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Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

Stroke is a blood circulation disorder in the brain or blockage of blood in the brain which causes disruption of the nervous function of the brain and usually occurs suddenly. Nervous system disorders that occur in stroke sufferers can cause specific symptoms, such as: paralysis of the limbs, problems when speaking including slurred speech, imbalance, changes in consciousness, and even vision problems. The aim of this research is how nursing care is provided for ischemic stroke patients at RSI Malahayati Medan. The research method was carried out at RSI Malahayati Medan in April 2024 with a population of 1 person and the sample in this study was 1 person suffering from SNH (Non-Hemorrhagic Stroke). The results of this research are the evaluation and results of implementation of Mr. T who survived 3 days from the first day to the last day, showing significant changes. On the first day, his muscle strength, three prone to movement, 2 physical weakness, worsened, on the second day, muscle strength, 3, prone to movement, 3 weakness. Physically improved, on the third day muscle strength, 5 susceptibility to movement, 5 physical weakness improved. The conclusion of this research is based on the nursing care that was carried out on Mr. T for 3 days, namely 28 April 2024 - 30 April 2024 with a stroke through implementing range of motion ROM to increase muscle strength in stroke patients at the Malahayati Islamic Hospital in Medan.

This study aims to identify, describe, analyze, know and understand the impact and fulfillment of the rights of prisoners against overcapacity in Class II A Samarinda Penitentiary based on the Penology perspective. By using a social legal research approach and a normative legal approach. The data source collection technique uses primary legal data, secondary legal data and tertiary legal data related to the problems studied. The results of the study indicate that first, the impact of overcapacity of Class II A Samarinda Penitentiary on the rights of prisoners reviewed from the Penology concept is the increasing risk of violations containing criminal elements, causing new suffering, sanitation and unhealthy lifestyles. Second, the ideal effort to fulfill the rights of prisoners against overcapacity in Class II A Samarinda Penitentiary is to take preventive measures, namely by approaching inmates in the dormitory and repressive measures, namely imposing disciplinary penalties according to the type of violation committed.

Gout arthritis, commonly known as gout, is a degenerative disease caused by abnormal purine metabolism, characterized by elevated levels of uric acid in the blood. (hiperurisemia). According to data from the World Health Organization, the number of people suffering from gout reaches 230 million, or 34.2% of all non-communicable diseases. In Indonesia, it is increasing. Gout disease based on age characteristics is particularly high in individuals aged ≥ 75 years (54.8%). Central Java is estimated to be around 2.6 - 47.2%, varying across different populations. The percentage of the population suffering from gout arthritis at Puskesmas Kecipir is 13.67%. The number of people affected is 3,084 out of 22,560 in the productive age group. In the village of Kalibuntu, the percentage of the elderly population suffering from gout arthritis is 9 out of 37. The purpose of this scientific paper is to provide nursing care for Mrs. R's family with musculoskeletal system disorders: gout arthritis in Kalibuntu Village, Rt 04 Rw 01, Losari District, Brebes Regency. The assessment results of Mrs. R's family indicate that they are unaware of gout arthritis, its causes, classification, symptoms, as well as how to prevent and manage gout arthritis when pain occurs. The nursing problems that arise are knowledge deficit and chronic pain.

Soursop is a traditional medicinal plant used as a therapy for hypertension. One of them is Flavonoids which work as ACE inhibitors which will inhibit the change of AIR into AIR thereby reducing the secretion of antidiuretic hormone (ADH ) thus causing a drop in blood pressure.This study aims to determine the effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. This research uses a quantitative experimental research method using a quasi-experimental design with pre and post using a one group pre test and post test design. The population in this study was elderly people suffering from hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency with a sample of 17 people. The analysis used is Univariate and Bivariate using the Paired Sample T test. The blood pressure of hypertensive patients before being given soursop leaf decoction treatment to obtain information on the Mean Arterial Preasure value) before being given the intervention, the mean MAP value was 124.09 mmHg from 17 respondents. After being given the intervention, the results obtained were an average MAP value of 95.24 mmHg.That there is an effect of boiled soursop leaves on reducing blood pressure in elderly people with hypertension in the Sukawangi Village area, Warungkondang District, Cianjur Regency in 2023. Should be more overcoming the problems of the Indonesian people due to the increase in patients with hypertension.

