. Oral antidiabetic therapy is the main pharmacological therapy to treat type II diabetes mellitus. This therapy can be oral antidiabetic therapy. Thus, to find out the effectiveness of either combination or single of antidiabetics on diabetes mellitus patients, researchers conducted a studies of inpatients at RSUD Madiun. This study included as non-experimental observational study with a cross-sectional study design at RSUD Madiun. Data were collected from Medical Records in October 2018. The sampling method that used in this study was non probability with purposive sampling technique, so there are 58 patients as a total sample. The results showed that the effectiveness of controlling blood sugar levels when using an effective single ADO was Metformin, because Metfomin was able to reduce blood sugar levels with an average length of stay of 6.17 and the effectiveness of controlling blood sugar levels when using an effective combination of ADO was Metformin and acarbosa, because Metfomin and acarbosa are able to reduce blood sugar  average length of stay 7 days inpatient.

This study aims to create an electronic medical record information design system where an electronic medical record system is a system that provides complete information on patient data and medical records during the maintenance and storage of all patient data. The Archive Management System at the Indonusa Surakarta Polytechnic Medical Records Laboratory is not yet computerized. Patient data entry still uses paper, while the recording and storage of medical records is done manually. This study aims to make applications related to electronic medical record information systems at the Indonusa Surakarta Polytechnic Laboratory. In this descriptive study the researcher used a qualitative approach, what will be done to the person in charge of the medical record laboratory. Based on the study results by conducting questionnaires and observations, data relevant to outpatient outpatient recordings is needed, for example medical information record numbers, patient data info, and disease data info, in designing an electronic medical record information system.    

Background: Stroke is a cardiovascular disease that is most commonly found in society, especially in Indonesia. Stroke sufferers need support from people around them, especially family, who are needed to serve sufferers so they don't lead to depression. Family support consists of information support, service support, instrumental support and emotional support so that it is hoped that the family can help the patient's needs so that the patient can lead to an independent direction. Method: This scientific paper uses a descriptive method with a quantitative approach using a measuring instrument in the form of a questionnaire. The population in this study was the elderly with stroke in the working area of ??the UPTD Kesmas I Gianyar with 36 samples. The sampling technique used in this study was purposive sampling. Results: 10 respondents or 27.8% had good family support, 14 respondents or 38.9% had sufficient family support and finally 12 respondents or 33.3% had less family support. Conclusion: Most of the respondents received family support in the adequate range and were asked to provide greater support to improve the quality of life of the elderly. It is hoped that further researchers will be able to develop research related to family support elderly people with stroke at the  UPTD  Kesmas Sukawati I districts Gianyar  

Desa Patimuan sebenarnya memiliki banyak potensi yang belum banyak diekspos oleh media secara maksimal. Salah satu potensi ekonomi yang ada di desa Patimuan dan menjadi andalan karena sudah dikenal oleh kalangan luas adalah pertanian jeruk. Kebun jeruk yang ada di di desa tersebut seluas 250 hektar. Potensi lain yang sebenarnya belum terekspos secara efektif adalah kebun sayur organik dan tanaman hias. Hal ini memang belum banyak mendapatkan perhatian dari kalangan umum. Selain itu, masih ada beberapa potensi desa yang lain yang seyogyanya dapat lebih ditingkatkan dengan adanya program pemberdayaan masyarakat. Menurut kepala desa Patimuan, Muttaqin. S.Pd.I, masyarakat di desa Patimuan masih harus meningkatkan kemampuannya dalam memaksimalkan potensi di desa ini. Sayangnya, masyarakat yang potensial tersebut masih ketinggalan dalam penguasaan dan pemanfaatan smartphone untuk online marketing. Setelah kami mengetahui kurangnya pengetahuan di bidang teknologi ini, maka kami menawarkan proposal PKM-M yang berjudul "Pengenalan online marketing melalui media smartphone di desa Patimuan, Kecamatan Patimuan Kabupaten Cilacap". Menurut kepala desa Patimuan, Muttaqin. S.Pd.I, masyarakat di desa Patimuan masih harus meningkatkan kemampuannya dalam memaksimalkan potensi di desa ini. Dengan terealisasinya proposal ini kami berharap besar akan adanya perubahan signifikan terhadap masyarakat Desa Patimuan dalam hal pengetahuan teknologi dan penggunaannya. Hal tersebut yang akan menjadikan Desa Patimuan dikenal sebagai desa model di kabupaten Cilacap yang berkecimpung dalam marketing online. Dan bukan hal yang mustahil, jika prosposal yang kami tawarkan ini bergerak maju sesuai yang diharapkan, nantinya Desa Patimuan akan menjadi desa percotohan dan teladan bagi desa lainnya.

