Kader kesehatan jiwa memiliki keterjangkauan terdekat dengan masyarakat dalam membantu meningkatkan kesehatan jiwanya. Namun demikian, fakta memperlihatkan masih minimnya pemahaman kader kesehatan jiwa mengenai deteksi dini gangguan jiwa serta cara merawat penderita gangguan jiwa.Tujuan kegiatan ini adalah untuk meningkatkan pemahaman dan kemampuannya dalam mendeteksi dini gangguan jiwa serta merawat penderita gangguan jiwa. Metoda yang digunakan adalah ceramah, diskusi, tanya jawab dan demonstrasi disertai penggunaan video, slide serta leaflet sebagai media penyegaran. Hasil kegiatan penyegaran memperlihatkan adanya peningkatan prosentase pemahaman kader dari 40% menjadi 75% dalam menjelaskan mengenai kesehatan jiwa, tanda dan gejala gangguan jiwa yang sering muncul. Peningkatan prosentase kemampuan kader tentang cara merawat penderita gangguan jiwa juga meningkat dari 25% menjadi 80%, yang diperlihatkan melalui demonstrasi. Kegiatan penyegaran kader dapat meningkatkan pemahaman tentang deteksi dini gangguan jiwa dan cara merawat penderita gangguan jiwa, sehingga diharapkan pemahamannya tersebut dapat meningkatkan kepeduliannya dalam membantu meningkatkan kesehatan jiwa masyarakat.
Kerokan is an alternative therapy done by rubbing and pressing the skin surface using oil and a blunt object. This treatment has a hepatoprotective effect as it increases heme oxygenase-1, an essential enzyme in heme catabolism. In hepatitis B, heme oxygenase-1 plays a vital role to fight oxidative stress. Hence the damage on liver cells can be reduced or even prevented. Damaged cells indicate by the production of aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) enzymes that accumulated in the bloodstream. This study aimed to investigate the effect of kerokan to liver function by analyzing SGOT and SGPT levels in hepatitis B patients. These were an experimental study with a pre-test post-test control group design conducted in the public health center in Palembang in October 2016. Statistical analysis used the unpaired t test and paired. The research subjects were 30 patients with inactive carrier and chronic hepatitis B. The levels of SGOT and SGPT were determined using the IFCC method. The levels of SGOT in control (19.53±3.44 U/L) and treatment group (20.46±4.53 U/L, Δ=0.93) after 24–48 hours were not statistically different (p=0.53). Also, the levels of SGPT in control (18.66±5.40 U/L) and treatment group (19.80±9.25 U/L, Δ=1.13) after 24–48 hours were also not statistically different (p=0.68) as well. In conclusion, the liver cells of inactive carrier and chronic hepatitis B patients were not damaged (necrosis) after kerokan therapy, and the levels of SGOT and SGPT were still in the normal range. EFEK KEROKAN TERHADAP FUNGSI HEPAR PASIEN HEPATITIS BKerokan merupakan terapi alternatif yang dilakukan dengan menggosok dan menekan permukaan kulit menggunakan minyak dan benda tumpul. Pengobatan ini bersifat hepatoprotektif, yaitu meningkatkan produksi enzim heme oxygenase-1 dalam katabolisme heme. Pada hepatitis B, heme oxygenase-1 berperan penting dalam menangkal radikal bebas sehingga dapat mengurangi atau mencegah kerusakan sel hepar. Kerusakan sel hepar diindikasikan oleh produksi enzim aspartate aminotransferase (AST/SGOT) dan alanine aminotransferase (ALT/SGPT) yang terakumulasi dalam pembuluh darah. Penelitian ini bertujuan mengetahui pengaruh kerokan pada fungsi hepar dengan menganalisis kadar SGOT dan SGPT pada pasien hepatitis B. Penelitian eksperimental ini menggunakan desain pre-test post-test control group yang dilakukan di puskesmas di Palembang pada Oktober 2016. Analisis statistik menggunakan uji t berpasangan dan tidak berpasangan. Subjek penelitian meliputi 30 pasien inactive carrier dan kronik hepatitis B. Kadar SGOT dan SGPT diukur dengan menggunakan metode IFCC. Kadar SGOT pada kontrol (19,53±3,44 U/L) dan grup perlakuan (20,46±4,53 U/L; Δ=0,93) setelah 24–48 jam tidak terdapat perbedaan signifikan (p=0,53). Selain itu, kadar SGPT pada kontrol (18,66±5,40 U/L) dan grup perlakuan (19,80±9,25 U/L; Δ=1,13) setelah 24–48 jam tidak menunjukkan perbedaan signifikan (p=0,68). Simpulan, sel hepar pada pasien inactive carrier dan kronik hepatitis B tidak mengalami kerusakan setelah terapi kerokan, serta kadar SGOT dan SGPT tetap dalam kondisi normal.
