SRIKANDI LANSIA: Skrining dan Edukasi Diabetes Melitus pada Lanjut Usia

Persentase kematian akibat diabetes melitus (DM) di Indonesia menempati peringkat kedua dan merupakan salah satu gangguan Kesehatan yang sering diderita pada lanjut usia. Diabetes melitus merupakan penyakit tidak dapat disembuhkan, namun dapat terkendali dengan kadar gula darah yang terkontrol. Kondisi gula darah yang stabil dapat menurunkan risiko terjadinya komplikasi akibat DM. Skrining diabetes melitus merupakan metode untuk mendeteksi DM tipe 2 pada individu yang tidak menunjukkan gejala (asimtomatik). Deteksi dini melalui skrining merupakan upaya pencegahan guna meminimalkan kompilkasi diabetes melitus, hingga menimbulkan kematian maupun kecacatan. Kegiatan pengabdian masyarakat ini bertujuan untuk melakukan deteksi dini diabetes melitus pada lansia. Skrining dilakukan dengan pemeriksaan gula darah sewaktu, diikuti pemberian edukasi kepada lansia mengenai hasil pemeriksaan dan status diabetes mereka. Hasil kegiatan menunjukkan bahwa dari 28 lansia yang diperiksa, 4 orang terdiagnosis menderita DM, 9 orang belum dapat dipastikan status DM-nya, dan 15 orang bukan DM. Hasil skrining ini dapat menjadi rujukan dalam menentukan perawatan yang tepat bagi lansia dengan DM. Bagi lansia dengan status diabetes melitus yang belum dapat dipastikan, diperlukan tindakan preventif berupa penjadwalan pemeriksaan lanjutan untuk memastikan diagnosis. Sementara itu, tindakan promotif diberikan kepada lansia yang tidak menderita diabetes melitus melalui edukasi mengenai penerapan pola hidup sehat

Colon in Loop Examination Technique in CA Recti Cases at Radiology Installation RSPAU Dr. Suhardi Hardjolukito Yogyakarta

Background: The colon in loop (CIL) examination at the Radiology Department of RSPAU Dr. Suhardi Hardjolukito employs the following projections: single-contrast AP, lateral, RPO, and LPO, followed by double-contrast AP, RPO, LPO, and post-evacuation AP. The procedure utilizes water-soluble contrast media without the use of a balloon to secure the catheter. Methods: This study adopts a qualitative approach using a case study method. Subjects include one radiology specialist and three radiographers. The research was conducted from August 2024 to September 2025. Data were collected through direct observation, interviews, and documentation, followed by data processing, analysis, and conclusion drawing. Results: Findings from the Radiology Department of RSPAU Dr. Suhardi Hardjolukito indicate that the use of water-soluble contrast media is safer for patients at risk of perforation, as it is easily absorbed by the body and carries a low risk of complications. Additionally, the use of a catheter without a balloon proves effective, as it does not interfere with rectal visualization and reduces the risk of irritation or excessive pressure in the area. Conclusion: The CIL examination using water-soluble contrast media and a catheter without a balloon is a safe and effective method, especially for patients suspected of having a risk of perforation. The choice of contrast media should be tailored to the patient's clinical condition, and the use of fluoroscopy is recommended to enhance efficiency and accuracy in the examination procedure

Analysis of Lavandula angustifolia Aromatherapy Relaxation on Stress Levels and Sleep Quality in Kidney Failure Patients

Kidney failure is a condition in which the kidneys are unable to perform essential functions, including filtering waste products, regulating fluid and electrolyte balance, and producing hormones. This study aimed to analyze the effects of relaxation combined with Lavandula angustifolia aromatherapy on stress levels and sleep quality in patients with kidney failure. A quantitative experimental design with a pre-test and post-test control group was employed, involving 30 respondents selected through simple random sampling. Stress levels were measured using the DASS-21, and sleep quality using the PSQI. Data were analyzed using the Mann-Whitney U test and the independent t-test, depending on the distribution of the data. Before the intervention, the mean stress score was 18.47±4.21 in the control group and 17.93±4.10 in the intervention group. After the intervention, the intervention group showed a significant stress reduction (mean 11.20±3.45) compared to the control group (17.40±3.98), as assessed by a Mann-Whitney U test (p=0.0046). Sleep quality also improved significantly, with pre-intervention PSQI scores of 12.33±2.14 (control) and 11.87±2.08 (intervention), and post-intervention scores of 8.20±1.96 (intervention) versus 12.07±2.11 (control), supported by a p=0.0004. The findings demonstrate that Lavandula angustifolia aromatherapy relaxation effectively reduces stress and improves sleep quality in patients with kidney failure. Lavender aromatherapy may serve as a safe, simple, and complementary non-pharmacological therapy to support clinical management in this population

Peningkatan Kapasitas Pengelolaan Lingkungan terhadap Perindukan Aedes aegypti di Desa Nampu, Gemarang, Madiun

