Improve Blood Circulation Research Articles

A numerical study on the siphonic effect of enhanced external counterpulsation at lower extremities with a coupled 0D-1D closed-loop personalized hemodynamics model

Enhanced external counterpulsation (EECP) is a treatment and rehabilitation approach for ischemic diseases, including coronary artery disease. Its therapeutic benefits are primarily attributed to the improved blood circulation achieved through sequential mechanical compression of the lower extremities. However, despite the crucial role that hemodynamic effects in the lower extremity arteries play in determining the effectiveness of EECP treatment, most studies have focused on the diastole phase and ignored the systolic phase. In the present study, a novel siphon model (SM) was developed to investigate the interdependence of several hemodynamic parameters, including pulse wave velocity, femoral flow rate, the operation pressure of cuffs, and the mean blood flow changes in the femoral artery throughout EECP therapy. To verify the accuracy of the SM, we coupled the predicted afterload in the lower extremity arteries during deflation using SM with the 0D-1D patient-specific model. Finally, the simulation results were compared with clinical measurements obtained during EECP therapy to verify the applicability and accuracy of the SM, as well as the coupling method. The precision and reliability of the previously developed personalized approach were further affirmed in this study. The average waveform similarity coefficient between the simulation results and the clinical measurements during the rest state exceeded 90%. This work has the potential to enhance our understanding of the hemodynamic mechanisms involved in EECP treatment and provide valuable insights for clinical decision-making.

Pelatihan Senam Ibu Hamil terhadap Penurunan Low Back Pain Ibu Hamil Trimester III Di Klinik Bidang Titiek Makassar

Complaints of pregnant women back pain (back pain) 60-80%. Low Back Pain in pregnancy at 13 weeks to 30 weeks of gestation it was found that the older the pregnancy the stronger the back pain. Gymnastics is a coping method that can prevent physical stress due to pregnancy, reduce lower extremity and back cramps, increase the mother's ability to adapt to changes in her body. The method used in this service activity is in the form of lectures, demonstrations and training. The stages in this activity start from preparation, implementation to closing. Evaluation of the success of the training is assessed through a pre test and post test through a questionnaire. The results obtained on the back pain scale before doing exercise for pregnant women were 3 people with a mild pain scale, 4 people with a moderate pain scale, and 3 other mothers. pregnant, improving blood circulation, reducing complaints of cramps or aches, and preparing breathing, muscle activity and the pelvis to face the birth process. So it is recommended for pregnant women and health workers to apply the exercise method for pregnant women in reducing complaints of back pain during the third trimester.

Reducing Dysmenorrhea In School-Aged Teenagers By Practising Yoga: A Literature Review

Dysmenorrhea is the term used to describe lower abdominal pain that women feel during their menstrual cycle. Teens suffering from menstrual pain typically have lower abdominal cramps and other symptoms that interfere with day-to-day activities. An alternative to medication for treating menstruation discomfort is yoga. This study aimed to ascertain whether yoga may lessen dysmenorrhea in teenagers enrolled in school. This approach uses the MEDLINE/PubMed, Scopus, and Google Scholar databases to review literature. The PRISMA approach utilized for this literature review was adhered to during the article selection process. The research's selection criteria comprised works published within the last five years, specifically from 2018 to 2023. Yoga was employed to lessen dysmenorrhea discomfort in the research population, consisting of young women with monthly pain. Between 2018 and 2023, 666 studies were discovered to have satisfied the publication selection requirements. Fifteen journals that fit the requirements for this study were identified through the PRISMA route search. According to the data, yoga has been shown to have a calming effect on teenage menstrual discomfort in 15 journals. Thus, yoga is a successful non-pharmacological management strategy for lowering dysmenorrhea in school-age teenagers. This is because yoga may be calming, encouraging the body to release endorphins, which function as organic painkillers. Yoga is a mild activity that helps the body avoid stiffness, pressure, pain, and tiredness while increasing flexibility safely. It enhances lung capacity when breathing, improves blood circulation, eases physical and emotional stress, and lessens pain. Additionally, practising yoga helps women with PMS feel more at ease by reducing dangerous inflammatory secretions. Key Words: Yoga; Dysmenorrhea; Menstrual; Teenagers

