ABSTRAK Obesitas pada remaja memiliki implikasi penting terhadap kesehatan dan kesejahteraan individu dan masyarakat. Hal ini berdampak negatif dalam meningkatkan kerentanan terhadap sejumlah penyakit, gangguan kesehatan kronis, gangguan psikologis, peningkatan biaya perawatan setiap tahun hingga kematian dini. Sebesar 2,8 juta orang meninggal tiap tahun, akibat obesitas. Meningkatnya prevalensi obesitas pada remaja diduga berkaitan dengan perubahan gaya hidup meliputi menurunnya aktifitas fisik dan meningkatnya konsumsi camilan. Penelitian ini untuk mengetahui adanya perbedaan aktivitas fisik dan konsumsi camilan pada remaja obesitas di daerah pedesaan dan perkotaan di Kabupaten Bantul. Metode penelitian case control, dengan populasi remaja SMA baik negeri maupun swasta. Kasus adalah remaja yang didiagnosa obesitas pada tahap skrining, sedangkan kontrol adalah remaja tidak obesitas. Analisis data meliputi univariabel yang menyajikan distribusi frekuensi, bivariabel dengan uji chi-square, dan uji-t. Remaja dengan aktivitas fisik ringan memiliki peluang 4 kali lebih besar mengalami obesitas dibandingkan remaja dengan aktivitas fisik sedang (OR 4,26 (CI 95%:1,61- 12,06). Hubungan antara jenis camilan dan obesitas juga memiliki hubungan yang bermakna secara statistik dan praktis, yaitu obesitas banyak di temukan sebanyak 2 kali lebih besar pada remaja dengan konsumsi camilan goreng dibandingkan dengan remaja yang mengkonsumsi camilan non goreng. Terdapat perbedaan rerata berat dan asupan camilan pada remaja obesitas dan non obesitas.Aktifitas fisik ringan, frekuensi camilan tinggi, jenis camilan gorengan, berat camilan dan asupan camilan tinggi berpeluang lebih besar meningkatkan obesitas remaja.   Kata kunci: Aktivitas fisik, konsumsi camilan, obesitas, remaja     ABSTRACT Adolescents obesity has important implications for the health and well-being of individuals and society. It has negative impact in increasing susceptibility of diseases, chronic health problems, psychological disorders, and maintenance costs up to early death each year. 2.8 million people die each year due to obesity. The increasing of prevalence of obesity in adolescents allegedly associated with lifestyle changes include the decline in physical activity and increase consumption of snacks. To determine the difference of physical activity and snack consumption in adolescent obesity in urban and rural areas in the district of Bantul. This study used a case control study design, with a population of high school teenagers both public and private. Cases are obese adolescents who were diagnosed at screening, while the control is not obese adolescents. Data analysis included univariable consist of frequency distribution, bivariable consist of chi-square and t-test and also logistic regression test for mulitivariabel analysis. Adolescents who do light physical activities are more likely have obesity 4 times than those who do physical activity in normal. Kind of snack and obesity have correlation in statistic and practical, which is many research prove that obesity found 2 times than adolescents who consume fried foods. There are differences of mean in snack weight and snack intake in obese adolescents. The low physical activity, high snack frequency, type of fried foods, snack weight, and snack intake are most likely to increase the incidence of obesity   Keywords: physical activity, consumption of snacks, obesity, teenagers

Background: Elderly is an age group which is extremely susceptible to suffer from health problems such as hypertension. Hypertension among the elderly is instigated by structural and functional changes in blood vessels. The changes include atherosclerosis, loss of connective tissue elasticity, and decreased vascular muscle relaxation that it reduces the distension and tensile strength of blood vessels. One of the therapies that may be implemented to elderly with hypertension is slow stroke back massage (SSBM) and lavender aromatherapy. The study aims to discover the effects of slow back massage (SSBM) and lavender aromatherapy toward the reduced blood pressure among hypertensive elderly. Subjects and Method: It was a quasi-experiment study with no control group which had been conducted in Posyandu (Integrated Health Post) Kamboja, Plesungan, Gondangerjo, Karanganyar, Central Java, in July 2019. A sample of 40 elderlies was selected by using total sampling. The dependent variables were systolic and diastolic blood pressure. The independent variables were slow stroke back massage (SSBM) and lavender aromatherapy. Blood pressure was measured by sphygmomanometer. The data were analyzed by using Wilcoxon. Results: The average systolic blood pressure post slow stroke back massage therapy and lavender aroma therapy was (Mean=133.63; SD= 7.34) compared with prior therapy was (Mean= 167.80; SD= 6.12) with the value of p<0.001. The average diastolic blood pressure post slow stroke back massage therapy and lavender aroma therapy was (Mean= 68.28; SD= 4.25) compared with the prior therapy was (Mean= 68.88; SD= 5.72) with the value of p<0.001. Conclusion: Slow stroke back massage (SSBM) lavender aromatherapy may lower down blood pressure of hypertensive elderly.

