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Showing 12 articles found for "Leste"

Hipertensi Tidak Terkontrol pada Pasien Lansia di Pelayanan Kesehatan Primer: Systematic Literature Review

Septian Arinda, Moses Steven Tanto Prasetyo, Alif Aditya Farandila Saedi, Cyntia Tanujaya, Dewi Indah Lestar
Abstract: Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan hipertensi tidak terkontrol pada pasien lansia di pelayanan kesehatan primer, menggambarkan penatalaksanaan kasus secara klinis, serta memetakan perkembangan… bangan topik penelitian melalui analisis bibliometrik. Metode yang digunakan memadukan systematic literature review berdasarkan pedoman PRISMA 2020, laporan kasus, dan analisis bibliometrik menggunakan VOSviewer. Penelusuran dilakukan pada PubMed, Scopus, ScienceDirect, dan Google Scholar terhadap artikel tahun 2020–2025. Sebanyak 25 artikel dengan total 48.762 responden memenuhi kriteria inklusi. Desain penelitian didominasi studi potong lintang, sedangkan pemetaan kepengarangan memperlihatkan kolaborasi lintas institusi dan negara yang mendukung pertukaran pengetahuan serta pengembangan pendekatan multidisiplin dalam pengendalian hipertensi lansia di pelayanan primer. Laporan kasus melibatkan laki-laki berusia 72 tahun dengan hipertensi derajat II, nyeri kepala, hiperkolesterolemia, dan kondisi prediabetes yang dipantau di Puskesmas Gembong selama 28 Juli–16 Agustus 2025. Hasil sintesis menunjukkan lima tema utama, yaitu faktor risiko hipertensi tidak terkontrol sebesar 88%, kepatuhan minum obat 80%, pola hidup 72%, komorbiditas 68%, dan peran pelayanan kesehatan primer 64%. Pada laporan kasus, tekanan darah awal 170/110 mmHg tetap berada di atas target meskipun keluhan nyeri kepala membaik. Ketidakpatuhan minum obat memicu peningkatan tekanan darah, sedangkan edukasi berulang, modifikasi gaya hidup, keterlibatan keluarga, penyesuaian antihipertensi, dan terapi hipolipidemik memperbaiki kepatuhan serta gejala klinis. Analisis VOSviewer menempatkan hypertension, diabetes, dan cardiovascular disease sebagai pusat jaringan, disertai munculnya telemedicine dan digital health sebagai arah penelitian baru. Disimpulkan bahwa hipertensi tidak terkontrol pada lansia bersifat multifaktorial dan memerlukan pengelolaan terpadu melalui optimalisasi terapi, pengendalian komorbiditas, perubahan perilaku, pemantauan berkelanjutan, penguatan layanan primer, serta dukungan keluarga.

HEALTH TECHNOLOGY AND COMMUNICATION SYNERGY FOR COMMUNITY WELL-BEING IN TIMOR LESTE

Ismawatie, Emma, Eni Lestari, Diyan Sakti Purwanto, Dionisio Jose dos Santos, Canggih Ajika Pamungkas
Abstract: This international community service program aims to improve community welfare through the synergy of health technology and effective communication strategies in Timor Leste. The program was motivated by limited access to… o health services, low health literacy, and contextual challenges in health communication within the community. The implementation methods included health education, training on the use of simple health technologies, community mentoring, and strengthening culturally based health communication. The activities were conducted collaboratively by involving local health workers, community members, students, and lecturers as part of international cooperation. The results indicate an improvement in community understanding of basic health pravtices, more optimal use of health technology, and increased active participation in maintaining personal and community health. In addition, the establishment of international collaboration networks supported the exchange of knowledge and best practices. The evaluation shows that an integrative and participatory approach was effective in supporting program sustainability, despite challenges related to infrastructure limitations and digital literacy. Overall, this community service program contributes significantly to enhancing health literacy and community welfare and can serve as a model for international community engagement based on health technology and communication.

