Introduction: Increasing age has the potential to cause hardening of the arteries. Hypertension is also related to sleep quality and stress levels. Hypertension can be controlled with non-pharmacological therapy using Mindfulness Based Stress Reduction (MBSR) and samavriti pranayama. Samavriti pranayama increases the oxygen supply to the brain, lungs and lowers the heart rate. The purpose of this study was to determine the effectiveness of MBSR and samavriti pranayama for lowering blood pressure, improving sleep quality, and reducing stress levels. Methods: This study utilized a cross-sectional model. Elders analyzed with hypertension were surveyed for qualification. A add up to of 40 seniors were randomized into the mediation and control bunches. Both bunches gotten schedule care. Eight sessions of MBSR and samavritti pranayama were conducted within the intercession bunch, whereas the control gather gotten no mental intercession. Elders were surveyed with respect to diminished hypertension, uneasiness, and rest quality at two unmistakable stages: some time recently and after the mediation. Results: There were no significant differences in sociodemographic and clinical parameters between the intercession and control bunches at standard. The mediation program essentially lightened mental and physiological complications in elderly with hypertension. Particularly, the consider uncovered that 8 weeks of the combined MBSR and samavritti pranayama mediation viably decreased lower hypertension and uneasiness scores and made strides the quality of rest in elderly. Conclusion: The conclusion MBSR combined with samavritti pranayama significantly alleviated clinical symptoms, and could be considered a new, effective psychotherapeutic intervention for Elderly with Hypertension.

Low glycemic index formula are recommended for patients with hyperglycemia. Although tempeh and jicama flour contains fiber, arginine, glycine, inulin and alpha-linolenic acid that can be used as ingredients for enteral formulas of hyperglycemic patients, the evidence in reducing the glycemic index has not been proven. This study analyzed the differences of glycemic index (GI), glycemic load (GL) and acceptability of enteral formula based on tempeh flour and jicama flour for hyperglycemic patients. An experimental study with a completely randomized single factor design, by using the three ratios of tempeh flour to jicama flour A (2:3), B (1:1) and C (5:3). The glycemic index test used a one-shot case study model on 30 women selected. Acceptability test (hedonic test) was held on 30 semi-trained panelists. Data was analyzed using the Kruskal Wallis test, Mann Whitney, and independent t-test. The GI of formulas A, B and C were 101.15, 96.21 and 41.06. The GL of three formulas were 114, 86, and 41. Panelists like the color, flavor, and texture of formulas A, B and C, while the taste of the formula was considered to be neutral. The results showed there were significant differences between the GI and the flavor of formulas A and C (p = 0.002), (p = 0.011) and B and C (p = 0.013), (p = 0.036). There were no differences between color, flavor and texture of the formulas (p > 0.005). There are significant differences of the GI and the acceptability in taste attributes between formulas A, B and C. Formula C has the lowest GI and GL but requires improvement of taste attribute.

Background: Type 2 DM can not be cured, but can be controlled by controlling blood glucose levels and improving sleep quality of sufferers. Decreased sleep quality can cause endocrine and metabolic disorders such as abnormal glucose tolerance, insulin resistance, and reduced response to insulin (Caple and Grose, 2011). Purpose: This study aimed to analyze the effect of autogenic relaxation with sandalwood aromatherapy on the quality of sleep in patients with type 2 diabetes mellitus in the Sidoarjo Public Health Center. Method: This research is a Quasy Experiment research pre-post control group design. The population in this study were all type 2 DM beneficiaries and the sample used was 60 respondents using simple random sampling. The independent variable is autogenic relaxation with sandalwood aromatherapy while the dependent variable is sleep quality. The data in this study are numerical so that it is analyzed using parametric statistical tests namely paired sample t test and independent sample t test. Results: The results showed that the quality of pre and post sleep based on the Paired t-test obtained p value = 0,000 (p <0.05), and in the intervention group an increase in sleep quality was greater than the control group marked by the t-value of 22 , 40. Based on the independent sample t-test, p = 0,000 was obtained, so it can be concluded that there were significant differences in sleep quality changes between the control and intervention groups. Conclusion: Autogenic relaxation with sandalwood aromatherapy has a positive impact on sleep quality. The use of autogenic relaxation with sandalwood aromatherapy can be considered as one of the interventions in improving sleep quality that can be carried out routinely even on a daily basis especially for people with type 2 diabetes.