Demam Berdarah Dengue (DBD) merupakan masalah kesehatan masyarakat yang masih menjadi tantangan di Indonesia, termasuk di Kabupaten Madiun. Desa Nampu, Kecamatan Gemarang, Kabupaten Madiun merupakan salah satu wilayah dengan kasus DBD yang bervariasi setiap tahunnya. Puskesmas Gemarang sebagai leading sector kesehatan telah melakukan berbagai upaya pengendalian, namun partisipasi masyarakat masih perlu ditingkatkan. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan dan keterampilan kader Jumantik Desa Nampu dalam pengelolaan lingkungan untuk meminimalisir tempat perindukan nyamuk Aedes aegypti. Metode yang digunakan adalah penyuluhan dan praktik lapangan meliputi bionomik nyamuk, penyelidikan epidemiologi kasus DBD, serta praktik pemeriksaan jentik dan perhitungan Angka Bebas Jentik (ABJ). Sebanyak 40 kader Jumantik menjadi peserta kegiatan. Hasil pre-test menunjukkan sebagian besar peserta memiliki skor 60–80, dan setelah intervensi terjadi peningkatan rata-rata sebesar 10%. Antusiasme peserta terlihat tinggi pada sesi diskusi dan tanya jawab. Kegiatan praktik menunjukkan kader mampu melakukan pemantauan jentik sesuai pedoman Kemenkes. Disimpulkan bahwa intervensi ini efektif meningkatkan kapasitas kader jumantik dalam edukasi masyarakat terkait pengelolaan lingkungan dan diharapkan berkontribusi terhadap penurunan kasus DBD

Association between Access to Clean Water and Health Services and the Incidence of Stunting in Sungai Landas Village, Banjar District, South Kalimantan

Stunting among infants and toddlers in Sungai Landas Village, Banjar Regency, remains above the national target. Access to clean water and healthcare services plays a crucial role in preventing stunting, but the relationship between these two factors in this area has not yet been studied simultaneously. The study aim to analyze the association between access to clean water and access to healthcare services with the incidence of stunting among children under five in Sungai Landas Village. A quantitative cross-sectional study was conducted involving 30 children under five selected through purposive sampling. Data were obtained using an adapted Indonesian Nutritional Status Survey (SSGI) questionnaire, which assessed water source quality and the frequency of access to healthcare services. Stunting status was determined by measuring height-for-age according to Regulation of the Minister of Health No. 2 of 2020. Bivariate analysis was run with Fisher’s Exact test to assess the association between access to clean water and healthcare services and stunting incidence. Bivariate analysis revealed no significant association between access to clean water and stunting (p = 0.267), nor between access to healthcare services and stunting (p = 0.469). There is no significant association between the type of drinking water source or the frequency of healthcare service access and stunting among children under five in Sungai Landas Village. Other factors, such as a balanced diet and hygienic practices, also play a role. Recommendations include strengthening education on water treatment and family nutrition, improving the quality of healthcare services, and implementing multisectoral programs for more effective stunting reduction

Economic Pressures and Occupational Health and Safety: A Qualitative Study of Workers’ Experiences in the Shipbuilding and Ship Scrapping Industry in Kendari

The shipbuilding and ship scrapping industries play a significant role in maritime economic development, especially in coastal areas such as Kendari. Within the framework of industrial economics theory, this sector reveals the complex relationship between cost-efficiency, market structure, and its influence on occupational health and safety (OHS) standards. This research endeavor aims to investigate the correlation between economic constraints in the shipbuilding and ship dismantling sectors and the prevalence of significant occupational hazards, as well as their impact on the accessibility of occupational health services in Kendari. A descriptive qualitative approach was employed, utilizing an intrinsic case study design. Data were gathered through comprehensive interviews with a cohort of 12 pivotal informants, comprising both laborers and proprietors of ship workshops, as well as direct observational analysis conducted at the workplace. The findings reveal that cost-efficiency pressures drive the neglect of occupational health and safety (OHS) practices. The majority of workers do not use personal protective equipment (PPE), have never participated in OHS training, and work in unsafe environmental conditions. Common health complaints include respiratory issues, skin irritation, fatigue, and hearing impairment. Access to occupational health services is also highly limited, with most workers lacking social security and relying on self-medication. This study concludes that the economic structure of the industry directly contributes to the lack of adequate workplace safety measures. Therefore, an inclusive, participatory, and community-based policy approach is essential for improving OHS protections in the informal sector

The Effect of Massage Therapy on Preventing Delayed Onset Muscle Soreness (DOMS) in Sprinters

Sports significantly contribute to students' physical and mental development, enhancing fitness and social skills. However, high-intensity training, such as sprinting, often results in Delayed Onset Muscle Soreness (DOMS), which can impair athletic performance and motivation. Massage manipulation therapy is a physiotherapeutic approach aimed at preventing and alleviating DOMS symptoms while increasing the Range of Motion (ROM) and reducing muscle pain in sprinter athletes at SMAN 91 Jakarta. This quasi-experimental study employed a pre-test and post-test design with three groups: ESK (effleurage, shaking, kneading, n=15), ESH (effleurage, shaking, hacking, n=16), and a control group (n=13). Interventions were administered once weekly over four weeks. ROM was measured using a goniometer, and muscle soreness was assessed via the Visual Analog Scale (VAS). Data were analyzed using the Kolmogorov-Smirnov and Shapiro-Wilk tests for normality, the Friedman test, and further analysis using the Kruskal-Wallis test for within-group differences. The ESK group showed a significant reduction in muscle soreness from a mean of 3.48 to 1.91 (p<0.005), while the ESH group exhibited a significant improvement in ROM from a mean of 1.56 to 3.06 (p<0.005). The control group showed no statistically significant changes in either variable. Massage manipulation therapy was effective in reducing muscle pain and enhancing ROM. ESH was more effective for improving ROM, whereas ESK was more effective for reducing pain. These findings emphasize the importance of combining multiple Massage techniques for comprehensive physiotherapy benefits in school-based athletic training