SIPAKATAU: SINERGI PANGAN LOKAL DAN AKTIVITAS FISIK UNTUK MENCEGAH PENYAKIT TIDAK MENULAR

Asikin, Hijrah, Sirajuddin, Ihsan, Fitriah
Abstract: Non-communicable diseases (NCDs) remain a major health problem in Biringkanaya District, Makassar City, with high rates of obesity, hypertension, high cholesterol, and metabolic disorders. These problems are influenced by… y an unbalanced diet, low consumption of local foods, and a lack of physical activity. The SIPAKATAU (Synergy of Local Food and Physical Activity) programme was designed to address these issues through nutritional education, my plate demonstrations, physical activity, and the use of locally sourced, easily accessible food to the community. The activities were carried out over a month in Paccerakkang and Berua villages, involving 24 participants, health cadres, and the Paccerakkang community health centre. The intervention included pre-tests, interactive education, hands-on practice, physical activity monitoring, and health checks before and after the activities. The results showed an increase in knowledge from 50% to 75% in the good category, increased implementation of My Plate, and 75% of participants had sufficient physical activity. Health indicators showed improvement, particularly in cholesterol (normal levels increased from 1 to 7 individuals) and uric acid (100% normal). Blood sugar levels showed improvement, while blood pressure and nutritional status required longer-term intervention. The SIPAKATAU programme proved effective in improving community nutrition and health behaviours and is recommended as a model for community-based NCD prevention.

CORRELATION BETWEEN NEUTROPHIL LYMPHOCYTE RATIO AND LIPID PROFILE IN ADULT PATIENT WITH OBESITY IN PRODIA TANGERANG CLINICAL LABORATORY

Sari, Lia Dwi, Anak Agung Ayu Eka Cahyani, Ika Setya Purwanti
Abstract: Obesity is a condition of abnormal or excessive fat accumulation which can be a risk factor for dyslipidemia. Uncontrolled dyslipidemia can directly cause endothelial dysfunction by increasing the production of free radicals,… cals, causing Low Density Lipoprotein (LDL) oxidation and stimulating the release of inflammatory factors that can cause inflammation. Neutrophils and macrophages are the first leucocytes to appear in the early response to inflammation, so the neutrophil-lymphocyte ratio can be useful for evaluating the prognosis of inflammation as an early detector and as a marker of inflammation that can be detected simply and efficiently.  This study aims to determine the correlation between Neutrophil-Lymphocyte Ratio (NLR) and Lipid Profile in adult patients with obesity in Prodia Tangerang Clinical laboratory. This study is an analytical study with a cross-sectional approach and used purposive sampling technique. The research sample data was taken from secondary data from patient medical records. The p-value obtained using Rank Spearman correlation from the comparation of neutrophil-lymphocyte ratio with each lipid profile value is total cholesterol (p=0.003), LDL cholesterol (p=0.013), High Density Lipoprotein (HDL) cholesterol (p=0.375) and tryglicerides (p=0.316). This study found a relationship between the neutrophil-lymphocyte ratio with total cholesterol dan LDL cholesterol, but there was no relationship between the neutrophil-lymphocyte ratio with HDL cholesterol and tryglicerides in obese adult patient in Prodia Tangerang Clinical Laboratory.

COMPARISON OF FRESH SERUM TOTAL CHOLESTEROL RESULTS WITH THOSE OF SERUM STORED AT ROOM TEMPERATURE FOR 6 HOURS AT JATI PADANG GENERAL HOSPITAL

Sari, Anis Sinta, Yanti, Ni Ketut Ayu Mira, Yanti, Ni Luh Gede Puspita
Abstract: Exposure to X-ray radiation in conventional radiology procedures can pose a health risk, especially for accompanying caregivers of pediatric patients who only bear the risk without gaining any benefit. This study aims to… determine the estimated equivalent dose received by accompanying caregivers of pediatric patients and the safest points during conventional radiology examinations. The method used in this research is a field survey, involving the measurement of equivalent radiation doses inside and outside the examination room using a personal dosimeter, as well as measuring the radiation dose rate at 6 points using a surveymeter. The data was processed to obtain the highest and lowest values, as well as the percentage of equivalent dose obtained compared to the established Dose Limit Value (DLV). The results showed that the highest radiation dose received by accompanying caregivers inside the examination room reached 13,46 µSv, with a percentage of 0,27% relative to the DLV, while the lowest dose recorded was 1,12 µSv, with a percentage of 0,0224% relative to the DLV. Analysis of the radiation dose rate distribution revealed that the greater the distance of the measurement point from the radiation source (tube), the smaller the dose received. In conclusion, the radiation dose received by accompanying caregivers is still below the Dose Limit Value (DLV) for caregivers, which is 5.000 µSv. However, to minimize stochastic effects, the implementation of additional protective measures, such as the use of lead aprons and selecting safer locations within the examination room, is highly recommended. These findings are expected to serve as a guide in enhancing the safety of accompanying caregivers of pediatric patients in conventional radiology units.

