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"Fraktur neck femur merupakan salah satu jenis fraktur yang paling umum terjadi pada pasien lanjut usia. Pembedahan menjadi pilihan penanganan medis utama yaitu salah satunya adalah hemiarthroplasty. Salah satu komplikasi utama pada pasien post operasi hemiarthroplasty adalah trombosis vena dalam, yang dapat berkembang membahayakan nyawa pasien ketika trombus lepas menuju paru-paru dan menimbulkan emboli paru. Pembentukan trombosis vena dalam dapat dicegah dengan merujuk pada latihan fisik guna menstimulasi aliran darah pada ekstremitas bawah. Karya Ilmiah Akhir Ners KIAN ini bertujuan untuk mengidentifikasi pengaruh pemberian intervensi ankle pump untuk mencegah pembentukan trombosis vena dalam pada pasien fraktur neck femur post hemiarthroplasty. Hasil intervensi menunjukkan tidak adanya tanda-tanda trombosis vena dalam selama perawatan post operasi fase akut di rumah sakit sehingga tindakan ini dapat menjadi alternatif intervensi keperawatan untuk pencegahan gangguan sirkulasi perifer pada pasien post hemiarthroplasty.

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Femoral neck fracture is one of the most common types of fractures in elderly patients. Surgery becomes the main medical treatment option, one of them is hemiarthroplasty. One of the major complications in post operative hemiarthroplasty patients is deep vein thrombosis, that can develop to be life threatening when the thrombus breaks, travel into the lungs and causes pulmonary embolism. The formation of deep vein thrombosis can be prevented by referring to physical exercise to stimulate the blood flow in the lower extremities.

This case study aimed to identify the impact of ankle pump exercise to prevent deep vein thrombosis in patients with femoral neck fracture post hemarthroplasty. The results of the intervention showed there was no signs of deep vein thrombosis during acute hospital post operative care. In brief, ankle pump exercise could be an alternative intervention to prevent the peripheral vascular disease in patient post hemiarthroplasty."

"Penuaan (aging) dikaitkan dengan sejumlah besar perubahan fungsi imunitas tubuh, terutama penurunan Cell Mediated Immunity (CMI) atau imunitas yang diperantarai sel. Kemampuan imunitas kelompok lanjut usia menurun sesuai peningkatan usia termasuk kecepatan respons imun melawan infeksi penyakit. Hal itu berarti bahwa kelompok lansia beresiko tinggi terserang penyakit seperti infeksi, kanker, jantung koroner, kelainan autoimmun atau penyakit kronik lainnya. Seluruh penyakit ini mudah terjadi pada lansia karena produksi imunoglobulin menurun. Akibatnya vaksinasi yang diberikan pada kelompok orang tua seringkali tidak efektif melawan penyakit. Orang-orang tua yang umumnya menderita kekurangan gizi makro dan mikro akan memiliki respons sistem dan fungsi imun yang rendah. Oleh karena itu, kasus malnutrisi pada lansia seharusnya memiliki perhatian khusus secara dini, termasuk pemberian vaksinasi untuk pencegahan penyakit. Penyakit infeksi yang dialami oleh lansia dapat dicegah atau diturunkan melalui upaya-upaya perbaikan gizi karena sistem imun akan meningkat. Jika fungsi imun lansia dapat ditingkatkan, maka kualitas hidup individu meningkat dan biaya pelayanan kesehatan dapat ditekan.

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Low Immunity Response in the Elderly. Aging is related to a number of changes in the immunity function, mainly the reducing of Cell Mediated Immunity (CMI). The immunocompetence of elderly worsen with age including the rate of immune respons against infection. It means that older people have a high risk of getting diseases such as infection, cancer, cardiovascular, autoimmune disorder, or other chronic diseases. All of these diseases occured in elderly due to the immunoglobulin production decrease. Thus, vaccination given to elderly often might not be effective against diseases. Older people who commonly suffer from a decrease of macro and micronutrients will have a low function and response of the immune system. Therefore, malnutrition cases in elderly should have early specific attention including consideration in given vaccination for preventing diseases. Infectious diseases mostly suffered by older people can be prevented or reduced through improving nutrition efforts because the immune system will be improved. If the immune function of the elderly can be improved, the individual quality of life increases and the health cost can be suppressed."