Edukasi “Isi Piringku” untuk Perilaku Hidup Sehat Anak SD Negeri 01 Karangturi Gondangrejo, Karanganyar

Usia anak-anak Sekolah Dasar merupakan waktu yang tepat untuk memulai perilaku hidup sehat. Pada usia ini, anak-anak lebih suka bermain dan lebih aktif dalam melakukan sesuatu. Oleh karena itu diperlukan pola hidup sehat serta makanan sehat yang mendukung untuk meningkatkan kesehatan pada anak-anak. Meningkatkan kesehatan perlu adanya pemilihan makanan yang tepat dan pola hidup sehat. Pengetahuan mengenai gizi seimbang melalui Isi Piringku pada anak-anak SD Negeri 01 Karangturi, Gondangrejo, Karanganyar masih terbatas, karena banyak di antara mereka yang berasal dari keluarga kurang mampu dimana orang tua mereka rata-rata bekerja sebagai petani, buruh, wiraswasata maupun pedagang sehingga pengetahuan dasar dari keluarga belum maksimal atau kurang diperhatikan. Dari latar belakang tersebut sangat memungkinkan untuk anak-anak kurang mampu tersebut terkena penyakit diare dikarenkan lingkungan yang tidak bersih. Kegiatan pengabdian dimaksudkan agar anak-anak SD dapat meningkatkan perilaku hidup sehat. Melalui edukasi interaktif dalam program isi piringku, anak-anak yang sebagian didampingi orang tuanya yang ikut datang, dilatih dalam simulasi mencuci tangan terlebih dahulu menggunakan sabun.Penyuluhan dengan menggunakan gambar Isi Piringku, diawali dengan adanya pre-test dan diakhiri dengan post-test yang dilakukan secara lisan. Hasil post-test dari kegiatan diketahui anak-anak lebih meningkat pengetahuannya berkaitan perilaku hidup sehat

Cultural Pregnancy in the Prevention of Prenatal Depression Based on Transcultural Nursing Theory in Pregnant Women

Cultural pregnancy practices in prenatal care encompass prohibitions on specific behaviors and dietary restrictions that reflect community concerns during pregnancy. These practices may also contribute to prenatal depression. This study seeks to analyze factors related to transcultural nursing theory and cultural pregnancy in preventing prenatal depression among pregnant women in Jember Regency, Indonesia. A descriptive analytical cross-sectional design with a non-proportional stratified random sampling technique was employed, involving 420 participants. Data were collected using a questionnaire based on the eight dimensions of Transcultural Nursing and Cultural Pregnancy theory. The data were analyzed using Spearman's rho test. The results revealed significant correlations among pregnancy culture, social support, economic status, educational background, and cultural beliefs. Technological factors, particularly access to health information, were associated with healthier pregnancy behaviors. Religious and spiritual engagement contributed to stronger coping mechanisms and reduced emotional distress. Family kinship and social interaction played a determining role in identifying and reducing harmful cultural practices. In conclusion, multidimensional cultural, social, technological, and spiritual factors significantly influence prenatal mental health. Strengthening family support, enhancing access to accurate information, and addressing restrictive or harmful cultural practices are essential strategies for preventing prenatal depression among pregnant individuals

The Effect of Mulligan Mobilization with Movement Modality on Improving Joint Flexibility in Gout Arthritis Patients

Gout arthritis is a form of joint inflammation caused by the accumulation of monosodium urate crystals, leading to reduced joint flexibility, particularly in the knees. Non-pharmacological therapies such as the Mulligan Mobilization with Movement (MWM) technique provide a safe and effective alternative to enhance joint flexibility. However, the use of this therapy among patients with gout arthritis remains limited in primary healthcare settings. This study used a quasi-experimental design with 52 respondents divided into two groups: the intervention group (MWM) and the control group (Range of Motion exercises). Joint flexibility was measured before and after the intervention using a goniometer, and data were analyzed using statistical tests with a significance level of 0.05. The intervention group showed an increase in average joint flexibility from 123.85° to 140.19° (normal ≥140°), while the control group improved from 125.19° to 136.92°. The difference between the two groups was statistically significant (p=0.034), indicating that MWM therapy was more effective in improving joint flexibility than Range of Motion (ROM) exercises. The Mulligan Mobilization with Movement technique significantly improved joint flexibility in patients with gout arthritis and is recommended as a non-invasive rehabilitation method suitable for use in primary healthcare services