Every dadiah product has different strains of LAB depending on the region of the manufacturer. Each region can use different types of bamboo and buffalo species that produce their milk. Using 16S rRNA sequencing, LAB in dadiah can be identified. For years, the dadiah was known to have natural probiotic properties. This bacterial strain is non-toxic and safe to consume and considered as food-grade microorganism (Saputri et al., 2018). Probiotics are living microorganisms (single or mixed) that are present adequately in our food, as much as 10 6 to 10 7 colony-forming units (CFU) per gram of food (Dwi et al., 2016;Purwati et al., 2017). Commonly, the bacteria are Lactobacillus, Bifidobacterium, Streptococcus, Lactococcus, and Enterococcus. LAB from fermented milk is widely used as probiotics, including Lactobacillus rhamnosus CAN-1, Lactobacillus plantarum, Lactobacillus brevis, Lactobacillus paracasei, Lactobacillus bulin, Streptococcus thermophilus, Lactobacillus fermentum, and Lactobacillus acidophilus. There is an increased number of new findings of nonpathogenic bacteria and yeast that are considered as probiotics and have health benefits (Saputri et al., 2018;Rayavarapu et al., 2019;(Djunaedi, 2007). Furthermore, diet supplemented with yoghurt showed a significant decline in blood cholesterol. LAB in the presence of prebiotics were found to be effective against increased blood lipid profile (Sarfraz et al., 2019).

The increased life expectancy of Indonesian people to 66.2 years old contributes to the increased number of elderly people (Aging Structured Population). Aging Process causes health problems among elderly people, including depression, immune deficiency, sleep disorder (insomnia) and urinary incontinence (1). Urinary incontinence is a defect of bladder sphincter or neurological dysfunction which causes loss of control of urinating (2). Urinary incontinence can cause physical, psychological, social and economic problem, thus affecting the quality of life of elderly people (3) (4). The purpose of this study was identifying the prevalence and risk factors of urinary incontinence among elderly people in PSTW Pariaman. This study was an observation analytical study with cross sectional approach. Here, the degree of urinary incontinence was determined using urinary incontinence diagnosis tool in the form of questionnaire based on Sandvix Severity Index (SSI) and The Three Incontinence ( 3 IQ ). This study used total sampling of ≥45 year-old elderly people. It was found that the number of elderly people with urinary incontinence was around 23.73% with higher number of male (85.71%). The most prevalent age was 65-75 years old and the complaint had lasted over 6 months (85.72%) and had low education level (64.28%). From blood pressure examination, half of the respondents had hypertension (50%). The degree of urinary incontinence based on SSI level showed that most elderly people had moderate incontinence of 85.71%. This was consistent with the theory that the common problem for elderly people is urinary incontinence with estimated incidents of 25-35% of the entire elderly population in their lifetime ( ONAT, 2014 ).

Depression is a mental disorder that is often found in the elderly. Symptoms of depression in the elderly are often covered by physical symptoms. Depression in the elderly is influenced by various factors such as biology, psychology and social. Depression can further reduce the quality of life in the elderly. The study is a descriptive observational study and observed on 30 subjects were carried out on April 7, 2018. Aim of the study to determine the description of the Depression Rate in the Elderly in the Guguak Health Center Working Area District 50 Payakumbuh City. In the study, the subjects were 8 men (11.3%) and 22 women (73.3%). Theaverage subject age is 69.3. year. The highest level of education in the study subjects was high school (40%). Most patients did not have a history of other medical diseases (60%). In the study, 33.3% of the elderly were depressed. The levels of depression experienced were mild depression (23.3%) and major depression (10%).

Introduction: Chronic tonsillitis is an inflammation of the palatine tonsils whose complaints last more than 3 months. Chronic tonsillitis can be caused by regularly acute tonsillitis which causes tonsils permanent damage or this damage can occur if the medication is inadequate. The tonsils size and adenoids are small at <7 years old, increases in 7-15 years old and decrease in senility. Aims: To determine the relationship between age and gender with Tonsils enlargement in chronic tonsillitis patients of RSUD dr. Rasidin Hospital Padang in 2018. Method: This research is a qualitative analytic cross-sectional approach and uses a total sampling technique so that there are 70 patients with chronic tonsillitis obtained from the medical record data of RSUD dr. Rasidin Hospital Padang in 2018. The data obtained were analyzed using the SPSS program, which is the chi-square test. Result: The results showed that chronic tonsillitis sufferers by age were mostly in the 6-11 year old group as much as 26 patients (37.1%). Based on gender, most were found in women as much as 36 patients (51.4%). Based on the tonsils size, most of the T3-T3 size was 21 patients (30.0%). Based on the tonsil enlargement, most of the enlargement of tonsillar hypertrophy as many as 40 patients (57.1%). Conclusion: There was a significant relationship between age and enlargement of the tonsils (p = 0.046), and there was no significant relationship between gender and enlargement of the tonsils (p = 0.138) in patients with chronic tonsillitis in RSUD dr.  Rasidin Hospital Padang in 2018.

