Nana Wildana
Universitas Muhammadiyah Aceh

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Evaluasi Program Hipertensi di Pelayanan Kesehatan Puskesmas Blang Bintang Kabupaten Aceh Besar Nana Wildana; Muhammad Ghifari Karsa; Marhamah Marhamah; Farrah Fahdhienie; Faisal Abdurahman
SEHATI: Jurnal Kesehatan Vol 5, No 2 (2025)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v5i2.100

Abstract

Hypertension is one of the global health problems that contributes to high morbidity and mortality. A hypertension evaluation program in health services is needed to assess the effectiveness of interventions that have been carried out and to improve the quality of health services. The purpose of this study was to evaluate the implementation of the Chronic Disease Management Program (Prolanis), especially for hypertension patients at the Blang Bintang Community Health Center, Aceh Besar Regency, during the period 2022–2024. Evaluation of the hypertension control program at the Blang Bintang Community Health Center through observation of annual report data and direct interviews with the person in charge of PTM at the Blang Bintang Community Health Center regarding aspects of planning, implementation, involvement of health workers and program achievement results, data collection techniques using secondary data, namely the performance report of the Blang Bintang Community Health Center for the period 2022–2024. The Hypertension Prolanis Program at the Blang Bintang Community Health Center for the period 2022–2024 has shown progress in the implementation of community-based services. The increase in the number of human resources, budget, and logistics has provided a strong foundation in carrying out educational and preventive activities for hypertension patients. Routine exercise, regular medication distribution, and group education are key pillars of this program's success. The study concluded that the program has been effective in the short term, but its long-term success depends heavily on the system's ability to measure, monitor, and continuously improve its implementation
Long Term Effects of Ketogenic Low Carbohydrate and Low Fat Diets On Weight Loss, Risk of Dyslipidemia Risk, and Cardiometabolic Outcomes Nana Wildana; Marhamah Marhamah; Nurul Rahmi; Rasmawati Rasmawati
SEHATI: Jurnal Kesehatan Vol 6, No 1 (2026)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v6i1.155

Abstract

Weight loss and improvement in cardiometabolic risk are the primary goals of dietary interventions in populations at risk for obesity and dyslipidemia. Low-carbohydrate ketogenic diets (including VLCDs) and low-fat diets are two popular approaches, but their long-term effects are controversial. This systematic review aims to compare the long-term effects of low- carbohydrate ketogenic diets and low-fat diets on weight loss, dyslipidemia risk, and cardiometabolic outcomes in an adult population. A literature search of the PubMed, WOS, scilit Total records identified 4.179. After screening, 15 studies with a duration of at least 12 months were analyzed qualitatively and quantitatively. The ketogenic diet resulted in greater weight loss in the first 6–12 months, but 58% of subjects experienced an increase in LDL-C, despite improvements in triglycerides and HDL-C. The low-fat diet more consistently reduced LDL-C and triglycerides and increased HDL-C, although weight loss was slower. In the period 24 months, the difference in weight loss narrowed, but the risk of dyslipidemia in the ketogenic diet still needs to be watched out for. In conclusion, the ketogenic diet is effective for short-term weight loss and improvements in several lipid parameters, but can increase the risk of LDL-C. A low-fat diet is safer for long-term lipid profiles. Diet selection should be adjusted to the individual's risk profile and regular cardiometabolic monitoring.