"Integritas diri lanjut usia didasarkan pada keyakinan bahwa hidup seseerang telah berguna sehingga memungkinkan individu untuk menghadapi kematian tenang dan hidup yang lebih bermakna. Penelitian ini bertujuan untuk mengetahui pengaruh terapi suportif temadap integritas diri pada 1anjut usia di Kota Bogor. Desain penelitian quasi experimental pre-post test with control group. Sampel berjumlah 70 orang, masing-masing 35 orang kelompok intervensi dan kontrol. Hasil penelitian mimunjukkan integntas diri -pada lanjut usia meningkat secara signifikan. Setelah dilakukan terapi suportif (pvalue= 0,0001 < a=0.05). Peningktan integritas diri lansia lebih tinggi dan signifikan pada kelompok yang mendapat terapi suportif dibandingkan kelompok yang tidak mendapatkan terapi suportif (pvalue=0,001 < a::;0.05). Terapi suportif direkomendasikan sebagai terapi keperawatan untuk meningkatkan integritas diri pada lanjut usia di masyarakat.

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The elderly self integrity based on a belief that one's life have meaning to enable such individual to face death peacefully and a more meaningful life. The purpose of this study was to determine the effects of supportive therapy to self integrity in elderly at Bogor City. The research design was quasi-experimental pre-post test with control group. The sample of this research are the elderly of 70 respondents including 35 respondents in the intervention group and 35 respondents in the control group. The results showed that elderly self integrity significantly after supportive therapy (pvalue=0,0001 < a=0.05). This research showed significant comparation of the elderly self integrity between group with supportive-therapy and neither (pvalue=O,OOl < a=0,05). Suppotive therapy recommended as nursing therapy used to treat elderly."

"Tinggi badan adalah salah satu indikator klinik utama dalam menentukan Indeks Massa Tubuh (IMT) dalam menentukan status gizi individu/populasi. Namun, pengukuran tinggi badan manusia usia lanjut (manula) cukup sulit dilakukan dan reliabilitasnya diragukan. Persamaan estimasi tinggi badan dari pengukuran tinggi lutut untuk memprediksi tinggi badan manula yaitu persamaan Chumlea telah dikembangkan beberapa tahun lalu, tetapi belum ada studi yang dilakukan di Indonesia untuk mengembangkan suatu persamaan bagi pengukuran tinggi badan populasi usia lanjut menurut bermacam-macam kelompok etnis. Oleh karena itu, suatu cross sectional studi untuk mengembangkan persamaan tinggi badan manula berdasarkan pengukuran dua parameter yaitu tinggi lutut dan panjang depa (knee height dan arm span) telah dilakukan pada bulan Desember 2005 lalu. Total 217 manula (usia 60 - 92 tahun) dari 3 kelompok etnik yaitu: Jawa (56,7%), Cina (31,3%), dan lain-lain (12,0%) berpartisipasi dalam studi ini. Pengukuran antropometri termasuk berat badan, tinggi badan, panjang depa, dan tinggi lutut dilakukan oleh ahli gizi terlatih. Kesalahan inter dan intra observer dilakukan untuk pengukuran antropometri tinggi lutut dan panjang depa manula. Temuan utama studi adalah rata-rata usia manula asal Cina adalah tertinggi di antara suku lainnya; kebanyakan manula mengalami gizi kurang (43%); distribusi rata-rata tinggi lutut dan panjang depa hampir sama di tiap kelompok etnis; ada perbedaan signifikan antara tinggi lutut dengan tinggi badan sebenarnya pada wanita lanjut usia (lansia), dan korelasi tertinggi ditunjukkan oleh parameter tinggi lutut pada wanita lansia dan panjang depa pada pria lansia. Persamaan Chumlea menunjukkan kecenderungan under-estimate pada pria lansia dan over-estimate pada tinggi badan wanita lansia. Kesimpulannya, tinggi badan tegak/sebenarnya merupakan teknik ideal untuk estimasi tinggi badan lansia. Tetapi, pada kasus di mana pengukuran itu sendiri tidak memungkinkan atau tidak reliable, maka tinggi badan dapat diestimasi dari indikator proksi tinggi badan. Pada studi ini, panjang depa menggambarkan korelasi tertinggi dengan tinggi badan sebenarnya pada pria lansia , dan tinggi lutut pada wanita lansia.

