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Abstrak :
Latar Belakang: Migrain sebagai salah satu jenis prevalensi nyeri kepala primer pada kedua jenis kelamin mencapai puncaknya antara usia 25 hingga 55 tahun sedangkan puncak prevalensi TTH diamati antara usia 30 hingga 39 tahun, dimana periode tersebut merupakan tahun paling produktif untuk bekerja. Karena dampaknya signifikan terhadap produktivitas, ketidakhadiran, dan kesehatan pekerja, bersama dengan prevalensinya yang tinggi dalam populasi pekerja, nyeri kepala harus dipertimbangkan sebagai prioritas dalam kedokteran kerja. Latihan fisik merupakan salah satu intervensi yang bisa menjadi cara efektif untuk mengurangi gejala sakit kepala. Laporan kasus berbasis bukti ini bertujuan untuk mengetahui efektivitas latihan fisik di lingkungan kerja untuk mengurangi gejala, frekuensi dan intensitas, penggunaan analgesik atau perbaikan lain pada pasien nyeri kepala tipe tegang (TTH). Metode: Pencarian literatur dilakukan melalui tinjauan database elektronik: Pubmed, Google Scholar dan Cochrane. Kata kunci yang digunakan adalah “tension type headache” and “physical exercise” and “workers”. Kriteria inklusi pencarian ini adalah uji coba terkontrol secara acak (RCT), systematic review (SR), pekerja dengan nyeri kepala tipe tegang. Kriteria eksklusi artikel ini adalah artikel yang tidak dapat diakses, RCT yang telah digunakan dalam systematic review terkini. Hasil: Pencarian literatur dilakukan pada 21 April 2019. Ditemukan 3 artikel yang relevan untuk menjawab pertanyaan klinis; 2 RCT dan 1 SR. Pada artikel pertama, intention to treat analysis menunjukkan penurunan frekuensi dan intensitas nyeri kepala sekitar 50% di semua kelompok intervensi dibandingkan dengan REF pada tindak lanjut 20 minggu (P <0,001). Penggunaan analgesik lebih rendah pada kelompok intervensi yang diamati (1WS, 3WS dan 9WS), tetapi tidak pada kelompok dengan supervisi pelatihan minimal (3MS), dibandingkan dengan REF saat tindak lanjut. Pada artikel kedua, tidak ada efek antar kelompok yang terdeteksi, tetapi dalam kelompok tersebut terdapat penurunan angka dari awal hingga tindak lanjut. Frekuensi TTH pada kelompok ST menurun 11% (P = 0,041) dan durasi menurun sebesar 10% (P = 0,036), sedangkan kelompok koreksi ergonomis dan postur menunjukkan penurunan frekuensi yang signifikan sebesar 24% (P = 0,0033) dan penurunan durasi 27% (P = 0,041). Artikel ketiga adalah SR yang menemukan 15 artikel. Tidak ada artikel yang diklasifikasikan sebagai risiko bias rendah menurut the Cochrane Collaboration’s tool. Kesimpulan: Ketiga artikel yang dinilai membuktikan bahwa latihan fisik efektif dalam mengurangi gejala, frekuensi, intensitas sakit kepala serta penggunaan analgesik pada pekerja khususnya pekerja kantoran. Latihan tersebut dapat diterapkan pada pekerja kantoran, meskipun tidak dapat disimpulkan mana yang terbaik. ......Background : Migraine as one type of primary headache prevalence in both sexes peaks between 25 to 55 years of age whereas the peak prevalence for TTH is observed between 30 to 39 years of age, with those periods often regarded as the most productive years of employment. Because of their significant impact on productivity, absenteeism, and workers’ wellness, together with their high prevalence in the working population, headache disorders should be considered as a priority in occupational medicine. To our knowledge, physical exercise is one of intervention that could be an effective way to reduce the symptoms of headache. This evidence based case report aimed to know about the effectiveness of physical exercise in workplace setting to reduce symptom, frequency and intensity, use of analgesic or any other improvement in tension type headache patient. Method : Literature searches were conducted through an electronic database review: Pubmed, Google Scholar and Cochrane. The keywords used were “tension type headache” and “physical exercise” and “workers”. The inclusion criteria of this searching strategy were randomizes controlled trial, systematic reviews, workers with tension type headache. The exclusion criteria of this article were inaccessible articles, RCTs that have been used in recent systematic review. Result : Literature search was carried out on April 21 2019. Found 3 relevant articles to answer clinical question; 2 Randomized control trial and 1 systematic review. In first article, the intention-to-treat analysis showed reduced headache frequency and intensity of approximately 50% in all training groups compared with REF at 20-week follow-up (P<0.001). Use of analgesics was lower in the supervised training groups (1WS, 3WS and 9WS), but not in the group with minimal training supervision (3MS), compared with REF at follow-up. In second article, twenty-three patients completed strength training and 21 completed ergonomic and posture correction (perprotocol). No between-group effect was detected, but within groups numerical reductions were noted in both groups from baseline to follow-up. Frequency of TTH in the strength training group decreased by 11% (P=0.041) and duration decreased by10% (P=0.036), while the ergonomic and posture correction group showed a significant reduction in frequency of 24% (P=0.0033) and a decrease in duration of 27% (P=0.041). Third article was a systematic review which found fifteen articles. None of them were classified as low risk of bias according to the Cochrane Collaboration’s tool for assessing risk of bias. Conclusion : The three studies that have been appraised prove that physical exercise can be effective in reducing symptoms, frequency, intensity of headache also the use of analgesic in workers especially those experienced by office workers. Those exercise is also applicable in workplace setting especially in office workers, although can not be concluded which one is the best.