Upaya Pemberdayaan Kader dan Ibu Hamil tentang Senam Hamil untuk Mengatasi Ketidaknyamanan Kehamilan pada Ibu Hamil di Posyandu Kinasih Banjarsari Surakarta

Pregnancy exercise is a form of structured exercise or exercise. Exercising on a regular basis will improve blood circulation, strengthen muscles and flex joints and can reduce common disorders during pregnancy such as aches, back pain, muscle stiffness, constipation, and reduce leg swelling. Doing pregnancy exercise regularly can reduce lower back pain, one of which is by kneeling, rotating the pelvic bones, bending the buttocks, bending the knees, chest. The purpose of this community service is that after receiving counseling it is hoped that pregnant women and Health Cadres members of Posyandu Kinasih, Banjarsari Subdistrict, Surakarta can apply and be able to provide education to pregnant women to carry out pregnancy exercise to overcome discomfort in pregnant women. The target of counseling activities about pregnancy exercise is all Health Cadres and pregnant women in the Banjarsari Village, Surakarta. The expected output of pregnancy exercise counseling activities for cadres and members of the Balita Kinasih Posyandu in Banjarsari Surakarta Village is an increase in knowledge and skills about pregnancy exercise for mothers and cadres. The results of community service are that after counseling cadres and pregnant women become more knowledgeable, understand about pregnancy exercise as evidenced in the results of the evaluation through the distribution of questionnaires, the average value of the level of knowledge is from 70% to 90%. Based on the implementation of community service, it can be concluded that there is an increase.

The impact of Fengcheng Spatholobus spatholobi on breast cancer

The essay introduces the basic concept of breast cancer and its high incidence among Singaporean women. Scientists have tested different kinds of drugs to help manage or overcome the effects of breast cancer. In recent years, Caulis spatholobi, a Chinese herbal medicine, has attracted much attention. It has anti-tumor, antiviral, immune regulation, anti-inflammatory, antioxidant, soothing, and hypnotic effects. Caulis Spatholobi has also been found to positively affect the blood, including nourishing, improving blood circulation, and dredging the meridians. Clinically, it can be used to treat diseases such as irregular menstruation, blood deficiency, jaundice, numbness, rheumatism, and pain. Caulis Spatholobi can also reduce and improve blood pressure and positively regulate myocardial blood supply. Caulis Spatholobi is cylindrical. The outer surface is grayish brown, with a reddish-brown color and longitudinal grooves where the cork peels off. The transverse section of the medicinal herb shows a light redwood with an irregular arrangement of small pores. The skin has resin-like secretions that appear reddish brown or black brown. The most obvious feature of the medicinal herb is that it is arranged in an eccentric semi-circular ring with the wood alternately. Myelinated, small, and leaning to one side. The texture is solid and not easy to break, and the broken section may have irregular rows and flakes. Mild Qi, astringent taste. Promoting blood circulation, nourishing blood, and regulating menstruation: It can be used to treat menstrual disorders, dysmenorrhea, amenorrhea, and other symptoms, and is often combined with traditional Chinese medicine Angelica, Chuanxiong, and Xiangfu. Relaxing tendons and activating collaterals: This product is a commonly used medicine for treating meridian obstruction and disharmony. The elderly have weak qi and blood, numbness, and paralysis in their hands and feet. Radiation-induced leukopenia. This product has great results.

Injectable and Thermosensitive Hydrogel with Platelet-Rich Plasma for Enhanced Biotherapy of Skin Wound Healing.