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The Equation of Prediction Stature Based on Age and Ethnic in Six Institutionalized Elderly at DKI Jakarta and Tangerang, Year 2005. Height is an important clinical indicator to derive body mass index (BMI) predicting the nutritional status. However, height measurement in the elderly may impose some difficulties and the reliability is doubtful. Equations estimating height from knee height parameter to predict stature in elderly i.e. Chumlea have been developed, but no one study has developed an equation for Indonesian population according to variety of ethnics. Therefore, a cross sectional study was conducted to develop equations using two types of anthropometric measurements (knee height and arm span) for estimating stature in Indonesian elderly. A total of 217 elderly (aged 60 to 92 years old) from three major ethnic groups Javanese (56.7%), Chinese (31.3%), and others (12.0%) participated in this study. Anthropometric measurement included body weight, height, arm span, and knee height were carried out by trained nutritionist. Inter and intra observer errors was calculated for each anthropometric measurement of arm span and knee height of elderly. Main findings of this study were the mean of age of Chinese was the highest among other ethnics; the most elderly suffered from underweight (43%); the distribution of mean knee height and arm span was almost similar in each ethnic group; there was a significant difference between knee height with stature in elderly women, and the highest correlation indicated by knee height in elderly women and arm span in elderly men. Chumlea equation showed tend to be under-estimate in stature of elderly men and over-estimate in stature of elderly women. In conclusion, standing height is an ideal technique for estimating the stature of elderly. However, in cases where its measurement is not possible or reliable, height can be estimated from proxy indicators of stature. In this study, arm span showed the highest correlation with standing height in elderly men, and knee height in elderly women.;The Equation of Prediction Stature Based on Age and Ethnic in Six Institutionalized Elderly at DKI Jakarta and Tangerang, Year 2005. Height is an important clinical indicator to derive body mass index (BMI) predicting the nutritional status. However, height measurement in the elderly may impose some difficulties and the reliability is doubtful. Equations estimating height from knee height parameter to predict stature in elderly i.e. Chumlea have been developed, but no one study has developed an equation for Indonesian population according to variety of ethnics. Therefore, a cross sectional study was conducted to develop equations using two types of anthropometric measurements (knee height and arm span) for estimating stature in Indonesian elderly. A total of 217 elderly (aged 60 to 92 years old) from three major ethnic groups Javanese (56.7%), Chinese (31.3%), and others (12.0%) participated in this study. Anthropometric measurement included body weight, height, arm span, and knee height were carried out by trained nutritionist. Inter and intra observer errors was calculated for each anthropometric measurement of arm span and knee height of elderly. Main findings of this study were the mean of age of Chinese was the highest among other ethnics; the most elderly suffered from underweight (43%); the distribution of mean knee height and arm span was almost similar in each ethnic group; there was a significant difference between knee height with stature in elderly women, and the highest correlation indicated by knee height in elderly women and arm span in elderly men. Chumlea equation showed tend to be under-estimate in stature of elderly men and over-estimate in stature of elderly women. In conclusion, standing height is an ideal technique for estimating the stature of elderly. However, in cases where its measurement is not possible or reliable, height can be estimated from proxy indicators of stature. In this study, arm span showed the highest correlation with standing height in elderly men, and knee height in elderly women.;The Equation of Prediction Stature Based on Age and Ethnic in Six Institutionalized Elderly at DKI Jakarta and Tangerang, Year 2005. Height is an important clinical indicator to derive body mass index (BMI) predicting the nutritional status. However, height measurement in the elderly may impose some difficulties and the reliability is doubtful. Equations estimating height from knee height parameter to predict stature in elderly i.e. Chumlea have been developed, but no one study has developed an equation for Indonesian population according to variety of ethnics. Therefore, a cross sectional study was conducted to develop equations using two types of anthropometric measurements (knee height and arm span) for estimating stature in Indonesian elderly. A total of 217 elderly (aged 60 to 92 years old) from three major ethnic groups Javanese (56.7%), Chinese (31.3%), and others (12.0%) participated in this study. Anthropometric measurement included body weight, height, arm span, and knee height were carried out by trained nutritionist. Inter and intra observer errors was calculated for each anthropometric measurement of arm span and knee height of elderly. Main findings of this study were the mean of age of Chinese was the highest among other ethnics; the most elderly suffered from underweight (43%); the distribution of mean knee height and arm span was almost similar in each ethnic group; there was a significant difference between knee height with stature in elderly women, and the highest correlation indicated by knee height in elderly women and arm span in elderly men. Chumlea equation showed tend to be under-estimate in stature of elderly men and over-estimate in stature of elderly women. In conclusion, standing height is an ideal technique for estimating the stature of elderly. However, in cases where its measurement is not possible or reliable, height can be estimated from proxy indicators of stature. In this study, arm span showed the highest correlation with standing height in elderly men, and knee height in elderly women."

