This document discusses the relationship between sleep quality, anxiety, and blood pressure in patients with hypertension. It begins by explaining that sleep is important for physical and mental health, and poor sleep quality can negatively impact functions like tissue repair, hormone regulation, and energy restoration. Anxiety is also discussed as a stressor that can negatively impact health, including cardiovascular issues. The document then examines how both poor sleep quality and high anxiety levels can disrupt normal biological processes and potentially lead to increased blood pressure and hypertension over time.

1. Hubungan Kualitas Tidur dan
Kecemasan Terhadap Tekanan
Darah Pada penyakit Hipertensi

2. BAB 1
Latar Belakang
kualitas tidur adalah pemahaman tentang pentingnya tidur yang baik dan berkualitas dalam menjaga
kesehatan fisik dan mental seseorang. Kualitas tidur merujuk pada sejauh mana seseorang dapat tidur nyenyak
dan mendapatkan istirahat yang memadai selama tidur.Tidur adalah kebutuhan biologis yang penting bagi tubuh
manusia. Selama tidur, tubuh melakukan proses pemulihan dan regenerasi, memperbaiki jaringan-jaringan yang
rusak, mengatur keseimbangan hormon, mengkonsolidasikan memori, dan memperbarui energi yang terkuras.
Kebanyakan orang dewasa membutuhkan 7-9 jam tidur per malam, meskipun variasi setiap individu
terkadang berbeda, (NSF, 2018). Namun, didapatkan hasil bahwa prevalensi tidur pada orang dewasa sangat rendah.
Center for Disease Control (CDC) menganalisis data dari Behavioral Risk Factor Surveillance System (BRFSS) pada
tahun 2014 melaporkan hasil bahwa di 12 negara antara 74.571 responden dewasa 35,3% memiliki waktu tidur <7 jam
selama 24 jam: 48,0% melaporkan mendengkur: 37,9% dilaporkan secara tidak sengaja tertidur di siang hari 4,6%
dilaporkan mengantuk saat mengemudi dalam 30 hari sebelumnya.

3. Kecemasan dikatakan sebagai sebuah stresor atau pemicu stress yang dianggap sebagai ancaman atau
tantangan oleh manusia dimana untuk bertahan diri memerlukan tenaga yang lebih contohnya seperti psikologis
ataupun fisik, adapun ketika fisik kita mengalami gangguan seperti munculnya penyakit akan berdampak secara
langsung sebagai faktor prespitasi terjadinya kecemasan (Doli Tine Donsu,2017). Buku yang ditulis oleh Prof.
Zulies ikwati, Phd,.Apt menyebutkan bahwa etiologi penyebab penyakit adalah berasal dari kecemasan adalah
gangguan kardiovaskuler (ikawati,2011). Kecemasan yang berkelanjutan menyebabkan kebiasaan tidur menjadi
buruk, kondisi psikologis yang terjadi dikarenakan adanya ketegangan jiwa dan karena masalah pskilogis ini
kemudian berimbas pada sulitnya untuk tidur dan berkurangnya kebutuhan waktu tidur serta lamanya tidur (A.
Hidayat).

4. WHO menyatakan bahwa kecemasan merupakan gangguan kesehatan jiwa yang umum dengan prevalensi yang sangat tinggi
(HIMPSI, 2020). Lebih dari 200 juta orang (3,6% dari total populasi) di seluruh dunia menderita kecemasan. Data prevalensi dari studi
kecemasan menunjukkan hingga 9,1% orang Amerika berusia 13-18 memiliki kecemasan sosial, data lain menunjukkan bahwa 7,7%
memiliki kecemasan sosial pada kelompok tahun 13-14, 9,7% pada usia 15-16 dan 10,1% pada usia 17-18. Diperkirakan kecemasan sosial
pada kalangan remaja di Amerika akan terus meningkat (Merikengas et al., 2010). Prevalensi gangguan kejiwaan pada remaja di Asia
Tenggara adalah 4,9%, dan masalah yang paling banyak diteliti pada masa remaja adalah gangguan depresi dan kecemasan (Patton &
Trihandini, 2018). Menurut hasil Riskesdas (Kementerian Kesehatan, 2018), gangguan emosi pada remaja meningkat dari 6% pada tahun
2013 menjadi 9,8% pada tahun 2018. Keadaan pandemi Covid 19 berdampak pada keadaan emosional, masalah utama yang dihadapi
masyarakat pada umumnya dan remaja pada khususnya di masa pandemi ini adalah kecemasan. Selama pandemi, orang mengalami stres
akut karena pembatasan sosial, kurangnya kebutuhan dasar, ancaman infeksi, dan modifikasi perilaku (HIMPSI, 2020).