The rapid and effective healing of skin wounds resulted from severe injuries and full-layer skin defects remains a pressing clinical challenge in contemporary medical practice. The reduction of wound infection and rapid healing is helpful to rebuild and repair skin tissue. Here, a thermosensitive chitosan-based wound dressing hydrogel incorporating β-glycerophosphate (GP), hydroxy propyl cellulose (HPC), graphene oxide (GO), and platelet-rich plasma (PRP) is developed, which exhibits the dual functions of antibacterial properties and repair promotion. GP and HPC enhance the mechanical properties through forming hydrogen bonding connection, while GO produces local heat under near-infrared light, leading to improved blood circulation and skin recovery. Notably, antibacterial properties against Pseudomonas aeruginosa, and control-release of growth factors from PRP are also achieved based on the system. In vitro experiments reveal its biocompatibility, and ability to promote cell proliferation and migration. Animal experiments demonstrate that the epithelial repair and collagen deposition can be promoted during skin wound healing in Sprague Dawley rats. Moreover, a reduction in wound inflammation levels and the improvement of wound microenvironment are observed, collectively fostering effective wound healing. Therefore, the composite hydrogel system incorporated with GO and PRP can be a promising dressing for the treatment of skin wounds.

Literary review on Dhoopana Karma quoted in various ayurvedic classics for the management of pain and inflammation

ABSTRACT Dhoopana Karma (fumigation therapy) is mentioned in various scriptures of Ayurveda as Rakshoghna Karma (protective action) to prevent and cure diseases. It is less practiced for pain management in Ayurveda, whereas it is widely practiced in the Chinese Medicine System. Dhoopana Karma can be used effectively when there is involvement of Kapha Dosha along with Vata Dosha, where Kleda (discharge) is more. But in Ayurvedic classics, we get very few references regarding Dhoopana Karma as Chikitsa for Shoola (pain). Sukshma Srotogamitva (subtle channel penetration) of Dhoopana Dravya (fumigating substance) is due to Akasha, Vayu, and Agni Mahabhoota. Hence, they possess properties like Kledaghna (reduces discharge), Shoolaghna (pain-alleviating), Vranaropaka (wound-healing), and Shothahara (anti-inflammatory), etc. Dhoopana Karma also improves blood circulation, which helps to reduce pain and inflammation. In this article, an attempt is made to understand the anti-inflammatory action of Dhoopana Karma mentioned in various Ayurvedic treatises. Key words: Dhoopana, Shoolahara, Shothahara, Pain and inflammation.

Effectiveness Of Massage Therapy On Fatigue In Cancer Patients Undergoing Chemotherapy: Scoping Review

Cancer patients undergoing chemotherapy have side effects. Side effects felt by cancer patients undergoing chemotherapy include nausea and vomiting, diarrhea, constipation, bone marrow damage, peripheral neuropathy, alopecia, pain and fatigue. Fatigue is a condition that occurs in patients because the bone marrow stops producing red blood cells during the chemotherapy process. Fatigue can be severe when patients experience pain, depression and lack of sleep. Fatigue management can be done with non-pharmacological therapy, one of the therapy is massage therapy. Massage therapy can be a manual stimulation of tissues in the body to improve blood circulation, relax muscles, reduce pain and fatigue, and improve sleep quality. Massage therapy can overcome anxiety and reduce fatigue significantly. This study aims to determine the effect of massage therapy on fatigue in cancer patients undergoing chemotherapy. The researchers used several databases such as Pubmed and Science direct. A total of 9 articles were analyzed. In the article there are several massage therapy interventions used to overcome fatigue in cancer patients including accupressure, reflexology, thai massage, back massage, progressive muscle relaxation. Based on several journals that have been analyzed, it can be concluded that the provision of massage therapy interventions can reduce the level of fatigue in cancer patients.

Innovation In Combination Of Massage Gun And Nigella Sativa Oil (NSO) To Prevent The Risk Of Decubitus

Decubitus ulcers often occur in the elderly because the condition of the elderly is susceptible to disease and requires complete rest (bed rest) due to decreased body function, which causes limitations in body movement. Decubitus wounds are caused by several factors, namely immobilization, friction, and skin moisture. Pressure sores can be treated in several ways, namely by massaging and improving blood circulation, especially in the pressure area. Massage using direct massage requires extra energy so that a massage gun can reduce fatigue risk. This massage gun can be applied with Niggella Sativa Oil (NSO) to help increase skin hydration and elasticity. Objective: To determine the effectiveness of administering a combination of a massage gun and Nigella Sativa Oil (NSO) to prevent the risk of pressure ulcers in the elderly at the Sasana Tresna Wonogiri Nursing Home. Giving Nigella Sativa Oil (NSO) alone is not very effective, so innovation is needed in this tool by adding a massage gun, which helps increase blood circulation so that it can help older people with long bed rest to reduce the risk of developing pressure ulcers.

