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Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

Hipertensi memerlukan manajemen yang baik untuk mencegah komplikasi serius seperti serangan jantung, stroke, dan masalah kesehatan lainnya. Manajemen ini tidak hanya mencakup pengelolaan medis secara langsung oleh individu yang mengidap hipertensi  tetapi juga melibatkan peran keluarga sebagai sistem pendukung yang kritis. Tujuan kegiatan ini yaitu meningkatkan pengetahuan masyarakat terhadap pencegahan dan pengelolaan individu yang mengalami Hipertensi. Metode yang digunakan dalam pengabdian kepada mayarakat yaitu pemeriksaan tekanan darah dan memberikan penyuluhan kesehatan. Hasil kegiatan ini ditemukan beberapa warga masyarakat yang mengalami Hipertensi. Pengetahuan masyarakat mengalami peningkatan setelah diberikan penyuluhan kesehatan. Manajemen hipertensi meliputi beberapa hal yang saling berkaitan, terutama pencegahan dan merapkan pola hidup sehat di masyarakat. Edukasi kepada masyarakat sebaiknya dilakukan secara terus menerus dilakukan oleh petugas kesehatan.

The benefits of consuming fruit and vegetables include reducing hypertension, preventing coronary heart disease, stroke, cancer, weight gain and Alzheimer's. This research aims to determine the influence of audiovisual media and lecture methods on changes in fruit and vegetable consumption behavior among teenagers in Gorontalo Regency. This type of research is quantitative with a quasi-experimental research design with a Nonequivalent Control Group Design research design. The respondents used were 76 respondents consisting of 38 respondents for intervention and 38 respondents as controls obtained by purposive sampling. The instruments used were questionnaires, leaflets and audiovisual. Data analysis used univariate analysis. Univariate analysis of food consumption frequency before the intervention showed that 14 people (36.8%) consumed bananas, 24 people (63.2%), 24 people (63.2%) consumed bananas, 26 people (68.4%) and tomatoes (42.1%). %), and after the intervention, bananas were 21 people (55.3%), papaya 31 people (81.6%), kale 30 people (78.9%), and tomatoes 25 people (65.8%). The results of the study used the Wilcoxon test which showed that there was an influence of counseling on behavior change. The results of the Mann-Whitney Test showed differences in behavior in the intervention group and the control group.

Parkinson's disease (PD) is a neurodegenerative disorder causing a decline in dopamine levels, impacting the peripheral nervous system and motor functions. Current detection methods often identify PD at advanced stages. This study addresses early-stage detection using handwriting analysis, specifically exploring the PaHaW dataset for pen pressure and stroke movement data. Evaluating online and offline features, the research employs pre-trained CNN models (VGG 19 and AlexNet) for offline datasets, achieving an overall accuracy of 0.53. For online datasets, velocity, and acceleration features are extracted and classified using Gated Recurrent Unit (GRU), Long Short-Term Memory (LSTM), and recurrent neural networks (RNN), with GRU yielding the highest accuracy at 0.57. Notably, the convolution-based model C-Bi-GRU surpasses other architectures with a remarkable 0.75 accuracy, emphasizing its efficacy in early PD detection. These findings underscore the potential of handwriting analysis as a diagnostic tool for PD, contributing valuable insights for further research and development in medical diagnostics.

Popliteal Artery Aneurysm (AAP) is a pathological dilation of the popliteal artery, and although often asymptomatic, can lead to serious complications such as rupture, thrombosis, or embolism. Aneurysms if ruptured can result in internal bleeding such as, stroke, and can sometimes be fatal. This research method is a literature review study, where literature exploration is carried out in various databases with keywords such as Percutaneous Transluminal Angioplasty (PTA)", Popliteal Artery Aneurysm (AAP) cases. Percutaneous transluminal angioplasty (PTA) in popliteal artery aneurysm (AAP) involves patient preparation, tools, procedure, post-operative care, and outcome evaluation. Patient preparation includes education, renal function evaluation, medication adjustment. Equipment preparation includes catheterization table, fluoroscopy system, various types of catheters, appropriate contrast agent. The PTA process includes insertion of the catheter into the femoral artery, evaluation and delineation of the popliteal artery, and completion of the procedure. PTA examination in AAP requires careful preparation and coordinated medical team collaboration to achieve optimal results. Percutaneous transluminal angioplasty (PTA) has proven to be effective as a primary therapeutic option to treat popliteal artery aneurysms (AAP) and prevent popliteal artery stenosis. Risk factors such as advanced age, male gender, and cardiovascular disease were considered in the literature analysis. Although PTA successfully improves the diameter of the popliteal artery as a minimally invasive method, it is important to recognize that the success of the procedure and the decision to use stents have a significant impact on the final outcome.

