Pelatihan Skrining Penyakit Tidak Menular dan Pencegahannya Bagi Kader Kesehatan

Non-communicable disease (NCD) screening training aims to provide skills in determining a person's health condition based on body mass index (BMI) and simple blood tests. Health cadres who have been equipped with the skills to determine BMI and simple blood tests can then detect NCD in the community independently. Nutrition training aims to provide skills in calculating nutritional adequacy from a daily menu. Educational videos on simple blood tests were made to replace hands-on training due to limitations of the covid19 protocol. Before and after training, pre and posttest were carried out. The training was attended by 15 health cadres in Gamping Kidul Village, Ambarketawang, Gamping, Sleman, Yogyakarta. The average score before training was 67.14, increasing to 73.57 thereafter. Paired T-test analysis showed no significant difference in pre and posttest scores (p = 0.076). After receiving the training, it is hoped that health cadres can carry out screening independently around their respective homes, so that early detection of NCD in the community can take place, then prevention can be carried out so that it does not become a fatal complication. It was concluded that the training could improve health cadres' understanding of PTM screening, prevention and calculating a balanced nutritious diet but not significant.

Peningkatkan Pengetahuan Masyarakat tentang Manajemen Perawatan Hipertensi: Pengabdian Kepada Masyarakat

ABSTRAK Hipertensi merupakan penyakit tidak menular yang menjadi salah satu penyebab utama kematian. Hipertensi dapat menyebabkan penyakit serius lainnya seperti penyakit stroke, penyakit jantung, penyakit ginjal dan lain-lain. Penderita hipertensi kebanyakan tidak menyadari bahwa mereka memiliki tekanan darah yang tinggi. Umumnya diketahui saat melakukan pemeriksaan kesehatan atau dalam kondisi kesehatan yang buruk. Tujuan pengabdian kepada masyarakat untuk meningkatkan pengetahuan masyarakat tentang manjemen hipertensi. Metode palaksanaan pengabdian kepada masyarakat adalah penyuluhan tentang hipertensi pada penderita hipertensi di Wilayah UPT Puskemas Gang Sehat Kota Pontianak. Hasil pengabdian kepada masyarakat didapatkan adanya peningkatan pengetahuan masyarakat tentang manajemen hipertensi. Pengetahuan merupakan dasar dalam merubah perilaku seseorang menjadi lebih sehat. Kata Kunci: Edukasi, Hipertensi ABSTRACT Hypertension is a non-communicable disease that is one of the main causes of death. Hypertension can cause other serious diseases such as stroke, heart disease, kidney disease, and others. Most people with hypertension do not realize that they have high blood pressure. It is generally discovered during a medical examination or is in poor health. The purpose of community service is to increase public knowledge about hypertension management. The method of implementing community service is counseling about hypertension in hypertension sufferers in the UPT Puskemas Gang Sehat area, Pontianak City. The results of community service showed an increase in public knowledge about hypertension management. Knowledge is the basis for changing one's behavior to be healthier. Keywords: Education, Hypertension

Non-communicable disease (NCDs)

not available BIRDEM Med J 2022; 12(1): 1-5

Melatonin, A Promising Therapeutic for Diabetes Mellitus and Its Complications: A Narrative Review

Diabetes mellitus (DM) is a non-communicable disease and still a health problem in the world. Melatonin is responsible to metabolize carbohydrate and regulate blood sugar levels. Several studies proved Melatonin is useful in the diabetes therapy and its complication by performing antioxidant activity through various signaling pathways. The role of the melatonin hormone in the pathogenesis of complications of diabetes mellitus is still a lot of controversy. Animal studies are still incomplete to explain the mechanism of action of melatonin. Therefore, this review aims to discuss Melatonin role administration in DM and its complications. This review was started by searching articles using electronic databases such as Google Scholar, Science Direct, SpringerLink and Pubmed between 2009-2019. Melatonin increased respiration within mitochondria; acted as antioxidant that fight free radical production; and reduced oxidative stress. It diminished proinflammatory cytokines in diabetes and prevents various DM complications on eyes, cardiac and male reproductive organs through antioxidant effects. It inhibited proinflammatory within several signaling Pathways, included PI3K/Akt-Nrf2,cGMP-PKG, Nrf-2-HO-1 and MAPK, Syk, p38MAPK pathways. There are various melatonin roles in diabetes and DM complications as a promising new breakthrough of DM treatment. It is necessary to explore Melatonin role in other DM complications. Most of this research is on experimental animals, thus clinical trial studies should be carried out in humans to make melatonin a promising therapeutic or prevention for diabetes and its complications in the future