The effect of effleurage massage on decreasing active first period labor pain: A literature review

Introduction: Labor pain is a visceral nociceptive pain caused by contractions and cervical dilatation. Pain that occurs can affect the mother's condition in the form of fatigue, fear, worry, and stress. Effleurage massage is one of the effective non-pharmacological methods to overcome labor pain. Effleurage massage aims to improve blood circulation, warm abdominal muscles, and promote physical and mental relaxation. This study aims to determine v in the first phase of active labor. Method: This study uses a literature review method with a quasi-experiment research design. Literature search sources used five databases namely Google Scholar, PUBMED, and Science Direct with published years 2018-2023. Study selection according to inclusion criteria with a prism checklist of abstract titles, full text and assessed the feasibility of further studies analyzed from the study findings. Result and Discussion: The search results found 6 journals that met the inclusion criteria. From the overall review of 6 journal articles, it was found that 5 journal articles had a significant effect of giving effleurage massage on labor pain during the active phase I. In contrast, 1 article did not have a significant effect between effleurage and counter-pressure in reducing labor pain. Conclusion: Effleurage massage affects reducing the level of labor pain during the active phase I.

Literature Review Study of Lactational Massage on The Flow of Breast Milk

Lactation massage is a massage technique that can be worked out for smooth breastfeeding, by doing massages regularly as well as applying the correct breastfeeding technique. Lactation massage is useful for reducing pain, tension, stress, and anxiety, elevating mood or mood, increasing milk production, and encouraging loving maternal care, preparing the mother physically, emotionally, and mentally to face the postpartum period. This study aims to determine the relationship between lactation massage and the smoothness of breastfeeding in postpartum mothers. The method used in the preparation of this research is to use a literature review study approach by analyzing 16 articles that have been selected according to research criteria. The results from 16 literature review journals found that giving lactation massage is very effective for expediting breast milk. In this study it can be concluded that giving lactation massage can overcome the uneven production of breast milk, improve blood circulation, prevent breast milk from clogging, and make mothers more relaxed.

Traditional Therapy in Postpartum Care: A Qualitative Study in Neniari Village, Manggarai Regency, East Nusa Tenggara

The postpartum period is an important period for mothers to recover their physical and psychological condition after giving birth. In Indonesia, there are various traditional practices carried out to care for postpartum mothers. This research aims to explore traditional therapeutic practices in postpartum care in Neniari Village, Manggarai Regency, East Nusa Tenggara. This research uses a qualitative study method with a phenomenological approach. Data was collected through in-depth interviews with 10 postpartum mothers and 3 traditional birth attendants. The research results show that there are three types of traditional therapy that are commonly practiced in Neniari Village, namely: Herbal concoctions: Herbal concoctions are used to treat various complaints experienced by postpartum mothers, such as bleeding, abdominal pain and breast swelling. Ukup: Ukup is a massage technique performed to improve blood circulation, reduce pain, and improve mood. Rahu: Rahu is a steaming technique performed to warm the body, tone the uterine muscles and increase breast milk production. The research results show that traditional therapy has many benefits for postpartum mothers, both physically and psychologically. Traditional therapy can also be an alternative postpartum care that is affordable and easy to obtain.

Influence of Trichosanthes pericarpium extract on improving microcirculation and outcomes of patients with acute myocardial infarction after percutaneous coronary intervention.