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).

Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

Non-hemorrhagic stroke or commonly called ischemic stroke is a functional disorder of the body area due to decreased brain function caused by blockage of cerebral blood vessel flow. One of the modalities in radiology that can diagnose non-hemorrhagic stroke cases is computer tomography (CT). To get good image quality, one of them is by doing increment reconstruction. Increment reconstruction is the distance between reconstruction images in volume data. Increment reconstruction is grouped into three, namely increment overlapping, increment contiguous and increment gap. The type of research used is quantitative research with an experimental approach. The sample of this study used 10 patients who underwent CT scan examination of the head with non-hemorrhagic stroke cases in June-August 2023 in the Radiology Unit of RSAD TK II UDAYANA DENPASAR BALI. The findings of this study indicate that when using different increment reconstruction techniques, anatomical image information will vary. The results of the total Friedman test which shows a p value of 0.000 (<0.05) provide evidence of this. A p value of 0.000 was found (p value <0.05) based on differences in overall anatomical image information, indicating that there is a difference between non-hemorrhagic stroke cases and head CT scans. Of the four variations of increment reconstruction, variation 3 with a reconstruction increment of 2.5 mm has the largest mean rank value (3.23) so it is the most ideal anatomical image information.

Background: Cerebral venous thrombosis (CVT) is a form of stroke when blood clots develop in the (venous sinus) of the brain. This condition causes the blood that flows into the brain to be unable to flow out. This can cause reduced blood flow to the brain and damage or kill brain cells if not treated properly. The research aims to determine the digital subtraction angiography (DSA) examination procedure of cerebral veins with trans-radial access in cases of cerebral venous thrombosis (CVT). Method: This type of research is qualitative research with a case study approach. Data was collected on July 20 2023.The research subjects were doctors, interventional radiology doctors, and scrub nurses. By conducting observations, interviews and documentation of the implementation team involved. Results: From the results of observations, documentation and interviews with the implementing team, results were obtained regarding the Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with transradial access in cases of Cerebral Venous Thrombosis (CVT), including several sub-topics. The Cerebral Digital Subtraction Angiography (DSA) examination procedure with Transradial access is the right action for patients regarding immobility and shorter hospital stays. Conclusion: The Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with transradial access in cases of Cerebral Venous Thrombosis (CVT) includes patient preparation, tools and materials, examination techniques and post-action care. The Cerebral Vein Digital Subtraction Angiography (DSA) examination procedure with Transradial access is the right action for patients regarding patient immobility and shorter duration of hospital stay. The implementation team consists of a radiology specialist, a scrub nurse and no radiographers involved in the DSA examination room.

According to the American Heart Association or AHA, hypertension is a silent killer, with symptoms that can vary from individual to individual and are almost the same as symptoms of other diseases. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure> 140 mmHg or diastolic blood pressure> 90 mmHg. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study were all elderly (≥60 years) hypertensive patients at the Internal Medicine Polyclinic totaling 156 people, while the sample numbered 156 people by means of total sampling. Data analysis was performed using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test it is known that the incidence of hypertension affects smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity p = 0.000, meaning that there is an effect of smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity on hypertension incident. From the results of multivariate analysis it is known that the most influential variable in this study is obesity with an OR value of 62,850. The conclusion in this study is that obesity is the dominant factor influencing the incidence of hypertension in the Internal Medicine Polyclinic at Dr.R.M.Djoelham Binjai Hospital. In order to reduce the prevalence of hypertension, it is hoped that the Patients of the Internal Medicine Polyclinic at Dr, R.M.Djoelham Binjai Hospital will apply hypertension management with a healthy lifestyle so that diabetics can have controlled blood pressure levels.

