Penyuluhan dan Pelayanan Kesehatan Sebagai Upaya Memperbaiki Manajemen Hipertensi Pada Lansia Di Kelurahan Jembatan Lima Kecamatan Tambora Jakarta

The incidence of hypertension increases with age. Alterations in function and structure in peripheral vascular system are thought to be the cause of high prevalence of hypertension in the elderly. Holistic, patient-centered management of hypertension is needed to prevent deaths from heart failure. This community service aimed to find out the level of knowledge about hypertension in residents of Jembatan Lima Sub-district, Tambora District, West Jakarta. Using a questionnaire, the level of knowledge was studied in 48 participants cross-sectionally. Blood pressure measurements were also carried out to describe the incidence of hypertension in that area. There was a low level of knowledge about hypertension among participants and this had an impact on increasing the risk of hypertension. Fifty-two percent of participants had normal blood pressure, whereas 48% participants were diagnosed as hypertension. Based on demographic data of participants obtained during the event, age, sex, education level and type of work were significantly increasing the risk of hypertension. Results from this community service conclude that the lack of knowledge of hypertension especially in the elderly can increase the risk of hypertension. In order to improve the quality of managing hypertension in the elderly in Jembatan Lima Village, Tambora District, West Jakarta, it is recommended that counseling and discussion groups to be held annually, especially among the elderly.Angka kejadian hipertensi meningkat seiring dengan meningkatnya usia. Perubahan fungsi dan struktur pada sistem vaskuler perifer diperkirakan menjadi penyebab tingginya prevalensi hipertensi pada lansia. Manajemen hipertensi secara holistik yang terpusat pada pasien diperlukan untuk mencegah terjadinya kematian akibat gagal jantung. Pengabdian Kepada Masyarakat  ini dilakukan untuk mengetahui gambaran tingkat pengetahuan hipertensi pada lansia di Kecamatan Tambora Jakarta Barat. Dengan menggunakan kuesioner, tingkat pengetahuan tentang hipertensi diukur pada 48 peserta di tempat tersebut. Pengukuran tekanan darah juga dilakukan untuk mendeskripsikan tingkat kejadian hipertensi di tempat tersebut. Tingkat pengetahuan tentang hipertensi para peserta kegiatan pengabdian kepada masyarakat kurang baik dan berdampak pada meningkatkan risiko hipertensi. 52% peserta memiliki tekanan darah normal sedangkan 48% peserta terdiagnosis hipertensi. Faktor risiko berdasarkan data demografi peserta juga didapatkan dengan hasil usia, jenis kelamin, tingkat pendidikan serta jenis pekerjaan meningkatkan risiko hipertensi secara bermakna. Dari hasil PKM ini dapat disimpulkan bahwa kurangnya tingkat pengetahuan hipertensi khususnya pada lansia dapat meningkatkan risiko terjadinya hipertensi. Agar dapat meningkatkan kualitas penanganan hipertensi pada lansia di Kelurahan Jembatan Lima Kecamatan Tambora Jakarta barat, maka disarankan agar diadakan penyuluhan dan grup diskusi antar lansia

Rediscovery of the giant featherback Chitala lopis (Notopteridae) in its type locality resolves decades of taxonomic confusion

Unresolved taxonomy poses a significant challenge for conservation and recovery efforts of freshwater fishes in Indonesia. Asian featherbacks of the genus Chitala are found in Java, Sumatra and Borneo, and currently thought to comprise 3 of 6 species: C. lopis, C. hypselonotus, and C. borneensis. According to the IUCN, Chitala species are of Least Concern in Indonesia, except for C. lopis, which is considered Extinct. However, the taxonomy of Chitala species is unclear, with 3 nominal species (C. lopis, C. hypselonotus and C. borneensis) historically synonymized under a single name (C. lopis), but more recently tentatively considered as a valid species. The recent rediscovery of C. lopis in its type locality (Java) since last recorded in 1851 enabled a comprehensive genetic and morphological study of the 3 nominal species to clarify their status. We examined 151 mitochondrial sequences from all known species of Chitala, including sequences from the type localities of the 3 taxa in question. We identified 3 well-supported clades corresponding to C. lopis, C. hypselonotus, and C. borneensis. The analyses of 22 measurements identified several diagnostic characters between C. lopis and C. borneensis. We provide evidence that C. lopis is not extinct and is widespread across Java, Sumatra and Borneo. In contrast, C. hypselonotus has a more restricted distribution to Central Sumatra and may be at risk of extinction given it has not been collected from the Musi River since 2015. We argue for an urgent revision of the IUCN conservation status of the 3 species and recommend an expansion of molecular-based inventories to all freshwater fishes in Indonesia