Congestive Heart Failure (CHF) occurs when the heart is unable to pump the blood to fulfill body's need of blood related to tissue metabolism. Electrical activity of the heart is the state in which the heart has to pump the blood and to contract, triggered by an action potential that spreads through the membrane of muscle cells. Electrocardiogram (ECG) is generated by the electrical activity of the heart muscle. It is a recording of a heart condition obtained by placing electrodes on the body. This study aimed to describe the heart electrical activity of patients with congestive heart failure. This was a retrospective descriptive study. The population was all patients hospitalized in Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado. Samples were ECG recordings of all patients with CHF hospitalized at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Hospital Manado during Desember 2012-January 2013. The results showed that hypertensive heart disease (HHD) was the most frequent cause of CHF (45.5%). Meanwhile, CHF due to old myocardial infarction (OMI) was rare (18.2%). Conclusion: The most common cause of CHF among hospitalized patients at Irina F Cardiac Department of Prof. Dr. R. D. Kandou Manado was HHD. ECG of patients with CHF et causa HHD showed an overview of normal heart rhythm and tachycardia, PR interval and a normal QRS complex, left axis deviation, ST segment elevation, depression on different leads, and pathological Q.Keywords: congestive heart failure, electrical activity, electroCardiogramAbstrak: Gagal jantung kongestif atau congestive heart failure (CHF) terjadi bila jantung tidak dapat memompakan darah untuk memenuhi kebutuhan darah dalam tubuh untuk metabolisme jaringan. Aktivitas listrik jantung yaitu keadaan dimana jantung dapat memompa darah, jantung harus berkontraksi yang dicetuskan oleh potensial aksi yang menyebar melalui membran sel-sel otot. Elektrokardiogram (EKG) adalah suatu sinyal yang dihasilkan oleh aktifitas listrik otot jantung. EKG ini merupakan rekaman informasi kondisi jantung yang diambil dengan memasang elektroda pada badan seseorang. Penelitian ini bertujuan untuk mengetahui gambaran aktivitas listrik jantung pada pasien gagal jantung kongestif. Penelitian ini menggunakan metode deskriptif retrospektif. Populasi ialah semua pasien rawat inap di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado. Sampel ialah rekaman EKG semua pasien dengan diagnosis gagal jantung kongestif di Irina F Jantung RSUP Prof. Dr. R. D. Kandou Manado selama bulan Desember 2012- Januari 2013. Hasil penelitian memperlihatkan bahwa penyebab gagal jantung kongestif yang terbanyak ialah hypertensive heart disease (HHD) (45,5%), dan yang paling sedikit ialah old myocardial infarction (OMI) (18,2%). Simpulan: Penyebab terbanyak gagal jantung kongestif pada pasien rawat inap di Irina F-Jantung RSUP Prof. Kandou Manadoialah HHD. EKG pada pasien CHF et causa HHD memberikan gambaran irama jantung yang normal dan juga takikardi, interval PR dan kompleks QRS normal, aksis deviasi kekiri, elevasi dan depresi segmen ST pada sadapan yang berbeda, dan Q patologik.Kata kunci:gagal jantung kongestif, aktivitas listrik jantung, elektrokradiogram

ABSTRAK Organisasi Kesehatan Dunia pada tahun 2018 menyatakan bahwa 70 % dari total kematian di dunia disebabkan penyakit diabetes mellitus (DM), Indonesia menjadi urutan ke-4  dengan jumlah penderita terbanyak. Hal ini sebabkan akibat pola kehidupan yang tidak terkontrol termasuk gaya hidup dan pola makan yang tidak baik sehingga menyebabkan terjadinya gangguan kesehatan. Kasus diabetes mellitus mengalami peningkatan setiap tahun, dari 346 kasus pada tahun 2004 dan diprediksi akan meningkat 4.4% pada tahun 2030.  