Background: CT Scan is a medical technology that can show images in the form of slices to see the anatomy of the human body because this technology combines X-rays and television. Basically, how a CT scan works uses a radiation source from X-rays. There are various examinations that can be carried out using a CT scan, one of which is a head examination with a CT scan. CT scan of the head at the Radiology Installation at Bhayangkara Hospital Makassar uses a Slice Thickness of 3 mm to produce a better image. The aim of this research is to determine the Head CT Scan Examination Procedure for Clinical Hemorrhagic Stroke in the Radiology Installation of Bhayangkara Hospital, Makassar. Results: The results of this study indicate that the CT scan procedure of the head with clinical hemorrhagic stroke at the radiology installation at Bhayangkara Hospital, Makassar was carried out without any special preparation but the patient was instructed to remove metal objects or accessories around the head such as earrings, hairpins and necklaces. Using a slice thickness of 3 mm is good enough to display image results and confirm the diagnosis. Conclusion: The head CT scan procedure for clinical hemorrhagic stroke was carried out using the head first protocol. The slice thickness used in this examination is 3 mm. The choice of slice thickness is the biggest factor because a thick slice thickness will produce images with low detail and cause artifacts, whereas a thin size will produce images with high detail but there is noise in the image.

Stroke is a disease that is the third leading cause of death in the world after heart disease and cancer. Stroke is also the world's leading cause of serious and permanent disability. In the world stroke attacks occur in more than 15 million people each year. Of these 15 million people, 5 million die, and others survive, but experience permanent disability and live dependent on family and society, and a small percentage of people recover as before the stroke (WHO, 2010) to prevent the risk of excessive falls, physiotherapy has a way to prevent it through the Fukuda TEST. This study used a mix-method research design. The participants in this study were parties related to the problem of fall risk prevention, including the community around Tugurejo Semarang Hospital, local government, health cadres and community leaders. Qualitative data collection techniques used structured interview guides and observation and quantitative data in the form of Fukuda Test measurements on the community and IFI members who were present. After the data was obtained, FGD (Focus Group Discussion) was conducted with local government, health cadres and community leaders with the aim of validating the data that had been obtained. A total of 62 patients with unilateral BPPV were included in our study (35 female/27 male). The mean age was 45.3 years (range 23-67 years). Of these patients 51 (83.6%) were posterior and 11 (16.4%) were lateral canal BPPV. Two groups were created due to the FST results. Group 1 consisted of 33 (53.2%) patients with positive FST results and Group 2 consisted of 29 (46.8%) patients with negative FST results. No statistically significant differences were found between the gender and age distributions in Group 1 and Group 2, p=0.7943 and p=0.5262, respectively (Table 1). In addition, the ratio of FST positive and FST negative BPPV patients was not statistically significant. will cause daily activities to be disrupted then Qualitative data processing was carried out using the advocacy method according to the Covey and Miller advocacy framework, so as to obtain complete information related to the root causes of problems to the preparation of fall risk prevention strategies. Based on the results of data processing according to the Covey and Miller advocacy framework, the data is then analyzed through three stages: data reduction, data presentation and conclusion drawing. This research will be conducted at RSUD Tugu, Semarang City, conducted by physiotherapy in collaboration with STIKES KESDAM IV Diponegoro students.

Campus is a potential place to become the epicenter of Covid-19 transmission from students, lecturers, employees and the general public. This paper aims to formulate and design problem solutions to guide information systems and emergency case services, including Covid-19. This paper is a qualitative approach through deepening emergency theory including Covid-19 cases, objective conditions of campus life based on patient safety principles, especially acute disease attacks (heart attacks, strokes and accidents, disasters) including Covid-19 cases with a new variant whose virulence is said to be more dangerous, faster and more deadly without any signs and symptoms. Hence, it requires emergency services so as not to cause casualties, disability or even death. The results of the research show that the campus does not yet have an information system and service mechanism if an emergency case occurs at any time. The model for formulating information system design and emergency case services in the campus environment is (1) establishment and management arrangement of the information system management unit for disaster services and emergency cases; (2) Preparing an information system program (3) Preparing Standard Operating Procedures for disaster and emergency case service systems and (4) Preparing human resources for unit management.