Abstrak :
ABSTRAK
Hipertensi (HT) menjadi resiko utama penyebab kematian lansia. Kepatuhan latihan fisik adalah salah satu kendala manajemen HT. Penelitian bertujuan mengidentifikasi faktor yang berhubungan dengan tingkat kepatuhan lansia HT melakukan latihan fisik. Penelitian cross-sectional pada 108 lansia diseleksi dengan purposive sampel. Pengambilan data menggunakan kuesioner. Analisa data menggunakan chi-square dan regresi logistik ganda. Riwayat keluarga (p=0,037), persepsi kerentanan (p=0,018), persepsi hambatan (p=0,044), persepsi dukungan keluarga (p=0,005) dan persepsi dukungan sosial (p=0,004) memiliki hubungan yang signifikan. Faktor paling dominan adalah persepsi dukungan sosial (exp (β) = 3,759). Dukungan sosial diperlukan lansia untuk mematuhi program kesehatan.

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ABSTRACT
Hypertension (HT) is a major risk of elderly mortality. Adherence physical exercise is one of HT management constraints. The study aimed to identify factors related to adherence level of HT elder did physical exercise. Cross-sectional studies of 108 elderly were selected by purposive samples. Data collection using questionnaire. Data analysis using chi-square and multiple logistic regression. Family history (p=0.037), perception of resistance (p=0.044), perception of family support (p=0.005) and social support perception (p=0.004) have significant relationship. The most dominant factor is the perception of social support (exp (β)=3.759). Social support is needed by the elderly to comply with the health program.

Abstrak :
ABSTRAK
Urbanisasi yang terjadi di kota Depok mempengaruhi gaya hidup. Pola makan gorengan danmakanan berisiko serta kurangnya aktifitas menjadi faktor yang munculya penyakit degeneratifpada masyarakat perkotaan. Salah satu penyakit degeneratif yang sering muncul adalah diabetesmellitus. Diabetes merupakan ancaman kesehatan yang menjadi fokus bagi perawat komunitas.Peran perawat komunitas memberikan asuhan keperawatan keluarga dan individu. Perawatmemberikan asuhan keperawatan di RW 02 Tugu Depok yang memiliki masalah utama kesehatanadalah diabetes. Perawat melakukan asuhan keperawatan pada keluarga bapak S, yang memilikianggota keluarga DM yaitu ibu R, dengan menggunakan intervensi unggulan berupa jalan kaki 30menit setiap hari. Hasil dari intervensi setelah 18 kali dilakukan terdapat penurunan kadar guladarah ibu R. Sehingga latihan fisik berjalan kaki dapat menurunkan kadar gula darah penderitaDM. Selain latihan fisik, kepatuhan obat dan manajemen diet DM yang tepat juga menjadi faktorpendukung dalam mengontrol kadar gula darah pada penderita DM.