Permasalahan yang terjadi pada mitra adalah penumpukan limbah kulit kopi banyak dikeluhkan petani karena tidak mampu menggunakan menjadi produk yang bernilai jual, limbah kulit kopi yang di hasilkan akan digunakan menghasil produk Teh Kemasan yang bermanfaat dan bermutu, alat pendukung dalam mengolah limbah kulit kopi tersebut masih bersifat sederhana oleh mitra, kandungan gizi juga akan diperhatikan agar produk aman di konsumsi oleh masyarakat, kemasan yang belum menarik konsumen. Pengabdian ini dilakukan di UMKM Kopipa.id yang berada di Surakarta.  Solusi dengan pengadaan peralatan pendukung untuk melakukan pengolahan cascara yang lebih modern, melakukan pengujian laboratorium terhadap kelayakan produk tersebut dikonsumsi, melakukan penjelasan terhadap prosedur pembuatan cascara menjadi minuman teh kemasan, melakukan pengemasan produk yang menarik konsumen, melakukan pelatihan dan pendampingan serta pengelolaan keuangan dalam menghasilkan produk sehingga bisa memperoleh produk yang menguntungkan. Tujuan mampu memanfaatkan limbah kulit kopi yang telah dikeringkan menjadi suatu produk yang bernilai jual tinggi dan membuat produk minuman kemasan yang menarik serta mampu mengelola pemasaran serta keuangan dengan baik dan tepat.  Metode yang dicapai adalah identifikasi kebutuhan masyarakat, Perancangan, Pembuatan produk dari yang tradisional menjadi yang modern, melakukan pengemasan menjadi menarik, melakukan pengujian di laboratorium serta memberikan pelatihan dan pendampingan tentang pengelolaan pemasaran dan pengelolaan keuangannya. Pengabdian dilakukan adalah pengadaan peralatan untuk produksi, Tahap pelatihan manajemen bisnis dan packaging dan manajemen keuangan. Produk yang dihasilkan berupa cascara yang telah diujikan di Balai Pengujian dan Sertifikasi Mutu Barang (BPSMB) Surakarta.

BACKGROUND: Anxiety occurs in cancer patients who are undergoing chemotherapy for the 1st time. Excessive anxiety which occurred in the pre-chemotherapy phase can contribute to the failure of chemotherapy programs. One of attempts to reduce anxiety is providing musical therapy Langgam Jawa. AIM: The purpose of the research is to identify the effect of musical therapy Langgam Jawa to pre-chemotherapy anxiety score. METHODS: The research used quasi-experimental design which involved pre-posttest with control group. The research was conducted at a hospital in Central Java. The population was cancer patients who undergoing chemotherapy for the 1st time and experienced pre-chemotherapy anxiety. Samples were selected with purposive sampling technique that met inclusion criteria. Subjects were 42 respondents consisting of 21 in each group obtained by simple random sampling technique. Health education and deep breathing exercise were provided to the control group, while the treatment group obtained health education, deep breathing exercise, and musical therapy Langgam Jawa. The measurement of pre-chemotherapy anxiety in the cancer patients was using State-Trait Anxiety Inventory. An independent t-test performed the analysis. RESULTS: The results showed that pre-chemotherapy anxiety score decreases significantly in those two groups (p-value: 0.001; α: 0.05). The treatment group showed a higher decrease of pre-chemotherapy anxiety than the control group. CONCLUSION: The finding highlights musical therapy Langgam Jawa is effective to reduce pre-chemotherapy anxiety of cancer patients. It is recommended to apply musical therapy Langgam Jawa for cancer patients who’re undergoing chemotherapy.

BACKGROUND: Tuberculosis (TB) disease is an infection caused by Mycobacterium tuberculosis (MTB) and is transmitted through sputum droplets of sufferers or suspect TB in the air. Chitosan has been widely used in the biomedical and pharmaceutical fields because it is a biocompatible, biodegradable, non-toxic, antimicrobial, and hydrating agent with positive effects on wound healing. Seromucous of snail has anti-tumor bioactivity and is non-toxic to lymphocyte cells, and can even stimulate lymphocyte proliferation. Seromucous of snail as glycoprotein containing carbohydrates; α-1 globulin-oromucoid fraction; glycans, peptides, glycopeptides, and chondroitin sulfate. AIM: This study was to determine the effectiveness of snail seromucous and chitosan as anti TB drugs (ATD) in vitro. METHODS: The research method is based on an experimental laboratory. MTB isolates in this research from sputum samples of patients suspected of TB in Surakarta Regional General Hospital. The stages of the study were performed MTB culture and identification, management sampling, and drug susceptibility testing. RESULTS: The research results showed chitosan 5%; a combination of chitosan 9% and snail seromucous 50% (ratio 1:1) is a microbicide against MTB TB patient isolates. Snail seromucous was ineffective as a microbicide against MTB TB patients. CONCLUSION: The effectiveness as a bactericide against MTB, chitosan, and its combination with snail seromucous has the potential to be an ATD alternative.