"Skripsi ini tentang gambaran pemberdayaan lanjut usia melalui keikutsertaan pada Pelatihan Vokasional di Sentra Terpadu Pangudi Luhur (STPL) Bekasi yang dibahas berdasarkan disiplin Ilmu Kesejahteraan Sosial. Penelitian ini dilatarbelakangi oleh fenomena aging population serta tantangan kestabilan sosial dan ekonomi di tengah kemunduran kondisi lanjut usia yang sudah dianggap tidak produktif. Oleh karena itu, dibutuhkan upaya untuk mengembalikan kondisi lanjut usia salah satunya melalui Pelatihan Vokasional agar mereka dapat berdaya kembali mendapatkan penghasilan sesuai dengan kemampuan dan potensi yang dimilikinya. Tujuan dari penelitian ini adalah untuk mendeskripsikan gambaran keikutsertaan lanjut usia pada Pelatihan Vokasional dan faktor pendorong serta penghambat yang dihadapinya. Penelitian ini dilakukan melalui pendekatan kualitatif dengan jenis penelitian yaitu penelitian deskriptif. Pengumpulan data dilakukan pada bulan Juli 2022 hingga November 2022 melalui teknik wawancara mendalam dengan 13 informan yang dipilih berdasarkan purposive sampling dengan kriteria para informan terdiri dari lanjut usia yang aktif berpartisipasi pada Pelatihan Vokasional, pendamping yang sering berinteraksi dengan lanjut usia, dan Ketua Pokja Pelatihan Vokasional yang mengatur berjalannya kegiatan dalam pelatihan tersebut, serta teknik pengumpulan data melalui observasi. Analisis data dilakukan melalui pengkodean open coding, axial coding, dan selective coding. Data terakhir yang dihasilkan dari selective coding digunakan peneliti untuk disajikan dalam hasil penelitian lapangan dan pembahasan. Hasil penelitian menunjukkan bahwa keikutsertaan lanjut usia pada Pelatihan Vokasional di STPL Bekasi terlihat hanya ditujukan untuk mengisi waktu luang dan tidak sampai pada pemberdayaan yang berdasarkan pada keahlian secara profesional. Pendapatan yang dihasilkan lanjut usia belum dapat membantu memenuhi kebutuhan hidup mereka. Faktor pendorong lanjut usia kategori young-old (60-74 tahun) dalam mengikuti kegiatan itu diantaranya membuka kegiatan usaha, menjaga kesehatan agar tetap baik, serta menyalurkan pengalaman dan keahlian. Sementara itu, faktor pendorong pada kategori old-old (75+ tahun) hanya didasarkan pada pengisian waktu luang. Kemudian, untuk faktor penghambat internal terdiri dari kondisi kesehatan lanjut usia yang menurun dan perasaan malas. Lalu, faktor penghambat eksternal yang dirasakan oleh lanjut usia antara lain lingkungan yang kurang baik, kurangnya pelatihan dan pendampingan rutin, dan kurangnya strategi promosi hasil produk lanjut usia ke masyarakat luas. Hasil dari penelitian ini diharapkan dapat memberikan kontribusi untuk pengembangan Ilmu Kesejahteraan Sosial pada mata kuliah Sistem Usaha Kesejahteraan Sosial dan Kesejahteraan Lanjut Usia mengenai pelayanan peningkatan kesejahteraan lanjut usia melalui Pelatihan Vokasional.

