Background: Families with adult children or discharge are the stages that begin when the first child leaves the house. Hypertension is a condition in which a person experiences an increase in blood pressure above normal which can result in morbidity and mortality. The estimated number of cases of hypertension in Indonesia is 63.309.620 people, while the death rate in Indonesia due to hypertension is 427.218 deaths. Hypertension gymnastics is a sport that one of the aims is to increase blood flow and oxygen supply to the active muscles and skeleton, especially to the heart muscle, so that it can help reduce blood pressure in people with hypertension. Objective: to determine the effect of hypertension exercise to reduce blood pressure in hypertensive patients. Method: by way of interviews and nursing care. Results: The case study was obtained after the client was given hypertension exercise therapy to reduce blood pressure in Mrs. K with significant results, where there was a decrease in blood pressure from 184/94mmHg to 140/80mmHg. Conclusion: Hypertension exercise has an effect on reducing blood pressure in hypertensive patients.

Background: The family is the smallest unit in society which is the entry point in an effort to achieve optimal public health. The family is also referred to as a social system. Hypertension can be defined as persistent blood pressure where the systolic pressure is above 140 mmHg and the diastolic pressure is above 90 mmHg. Hypertension almost affects 26% of the adult neurological population worldwide, even by 2025, it is projected that 29% of the world's population (1.56 billion adults) will have hypertension. Data from WHO in 2013 showed that there are 9.4 million people in the world every year. Tomato juice as a non-pharmacological therapy or herbal as an alternative treatment of high blood disease. Tomatoes are fruits that contain lots of potassium, potassium can also affect the angiotensinogen renin system as an inhibitor of production. Objective: to know the intervention of tomato juice to lower blood pressure in hypertensive patients. Methods: by means of interviews, assessments and nursing care actions. Results: Case study obtained after clients were given nonpharmacological therapy tomato juice in Mrs. S significant results, where there was a decrease in blood pressure from 150/90mmHg to 120/80 mmHg. Conclusion: Tomato juice has an effect on lowering blood pressure in hypertensive patients. 
 

Background: The results of a survey by the United Nation International Children Found (UNICEF, 2019), the most common diseases in the elderly are non-communicable diseases, including hypertension, joint disease, diabetes mellitus, heart disease, stroke, and Gout Arthritis. This can happen considering that the elderly have a declining body work system and there are still many poor lifestyles, eating patterns, and sleep patterns in the elderly, sleep pattern disturbances are a problem that often occurs in the elderly. There are two ways to treat sleep disorders, namely pharmacological and non-pharmacological. Non-pharmacological can be done with SEFT (Spiritual Emotional Freedom Technique) complementary therapy to improve sleep quality. Purpose: the purpose of this paper is to provide an overview of nursing care for Gout Arthritis patients who experience sleep pattern disturbances with the SEFT intervention on sleep quality. Method: case study design using nursing care. The case study sample used 1 patient. Results: based on the implementation results on Tn.S with the application of SEFT therapy for 7 days, data were obtained on the first day of the PSQI scale, namely 23 (≥5, meaning poor sleep quality), then on day 7 it dropped to a PSQI score of 14 (moderate sleep quality). it can be concluded that with changes towards improvement, this indicates the effect of SEFT (Spiritual Emotional Freedom Technique) therapy on sleep quality in elderly patients with Gout Arthritis.
 