Microcirculatory dysfunction is an independent risk factor for a poor prognosis after percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI). Trichosanthes pericarpium is a well-known Chinese traditional herb described with the effect of activating blood circulation to dissipate blood stasis and improve blood circulation. However, its effects on microcirculation in patients with AMI after primary PCI remain unknown. This study aimed to investigate the effect of Trichosanthes pericarpium extract (TPE) on improving microcirculation and outcomes in patients with AMI after PCI. This study included 155 patients with a history of emergency PCI treatment. In this cohort, 31 patients received a course of TPE, defined as intravenous TPE infusion (12 ml TPE dissolved in 250 ml 5% Glucose Injection) once daily for 7 days on the background of standard treatment after PCI; 124 who did not receive TPE were regarded as the control group and received standard treatment after PCI. The corrected thrombolysis in myocardial infarction frame count (CTFC) and index of microcirculatory resistance (IMR) were used to evaluate myocardial microcirculation. Cardiac function was measured by echocardiography during hospitalization and follow-up. Major adverse cardiac events (MACEs) were recorded for prognostic analysis. At the 6-month follow-up, AMI patients who received TPE after primary PCI had significantly lower levels of CTCF (24.27 ± 2.40 vs. 21.88 ± 1.92, P < 0.001) and IMR (20.02 ± 2.20 vs. 17.80 ± 2.11, P < 0.001) than patients in the control group. Left ventricular ejection fraction and left ventricular internal dimension at systolic at 6-month follow-up in the TPE group significantly improved than in the control group (56.6 ± 4.5 vs. 62.1 ± 3.5, P < 0.001; 32.5 ± 1.5 vs. 30.2 ± 1.8, P < 0.001). Kaplan-Meier curve analysis indicated that patients with AMI who received TPE had significantly lower rates of MACEs than the control group at 6-month follow-up (P = 0.042). In the context of standard treatment, Trichosanthes pericarpium further improved coronary microcirculation, increased cardiac function, and reduced short-term MACEs rate. Our data suggest that TPE could be used in combination therapy for patients with AMI after primary PCI.

Ginsenosides ameliorates high altitude-induced hypoxia injury in lung and kidney tissues by regulating PHD2/HIF-1α/EPO signaling pathway.

Background: The primary constituent of ginseng, known as ginsenosides (GS), has been scientifically demonstrated to possess anti-fatigue, anti-hypoxia, anti-inflammatory, and antioxidant properties. However, the effect and mechanisms of GS on tissue injury induced by high-altitude hypoxia still remain unclear. Aim of the study: This study aims to investigate the protective effect of GS on a high-altitude hypoxia model and explore its mechanism. Materials and methods: Sprague-Dawley rats were placed in a high-altitude simulation chamber for 48h (equivalent to an altitude of 6,000m) to establish a high-altitude hypoxia model. We assessed the anti-hypoxic efficacy of GS through blood gas analysis, complete blood count, and hemorheology analysis. We used H&E and hypoxia probe assays to evaluate the protective effect of GS on organ ischemia-induced injury. Further, we used ELISA and qPCR analysis to detect the levels of inflammatory factors and oxidative stress markers. Immunohistochemistry and immunofluorescence staining were performed to determinate protein expression of hypoxia inducible factor 1-alpha (HIF-1α), erythropoietin (EPO), and prolyl hydroxylase 2 (PHD2). Results: In the survival experiment of anoxic mice, 100mg/kg of GS had the best anti-anoxic effect. GS slowed down the weight loss rate of rats in hypoxic environment. In the fluorescence detection of hypoxia, GS reduced the fluorescence signal value of lung and kidney tissue and alleviated the hypoxia state of tissue. Meanwhile GS improved blood biochemical and hematological parameters. We also observed that GS treatment significantly decreased oxidative stress damage in lung and kidney tissues. Further, the levels of inflammatory factors, IL-1β, IL-6, and TNF-α were reduced by GS. Finally, GS regulated the PHD2/HIF-1α/EPO signaling pathway to improve blood viscosity and tissue hyperemia damage. Conclusion: GS could alleviate high-altitude induced lung and kidney damage by reducing the level of inflammation and oxidative stress, improving blood circulation through the PHD2/HIF-1α/EPO pathway.

