Purpose: aims to determine the success rate of hypertension exercise in cases of weakness Methodology/approach: This study used a case study of the management of patients with hypertension at PSTW Budi Mulia 1 Cipayung, implemented for 12 days, which resulted in a reduction in hypertension levels in patients. Results: Based on the evaluation results, there was a significant reduction in blood pressure seen from changes in blood pressure before and after hypertension exercise therapy was carried out in the elderly for 5 minutes. Blood pressure results were obtained at 160/90 mmHg, 158/80 mmHg, BP= 155/95 mmHg, 158/98 mmHg, 155/90 mmHg, 150/90 mmHg, 140/90 mmHg, 148/80 mmHg, BP= 139/95 mmHg, 138/98 mmHg, 125/90 mmHg, 150/90 mmHg. It can be concluded that after implementing hypertension exercises in the elderly with implementation 12 times for 5 min, significant evaluation results were obtained where there was a decrease in blood pressure levels in hypertensive patients. Limitations: This case study is still being considered so that other researchers can conduct research according to practical standards and carried out within a 12 day period. Contribution: I would like to thank the parties who contributed to this work on this case study and have been involved in completing this case study.

Purpose: Asbestos-containing materials are often found at construction sites, and long-term exposure to accumulated asbestos can increase the risk of asbestos-related diseases, including asbestosis. The present study aimed to further describe the exposure to asbestos in construction workers and the risk of asbestosis, as well as the management and prevention of asbestos exposure. Methodology: The narrative review method was used to conduct this study with a comprehensive literature search of the following databases: PubMed, Scopus, ScienceDirect, and Google Scholar. Results: According to the review, we finally found that many materials in the construction sector contain asbestos and have the potential to spread asbestos fibers into the air and can be inhaled by workers. Cumulative asbestos exposure that occurs in high doses over a long period of time will cause an increases the risk of asbestos-related diseases, including asbestosis. Apart from asbestos exposure, several other factors, such as genetics, smoking, sex, age, and physiology, are closely related to the occurrence and development of asbestosis. The construction sector has the highest exposure to asbestos compared to other sectors or industries and has a high number of asbestosis cases. Thus, it is necessary to provide precautions for workers, such as the use of adequate personal protective equipment of international standards, the presence of health inspectors, and routine checks on workers' health, as well as management of materials or construction waste containing asbestos. Limitations: This study is limited to describing general exposure to asbestos-containing materials and the increased risk of asbestosis in construction workers. Future research regarding further analysis of causal factors, management, and prevention of asbestos exposure, as well as case reports and mapping of asbestosis cases, especially in Indonesia, where related research is still limited, may be warranted. Contribution: This review can be used as a basic reference for conducting further research regarding asbestos exposure to workers and the prevention and management of asbestos-containing materials at construction sites.

Purpose: Type II diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia that can cause complications if not treated. Therefore, self-management is required. One factor that influences self-management is the characteristics of one’s place of residence. By examining the different characteristics of urban and rural areas, self-management will, of course, differ. This study aimed to determine differences in self-management among patients with type II DM in urban and rural areas. Methodology: This study used a comparative analytical research design and a cross-sectional approach. The target respondents for this study were type II DM patients in the Puskesmas Mergangsan area who participated in the Bolo Gendis program and type II DM patients in the Puskesmas Pandak I area who participated in PROLANIS for DM. Using purposive sampling, the number of respondents in this study was 46, with 23 in each region. The Diabetes Self-Management Questionnaire (DSMQ) was used in this study. In this study, the bivariate test used was the independent t-test and Mann-Whitney test. Results: The results showed that there were differences in self-management among patients with type II DM in urban and rural areas (p=0.000). The mean score in rural areas was 38.04±5.381, while in urban areas it was 26.17±6.692 in the score range (0-48), so self-management in rural areas is better than in urban areas. There were significant differences in several aspects, including physical activity (p=0.001), glucose management (p=0.000), glucose diet (p=0.001), and health care (p=0.002). Contribution: According to the results, it is expected that puskesmas can improve the PROLANIS program by providing education on every aspect of self-management, so that there is no gap in self-management in urban and rural puskesmas.