Diabetes Mellitus (DM) is a metabolic disorder which marked by the hyperglycemia that appeared because of insulin secretion disorder and/or the increase of cellular insulin resistance. DM patients have a higher risk to experience foot problems due to blood vessels disorders causing the circulation of blood from legs is decreased. Purposed this research is diabetes could be prevented by doing a foot spa diabetic which the activities include foot exercises, warm water cleansing and massage. The method used in this study is Quays Experiment pre-post control group design. The population on this study was patients with Diabetes Mellitus Type 2 in Waru health center. The sample used was 60 people, divided into 2 groups; intervention and control group, with sampling technique of simple random sampling. The data collection was using observation sheets of diabetic foot SPA; the tool used to assess blood glucose levels was glucometer, whereas cotton, brush and needle were used to assess the foot sensitivity. The data was then analyzed with t-test. The result of the study showed that there were effecton the foot sensitivity (t=10,73, p value =0, 000) and there were effectdecrese on ankle brachial index(t=12,34, p value =0, 000). It is important for families and communities to give motivation to the diabetes mellitus patients to do diabetic foot SPA as one of alternative therapies to prevent foot complications such as foot ulcers and even amputation

Kekambuhan pada penderita hipertensi sering terjadi selama hidupnya. Kekambuhan tersebut merupakan dampak dari faktor sikap yang tidak dapat dihindari oleh individu, antara lain ketidak adequatan dalam menghadapi stress, beban kerja yang cukup tinggi., gaya hidup yang tidak sehat,  dan konsumsi makanna yng tidak sehat. Prevalensi di kejadian hipertensi di perkotaan 39,9%  (37,0%-45,8%) dan di pedesaan 44,1%  (36,2%-51,7%). Kenyataan yang ada di masyarakat menunjukkan tingginya prevalensi penderita hipertensi, dimana dari data di Posyandu Lansia di Karah meningkat tiap bulannya. Metode dalam penelitian ini adalah deskriptif analitik  dengan menggunakan tehnik sampling yaitu accidental sampling sejumlah 24 orang yang menderita hipertensi di RW 06 Kelurahan Karah Kecamatan Jambangan Variabel dalam penelitian ini adalah sikap tentang hipertensi dan frekuensi kekambuhan. Pengumpulan data menggunakan kuesioner. Analisa data yang digunakan  uji statististik lambda. Berdasarkan hasil perhitungan statistik uji (lambda) didapatkan nilai probabilitas (p) sebesar 0.000 lebih kecil dari α (0.05) maka Ho ditolak dan Ha diterima yang menunjukan adanya hubungan yang signifikan antara sikap tentang hipertensi dengan frekwensi kekambuhan pada penderita hipertensi di RW 06 Karah Kecamatan Jambangan Surabaya., selain itu juga didaptkan nilai besarnya korelasi 0.467 yang menunjukkan bahwa kekuatan korelasinya sedang. Penerapan sikap yang favorable (mendukung) sebagai salah satu alternative cara yang dapat dilakukan oleh penderita hipertensi untuk meminimalkan frekuensi kekambuhan hipertensi, melalui pengaturan dan modifikasi diit pada penderita hipertensi serta perlu adanya penyuluhan tentang hipertensi tersebut yang dilakukan secara berkesinambungan oleh tenaga kesehatan. Kata Kunci : sikap, frekuensi kekambuhan, hipertensi