A Joint Analysis of Metabolomics, Network Pharmacology, and Molecular Docking Reveals the Efficacy Patterns in Various Medicinal Segments of Angelica sinensis (Oliv.) Diels Root

Angelica sinensis (Oliv.) Diels root (ASR) is a medicinal and edible traditional Chinese herb medicine. Understanding the varying efficacies in different ASR segments and their associated pharmacological mechanisms at the metabolome level has been a largely unexplored research area. This study integrates metabolomics, network pharmacology, and molecular docking to investigate the characteristics and mechanisms underlying hemostasis, blood enrichment, and blood circulation promotion in distinct ASR medicinal segments. The distinguishable metabolic spectra were visually presented for the head (ASRH), body (ASRB), and tail (ASRT) in ASR, highlighting the dominant metabolites in each. Furthermore, a network linking components, targeted proteins, signaling pathways, and diseases was constructed. The combined analysis of metabolomics and network pharmacology confirms that ASRT primarily enhances blood circulation, whereas ASRH and ASRB lean toward hemostasis and blood enrichment. The dominant ingredients of ASRT mainly influence signaling pathways of calcium, PI3K‐Akt, and arachidonic acid metabolism by modulating targeted proteins like EGFR, SRC, AKT1, and HSP90AA1, thus enhancing hemodynamics. In contrast, the dominant ingredients of ASRH and ASRB regulate PI3K‐Akt, IL‐17, and JAK‐STAT signaling pathways via proteins, such as CTNNB1, AKT1, SRC, and EP300, playing a role in hemostasis and blood enrichment. These results were subsequently validated by molecular docking. This study innovatively combines metabolomics, network pharmacology, and molecular docking to preliminarily reveal the mechanisms governing hemostasis, blood enrichment, and blood circulation improvement regulated through multiple components, targeted proteins, and pathways in different ASR segments. These findings offer valuable insights for future investigations into the efficacies of distinct ASR segments.

Penerapan Senam Kaki Pada Penderita Diabetes Mellitus dalam Upaya Pencegahan Komplikasi Diabetes pada Kaki (Diabetic Foot)

Background: Diabetes Mellitus (DM) is a disease that is increasing every year in countries around the world. Reports from various regions in Indonesia show that the incidence and complications of DM are widespread, making it a national problem that requires more attention. A frequently encountered complication of DM is diabetic foot, which can manifest as ulcers, infection and gangrene. Actions to treat diabetic foot include preventive measures which include foot care education, diabetic shoes and foot exercises. Foot exercises are exercises carried out by DM sufferers and non-sufferers to prevent injuries and help improve blood circulation in the legs. Apart from their role in providing health education, nurses as members of the medical team can also play a role in teaching foot exercises so that DM patients are able to do foot exercises independently. Objective: To increase the knowledge and skills of DM sufferers by implementing foot exercises in an effort to prevent diabetes complications in the feet (diabetic foot). Method: Foot exercise activities are carried out on DM sufferers who do not have wounds on the feet. The methods used were lectures, questions and answers, and direct demonstrations using newspapers. Results: The results of the activities obtained were an increase in knowledge before and after providing counseling and demonstrations of foot exercises for DM sufferers. Conclusion: After carrying out this community service, the community's ability to do foot exercises has increased and can be done independently, so it is hoped that this can prevent complications in DM sufferers.

Sosialisasi Tentang Senam Kaki Pada Penderita Diabetes Melitus Tipe II Di Wilayah Kecamatan Tabunganen

Diabetic foot exercises can be given to all DM patients with Type I or Type II and it is best to provide this therapy since the patient is diagnosed with Diabetes Mellitus as a measure to prevent complications as early as possible due to Diabetes Mellitus. Foot exercises can help improve blood circulation, strengthen the small muscles of the feet, and prevent foot deformities in people with Type II Diabetes Mellitus. Blood flow to the feet will help stimulate the nerves of the feet in receiving stimulation, this will increase the sensitivity of the feet in receiving stimulation. Apart from that, if you don't do leg exercises it can result in narrowed or blocked blood vessels, this can cause ineffective peripheral perfusion. To overcome this problem, it is necessary to provide foot exercises to people with Type II Diabetes Mellitus, because doing foot exercises can prevent ineffective peripheral perfusion. The method used was socialization about foot exercises for diabetes mellitus sufferers with the result that the community was enthusiastic about the implementation of foot exercises in the outer terrace village area of ​​Tabunganen sub-district. The conclusion was that the majority of people were able to carry out foot exercises independently.