THE EFFECT OF BENSON RELAXATION ON PAIN LEVELS IN BREAST CANCER PATIENTS AT EDUARDO XIMENES GENERAL HOSPITAL, BAUCAU, TIMOR-LESTE

Solangia Cabral Da Conceicao Santos, Ketut Lisnawati, Theresia Anita Pramesti
Abstract: Pain in breast cancer is one of the most common and significant problems experienced by patients. If not properly managed, the impact of breast cancer pain can lead to increased morbidity and a diminished quality of life.… . This study aims to determine the effect of Benson relaxation on pain levels in breast cancer patients. A quantitative research method was employed using a pre-experimental one-group pre-test and post-test design. The sample consisted of 17 patients selected through purposive sampling. Data were collected using the Numeric Rating Scale (NRS). The average pain score of respondents during the first measurement (pre-test) was 6.12, and during the second measurement (post-test) it decreased to 3.12. The difference in average pain levels between the first and second measurements showed a reduction of 3.00 points. The statistical test results revealed an Asymp. Sig (2-tailed) p-value of 0.000, indicating a significant effect of Benson relaxation on reducing pain in breast cancer patients. Benson relaxation can significantly help lower pain levels after therapy. This relaxation technique plays an important role by inhibiting sympathetic nerve activity, which in turn reduces oxygen consumption by the body and relaxes the muscles, leading to a sense of calm and comfort.

Cakrawala“Cegah Kolesterol Dengan Waspada Konsumsi Lemak”

Marlina, Paramitha Wirdani Ningsih, Wulandari, Agnes Maharani Puji
Abstract:   Abstract: Based on the results of National Basic Health Research in 2018 according to the proportion of total cholesterol levels in the population aged ≥45 years, 5 stated that as many as ≥10.5% of people had high&#8230; had high cholesterol levels. The factors that cause hypercholesterolemia are nutritional status, especially obesity. Obesity is associated with lipoprotein, decreased High-Density Lipoprotein (HDL), and increased triglycerides and LDL, especially in central obesity. People who have a high percentage of body fat tend to have higher total cholesterol, LDL, and triglycerides compared to people who have normal weight. Nutrition counseling activities are carried out at the Johar Baru District Health Center which will be held on November 7, 2022. Respondents will be given a pre-test form containing 10 true and false statements for 10-15 minutes and then counseling will be carried out through poster media. After that, the respondent was given a post-test form. After 3 days of giving the material, monitoring, and evaluation were carried out on 5 respondents. This Monitoring and Evaluation will be carried out via telephone or the Whatsapp app. Based on the results of bivariate analysis, the results of knowledge obtained were p-value = 0.055 (p-value <0.05) so that it could be concluded that there was no difference in knowledge before and after nutritional education counseling using poster media in PTM patients at the Johar Baru District Health Center, Central Jakarta.         Keywords: cholesterol; fat consumption Abstrak: Berdasarkan Hasil Riset Kesehatan Dasar Nasional pada tahun 2018 menurut proporsi kadar kolesterol total pada penduduk umur ≥45 tahun, 5 menyebutkan bahwa sebanyak ≥10,5% masyarakat memiliki kadar kolesterol tinggi. Adapun faktor penyebab hiperkolesterolemia adalah status gizi terutama obesitas. Terdapat keterkaitan antara obesitas dengan lipoprotein, peningkatan trigliserida dan LDL, penurunan High Density Lipoprotein (HDL), terutama pada obesitas sentral. Individu dengan persen lemak tubuh yang tinggi cenderung memiliki total kolesterol, LDL dan trigliserida yang lebih tinggi dibandingkan dengan individu dengan berat badan normal. Kegiatan penyuluhan gizi dilakukan di Puskesmas Kecamatan johar Baru yang dilaksanakan pada tanggal 7 November 2022. Responden akan diberikan form pre test yang berisikan 10 pernyataan benar dan salah selama 10-15 menit dan selanjutnya akan dilakukan penyuluhan melalui media poster. Setelah itu responden diberikan form post test. Setelah 3 hari pemberian materi dilakukan monitoring dan evaluasi kepada 5 responden. Monitoring dan Evaluasi ini akan dilakukan melalui telepon ataupun app Whatsapp. Berdasarkan hasil analisis bivariat, didapatkan hasil pengetahuan nilai p value = 0.055 (p-value < 0,05) sehingga dapat disimpulkan bahwa tidak terdapat perbedaan pengetahuan sebelum dan sesudah penyuluhan edukasi gizi menggunakan media poster pada pasien PTM di Puskesmas Kecamatan Johar Baru Jakarta Pusat.  Kata kunci: kolesterol; konsumsi lemak