ABSTRAKHipertensi adalah penyakit kronis yang umum di seluruh dunia dan faktor risiko utama penyakit kardiovaskular. Desa Sumber Harta Kabupaten Musi Rawas merupakan salah satu desa yang terletak di daerah dataran rendah padat penduduk yang rata-rata pekerjaannya sebagai petani. Data Puskesmas Sumber Harta menyebutkan bahwa angka kejadian hipertensi pada lansia sangat tinggi bahkan kunjungan terbanyak adalah penderita hipertensi mencapai 70%. Para lansia ini juga kurang memahami dampak jangka Panjang hipertensi seperti stroke. Tujuan dalam pengabdian ini adalah untuk meningkatkan pengetahuan lansia dan keluarga dalam mencegah komplikasi hipertensi. Mitra dalam pengabdian ini adalah Puskesmas dan Desa Sumber Harta (RT 09 dan 10). Peserta dalam kegiatan ini adalah lansia penderita hipertensi dan keluarga sebanyak 18 orang. Metode dalam kegiatan ini yaitu penyuluhan dan pendampingan pengelolaan diet hipertensi bersama keluarga. Keberhasilan tampak dari semangat dan antusiasnya lansia beserta keluarga. Lansia maupun keluarganya juga berperan aktif dalam menjawab evaluasi tentang materi yang telah disampaikan dan dapat mendemonstrasikan kembali pengolahan bahan makananan untuk diet hipertensi. Pelaksanaan kegiatan pengabdian terlaksana dengan lancar, pengetahuan lansia dalam memahami diet hipertensi bertambah serta berkomitmen dalam melaksanakan semua anjuran dari tim pengabdian untuk mencegah komplikasi hipertensi. Kata kunci: hipertensi; diet; lansia.ABSTRACTHypertension is a common chronic disease worldwide and a major risk factor for cardiovascular disease. Sumber Harta Village, Musi Rawas Regency is one of the villages located in a densely populated lowland area whose average occupation is as a farmer. Data from the Sumber Harta Health Center stated that the incidence of hypertension in the elderly was very high, even the most visits were people with hypertension reaching 70%. These elderly people also do not understand the long-term impact of hypertension such as stroke. The purpose of the service is to increase the knowledge of the elderly and their families in preventing complications of hypertension. Partners in this service are Puskesmas and Sumber Harta Village (RT 09 and 10). Participants in this activity are elderly people with hypertension and their families as many as 18 people. The method in this activity is counseling and assistance in managing hypertension diet with the family. The success of this event can be seen from the enthusiasm and enthusiasm of the elderly and their families. The elderly and their families also play an active role in answering the evaluation of the material that has been submitted and can demonstrate again the processing of food ingredients for the hypertension diet. The implementation of service activities was carried out smoothly, the knowledge of the elderly and their families in understanding the hypertension diet increased and they were committed to carrying out all the recommendations from the service team to prevent complications of hypertension Keywords: hypertension; diet; elderly people
Sprain, is an injury to a joint that results in a torn ligament that functions as a binding between bones and as a stabilizer for the joint that occurs due to excessive pressure and sudden movements repeatedly. It is estimated that nearly 1.6 million injuries occur in connection with basketball in Indonesia. The epidemiology of injuries to male basketball players during training is 4.3 per 1000 while the competition is 9.9 per 1000. This study is an experimental study with a Two Group Pre-Test and Post-Test Design. The research subjects were 30 permanent members of the Bangau Basketball Club which were divided into 2 groups: O1 group was a group that was given cold therapy before training alone, O2 group was a group that was given cold therapy after exercise alone. The study was conducted in October-November 2018. There was a difference between pain intensity and the degree of ankle sprain O1 group before and after exercise with the pain intensity difference test value of 0,000 and the value of the ankle sprain degree difference test result of 0.029 (p <0.05). There was a difference between the intensity of pain and the degree of ankle sprain in the O2 group before and after exercise with the test value of the pain intensity difference of 0.024 and the value of the test result of the degree of ankle sprain difference of 0.047 (p <0.05). Wilcoxon test results showed that there was an effect of cold therapy to reduce ankle sprain pain with p <0.05.
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