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Upaya Meningkatkan Kesadaran Masyarakat terhadap Hipertensi dan Pencegahannya pada Komunitas Lanjut Usia Alexander Halim Santoso; Triyana Sari; Joshua Kurniawan; Fernando Nathaniel; Brian Albert Gaofman; Geoffrey Christian Lo; I Made Satya Pramana Jaya
JURNAL PENGABDIAN KEPADA MASYARAKAT SISTHANA Vol. 5 No. 2 (2023): Desember : Jurnal Pengabdian Kepada Masyarakat Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/pkmsisthana.v5i2.827

Abstract

World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.
Correlation of Physical Activity with Behavioral, Emotional, and Psychosocial Disorders: A Cross-Sectional Study of 5 Elementary Schools in Ciherang Village Agustina Agustina; Fransisca Iriani R Dewi; Lontoh, Susy Olivia; Yohanes Firmansyah; William Gilbert Satyanegara; Valentino Gilbert Lumintang; Kasvana Kasvana; Geoffrey Christian Lo
Community Medicine and Education Journal Vol. 5 No. 2 (2024): Community Medicine and Education Journal
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/cmej.v5i2.554

Abstract

Physical activity is essential for children, but unfortunately, it has decreased due to the development of technology. Sedentary behavior in children can cause growth disorders, such as obesity, diabetes, heart disease, and high blood pressure. It can also affect child development, including emotional and behavioral disorders, decreased self-confidence, and symptoms of depression. This cross-sectional study was conducted in February-March 2024 in five Ciherang Elementary Schools. The study included 246 children who met the inclusion criteria. Physical activity was assessed using the IPAQ questionnaire, while emotional and behavioral disorders were assessed using the pediatric symptom checklist 17 (PSC-17) questionnaire. Their mean age was 11.83 years. The mean IPAQ score was 62.21 (16.45), and the mean PSC-17 score was 11 (2 – 27). The study found no significant correlation between physical activity and emotional, behavioral, and psychosocial disorders (internalization; p-value = 0.322, attention; p-value=0.515, and externalization; p-value=0.059, and total PSC17 score; p-value=0.944). However, a correlation was found between physical activity and externalizing behavior, with an r-correlation value of 0.121 and an R square of 0.016. Physical activity is associated with externalizing behavior, particularly in children between 10 and 14.
Analisis Neutrophil-to-Lymphocyte Ratio dan Platelet-to-Lymphocyte Ratio pada Pasien Infark Miokard Akut Geoffrey Christian Lo; Freddy Ciptono
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3563

Abstract

Introduction: Acute myocardial infarction (AMI) is a clinical manifestation of coronary atherosclerosis involving chronic inflammation. Neutrophilia, lymphopenia, and thrombocytosis due to systemic inflammation can be measured using hematological markers neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). Previous studies have reported using NLR and PLR to determine the prognosis of cardiovascular disease. Purpose: This study aims to investigate whether NLR and PLR differ in the incidence of AMI, both NSTEMI (non-ST elevation myocardial infarction) and STEMI (ST elevation myocardial infarction), and to evaluate their predictive value. Methods: A cross-sectional study was conducted using complete blood count data from 141 AMI patients treated at Tzu Chi  Hospital from 2018 to 2024 upon their arrival at the emergency room. The data were analyzed using SPSS, utilizing the Mann-Whitney test to identify significant differences, and Receiver Operating Characteristic analysis to assess the predictive value and cut-off points for NLR and PLR. Results: There was a statistically significant difference in NLR in the incidence of AMI (p = 0.013) but no statistically significant difference in PLR in the incidence of AMI (p = 0.549). NLR with a cut-off of 4.34 (sensitivity 60.6%, specificity 60%) showed a low predictive value (AUC = 0.622), and PLR with a cut-off of 158.90 (sensitivity 53%, specificity 57.3%) had no predictive value (AUC = 0.529) to distinguish between NSTEMI and STEMI events. Conclusion: The difference in NLR was more significant and had better predictive value than PLR in AMI
Waspadai Penurunan Fungsi Ginjal pada Geriatri Melalui Deteksi Dini eGFR dan Serum Kreatinin Di Panti Werda Hana Johan Johan; Alexander Halim Santos; Farell Christian Gunaidi; Geoffrey Christian Lo; Muhammad Farhan Pratama Susilo
Cakrawala: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 2 (2025): Mei: Cakrawala: Jurnal Pengabdian Masyarakat Global
Publisher : Universitas 45 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30640/cakrawala.v4i2.4438

Abstract

Chronic kidney disease (CKD) is a major health concern frequently observed in the elderly population. Aging is associated with physiological changes that impact various organ systems, including a progressive decline in renal function due to a reduced number of functioning nephrons, which in turn leads to a gradual decrease in glomerular filtration rate (GFR). The Community Service Program (PKM) conducted at Panti Werdha Hana aimed to raise awareness among the elderly regarding the importance of early detection of kidney function impairment through serum creatinine measurement and estimation of eGFR. This initiative applied the Plan-Do-Check-Act (PDCA) approach, encompassing education on risk factors and laboratory testing. Among 76 participants, 19 individuals (25%) were identified with stage 5 CKD, 3 (3.95%) with stage 4, 6 (7.89%) with stage 3b, 17 (22.37%) with stage 3a, and 31 (40.79%) with stage 2 kidney function decline; additionally, 26 individuals (34.21%) had elevated creatinine levels. These findings underscore the critical importance of early detection to prevent CKD progression and associated complications, while also promoting improved quality of life in the elderly through timely intervention and continuous health educationKeywords: Chronic Kidney Disease, Early Detection, Elderly, Glomerular Filtration Rate, Serum Creatinine