kegiatan pengabdian kepada masyarakat ini untuk melakukan scrining kadargula darah sewaktu, peningkatan pengetahuan dan ketrampilan terkait penyakit DM dan pengolahan daun binahong. Yang digunakan dalam kegiatan  pengabdian kepada masyarakat ini menggunakan metode penyuluhan dan demonstrasi serta pemeriksaan kesehatan. Jumlah peserta sebanyak 39 orang terdiri dari 30 peserta, 3 petugas prolanis dan narasumber serta Tim pengabdian kepada masyarakat. Kegiatan dilaksanakan selama 3 hari bertempat di aula puskesmas Mariat. Kegiatan, peserta sebanyak 30 orang memiliki kadar gula darah normal dan 100% mengalami peningkatan pengetahuan dan ketrampilan terkait penyakit DM serta pengolahan daun binahong. Peserta 100% memiliki  kadar  gula darah sewaktu dalam batas normal, peserta 100% mengalami peningkatan pengetahuan terkait penyakit DM, peserta 100% mengalami peningkatan ketrampilan terkait pengolahan daun binahong. Kata Kunci: Kadar Gula Darah Puasa, Saponin, Lanjut Usia  ABSTRACT The World Health Organization in 2018 stated that 70% of the total deaths in the world were caused by diabetes mellitus (DM), Indonesia being the 4th place with the highest number of sufferers. This is due to an uncontrolled lifestyle, including a bad lifestyle and diet, causing health problems. Diabetes mellitus cases have increased every year, from 346 cases in 2004 and are predicted to increase by 4.4% in 2030. The purpose of this community service activity is to screen blood sugar levels, increase knowledge and skills related to DM disease and processing binahong leaves. The method used in this  community service activity uses counseling and demonstration methods as well as health checks. The number of participants was 39 people consisting of 30 participants, 3 prolanist officers and resource persons and the community service team. The activity was carried out for 3 days in the hall of the Mariat Health Center. The results of the activity, as many as 30 participants had normal blood sugar levels and 100% experienced an increase in knowledge and skills related to DM and processing binahong leaves. 100% of participants had blood sugar levels within normal limits, 100% of participants experienced an increase in knowledge related to DM, 100% of participants experienced an increase in skills related to binahong leaf processing.  Keywords: Fasting Blood Sugar Levels, Saponins, Elderly

Data figures pain in City of Province of West Papua shows that hypertension is included in th 10 diseases most in the health center, which occupies the order of the 2nd after the disease malaria. Hypertension can be prevented and dealt with effectively order to decrease the risk of stroke and attack the heart through measurement anthropometrics and administration of cold exposures such as cold pressor tests (CPT). The purpose of this study was to determine the difference in the effect of waist-height rasio and blood pressure after exposure to acute stressor CPT on the risk of hypertension. This study uses a quasy-experimental research design with a two-group comparison post-test only design approach Mechanical taking sampling by way of simple random sampling. Variables that are used are age, type of sex, history of smoking  history of alcohol, history of genetics and the risk of hypertension. The 64 samples in the group intervention and group control, respondents most aged <20 years either in group intervention or group comparison which amounted to 18 respondent (56.3%) , various sex women as much as 24 respondents (75%), did not have a history of smoking as much as 28 respondents (87.5%), did not have a history of al k ohol that as many as 30 respondents (93.8%) and 29 respondents (90.6%), have a history of genetic hypertension as much as 17 respondents (53.1%). Inaddition it also obtained the pressure of blood post- CPT worth normal numbering 29 people (90.6%) and the ratio of waist-high value- normal as much as 21 (65.6%). The results of the analysis of the statistics obtained that does not exist differences are significant between the TD after the CPT test with the risk of hypertension (p value = 0.238; α = 0.05). While the results of test statistical difference in the effect of the ratio of waist- high against the risk of hypertension indicates that there is a difference that is significant ratio of waist-high against the risk of hypertension ( p-value = 0, 000 ; α = 0.05). It was concluded that there were not significant between blood pressure after exposure to acute CPT stressor and waist-height ratio to the risk of hypertension. Keywords: Risk of Hypertension; Cold Pressor test; ratio of waist-high