Sepsis is a clinical condition caused by the body's immune response to infection and manifests as SIRS. Systemic inflammatory response syndrome is a state of systemic inflammatory response characterized by two or more of the following conditions. Etiology  Sepsis can be caused by various microorganisms and the most etiology of sepsis is bacterial. Gram-negative bacteria cause sepsis about 60% - 70% in developing countries, but in the United States the causes of infection by Gram-positive bacteria begin to increase. This may be due to the large number of uses of invasive procedures, increased hospital acquired pneumonia (HAP) and antibiotic resistance. The body also has anti-inflammatory mechanisms including increased levels of anti-inflammatory cytokines and glucocorticoid hormones. The hormone inhibits the synthesis of cytokines by monocytes and decreases the ability of neutrophils to attach to the vascular endothelium. The inflammatory process in sepsis is not controlled leading to the occurrence of excessive discharge of inflammatory mediators over a long time and goes beyond the anti-inflammatory mechanisms of the body. This leads to various organ dysfunctions including cardiovascular, liver, pulmonary and renal dysfunctions

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Hypertension may occur primarily or is idiopathic. Where the causative factor cannot be identified or can occur secondarily as a result of a particular disease. This study aims to determine the relationship between nutritional status and the incidence of hypertension in the Elderly Work Area of the Lubuk Pinang Health Center, Muko-Muko Regency, North Bengkulu. The type of research used is analytical observational research with a cross-sectional approach. The affordable population in this study was the elderly who were registered for treatment at the Lubuk Pinang Health Center, Muko-Muko Regency, North Bengkulu, with 36 samples using the total sampling technique. Univariate data analysis is presented in frequency and percentage distribution and bivariate analysis using the spearman correlation test and data processing using the computerized IBM SPSS program version 24.0. The results of this study show that the highest age was 60-70 years, namely 28 people (77.8%), and the most gender was female, namely 31 people (86.1%). The most nutritional status was overweight, 15 people each (41.7%), the most hypertension was stage II, namely 25 people (69.4%), and there was a relationship between nutritional status and the incidence of hypertension in the Elderly Work Area of the Lubuk Pinang Health Center, Muko-Muko Regency, North Bengkulu (p=0.031). This research concludes that the highest age is 60-70 years. The most gender is female, the most nutritional status is overweight, the most hypertension is stage II, and there is a relationship between nutritional status and the incidence of hypertension in the Elderly Work Area of the Lubuk Pinang Health Center, Muko-Muko Regency, North Bengkulu

ABSTRAK Pertumbuhan  fisik  pada remaja  ditandai  dengan  munculnya  tanda- tanda  seks  primer  dan  sekunder. Menurut WHO Ketika Remaja mengembangkan orientasi seksual yang konsisten, yang dapat dipengaruhi oleh berbagai faktor (sosial, keluarga, pribadi, tingakat Pendidikan, informasi terkait Kesehatan reproduksi). Sebuah fenomena yang  saat ini menjadi masalah sosial adalah LGBT. Menurut data dari penelitian oleh Badan Pusat Statistik Sumatera barat pada responden LGBT,  51,03% responden usia 15-25 tahun.  Tujuan: memberikan edukasi kepada remaja tentang LGBT dan bahaya LGBT ditinjau dari segi Kesehatan. Metode: Kegiatan edukasi ini disampaikan dengan metode ceramah dan diskusi yang diakhiri dengan kuis berhadiah yang bertujuann untuk menilai pengetahuan audien. Hasil: kegiatan edukasi ini berjalan lancar, audien mengikuti dengan antusias dan semangat. Audien bisa menjawab 40 pertanyaan seputar LGBT yang disiapkan oleh tim pengabdian. Siswa SMAN I padang Panjang telah memiliki pengetahuan tentang LGBT, bahaya LGBT ditinjau dari segi Kesehatan. Kata Kunci: LGBT, Remaja, Kesehatan , Edukasi   ABSTRACT Introduction: Physical growth in adolescents is characterized by the appearance of primary and secondary sex signs. According to  WHO, When Adolescents develop a consistent sexual orientation, which can be influenced by various factors (social, family, personal, level of education, and information related to reproductive health).   A phenomenon that is currently a social problem is LGBT. According to data from research by the Central Statistics Agency of West Sumatra on  LGBT respondents, 51.03% of respondents were aged 15-25 years. Purpose: to educate adolescents about LGBT  and the dangers of LGBT in terms of health. Method:  This educational activity is delivered with a  lecture and discussion method that ends with a  quiz with prizes to assess the audience's knowledge. Result:  this educational activity went smoothly, and the audience followed with enthusiasm and enthusiasm. The audience can answer 40 LGBT-related questions prepared by the devotion team. Conclusion: SMAN I padang Panjang students already know about LGBT and the dangers of  LGBT in terms of health.  Keywords: LGBT, Adolescents, Health, Education