The stigma is wrong in the community that TB disease can not be cured so that the sufferer is ostracized by the surrounding community, one of them is the TB patient is difficult to get a job, Some even get laid off from their jobs because the person is diagnosed with a contagious disease. This raises many psychiatric problems with the consequent decline in labor productivity or human resources that can ultimately become a social burden for the family. Approximately 75% of TB patients are productive age group (15 - 50 years). The purpose of this study to determine the description of families whose members suffer from tuberculosis. Desain penelitian menggunakan deskriptif. The population in this study is all family members who have tuberculosis patients in Puskesmas Ambulu Kab. Jember as many as 96 respondents. The sample in this study were 54 respondents by using purposive sampling. Variables in this research is family stress level .. Data analysis using crosstab. Data collection using PSS-10 questionnaire with interview technique. The result of crosstab analysis showed that almost half of respondents had moderate stress level, 25 respondents (46%), had light stress level as many as 15 respondents (28%), heavy stress 14 respondents (26%). The incidence of stress is the relationship between the respondent and the patient, the number of sick relatives, and the length of treatment. The relation of the respondent to the patient shows that on average they are a member of the nuclear family. Knowledge and understanding of the danger of contracting pulmonary TB disease to other family members, becomes stressors (suppressors) against behavior that must be done by other family members. The inability of the family to perform its role in maintaining and maintaining a family member suffering from illness, will cause stress to other family members.

Cats are one of the beloved animals that require care and development. As beloved animals, cats have their own charm thanks to their different body shapes, eyes and fur colors. Cats whose pedigrees are officially registered as purebred cats. Cats, in Latin Felis silvestris catus, are a type of carnivore. The word cat usually means a domesticated cat but can also refer to large cats such as lions, tigers and leopards. Cats have been mixed with human life for at least 6000 years BC, since cat skeletons were discovered on the island of Cyprus (Arquitectura et al., 2015).  One of the diseases that often appears in cats is feline lower urinary tract disease (FLUTD), also known as feline urological syndrome (FUS), which is a health problem that often occurs in cats, especially male cats. This health problem attacks the cat's bladder and urethra. Urethral disorders are caused by the structure of the male cat's urethra, which is tube-shaped and has a narrow section, which often causes obstruction of urine from the bladder (VU) to the outside of the body. FLUTD includes several diseases that occur in the cat's urinary tract (Indonesia, 2022).  Knowledge about diseases in cats is one of the problems. Many owners do not realize that their cats are suffering from diseases that can cause death. The cause of the cat's death occurred due to the keeper's lack of knowledge regarding the disease and symptoms the cat was experiencing. Apart from that, the problem is that there are so few doctors available that they are difficult to find, and the information obtained is only in accordance with the condition of the cat when it goes to the vet. If you see other symptoms, like it or not, you have to consult the veterinarian again and it will take additional time and money. This problem can be solved with an expert system that can diagnose the disease suffered by the cat based on the selected symptoms.

Cyberbullying is bullying using digital technology. This can happen on social media, chat platforms, gaming platforms, and mobile phones. Meanwhile, according to Think Before Text, cyberbullying is aggressive and purposeful behavior carried out by a group or individual, using electronic media, repeatedly from time to time, against someone who is deemed not to easily resist this action. So, there is a difference in power between the perpetrator and the victim. The difference in strength in this case refers to a perception of physical and mental capacity. The nature of the research used is normative legal research and the data collection method used in this research is secondary data obtained through library research, namely by conducting research on various literature such as books, laws, with the aim of to look for concepts, or understandings related to the problem of Cyber ​​Bullying Behavior Due to Social Media Which Affects Teenagers. The physical impact of cyberbullying is that teenagers experience headaches, stomach aches, sleep disorders, fatigue, back pain, loss of appetite and digestive problems. Psychologically and emotionally, teenagers feel fear, feelings of terror, anxiety, suffering, sadness, stress and symptoms of depression. School is related to teenagers being less motivated to go to school and a decrease in concentration levels or academic grades. Psychosocially, adolescents have feelings of isolation and loneliness, exclusion and even social rejection. That a personality who is dominant and enjoys violence tends to be temperamental, impulsive, and easily frustrated and often behaves aggressively in adults. Personality characteristics have a fairly high role in a person's tendency to become a perpetrator of cyberbullying. A person with high self-esteem will show himself to have power over others. This is what makes cyberbullying perpetrators show that they are someone who is powerful by bullying weak people.

With an unhealthy lifestyle such as having a smoking habit, irregular and unhealthy eating patterns will have an impact on hypertension or high blood pressure, which later on from the bad habits above will have further impacts, namely complications of heart disease, heart failure, stroke. , and damage to the kidneys. Problems that can cause an increase in blood pressure can be controlled or prevented by using cucumber and young coconut water.To determine the effect of giving cucumber juice mixed with young coconut water on reducing blood pressure in hypertensive patients. This type of research is in the form of an experiment with a Pre Test and Post Test With Control Group Design research design. The sample in this study was 50 respondents who were divided into two groups, namely 25 samples of treatment group respondents who were given 200 grams of cucumber juice mixed with young coconut water and 25 samples of control group respondents who were not given treatment. The statistical test used to determine the effect uses the T-test. The results of this study indicate that there was an influence on blood pressure in the treatment group given cucumber juice mixed with young coconut water in hypertension sufferers, namely that the results of statistical tests obtained an average value of pre-systolic blood pressure of 161.12 mmHg and an average value of post-systolic blood pressure. systolic blood pressure was 128.48 mmHg and the average value of pre-diastolic blood pressure was 91.16 mmHg and the average value of post-diastolic blood pressure was 80.00 mmHg. A p-value of 0.000 (< 0.05) for systolic blood pressure obtained a p-value of 0.000 (< 0.05) and diastolic blood pressure obtained a p-value of 0.000 (< 0.05). Due to the benefits of cucumber and young coconut water which are beneficial for lowering blood pressure. There is an effect of giving cucumber juice mixed with young coconut water on changes in systolic and diastolic blood pressure in the treatment group and can reduce blood pressure in patients suffering from hypertension aged 40 - 70 years at Posbindu Srikandi RT.004/RW.07 Kel. Lenteng Agung.