COMPARISON FEATURE EXTRACTION USING ARTIFICIAL NEURAL NETWORK ALGORITHM ON SMOKER PREDICTION

Dharma, Arie Satia, Pardede, Cynthia Veronika, Sitorus, Jonggi Vegas
Abstract: Abstract: The habit of smoking is dangerous because of the addictive substances that make cigarettes addictive. Its addictive nature poses a significant risk, affecting personality with stress, depression and nervous disorders.&#8230; orders. Body factors that indicate smoking include blood sugar levels, dental caries, and hemoglobin. To address this, research has been conducted with focused efforts to understand and address the risks associated with smoking and its impact on overall health. This research aims to choose the best method for predicting smokers by using feature selection techniques. The feature selection algorithms uses for that are Analysis of Variance (ANOVA), Recursive Feature Elimination (RFE), and Genetic Algorithm (GA) to select optimal attributes and uses the k-fold cross validation technique as the validation of the Artificial Neural Network algorithm. The data includes various parameters such as age, height, weight, vision, blood pressure, cholesterol, triglycerides, hemoglobin, AST, ALT, GTP, gender, dental caries and tartar. Hearing ability, urine protein content, and tartar were selected. The results showed that using the Analysis of Variance method showed higher accuracy (77.101%) compared to the Genetic Algorithm method (74.64%) and the Recursive Feature Elimination method (76.08%). Selection of relevant attributes increases the predictions and insights of the Artificial Neural Network model about the effects of smoking on health.             Keywords: artificial neural network; analysis of variance; genetic algorithm; recursive feature elimination; smoker prediction     Abstrak: Kebiasaan merokok berbahaya karena adanya zat adiktif yang membuat rokok menjadi ketagihan. Sifatnya yang membuat ketagihan menimbulkan risiko yang signifikan, mempengaruhi kepribadian dengan stres, depresi, dan gangguan saraf. Faktor tubuh yang mengindikasikan kebiasaan merokok antara lain kadar gula darah, karies gigi, dan hemoglobin. Untuk mengatasi hal ini, penelitian telah dilakukan dengan upaya terfokus untuk memahami dan mengatasi risiko yang terkait dengan merokok dan dampaknya terhadap kesehatan secara keseluruhan. Penelitian ini bertujuan untuk memilih metode terbaik dalam memprediksi perokok dengan menggunakan teknik seleksi fitur. Metode seleksi fitur yang digunakan adalah Analysis of Variance (ANOVA), Recursive Feature Elimination (RFE), dan Genetic Algorithm (GA) untuk memilih atribut yang optimal dan menggunakan teknik k-fold cross validation sebagai validasi algoritma Artificial Neural Network. Data tersebut mencakup berbagai parameter seperti umur, tinggi badan, berat badan, penglihatan, tekanan darah, kolesterol, trigliserida, hemoglobin, AST, ALT, GTP, jenis kelamin, karies gigi dan karang gigi. Kemampuan pendengaran, kandungan protein urin, dan karang gigi dipilih. Hasil penelitian menunjukkan bahwa penggunaan metode Analysis of Variance menunjukkan akurasi yang lebih tinggi (77,101%) dibandingkan dengan metode Genetic Algorithm (74,64%) dan metode Recursive Feature Elimination (76,08%). Pemilihan atribut yang relevan meningkatkan prediksi dan wawasan model Jaringan Syaraf Tiruan tentang dampak merokok terhadap kesehatan.   Kata kunci: artificial neural network; analysis of variance; genetic algorithm; prediksi perokok; recursive feature elimination