Penyebab pernikahan dini biasanya adalah faktor budaya dan sosioekonomi. Beberapa orangtua beranggapan bahwa anak dapat menjadi penyelamat keuangan keluarga saat menikah karena anak yang belum menikah akan menjadi beban keluarga. Ada pula yang beranggapan, anak akan memiliki kehidupan yang lebih baik setelah menikah. Padahal, bila anak tersebut putus sekolah, justru akan memperpanjang rantai kemiskinan serta hak dasar anak seperti sekolah terampas. Dampak lain pernikahan dini adalah merugikan perekonomian negara karena sebanyak 1,7 persen pendapatan negara bisa hilang.

Kegiatan pengabdian masyarakat dengan mengadakan pelatihan wirausaha rumahan, ini memberikan kesan yang baik bagi peserta. Salah satunya adalah kegiatan pada hari pertama yaitu tanggal 21 Juli 2020. Dimana kegiatan yang mengawali deretan jadwal kegiatan pelatihan wirausaha ini adalah dengan mengadakan acara sosialisasi tentang wirausaha rumahan dan produksi Citruk. Produk yang dibuat nantinya akan dipasarkan sesuai dengan arahan tim pelaksana, sehingga memberikan manfaat untuk masyarakat agar bisa berkembang dan berwirasusaha meskipun hanya berperan sebagai Ibu Rumah Tangga, serta membantu peningkatan finansial keluarga. Peserta dalam kegiatan tersebut terdiri dari 40 Ibu Rumah Tangga, 20 Perempuan Remaja, dan 20 Perempuan Dewasa. Berlokasi di desa Patimuan RT 1 RW 7 Kecamatan Patimuan Kabupaten Cilacap.

Asthma Bronchiale is inflammation in the airways (bronchi) where excessive lung mucus production makes breathing difficult. One treatment that can be given is by giving nebulizer therapy to ease the cough response to the presence of mucus in the respiratory tract with the addition of mint oil. The purpose of the case study is to illustrate the effect of adding mint (pappermint oil) and liquid with a nebulizer on the handling of asthma bronchiale cough in Ungaran District Hospital. The subject of this case study used two patients with asthma bronchiale, willing to be investigated, cooperative and more than 5 years old. Data was collected by observation and administration of nebulizer therapy by adding pappermint oil and liquid using a nebulizer. The results of the case study found that subject I had a cough frequency of 25 (moderate), no inflammation, no wheezing and easy sputum discharge, whereas in subject II the frequency of cough became 24 (moderate), no inflammation, no wheezing, and easy phlegm Exit. This study is recommended to apply pappermint oil therapy to reduce the frequency of cough bronchial asthma patients

Penerapan EWS yang baik diharapkan akan terjadi penurunan mortalitas, penurunan angka kejadian code blue, peningkatan admisi HCU, penurunan admisi ICU, dan penurunan length of stay pasien. Tujuan dari penelitian ini adalah untuk mengetahui adanya hubungan penerapan sistem National Early Warning Score (NEWS) denganpenilaianmortalitas pasien di Intalasi Gawat Darurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado. Metode penelitian ini menggunakan Deskriptif Analitik dengan pendekatan Cross Sectional dimana variable independen dan dependen diteliti secara bersamaan. Sampel responden sebanyak 20 orang dengan menggunakan total sampling. Pengumpulan data menggunakan lembar observasi. Di analisa dengan uji statistic Chi Square. Hasil penelitian menunjukan ada penerapan sistem National Early Warning Score (NEWS) dengan penilaian mortalitas pasien di Intalasi GawatDarurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado dengan nilai ? < ? atau 0,031 < 0,05. Kesimpulan penelitian ini ada hubungan penerapan NEWS dengan penilaian mortalitas pasien di instalasi gawat darurat Rumah Sakit TK.II Robert Wolter Monginsidi Manado. Saran penelitian ini diharapkan pihak Rumah Sakit dapat meningkatkan penerapan NEWS sehingga dapat meningkatkan mortalitas pasien.