Background: Family is two or more individuals who are joined by blood relations, marital relations or adoption and they live in one household, interact with each other and in their respective roles create and maintain culture. Signs and symptoms of gout are an increase in serum uric acid, severe pain that comes on suddenly, stiff movements, easily tired and lethargic. skin rash, sore throat, decreased appetite, red tongue. According to the World Health Organization (WHO) in 2019, 81% of sufferers of Gout Arthritis in Indonesia only 24% went to the doctor. while 71% tend to immediately consume over-the-counter pain relievers. Method: The method used in collecting this data is interview. Case study by carrying out nursing care for 5 days in the family of Mr. A especially Mrs. U by doing non-pharmacological therapy with warm compresses of lemongrass. Purpose: the purpose of doing this warm lemongrass compress is so that pain in the fingers and palms of the patient decreases. Results: After intervention with hot lemongrass compresses for 5 days, the pain was reduced, the patient's uric acid decreased to 4.7, and no tingling was felt. During the intervention, patients were also given education on how to manage their diet and a clean and healthy lifestyle. Conclusion: The conclusion drawn is the importance of regulating diet and maintaining a clean and healthy lifestyle in order to avoid diseases, especially gout.

Background: Elderly is a closing period in a person's life span, namely a period when a person has moved from a more useful and productive time. With increasing age, physiological function decreases due to the aging process so that joint disease appears in the elderly. One of the joint diseases in the elderly is gout arthritis. There are two ways to reduce uric acid, pharmacological and non-pharmacological. Non-pharmacological can be done by giving ginger compresses to reduce pain levels. Objective: The purpose of this paper is to determine the effectiveness of ginger compresses to reduce pain levels in the elderly with gout problems. Method: Case study design using nursing care. The case study sample used 1 patient. Results: Based on the implementation results on Mr. S with the application of ginger compress therapy for 7 days the pain scale decreased, the first and second days a pain scale of 5, on the third and fourth days a pain scale of 4, on the fifth and sixth days a pain scale of 2 and on the seventh day a pain scale of 1 with uric acid levels on day the first was 8 mg/dl and on the seventh day the uric acid level was 7.3 mg/dl, so a nursing diagnosis of chronic pain, it can be concluded that there is a change towards improvement, this shows the effect of giving ginger compresses on reducing pain levels.

Early childhood is the age of the child which is very decisive for the formation of a person's character, personality, intellectual and moral. So, parents must be able to maximize the provision of positive stimuli to children during their golden age. There are many ways that can be done in cultivating character and morals, one of which is storytelling. In a fairy tale, it usually contains elements of education, norms, various emotions and characters. Therefore, storytelling is an effective way of instilling morality in children, fostering creativity in children, increasing vocabulary in children, and increasing imagination in children. The method in this service is storytelling. Informants or subjects in this service are the early childhood children of TPQ At-Taqwa Ar-Rohmah Pracimantoro Mosque. The result of this dedication is to provide fairy tales to early childhood to teach a variety of emotions and characters for inculcating morals in early childhood. The conclusion from the dedication carried out by the resource persons can be explained that storytelling is an effective learning method for conveying moral messages to early childhood, because at their age, they have broad imaginations and tend to like fun learning methods, so they don't get bored quickly . By storytelling, instilling morals in early childhood is also easier.

Ultisol sering diidentikkan dengan tanah yang tidak subur, tetapi sesungguhnya bisa dimanfaatkan untuk lahan pertanian potensial, asalkan dilakukan pengelolaan yang memperhatikan kendala yang ada. Beberapa kendala yang umum pada tanah Ultisol adalah kemasaman tanah yang tinggi, pH rata-rata <4,50, kejenuhan Al tinggi, miskin hara makro terutama P, K, Ca dan Mg, serta kandungan bahan organik yang rendah. Namun dibalik permasalahan tersebut, ultisol memiliki potensi untuk dikembangkan sebagai lahan pertanian salah satunya adalah perkebunan karet. Pengkajian kesuburan tanah dalam perkebunan karet sangat penting dalam menentukan usaha pengelolaan dan budidaya tanaman karet. Kebutuhan akan pengukuran inilah yang mendorong untuk dilakukannya kajian kesuburan tanah pada perkebunan karet Sijunjung. Penelitian dilaksanakan di Kebun Karet Nagari Padang Sibusuk, Kecamatan Kupitan, Kabupaten Sijunjung dan  Laboratorium Kimia Tanah Fakultas Pertanian Universitas Andalas. Dari hasil penelitian didapatkan bahwa tanah pada perkebunan karet Sijunjung memiliki tingkat kesuburan tanah yang rendah. Hal ini ditandai dengan rendahnya nilai fosfat tersedia, rendahnya nilai nitrogen tanah, dan rendahnya nilai kalium dapat ditukar tanah. Rendahnya nilai unsur-unsur ini dapat menyebabkan kekahatan unsur hara pada tanaman sehingga tanaman karet tidak dapat menghasilkan getah secara optimal. Penambahan pupuk N, P, dan K dapat dilakukan untuk meningkatkan kandungan unsur hara didalam tanah.