Early childhood education is crucial in laying the foundation for children's cognitive, emotional, and physical development. A vital aspect of this education is the introduction of colors and the developing of fine motor skills, which can be enhanced through coloring activities. This community service activity aimed to provide color recognition education through coloring activities to improve fine motor skills in early childhood. The targets in this activity are early childhood children (2-5 years old) and BKB cadres at Taman Posyandu (Tapos) Ceria Desa Rejosari, Glagah District, Banyuwangi. The methods used are lecturing, drilling, and mentoring. The results of this activity are that children can recognize, distinguish, and name various colors, children's fine motor skills, such as eye-hand coordination and hand movement control, are improved through coloring activities, and they can express themselves and their ideas through the strokes of color they pour on the given picture. Recognizing colors and developing fine motor skills are crucial foundations for supporting young children in preparing important skills for the following learning stages, such as reading and writing. Coloring activities can become a positive habit, encouraging children to spend time with productive and educational activities.

Hypertension or high blood pressure is a disease that is often suffered by many people, hypertension itself sometimes has symptoms that the sufferer does not know about. A condition that causes about half of all deaths from stroke and heart disease. The aim of this study aims to determine the effect of classical music therapy on changes in blood pressure in hypertensive patients at the Ambalat SESKO TNI Bandung Clinic. This research uses a quantitative questionnaire method with a pre-post test research design (Quasy experiment), the data analysis used is the Wicoxon test. The respondents were 25 TNI members at the Ambalat SESKO TNI Bandung Clinic. The instruments in this study used a sphygmomanometer and classical music.    

Magnetic Resonance Imaging (MRI) is a medical imaging technique that combines magnetic fields and radio waves to create images and analysis of body tissue, blood circulation and metabolic function of the body. Some indications for MRI brain include detecting and identifying cases such as multiple sclerosis, infarction, hemorrhage, infection, trauma, and tumor or metastatic disease. Hemorrhagic stroke is bleeding that occurs when the blood vessels leading to the brain leak. Hemorrhagic stroke occurs when blood comes out of a blood vessel due to tearing of the blood vessel wall. Blood vessel walls can be weakened by the process of atherosclerosis and can also be due to congenital defects. The research method used was qualitative research. With a case study type of research. Data collection was carried out from July 2023 to August 2023 using a 3 Tesla MRI aircraft. The patient samples used in this study were three patients with complaints in the head. Data collection was carried out through observation, interviews and documentation. The MRI brain examination procedure in hemorrhagic stroke cases at one of the hospitals in Jakarta uses the Plain localizer axial, sagittal and coronal sequence, T1_fl2_axial, T2_tse_darkfluid_axial, T2_tse_axial, ep2d_diff_4scan_trace, asl_3d_axial, tof_cs_carotids, flow_pc3d_MRV, tof_brain_MRA, T2_swi_axial. In this case, there is a different sequence used, namely T2_swi_axial. Sequence susceptibility weighted imaging (SWI) is an innovative radiological imaging method that is often used in diagnosing neuroradiological disorders. 

Background:Non-hemorrhagic strokeis a cerebrovascular disease that occurs when the blood supply to part of the brain is suddenly interrupted by occlusion, usually caused by thrombosis, embolism, and focal hypoperfusion which can cause a reduction or disruption in cerebral blood flow (CBF) and affect neurological function due to lack of glucose and oxygen. Computed tomography scanning (CT Scan) of the head is a special examination of the head that uses tomography techniques with X-ray beams penetrating the patient's head from various directions using a computer system to produce anatomical images in axial, sagittal and coronal planes..One of the parameters for a CT scan of the head is Increment Reconstruction. Reconstruction Increment is the distance between reconstruction images in volume data. Method: Typeresearch is quantitative with an experimental approach, carried out in July-August 2023 at Bali Mandara Regional Hospital. The population and sample of this study were 10 patients with indications of non-hemorrhagic stroke. Results :research results from the overall Friedman test on CT scans of the head with clinical non-hemorrhagic stroke using variations in reconstruction increments of 0.5mm, 0.9mm, 1.5mm, 2mm, the results of the most optimal anatomical image information in producing images from 4 variations of increments, namely in the 2mm increment reconstruction which has the highest mean rank value, namely 3.30 in the thalamus area, 3.40 in the lateral ventricle area, 3.25 in the white matter area, 3.40 in the gray matter area, 3.40 in the lesion area hypodense/infarction of 3.25. Conclusion:From the results of the Friedman test on CT scans of the head with clinical non-hemorrhagic strokes using variations in reconstruction increments of 0.5mm, 0.9mm, 1.5mm, 2mm against anatomical criteria, the most optimal value in producing an image is at a reconstruction increment of 2mm which has the highest mean rank value.