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This research discusses the description of empowering the elderly through participation in Vocational Training at the Sentra Terpadu Pangudi Luhur (STPL) Bekasi which is discussed based on the Social Welfare Science discipline. This research is motivated by the aging population and challenges to social and economic stability amidst the decline in the condition of the elderly who are considered unproductive. Therefore, efforts are needed to restore the condition of the elderly, one of which is through Vocational Training so that they can be empowered to earn income again according to their abilities and potential. The purpose of this study is to describe the picture of the participation of the elderly in Vocational Training and the driving and inhibiting factors they face. This research was conducted through a qualitative approach to the type of research that is descriptive research. Data collection was carried out from July 2022 to November 2022 through in-depth interview techniques with the 13 informants were selected based on purposive sampling with the criteria of informants consisting of elderly who actively participate in Vocational Training, assistants who often interact with the elderly, and the Chair of the Vocational Training Working Group who regulates the activities in the training, as well as data collection techniques through observation. Data analysis was performed through open coding, axial coding, and selective coding. The last data generated from selective coding is used by researcher to present the results of field research and discussion. The results of the study show that the participation of the elderly in Vocational Training at STPL Bekasi appears to be only intended to fill their leisure time and does not lead to empowerment based on professional expertise. The income generated by the elderly cannot help meet their living needs. Factors that encourage the elderly in the young-old (60-74 years) to participate in these activities include starting a business, maintaining good health, and channeling experience and expertise. Meanwhile, the driving factor in the old-old (75+ years) is based solely on filling in leisure time. Then, the internal inhibiting factors consist of declining health conditions of the elderly and feelings of laziness. Then, external inhibiting factors that are felt by the elderly include an unfavorable environment, lack of routine training and assistance, and lack of strategies for promoting elderly products to the wider community. The results of this research are expected to contribute to the development of Social Welfare Science in the course Social Welfare Business System and Elderly Welfare concerning services to improve the welfare of the elderly through Vocational Training."

"Latar Belakang: Berkembangnya populasi lansia secara global termasuk di Indonesia tidak diikuti dengan kualitas hidup yang baik, yang salah satu penyebabnya adalah penyakit. Osteoporosis adalah salah satu penyakit dengan usia lanjut sebagai faktor risikonya. Deteksi awal osteoporosis antara lain dapat dilakukan melalui pengukuran tebal tulang kortikal mandibula pada radiograf panoramik.Tujuan: Mencari nilai rata-rata lebar/tebalnya tulang kortikal mandibula pada individu yang berisiko mengalami osteoporosis dengan rentang usia 40-80 tahun tanpa membedakan wanita dan pria.Metode: Sampel penelitian adalah radiograf panoramik yang berjumlah 89 dengan usia 40-80 tahun. Pengukuran tebal tulang kortikal mandibula dilakukan pada regio sekitar foramen mental kiri dan kanan.Hasil: Nilai rata-rata tebal tulang kortikal mandibula 4,80618 mm pada populasi kelompok usia 40-80 tahun dengan kecenderungan lebih tebal pada kelompok usia 40-59 tahun dibandingkan pada kelompok usia 60- 80 tahun.Kesimpulan: Nilai rata-rata tebal tulang kortikal mandibula pada kelompok usia 40-80 tahun pada penelitian ini masih tergolong normal.