Product development is one of the marketing strategies that aims to increase the company's competitiveness. To realize product development, companies are required to provide a wide range of product choices to consumers by taking into account the dimensions of product development itself. The purpose of this research is to find out how the new product development strategy is an effort to increase the company's competitiveness. the research method used is a literature study of several models adopted and outlined in a descriptive form. The results of this study state that the product development strategy is through a product development process by generating ideas, developing and testing product concepts. Strategies to increase competitiveness include new products for the world, new product lines, improvement of existing products, repositioning, cost reduction.

Chronic stress in hypertensive patients results in fatal complications. Information technology is more effective than face-to-face communication for stress management. It has been demonstrated that media technology is more appealing, of high quality, effective, and efficient. The goal of this study is to create a guided imagery app for Android that will help pre-elderly hypertensive patients feel less stressed. A research and development design was used for this project. In addition to application development through focus group discussions and professional consultations, as well as assessing the viability of utilizing the application, exploration of stress levels and evaluation of stress management are monitored. The study's older participants, who ranged in age from 45 to 59, had hypertension. 50 patients were involved in phase 1 data collecting utilizing the perceived stress scale questionnaire. 30 patients in phase 2 used a system usability scale questionnaire, which was modified and tested for validity again with 10 respondents. The inclusion criteria for primary hypertension patients undergoing treatment were pre-elderly, aged 45–59 years old, male and female, Muslim, able to read and write, own a smartphone and be able to operate it, and have no visual or hearing limitations. Purposive sampling was used and data was analyzed using descriptive data analysis. The results show a moderate level of stress (62%). The results of the due diligence got a value of 80.66 (good and proper). The development of an Android-based guided imagery relaxation application can be recommended to pre-elderly hypertensive patients as a medium that can be used independently at home to help control stress levels.

Riset ini dilaksanakan bertujuan untuk mengembangankan media asemen berbasis HOTS berbantuan aplikasi classpoint pada mata pelajaran layanan lembaga keuangan syariah, mengukur tingkat kelayakan media yang digunakan sebagai asesmen pembelajaran dan respon peserta didik mengenai media asesmen berbantuan aplikasi classpoint. Motode penelitian yang digunakan merupakan model pengembangan ADDIE yang meliputi tahap analyze, design, development, implementation, and evaluation. Penelitian ini menggunakan subjek uji coba yakni kelas XII-Layanan Perbankan Syariah 2 di SMKN 2 Kota Mojokerto. Berdasarkan riset diperoleh hasil sebesar 91,60% dengan kategori penilaian sangat layak dari para ahli grafis dan ahli evaluasi. Hasil nilai yang diperoleh oleh ahli grafis sebesar 89,75% dan ahli evaluasi sebesar 93,46%. Sedangkan persentase nilai yang diperoleh dari respon peserta didik terhadap media asesmen adalah sebsar 97,10% dengan kategori penilaian sangat layak. Menurut hasil uji coba terbatas mendapatkan respon yang baik dari peserta didik terhadap media asesmen berbantuan aplikasi classpoint dan mempermudahkan peserta didik dalam kegiatan asesmen pembelajaran. Dengan demikian diperoleh hasil akhir bahwa media asesmen berbasis HOTS berbantuan aplikasi classpoint dapat dinyatakan layak dengan diperoleh hasil akhir dengan rata-rata presentae ≥ 61%.