Hypertension or high blood pressure is one of the main health problems in every country because it can cause heart disease and deadly brain stroke. Hypertension is seen as a serious health problem because we often don't realize it comes with few if any real symptoms. This disease can continue to get worse without realizing it to a level that threatens the life of the sufferer. Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg on two measurements with an interval of five minutes in a state of sufficient rest/calm. This study used a pre-experimental design method with the type of one group pretest-posttest design. The target in this study were the elderly in Jurong Binje Village, Jangka Buya District, Pidie Jaya Regency. The questionnaire in this study was used to examine the effect of counseling about hypertension on increasing the knowledge of the elderly in Jurong Binje Village, Jangka Buya District, Pidie Jaya Regency. The number of samples taken was 15 elderly people. It is known that most of the respondents were female as many as 10 respondents with a percentage of 66.7%, while most of them were aged 55-60 years as many as 9 respondents with a percentage of 60%. The highest level of knowledge of the elderly before being given counseling was in the moderate category, 5 people (33.3%). The highest level of knowledge of the elderly after being given counseling was in the high category, 15 people (100%). The average knowledge level of the elderly before being given counseling was 1.67 and after being given counseling was 1.00. From these results it can be concluded that there were positive results from the counseling process carried out.  

Hemorrhagic stroke is the rupture of blood vessels in the brain, resulting in reduced blood flow (ischemia) and hypoxia. One of the disorders that can be diagnosed through sophisticated modalities is a CT scan, because it can be done quickly and accurately when evaluating bleeding in the brain. The slice thickness used in CT scans of the head in hemorrhagic stroke cases is 5 mm-10 mm, carried out using a one range protocol, namely from the basic cranii to the vertex. Slice thickness is the thickness of the slice that can be selected according to clinical needs. The factors used to evaluate image quality are spatial resolution, resolution contrast and noise. This research is quantitative by taking an experimental approach to analyze the effect of using slice thickness variations of 3mm, 4mm and 5mm on image quality (spatial resolution, resolution contrast and noise) on CT scans of the head in cases of hemorrhagic stroke of 10 samples. Based on the results of the research carried out, the researchers can conclude according to the overall results of the Friedman test that there is an influence on the image quality of CT scans of the head in hemorrhagic stroke cases using slice thickness variations of 3mm, 4mm and 5mm on spatial resolution, contrast resolution and noise. So based on the results of the Friedman test per image quality, there is a difference in the image quality of CT scans of the head and cases of hemorrhagic stroke which use slice thickness variations of 3mm, 4mm and 5mm. Based on the results of the mean rank of the Friedman test, slice thickness 5mm has a mean rank of 2.88 with the highest value. Based on the results of this study, researchers can recommend that CT scans of the head in cases of hemorrhagic stroke use a slice thickness of 5 mm with the aim that the image quality results in CT scans of the head in cases of hemorrhagic stroke look clear and good.

According to the Law of the Republic of Indonesia number 13 of 1998 concerning elderly welfare, an elderly person is someone who has reached the age of 60 years and above.  Indonesia alone ranks fourth in the world with 24 million elderly people who have not received much attention. The decline in various body functions in old age can cause elderly people to have difficulty eating due to various causes. For example, the appetite of the elderly tends to decrease because their sense of taste and smell is no longer as sharp as it used to be to inhale aromas and taste food. The elderly are also more prone to decreased saliva production, loose teeth, weakened intestinal and gastric functions, and decreased stomach acid production which makes it difficult for the body to absorb food. Weakness or paralysis of the face, also known as facial frown, will cause impairment in the ability of facial muscles. Miror Therapy exercises can help improve facial muscle strength in patients with stroke. Regular exercise for 2 times a week can help increase the muscle strength of stroke patients.