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Background: The increasing number of elderly population in the world, which including Indonesia, is not followed by enhanced quality of life of the elderly that partly caused by with one of the reason is diseases. Osteoporosis is one of the diseases with age as its risk factor. Panoramic radiographs can be used as early detection of osteoporosis, which one of the methods is measuring mandibular cortical bone thickness.Objective: To obtain the average width / thickness of the mandibular cortical bone in individuals at risk of osteoporosis with age ranged 40- 80 years without differentiating women and men.Methods: The research sample is panoramic radiographs. The study subjects were 89 people aged 40-80 years. Measurements of cortical bone thickness done in the left and right foramen mental region.Results: Average width/thickness of the mandibular cortical bone in individuals at risk of osteoporosis with age range 40-80 years is 4,80618 mm. There is a tendency of thicker mandibular cortical bone in age ranged 40-59 years population than in age ranged 60-80 years population.Conclusion: In this study, the average thickness / width of the mandibular cortical bone in the age group 40- 80 years were within the normal range."

"Wanita postmenopause merupakan populasi yang berisiko osteoporosis dipengaruhi oleh berbagai faktor antara lain adalah polimorfisme genetik IL 10. Tujuan Menganalisis hubungan polimorfisme genetik IL 10 C627A dengan risiko osteoporosis pada wanita postmenopause. Bahan dan Cara Penelitian ini menggunakan 100 sampel DNA tersimpan dari serum darah wanita postmenopause SNP dari gen IL 10 C627A diperiksa dengan PCR dan RFLP dengan enzim restriksi RsaI.Hasil Frekuensi alel polimorfisme mengikuti Hardy Weinberg Equilibrium dan hasil uji statistik dengan Chi Square menunjukkan nilai p 0 322 0 05. Kesimpulan Terlihat gambaran polimorfisme genetik Il 10 C627A namun tidak ada hubungan antara polimorfisme genetik Il 10 C627A dengan risiko osteoporosis.

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A population of postmenopausal women at risk of osteoporosis is influenced by various factors one of which is IL 10 genetic polymorphism Objective. This study was conducted to analyze the relationship between genetic polymorphisms IL 10 C627A with the risk of osteoporosis in postmenopausal women. Materials and Method This study used 100 sampels of DNA stored from postmenopausal women SNP from IL 10 C627A was checked by PCR and RFLP with RsaI restriction enzyme.

Result The frequencies of allele polymorphism which followed Hardy Weinberg Equilibrium and the result of Chi square test showed no significant p 0 05 Conclusion. This study showed genetic polymorphism of IL 10 C627A but no correlation between genetic polymorphism IL 10 C627A with the risk of osteoporosis."

"Osteoporosis merupakan penyakit degeneratif yang ditandai dengan berkurangnya massa tulang. Salah satu faktor risiko penyakit ini adalah genetik. Gen P16INK4A diduga merupakan salah satu gen yang terlibat dalam penuaan. Tujuan dari penelitian ini adalah untuk menganalisis apakah terdapat gambaran polimorfisme pada penderita osteoporosis beserta hubungannya. Dilakukan analisis dengan PCR-RFLP pada 171 sampel wanita pascamenopause (56 sampel normal dan 115 sampel berisiko osteoporosis). Terdapat 16 (9,4%) genotip CC, 37 (21,6%) genotip CG, dan 118 (69%) genotip GG. Dari uji statistik yang dilakukan, disimpulkan terdapat kejadian polimorfisme gen P16INK4A pada penderita osteoporosis, namun tidak terdapat hubungan polimorfisme gen P16INK4A dengan risiko osteoporosis.

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Osteoporosis is a degenerative disease characterized by reduced bone mass. One of the risk factors for this disease is genetic factor. P16INK4A gene is suspected to be one of the genes involved in aging. The aim of this study was to analyze the relationship between P16INK4A gene polymorphism with osteoporosis risk in 171 samples of postmenopausal women (56 normal samples and 115 samples with osteoporosis risk) by using PCR-RFLP method. There are 16 (9.4%) CC genotype, 37 (21.6%) CG genotype, and 118 (69%) GG genotype. From statistical analysis, there is no significant relationship between P16INK4A gene polymorphism with osteoporosis risk."