Background: Hypertension is the number one cause of death in the world every year because it causes complex cardiovascular problems. Semarang City Department's 2023 health profile data shows the number of hypertension is 24,949. Practicing holding a handgrip is a non-pharmacological therapy for treating hypertension because it stabilizes blood pressure and heart rate. Many combination therapies are used, including combining handgrip exercises with sound waves. Natural sounds will stimulate the hypothalamus, resulting in a feeling of calm and have an effect on the blood pressure regulation mechanism. The aim of this study was to determine the effect of a combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. This research method is a pre-experimental one group pre and post test design and sampling using purposive sampling technique. The population of this study were clients who were recorded as suffering from hypertension at the Sekaran Semarang Community Health Center. The research instrument uses a digital spygmomanometer and SOP for action. The research stages consist of preparation, implementation and processing of research data. The steps in the preparation stage are literature study, field survey, discussions with lecturers and experts, developing procedures for the combination of handgrip exercise and natural sounds, expert review, and socialization of the combination of handgrip exercise and natural sounds to clients and families. The implementation stage is carried out by collecting data on clients registered at the Sekaran Semarang Community Health Center, pre and post tests by measuring blood pressure using a spygmomanometer, implementing actions according to the prepared SOP, observing implementation using an observation sheet. In the data processing stage, a Paired Sample T-test was carried out to assess the effect of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The targeted output is publication in national journals indexed by Sinta and HAKI. The TKT target for this combination of handgrip exercise and natural sounds is level 2. The research results showed that 91.67% of respondents experienced an average reduction in systolic blood pressure of 10.69 mmHg and diastolic blood pressure of 6.11 mmHg. Based on the Paired Sample T-test, the results obtained were 0.000 for the systolic value and 0.001 for the diastolic value, both of which were smaller than the p value of 0.05, so it was concluded that there was an influence of the combination of handgrip exercise and natural sounds on the blood pressure of clients with hypertension. The results of this research can be input for related parties to implement a combination of handgrip exercise and natural sounds as non-pharmacological therapy for hypertension sufferers.

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

Kidney failure is a chronic disease where the kidneys are no longer able to remove toxic substances in the body, resulting in a buildup of toxins as a result. Patients suffering from kidney failure must undergo therapy to remove toxic substances, one of the therapies is hemodialysis. This therapy is carried out in approximately 4-5 hours to remove toxins, there are several accesses, namely with CDL and Cimino. which will cause changes in the physical, socio-economic and psychological conditions of patients undergoing Hemodialysis therapy. These changes will have an impact on the patient's coping mechanisms. Patients undergoing hemodialysis often experience several problems including psychological problems, one of which is often experienced is anxiety. Anxiety is an emotional response to a subjective individual assessment, related to feelings of uncertainty and helplessness and to overcome it is necessary family support. This study aims to determine the biological and social relationship between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis. This research was quantitative using a correlation method involving 99 patients in the hemodialysis unit at Cibinong Hospital. To collect data, this study used prepared observation sheets, and statistical analysis was carried out using the Chi Square test. This method was carefully chosen to ensure that the data obtained could be used to evaluate the relationship between biological and social levels of anxiety in hemodialysis patients. With this approach, it is hoped that this research will provide valid and useful findings in supporting efforts to improve the quality of service in the hemodialysis unit at Cibinong Hospital.  

The background of this literature review study is the many people still suffer from mental illnesses, and the number of people who suffer from them is growing every year. Types of mental disorders such as depression, anxiety, stress, hallucinations, and others. The purpose of this literature is to see how efficient Classical Music Therapy is at lowering the rate of mental problems in people of all ages, from children to the elderly. The method of literature review review was obtained using the keywords "efficacy of classical music treatment," "impact of classical music therapy," and "mental problems" in the Google Scholar, Garuda, and Mendeley databases. The results of the literature review study based on fifteen journals that have been presented that classical music therapy is effective in reducing the rate of mental disorders in children to the elderly. The journal review found that: 1) Depression is reduced; 2) Anxiety is reduced; 3) Stress is reduced; 4) Hallucinations are reduced; and 5) The psychological improvement. Conclusions from the study of literature, that classical music therapy reduces the risk of mental problems in people of all ages, from children to the elderly This literature review study suggests that classical music therapy can be utilized as a non-pharmacological treatment for those suffering from mental illnesses.