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ABSTRACT
Urbanization that happened in Depok give an impact to lifestyle. The habit of eating fried foodsand another risk foods, and also lack of activity, can be a risk for degenerative diseases on urbancommunity. One of degenerative disease which often to happen in urban community is DiabeticMellitus DM . DM is a health rsquo s threat whcich can be a focused for community health nurses.Nurse rsquo s roles are giving care plan for family and an individual. Nurse gave a care plan in RW 02Tugu, Depok, which has DM as their main problem. Nurse gave a care plan on Mr. S rsquo s family withDM problem on Mrs. R. The main nursing intervention is physical exercise with walking for 30minutes everyday. The result of this intervention after 18th visit was reducing of blood glucoselevel on Mrs. R. This can be conclude that physical exercise with walking can reduce bloodglucose level on DM patient. Beside physical exercise, obedience of medication, and dietmanagement are also supporting factor to reduce blood glucose level on DM patient.

Abstrak :
The book covers areas of cellular physiology and metabolism that are of interest to scientists involved in research in diabetes and metabolic diseases. Some chapters of the book are specifically research-oriented, as all the authors are actively practicing either bench or clinical research in the area. In particular, the book discusses classical aspects of cellular physiology and the metabolism of physical exercise, as well as novel topics like exercise in transplantation and exercise in beta-cell failure, which mark the frontiers of research in sport-related sciences and research.

Abstrak :
Latihan fisik yang dilakukan secara aktif berdampak positif terhadap tingkat kemandirian dalam memenuhi ADL nya. Penelitian ini bertujuan mengetahui hubungan antara latihan fisik berdasarkan jenis, frekuensi, dan durasi tingkat kemandirian ADL. Jenis penelitian ini adalah deskriptif analitik melalui pendekatan cross sectional dengan jumlah sampel 103 lansia riwayat penyakit jantung. Tingkat kemandirian lansia diukur menggunakan Indeks kemandirian Katz yang sudah dimodifikasi.. Hasil dari penelitian ini, lansia yang melakukan jenis latihan fisik dalam katagori cukup baik ( 69,9%). Tingkat kemandirian melakukan ADL dalam katagori mandiri (96,8%), dengan nilai OR 2.79, α 0,00 dan 95% CI : 1.14-1.57, artinya ada hubungan antara jenis latihan fisik dengan kemandirian melakukan ADL, untuk frekuensi latihan fisik dalam katagori sangat baik (65,1%). Tingkat kemandirian ADL dalam katagori mandiri (89,5%), dengan nilai OR 1,47, α 0,00 dan 95% CI : 1.12-1.93, artinya ada hubungan antara frekuensi latihan fisik dengan kemandirian melakukan ADL pada lansia yang mempunyai riwayat penyakit jantung. Hasil penelitian ini merekomendasikan bagi lansia yang mempunyai penyakit jantung untuk melakukan latihan fisik secara teratur sehingga membantu meningkatkan kemandirian ADL lansia. ...... Physical exercise is performed actively positive impact on the level of independence in fulfilling its ADL. This study aims to investigate the relationship between physical exercise based on the type, frequency, and duration of the level of independence of the ADL. This research is a descriptive cross sectional analytical approach with a sample of 103 elderly heart disease history. The level of independence of elderly Katz independence index is measured using a modified. The results of this study, elderly people who do this type of physical exercise in the category quite well (69.9%). Level of independence do ADL in the independent category (96.8%), with OR 2.79, α 0.00 and 95% CI: 1:14 to 1:57, meaning that there was a relationship between the type of physical exercise to perform ADL independence, to the frequency of physical exercise in the category very good (65.1%). ADL independence level in the category of independent (89.5%), with OR 1.47, α 0.00 and 95% CI: 1.12-1.93, which means that there is a relationship between the frequency of physical exercise to perform ADL independence in older people who have a history of disease heart. The results of this study recommend for the elderly who have heart disease to undertake regular physical exercise that helps increase the independence of elderly ADL.