Effect of Cupping Therapy on Biochemical and Hematological Parameters

Background: The word Hijama is derived from Arabic means to suckle and restore to normal state of internal equilibrium. Cupping therapy is one of the alternative and conventional therapies, which have significant association and beneficial in some clinical conditions such as Lower back pain, neck and shoulder pain, headache and migraine, knee pain and hypertension. The aim was to determine biochemical and hematological parameters in before and after cupping therapy. Method: A comparative cross-sectional study was carried out at MLT lab of the CUSIT Peshawar from January 2023 to September 2023. A total 210 Convenient Samples collected from different Hijama center in district Peshawar. SPSS Paired T Test were used for statistical analysis. Results: Statistically positive changes in biochemical parameters such as ALT, ALP, SBR, Uric acid, Cholesterol, Triglyceride HDL, LDL and VLDL. Biochemical parameters including Total protein, Urea and Creatinine not statistically significant in cupping therapy. Where, hematological parameters such as White blood cell count, Red Blood cells count, Hemoglobin Level, Platelets count and coagulation cascade were found significantly in cupping therapy. Conclusion: This study concluded that the cupping therapy have positive impact on biochemical and hematological parameters. This study recommend that cupping therapy is good in certain health condition such as pain reduction, Muscle relaxation, improve blood circulation and activation of the immune system.

Hubungan Faktor-Faktor yang Mempengaruhi Motivasi Ibu dalam Pelaksanaan Senam Hamil di Wilayah Kerja Puskesmas Kuta Baro Kabupaten Aceh Besar

Pregnancy exercises are beneficial for both mother and fetus. In mothers to reduce pain during childbirth and can strengthen the pelvic floor muscles and the mother's abdominal wall, improve blood circulation so as to accelerate the process of childbirth. This study aims to determine the relationship of factors that influence the motivation of mothers in the implementation of pregnant gymnastics in the Kuta Baro Community Health Center Working Area, Aceh Besar Regency. This study uses an analytic design that uses a cross sectional approach. The research population of all pregnant women in the Kuta Baro puskemas working area was 730 people, the research sample of pregnant women was 88 respondents. The sampling technique used in this research was Accidental Sampling. This research instrument uses a questionnaire sheet. The data collection was conducted on March 25 to April 19, 2023 in the Kuta Baro Community Health Center work area. The results showed that there was a significant relationship between the knowledge factor and the implementation of pregnant gymnastics value (p=0.000). There is a significant relationship between the attitude factor and the implementation of pregnant gymnastics value (p=0.000). There is significant relationship between the factor of husband's support with implementation of pregnant gymnastics value (p=0.019). Conclusion There is a relationship between the factors that influence mothers in the implementation of pregnant gymnastics in the Kuta Baro Community Health Center Working Area, Kuta Baro District, Aceh Besar. It is expected that respondents can maximize the factors that exist in following regular pregnancy exercises.

ETNOBOTANI MARSIDUDU PADA MASYARAKAT SUB ETNIS BATAK MANDAILING DI PASAR SANGKUMPAL BONANG KOTA PADANGSIDIMPUAN [Ethnobotanical Of Marsidudu In Sub ethnic Batak Mandailing Communities At Sangkumpal Bonang Market Padangsidimpuan City

Marsidudu is a traditional steam bath tradition performed by the Mandailing Batak sub-ethnic group. This research was conducted to determine the knowlodge of the Mandailing Batak ethnic community about the marsidudu tradition. Data collection was carried out through in dept interview. The results of the study show that the Mandailing Batak ethnic community utilizes 29 types of plants used for the marsidudu tradition. The perceived benefits of marsidudu are refreshing the body, relieving muscle pain, relieving stress, relieving aches, improving blood circulation and the body feeling more fragrant and having bright vision. In the process of carrying out this marsidudu there are 3 stages, namely boiling the ingredients, carrying out marsidudu and after doing marsidudu. The results of quantitative data analysis showed that Nypa fructicans was the type of plant that had the highest ICS value of 600. The part of the plant that was most used for marsidudu was the leaves (52,7%).