Hypertension is a medical condition in which the systole and diastole pressure abnormally elevate. Q.S. Ar Rahman Murottal is a complementary therapy for lowering blood pressure. This case study aims at describe the effect of Q.S. Ar Rahman Murottal therapy on the blood pressure pattern in patients with hypertension at RSUD Ungaran. The method of this study is descriptive. The subjects of this case study are two Moslem patients with hypertension who have no hearing problems. The data are collected through observation and measurement by using medical tools such as sphygmomanometer and stethoscope before and after the therapy. The result of this study shows that the blood pressure in Subject I decreases from 150/90 mmHg to 120/80 mmHg, while in Subject II the blood pressure decreases from 160/90 mmHg to 120/90 mmHg. It means that Q.S. Ar Rahman Murottal therapy is effective in lowering the blood pressure in patients with hypertension at RSUD Ungaran. It is hoped that this case study can be the beginning of extensive researches in Q.S. Ar Rahman Murottal in lowering the blood pressure in hypertension patients. Hopefully, Ungaran Hospital will make Q.S. Ar Rahman Murottal as an SOP to be given to hypertension as a nonpharmacological therapy for pharmacological therapy.

Hypertension is situation where blood pressure exceeding the limit of normal with blood pressure 140/90 mmHg and which includes non contagious disease. Complementary therapy can reduce the risk of hypertension complications. SEFT therapy one of a complementary therapy that can be used to overcome the problem of increasing blood pressure. The purpose of this study was to carried out SEFT therapy towards decreasing blood pressure in hypertension patients in the built area of Puskesmas Rowosari Semarang. This type of researAch is descriptive using the case study approach method. The criteria used in the case study: primary hypertension patients, hypertension sufferers were able to communicate well, hypertension patients who did not take anti-hypertension drugs. Case study analysis was carried out by processing data through observation of blood pressure before and after SEFT therapy. The results of the case study showed that there was a decrease of blood pressure. Before therapy the blood pressure of  the subject I was 170/110 mmHg decreased to 120/80 mmHg and in subject II before therapy, blood pressure 160/100 decreased to 140/80 mmHg. The recommendation is with control of blood pressure by using SEFT therapy, the society can apply this therapy.

This study designed a system that is able to assist companies in calculating cash receipts and disbursements. The Accounting Information System for Cash Receipts and Expenditures will be equipped with the use of user log-ins to maintain the level of data security so that not just anyone can misuse the data. The system designed will also be equipped with security of access rights and data storage systems, providing a database using the Visual Basic 6.0 programming language that holds records of cash receipts and disbursements to be a good report, summarizing the process of moving data from ledgers to becoming cash reports flow, and can document each period's report so that it can be grouped properly. The research method used is the Borg and Gall R&D research approach which consists of 10 stages, out of 10 R&D stages the author only conducts the research approach to the 6th stage alone. and monitoring cash flow very well. In addition, it can also produce reports that are precise, accurate and efficient.

Ekowisata adalah salah satu industri wisata yang makin berkembang. Salah satu kendala dalam manajemen ekowisata adalah bagaimana mencari keuntungan disamping tetap menjaga keaslian lingkungan dan meningkatkan kesadaran masyarakat lokal. Salah satu keunikan ekowisata adalah bagaimana memberikan pengalaman unik berinteraksi langung dengan satwa Kera asli Indonesia. Penelitian ini menganalisa pengelolaan dan tantangan yang ditemukan di Goa Kreo, Desa Kandri, Gunungpati Semarang sebagai salah satu ekowisata yang mengandalkan keberlanjutan komunitas Kera jinak penunggu goa. Metode Penelitian ini Menggunakan Metode Kualitatif dengan pendekatan Studi Kasus. Pengumpulan data melalui wawancara mendalam dengan pengelola Goa Kreo, petugas kebersihan, dan pengunjung. Data dikumpulkan melalui proses in-depth interview. Hasil temuan di lapangan adalah masih terbatasnya anggaran pakan kera dari pengelola Goa Kreo dan lemahnya pengawasan seperti bebasnya pengunjung yang memberi sembarang makananan dan minuman pada Kera yang menjadi nilai negatif dalam keberlanjutan komunitas Kera. Diharapkan dengan menerapkan strategi ekowisata yang benar, pengelola bisa memanfaatkan peluang yang ada seperti menjual produk pakan khusus kera pada pengunjung, sehingga kesehatan kera bisa lebih terjaga. Perlu dibuat event-event wisata unik untuk lebih menarik pengunjung.

