Hypertension is a cardiovascular disease known by the increasing level of blood pressure and the symptoms continue to the target organ. Traditional Chinese Medicine (TCM) in acupuncture diagnosis has a different perspective regarding the clinical manifestations of hypertension as shown in organ phenomena and as syndrome differentiation. The purpose of this study was to determine the clinical manifestations and the diagnosis of syndrome differentiation in patients with hypertension. The research method was a quantitative study with one shot case study approach. The research sample was taken by using purposive sampling technique as many as 40 respondents. The results showed that the majority of respondents had hypertension in grade I conditions (57.5%), with a diagnosis of excess syndrome (75%), and liver fire flaring upward (50%). Respondents showed symptoms of irritability (67.5%), tremor (25%), tingling sensation (25%), headache (75%), epigastric pain (70%), insomnia (32.5%), nausea (10 %), and blurred vision (100%). On inspection of the tongue, it was found that the majority of the tongue was red, swollen and yellow tongue coating (67.5%), while on palpation of the pulse there was a wiry pulse (100%), rapid pulse (100%), thready pulse (52.5%), powerful pulse (75%), and weak pulse (25%). This research is the basis for the development of diagnostic in acupuncture science and acupuncture health services for people with hypertension.

The prevalence of dysmenorrhea in Indonesia is estimated at 55%. For teenage girls or adolescents who need to pay a full attention in learning, dysmenorrhea is a problem that could hinder the learning process. One of the non-pharmacological methods that are effective for dysmenorrhea pain management is dysmenorrhea exercise. The purpose of this study was to find out young women's knowledge about dysmenorrhea exercise as dysmenorrhea pain management in Kediri. This study used a descriptive method with a cross sectional approach. The research population was all adolescent girls of class X IPA SMA Negeri 1 Kandat Kediri Regency as many as 148 people. The sampling technique used was systematic sampling, so that there were 74 female teenagers as the sample. The data was collected using a questionnaire, and then analyzed using percentage. The results showed that 38 respondents (51.4%) had sufficient knowledge, 36 respondents (48.6%) had poor knowledge, and none of the respondents (0%) had good knowledge. It is suggested for young women to be more active in seeking information about dysmenorrhea exercise so that they can reduce the pain caused by the dysmenorrhea.

Hospitals, as a source of transmission and spread of bacteria carrying antibiotic-resistant genes (ARGs) as well as a high source of antibiotic compounds, are a significant reservoir of antibiotic-resistant gene transfer that causes bacteria to develop multidrug resistance (MDR). Klebsiella pneumonia is a bacterium often found in wastewater with a high level of Extended Spectrum β-lactamase (ESBL) and carbapenemase resistance. This study aimed to determine Klebsiella pneumonia and resistance genes encoding ESBL and carbapenemase in hospital wastewater to obtain primary Antimicrobial Resistance (AMR) data in the environment, which was first conducted in Indonesia. The resistance gene detection method was developed using High Throughput Real-Time and conventional Real-Time (HT-RT PCR). The data obtained were relative abundance and copy number. The results showed that blaTEM and blaNDM were the highest ARGs. Conventional Real-Time PCR results showed better sensitivity in detecting K. pneumoniae and ARGs than HT-RT PCR. The detection of K. pneumoniae and ARGs in RSCM wastewater in Indonesia indicates the need to improve the handling of RSCM WWTP to monitor the number of microbial resistances to antibiotics.

Background: Disasters can cause deaths, injuries, damage to health facilities and public health problems. An effective approach is needed in handling victims through triage. Objective; analyzed the effect of the START triage method simulation on preparedness to help disaster victims by nurses at the Disaster Prone Health Center in Ternate City. Method: This research design is quasi experimental Pretest-posttest Control Group Design. The sample for this research is 50 nursing staff spread across 4 health centers in disaster-prone areas. The instruments used were questionnaires and observation sheets. Data analysis used the Wilcoxon test. Results: The research results showed that using the Wilcoxon test (α=0.05), the p value for the control group was 0.001 and the p value for the treatment group was 0.000. Conclusion: Providing the START triage method simulation to the treatment group had an effect on preparedness to help disaster victims by community health center nurses.