Analisis Upaya Penanganan Konflik Sengketa Perbatasan Wilayah Indonesia Dan Timor Leste Ditinjau Dari Perspektif Hukum Internasional

Enick Kusrini, Rizki Suharti, Refi Amelia, Alfindo, Budi Ardianto
Abstract: Penelitian ini membahas konflik sengketa perbatasan antara Indonesia dan Timor Leste dari perspektif hukum internasional. Konflik perbatasan antara kedua negara ini menjadi perhatian karena dapat mempengaruhi kedaulatan&#8230; dan keamanan negara. Penelitian ini menggunakan metode studi kepustakaan dengan mengumpulkan informasi dari berbagai sumber referensi terkait konflik perbatasan dan upaya penyelesaiannya. Pendekatan yang digunakan meliputi pendekatan perundang-undangan, pendekatan kasus, pendekatan sejarah, dan pendekatan fakta. Hasil analisis menunjukkan bahwa  hukum internasional memiliki peran penting dalam menyelesaikan konflik perbatasan ini dan menciptakan ketertiban dan keadilan di masyarakat internasional. Konflik perbatasan antara Indonesia dan Timor Leste dipicu oleh klaim sepihak warga Timor Leste terhadap wilayah Indonesia di perbatasan. Konflik ini melibatkan bentrokan fisik antara warga kedua negara. Penelitian ini memberikan wawasan tentang upaya penanganan konflik perbatasan dari perspektif hukum internasional dan memberikan pemahaman yang lebih baik tentang sengketa perbatasan wilayah Indonesia dan Timor Leste.

PENGARUH CITRA PERUSAHAAN DAN KUALITAS PELAYANAN TERHADAP KEPUASAN NASABAH BNF DI DILI, TIMOR-LESTE

Deonisio Maria Soares Dias
Abstract: Penelitian ini menganalisis pengaruh citra perusahaan dan kualitas pelayanan terhadap kepuasan nasabah Banco do Nosso Futuro (BNF) di Dili, Timor-Leste. Kehadiran BNF sebagai bank nasional baru menempatkan kepuasan nasabah&#8230; ah sebagai ukuran penting keberhasilan awal dalam membangun kepercayaan dan penerimaan pasar. Penelitian menggunakan pendekatan kuantitatif dengan metode survei. Data dikumpulkan melalui kuesioner berskala Likert kepada 92 responden aktif yang pernah menggunakan layanan BNF minimal dua kali. Instrumen diuji menggunakan validitas Pearson dan reliabilitas Cronbach’s Alpha, sedangkan hipotesis dianalisis dengan regresi linear berganda, uji t, uji F, dan koefisien determinasi. Hasil penelitian menunjukkan bahwa citra perusahaan berpengaruh positif tetapi tidak signifikan terhadap kepuasan nasabah (B = 0,100; t = 1,414; sig. = 0,161). Kualitas pelayanan berpengaruh positif dan signifikan terhadap kepuasan nasabah (B = 0,867; t = 12,150; sig. = 0,000). Secara simultan, citra perusahaan dan kualitas pelayanan berpengaruh signifikan terhadap kepuasan nasabah (F = 387,093; sig. = 0,000) dengan R Square sebesar 0,897. Temuan ini menegaskan bahwa kualitas pelayanan menjadi faktor dominan dalam membentuk kepuasan nasabah BNF, sementara citra perusahaan masih perlu diperkuat melalui pengalaman layanan yang konsisten, komunikasi transparan, dan peningkatan profesionalisme layanan.