Difficulty swallowing is caused by impaired muscle coordination, muscular weakness of the tonus swallowing which is associated with impaired hemisphere function, nuclei of the brain nerve fibers that confer and muscles chew and swallow. The purpose of this case study is to describe the application of Shaker exercise and jelly in swallowing exercises in the stroke patients in the Hospital Sunan Kalijaga Demak. This method of research is descriptive using a case study approach. The subject in this study were two patients with stroke difficulty swallowing, patients in rehabilitation, not experiencing a loss of consciousness and a patient's vital signs of stable. Ingested ability is measured with The Royal Adelaide Prognostic Index For Dysphagic Stroke (RAPIDS). Results of the analysis showed that there was increased ability to swallow after intervention. In the subject I before the 81 scorecard intervention (low aspiration risk) experienced increased scorecard to 86 (low aspiration risk). Meanwhile, in the subject II before the intervention of Scorecard 82 (low aspiration risk) experienced a better namely 91 (low aspiration risk). This research recommends nurses can apply shaker exercise and jelly in swallowing exercises in stroke patients with difficulty swallowing

Hipertensi merupakan gangguan pada sistem sirkulasi.Seseorang dikatakan hipertensi apabila keadaan tekanan darah mengalami peningkatan diatas normal yaitu ? 140 mmHg untuk tekanan sistolik dan atau ? 90 mmHg untuk tekanan diastolik secara terus-menerus. Penatalaksanaan dalam mengatasi hipertensi terbagi menjadi dua, yaitu pengobatan farmakologis dan nonfarmakologis. Terapi non farmakologis yang relatif praktis dan efisien yaitu saalah satunya dengan cara pemberian aromaterapi bunga mawar. Tujuan penelitian yaitu mengetahui pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Penelitian dilakukan bersifat eksperimental menggunakan desain penelitian one group pretest-postest design. Sampel diambil berdasarkan jumlah responden sebanyak 22 orang dengan menggunakan accidental sampling. Pengumpulan data dilakukan dengan cara melakukan observasi. Selanjutnya data yang terkumpul diolah dengan menggunakan bantuan komputer program SPSS versi 16.0 untuk dianalisa menggunakan uji wilcoxon sign test. Hasil penelitian diperoleh bahwa sebelum pemberian aroma terapi bunga mawar didapatkan rata-rata tekanan darah yaitu 151/90 mmHg. Setelah pemberian aroma terapi bunga mengalami penurunan rata-rata tekanan darah yaitu 136/81 mmHg. Data di uji dengan wilcoxon sign test. Dengan hasil nilai p value= 0,000 < ? = 0,05 dengan demikian H_0 ditolak dan H_aditerima.Artinya ada pengaruh pemberianaroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Kesimpulan dalam penelitian ini terdapat pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pada pasien hipertensi di Puskesmas Kombos Kota Manado. Saran agar penelitian ini dapat menjadi tambahan informasi kepada mahasiswa tentang pengaruh pemberian aroma terapi bunga mawar terhadap tekanan darah pasien hipertensi danjuga dapat dijadikan sebagai bahan bacaan maupun pembelajaran bagi mahasiswa.

Schizophrenia is a neurological disease that affects the person's perception, thinking, language, emotional, and social behavior of a person. One of the symptoms of schizophrenia is hallucinations. Hallucination is a lost person's ability in distinguishing the stimulation from the outside or from within. The results of a survey obtained from RSJD Dr. Amino Gndohutomo central java province of hallucinations is the most common problem that is reaching 2.398 inhabitants. One of the efforts to deal with the hallucination is scolded. Scolded is an effort that can be done to control his hallucinations by way of rejecting the hallucinations that arise. The purpose of this case study to find out the decrease in the score of the hallucinations of schizophrenia patients have heard before and after the therapy done and scolded. This research uses descriptive analysis type by using the method of approach to the case studies. The subjects used are 2 subjects with impaired auditory hallucinations. The results showed there is a difference between before and after the therapy is carried out on the subject I from 42 became 37, and subject II from 39 became 30. It can be concluded that the result of this study indicate that scolded therapy able to reduce the level of hallucinations in schizophreia patients, therefore if done with a routine then the level of hallucination will come down and help the healing process.