Vital and Nonvital Pulp Therapy in Primary Dentition: An Umbrella Review

Dental caries is the most common non-communicable disease in children with significant aesthetic, functional, and quality of life deterioration. Depending on the depth, two approaches may be considered in primary dentition: vital pulp therapy (VPT) or non-vital therapy (NPT). This umbrella review aimed to critically assess the available systematic reviews (SRs) on VPT and NPT. An electronic database search was conducted (PubMed, Embase, Scopus, Cochrane, Web of Science, and LILACS) until June 2021. The Risk of Bias (RoB) of SRs was analyzed using the Measurement Tool to Assess SRs criteria 2 (AMSTAR2). From 272 entries, 33 SRs were included. Regarding the methodological quality, three studies were critically low, nine low, seventeen moderate, and six were rated as high quality. The quality of evidence produced by the available SRs was moderate. Future high standard SRs and well-designed clinical trials are warranted to better elucidate the clinical protocols and outcomes of VPT and NPT.

Gambaran Pengetahuan dan Upaya Pencegahan Diabetes Melitus: Literatur Review

Diabetes Mellitus ia a non-communicable disease characterized by high blood sugar levels due to impaired insulin function. Diabetes prevention encompassed modified and unmodifie factors. Age and heredity are the ummodified factors, whereas diet, pack of physical activity, drugs, stress, and pack of knowledge are the modified factors. Education and family support Van influence the level of knowledge that can affect a person both towards the environment and particular objects. To identify the level of knowledge, physical activity, and other prevention efforts to prevent diabetes. A Literature review was used on this study, The article was selected from the Pubmeed, Portal Garuda, and Scilit database. Five studies where selected based on inclusion criteria. This study showed that people with diabetes mellitus had good knowledge 377 respondents, 161 respondents gas suffcient knowledge, and 131 respondents lacked knowledge. While the prevention of diabetes mellitus had good prevention as many as 322 respondents, adequate prevention as 166 respondents, lack of prevention was 141 respondents. Physical activity gas a level of mild as many as 30 respondents, moderate as right respondents, high as two respondents. Many people had a lack of knowledge and prevention of diabetes mellitus, Nurse are expected to provide education or nursing care as well as phychological aspects. Keywords : Diabetes Melitus; Prevention; Knowledge. AbstrakDiabetes Melitus suatu penyakit tidak menular yakni gangguan metabolisme kronis yang disebabkan oleh banyak faktor dengan ditandai tingginya kadar gula darah sebagian dari akibat gangguan fungsi insulin, upaya pencegahan diabetes memiliki faktor risiko meliputi faktor yang tidak dapat diubah yakni umur dan keturunan dan faktor yang dapat diubah yakni makanan, aktifitas fisik yang kurang, obat- obatan,stress dan kurangnya pengetahuan. Tingkat pengetahuan dapat dipengaruhi oleh pendidikan dan dukungan keluarga yang dapat mempengaruhi seseorang baik terhadap lingkungan maupun objek tertentu. Mengetahui gambaran pengetahuan dan upaya pencegahan dan juga pencegahan dengan melakukan aktivitas fisik. Penelitian ini merupakan penelitian sekunder berjenis literatur review. Metode yang digunakan dalam pemilihan artikel yaitu dengan melakukan penelusuran literatur dari sumber database Pubmed, Portal Garuda, dan Scilit dan didapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Hasil analisis literatur review menunjukkan bahwa masyarakat dengan pengetahuan dan upaya pencegahan diabetes melitus memiliki pengetahuan baik dengan hasil sebanyak 377 responden, pengetahuan cukup sebanyak 161 responden, pengetahuan kurang sebanyak 131 responden. Sedangkan pencegahan diabetes melitus memiliki pencegahan baik sebanyak 322 responden, pencegahan cukup sebanyak 166 respondnen, pencegahan kurang baik sebanyak 141 responden. Dan pencegahan aktivitas fisik memiliki tingkat pencegahan ringan sebanyak 30 responden, pencegahan sedang sebanyak 8 responden, pencegahan tinggi sebanyak 2 responden. Masyarakat yang mengalami kurang pengetahuan dan pencegahan diabetes melitus paling banyak mengalami tingkat pengetahuan dan pencegahan baik. Diharapkan perawat dapat memberikan edukasi atau asuhan keperawatan dengan tetap memperhatikan aspek psikologi. Kata kunci : Diabetes Melitus; Pencegahan; Pengetahuan.