5. Tekanan darah adalah tekanan yang ditimbulkan pada dinding arteri. Tekanan puncak terjadi
saat ventrikel berkontraksi disebut tekanan sistolik, sedangkan tekanan terendah yang terjadi saat
jantung beristirahat disebut tekanan diastolik. Tekanan darah biasanya digambarkan sebagai rasio
tekanan sistolik terhadap tekanan diastolik, dengan nilai dewasa normalnya berkisar dari 100/60
mmHg sampai 140/90 mmHg. Rata-rata tekanan darah normal biasanya 120/80 mmHg (Smetlzer
dan Bare, 2011).Menurut organisasi kesehatan dunia (WHO), tekanan darah normal bagi orang
dewasa adalah 120/80 mmHg. Angka 120 hhmHg menunjukkan tekanan sistolik, yaitu tekanan
saat jantung memompa darah ke seluruh tubuh.

6. Hipertensi, atau tekanan darah tinggi, adalah kondisi medis yang ditandai oleh tekanan darah yang terus-
menerus tinggi dalam arteri. Hipertensi dapat meningkatkan risiko terjadinya berbagai masalah kesehatan, termasuk
penyakit jantung, stroke, dan gangguan ginjal.
Hipertensi merupakan salah satu penyakit yang angka kejadiannya sangat tinggi didunia dan terus mengalami
peningkatan kejadian dari tahun ke tahun. Menurut dari WHO tahun 2001, sekitar 7,6 juta mortalitas dan 92 juta
morbiditas pertahun yang terjadi diseluruh dunia disebabkan oleh hipertensi. . Di Indonesia hasil prevalensi
pengukuran hipertensi nasional pada penduduk umur lebih dari 18 tahun mengalami peningkatan dari hasil Riskesdas
sebelumnya yaitu 25,8% di tahun 2013 menjadi 34,1% pada hasil Riskesdas tahun 2018 (Riskesdas, 2018). Di Kota
Semarang kasus PTM tertinggi di Puskesmas dan FKTP tertinggi pada penyakit hipertensi yaitu sebanyak 161.283
kasus (Profil Kesehatan Kota Semarang, 2018).

7. Dari latar belakang diatas disimpulkan bahwa kualitas tidur, kecemasan berpengaruh pada
tekanan darah dan mengakibatkan hipertensi, jika seseorang mengalami kualitas tidur yang
buruk pemulihan dan regenerasi, memperbaiki jaringan-jaringan yang rusak, mengatur
keseimbangan hormon, mengkonsolidasikan memori, dan memperbarui energi yang terkuras
akan terganggu, sedangkan kecemasan yang berlebihan akan memunculkan penyakit karena
imunitas dari seseorang tersebut akan terganggu contohnya tekanan darah yang meningkat akan
berdampak pada penyakit hipertensi.

8. Rumusan Masalah
Dari penjelasan latar belakang diatas, maka peneliti merumuskan masalah sebagai
berikut: Apakah terdapat hubungan antara kualitas tidur dan kecemasan dengan tekanan
darah pada penyakit hipertensi ?

9. Tujuan penelitian
umum
Mengetahui secara umum , apakah terdapat
hubungan antara kualitas tidur dan kecemasan
dengan tekanan darah pada penyakit
hipertensi.
01

10. Tujuan Khusus
1
Mengidentifikasi
kualitas tidur terhadap
penyakit hipertensi
2
Mengidentifikasi
kecemasan terhadap
penyakit hipertensi
3
Mengidentifikasi
tekanan darah terhadap
penyakit hipertensi
4
Menganalisis
hubungan kualitas
tidur dan kecemasan
terhadap tekanan
darah pada hipertensi

11. Tinjauan Pustaka
Kualitas tidur adalah kepuasan seseorang terhadap tidur, sehingga seseorang
tersebut tidak memperlihatkan perasaan lelah, mudah terangsang dan gelisah, lesu
dan apatis, kehitaman di sekitar mata, kelopak mata bengkak, konjungtiva merah,
mata perih, perhatian terpecah-pecah, sakit kepala dan sering menguap atau
mengantuk (Hidayat, 2006). Menurut Akersted Nilsson, dalam Kompier et al
(2012), menyebutkan bahwa stres dan tidur mempunyai hubungan yang erat.
Kualitas tidur yang buruk dapat dikaitkan dengan kesehatan mental seperti stres
emosi pada seseorang.