Satisfaction is a person's feelings of pleasure or disappointment that arise after comparing the results of a service that are in accordance with or not in accordance with the expectations they had before getting service. Patients as users of nursing services demand nursing services in accordance with their rights, namely quality nursing services. In providing nursing services, Standard Operational Procedure (SOP) is very important to assist nurses in achieving quality nursing care. In giving medicine, one must pay attention to the six "correct" principles which have become mandatory procedures before giving medicine, namely: right patient, right drug, right dose, right method, right time, and correct documentation. This study aims to identify the effect of applying standard operational procedures (SOP) for drug administration with the six correct principles on the level of patient satisfaction in Ungaran Hospital. The design of this research is descriptive analysis using a cross sectional approach, the number of samples used is 90 respondents using the Slovin formula to determine. The results of the study using the Chi Square analysis test showed that there was a significant effect between the application (SOP) of drug administration with the six correct principles on the level of patient satisfaction (p = 0.000). From the results of the analysis obtained the value of Odds Ratio (OR) of 59.160. The recommendation from this research is that nurses always apply the SOP correctly to increase patient satisfaction.

The quality of health services shows the level of perfection of health services in creating a sense of satisfaction in patients.In this study, researchers used a purposive sampling type of research, namely sampling with special criteria, namely inclusion and exclusion criteria with a cross sectional approach, namely research that explores, analyzes and explains the relationship between the quality of health services and patient satisfaction at the Ridge Health Center. The data needed comes from filling out questionnaires by patients or families of patients seeking treatment at the Ridge Health Center.The sample in this study used 44 respondents who received treatment at the Ridge Health Center. And in this research, the instrument used was a questionnaire with a total of 40 questions.The results of this study show that there is a relationship between the quality of health services, reliability (0.038<0.05), assurance (0.000<0.05), tangibility (0.002<0.05), empathy (0.000<0.05), and responsiveness (0.000 <0.05) with patient satisfaction. The conclusion of this research is that there is a relationship between the quality of health services (reliability, assurance, tangibility, empathy and responsiveness) with patient satisfaction at the Ridge Community Health Center. The advice that researchers can give is that they can evaluate and improve management to improve the quality of service so that patient satisfaction is related to research results, namely the components of speed of administration, patient comfort as well as completeness of medical equipment and accuracy of information so that it is hoped that it can increase patient satisfaction.    

Based on data from the Indonesian Ministry of Health, the number of MMR in 2020 reached 4,627 people. This number increased by 10.25% compared to 2019 of 4,197 people. The number of infant deaths in 2019 was 26,000 cases and increased by almost 40% to 44,000 cases in 2020. The Bumiayu Health Center, one of the auspices of the Brebes Regency in Central Java, contributed 2 cases of AKI and 5 cases of IMR in 2020. by conducting comprehensive midwifery care with a continuity of care approach which is carried out starting from the mother during pregnancy to family planning. Researchers implemented comprehensive midwifery care for pregnant women, childbirth, newborns, postpartum, and family planning using Varney and SOAP documentation. The research method used is descriptive qualitative with a case study approach. Data collection uses interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies, as well as medical record documentation studies, the main informant is Mrs. W with 2 additional informants namely 1 coordinating midwife and 1 patient's family and 1 triangulation informant namely the head section of the brebes district health office. Based on the results of pregnancy, childbirth, newborns, postpartum, and family planning, there are problems in pregnancy, namely at 30+3 weeks of gestation with an Hb level of 10.4 g/dl in the category of mild anemia. There is no gap between theory and practice. From the results of the study, it can be concluded that comprehensive care for Mrs. W 25 years of gestation, psychological postpartum, physiological delivery, and physiological BBL. There is no gap between theory and practice.

Workload is the ability of the worker's body to accept the job. From the standpoint of ergonomics, every workload received must be appropriate and balanced against the physical and psychological ability. The good Response time for patients is <5 minutes. Handling of emergency is the whole act performed in emergency conditions that are effectively and efficiently. The purpose of this study was to determine the relationship workload response time nurses with nurses in emergency departments of RSUD Bitung General Hospital. This study was descriptive and cross sectional study. Samples were taken based on the number of respondents as many as 31 nurses by using total sampling. The data collection is done by filling out the observation sheet and questionnaire. Furthermore, the data that has been collected processed with the aid statistics analyzed by chi square test with significance level is ? = 0.05. After the results, the value of p = 0.008, this may imply that there is a relationship between the workload of nurses response time. CONCLUSIONS of this study found that there is a relationship between nurses workload response time. Suggestions for the research was taking place is setting a good system including facilities and infrastructure in order to nurse response time can be improved.