Hypertension can be triggered by a secondary cause, namely the use of hormonal contraceptives. Hormonal contraceptives contain the hormones estrogen and progesterone, resulting in a hormonal imbalance that leads to hypertension. This research aims to know the relationship between the duration of use and the type of hormonal contraceptives that can be associated with the incidence of hypertension. In Indonesia, the most common use of contraception is hormonal contraception (85.7%), including 139,342 injections (56.8%), 64,569 pills (26.3%), and 14,901 implants (6%). It is known that 216 out of 766 (28.19%) women of childbearing age who use hormonal contraceptives in the Telaga Dewa Health Center working area suffer from hypertension. Cross-sectional research design with a sample of 369 women of childbearing age. The type of hormonal contraception used, age, and blood pressure were obtained by secondary means from the midwife's register book. At the same time, primary door-to-door accepted length of use, education, employment, and number of children. It was found that the size of the use of hormonal contraceptives >5 years significantly related to the incidence of hypertension (p-value 0.000) with OR 2.685. The result will show how the relation of duration use and type of hormonal contraceptives can be associated with the incidence of hypertension. However, all types of hormonal contraceptives were not significantly related to the incidence of hypertension (p-value 0.223). The conclusion of the research is that age, occupation, education, parity, and use of hormonal contraception can be causes of hypertension in women of childbearing age.

Stunting is the root of the problem that affects human growth and development. This problem starts from the growth of the fetus until the first 1000 days of life. If not addressed, it will have long-term impacts. This article aimed to determine the impact of a history of stunting on adults. This research method uses a literature review. Article searches using the Taylor and Francis, Science Direct, and Springer Link databases. Seven articles met the inclusion criteria. The research results showed that 28.5% of the articles were researched in developed countries and 71.5% in developing countries. However, there are no research articles from Indonesia. Researchers found the impact of a history of stunting on adults, including 87.5% of articles describing physiological consequences, 66.7% of all articles mentioning cognitive obstacles, and 57.1% of all articles evidencing psychosocial problems. In conclusion, the impact of a history of stunting on adults is confirmed and a polemic that must be addressed immediately. If left untreated, this will continue to happen, becoming a scary cycle and reducing the quality of human resources.

The prevalence of stunting still varies between districts, even though it shows a decreasing trend nationally. Variations in the correlation of specific determinants are characteristic of each region that must be considered when designing stunting control strategies, considering the significant future impacts. The study aims to identify specific determinants of stunting among toddlers between districts in Lampung Province. With an ecological design, the study uses aggregate data from the Indonesian Nutrition Status Study Report 2022 and Welfare Statistics of Lampung Province 2022. The analysis was carried out in stages with the Moran's Index and Local Moran's Index (LISA), using ArcMap and GeoDa software. Based on the analysis results, there are three districts with stunting prevalence above the national average and ten districts above the provincial average. Comparison year over year (YoY) shows that the two districts have increased from low to high or very high. We also found six variables specifically correlated with the prevalence of stunting: access to safe drinking water and sanitation, poverty, birth attendant, age at pregnancy, and length of breastfeeding. Increasing and improving specific determinants is an essential step in designing control strategies.

This research aims to know the effectiveness of the combination of ginger and pomegranate towards emesis gravidarum reduction in first trimester pregnant women. This research was conducted pre-experimentally with a one group pretest-posttest design. The sampling technique used purposive sampling based on the exclusion and inclusion parameters. The research instrument used a 24-hour Pregnancy Unique of Emesis (PUQE-24) Scale questionnaire. The results indicated that the combination intervention of ginger and pomegranate obtained the most significant results from the intervention of ginger and pomegranate intervention with a p value of 0.000