12. Hal-hal yang mempengaruhi kualitas tidur
a. Penyakit fisik Setiap
penyakit fisik menyebabkan
ketidaknyamanan fisik
seperti nyeri, batuk, sesak
napas, jantung berdebar dan
lain-lainya dapat juga
menyebabkan masalah tidur
dan istrahat (Sujono dan
Hesti, 2015).
.b. Gangguan psikiatrik Sebuah
gangguan yang dapat mengakibatkan
terganggunya kesehatan mental
sehingga dapat menyebabkan
seseorang mengalami gangguan mood,
gangguan psikotik (Hulisz & Duff,
2009), kecemasan, dan depresi yang
akan menyebabkan kebutuhan istirahat
dan tidurnya terganggu (Sujono dan
Hesti, 2015).
.
c. Lingkungan Lingkungan fisik yang sangat
menggangu diantaranya adalah suhu yang dingin,
suara yang berisik, ukuran tempat tidur, tempat tidur
yang keras, posisi tempat tidur, gaduh dan lain-
lainnya (Sujono dan Hesti, 2015).
d. Obat-obatan Beberapa efek
obat diantaranya ada yang
menyebabkan mudah
mengantuk/tertidur dan ada
pula yang sebaliknya sangat
menggangu tidur (Sujono dan
Hesti, 2015).
e. Psikososial serius Keadaan
dimana seseorang mempunyai
masalah psikososial yang dapat
mengganggu fungsi kesehariannya,
baik dalam berhubungan dengan
orang lain maupun terhadap diri
sendiri (Hulisz & Duff, 2009).

13. Kecemasan , dalam Psikologi didefinisikan sebagai perasaan
campuran berisikan ketakutan dan keprihatinan mengenai masa-
masa mendatang tanpa sebab khusus untuk ketakutan tersebut
serta bersifat individual." Nevid menjelaskan bahwa kecemasan
adalah suatu keadaan emosional yang mempunyai ciri
keterangsangan fisiologis, perasaan tegang yang tidak
menyenangkan, dan perasaan aprehensif bahwa sesuatu yang
buruk akan terjadi

14. Genetik: Faktor genetik dapat memainkan peran dalam
kecenderungan seseorang untuk mengalami kecemasan. Jika
ada riwayat keluarga dengan gangguan kecemasan, seseorang
mungkin memiliki risiko lebih tinggi untuk mengembangkan
kecemasan.
.
Lingkungan: Lingkungan di sekitar seseorang juga dapat
mempengaruhi tingkat kecemasan. Stres kronis, konflik interpersonal,
atau tekanan pekerjaan yang tinggi dapat meningkatkan risiko
seseorang mengalami kecemasan.
Faktor-faktor yang memepengaruhi
kecemasan
Peristiwa Traumatis: Pengalaman traumatis, seperti kecelakaan,
kekerasan fisik atau seksual, atau kehilangan yang signifikan, dapat
meningkatkan risiko kecemasan pada seseorang. Trauma masa kecil
juga dapat berkontribusi pada perkembangan kecemasan di
kemudian hari.
Faktor Neurokimia: Ketidakseimbangan atau gangguan neurokimia di
otak, seperti ketidakseimbangan neurotransmiter seperti serotonin,
dopamin, atau norepinefrin, dapat berperan dalam pengembangan
kecemasan.
Kondisi Kesehatan Mental Lainnya: Kecemasan juga dapat terkait dengan
kondisi kesehatan mental lainnya, seperti depresi, gangguan bipolar, atau
gangguan obsesif-kompulsif. Kadang-kadang, gejala kecemasan juga
dapat muncul sebagai bagian dari gangguan mental lainnya.
Kondisi Medis: Beberapa kondisi medis seperti gangguan tiroid, gangguan
jantung, gangguan pernapasan, atau gangguan hormonal dapat
menyebabkan atau memperburuk kecemasan.
Penggunaan Zat: Penggunaan zat seperti alkohol, obat-obatan terlarang,
atau obat-obatan tertentu yang mempengaruhi sistem saraf dapat memicu
atau memperburuk kecemasan.
Koping dan Dukungan Sosial: Kemampuan seseorang dalam mengatasi
stres dan memiliki dukungan sosial yang kuat juga dapat mempengaruhi
tingkat kecemasan. Kurangnya keterampilan koping yang efektif atau
kurangnya dukungan sosial dapat meningkatkan risiko kecemasan.

15. Rancangan Penelitian
Tempat
Penelitian
Waktu
penelitian Ruang lingkup
Penelitian
dilakukan di
warung Burjoin
Kedungmundu
Kec.Tembalang
Kota Semaran
Waktu penelitian
ini
dilaksankanan
tanggal 1
Agustus hingga
14 Agustus 2023
Ruang lingkup
keilmuan
penelitian ini
mencakup ilmu
kedokteran
keluarga

16. O
N
L
I
N
E
D
I
A
G
N
O
S
I
S
Jenis Rancangan Penelitian
Didalam penelitian ini peneliti menggunakan metode kualitatif dengan desain
penelitian studi naratif menggunakan pendekatan dengan wawancara mendalam
(in depth interview) melakukan wawancara terhadap responden yaitu kepada
narasumber yang berada diadaerah Kedungmundu, Kec Tembalang, Kota
Semarang, Jawa tengah untuk berdiskusi tentang makna-makna dari pengalaman
kehidupan cerita sehari-hari secara rinci, serta melakukan analisis yang
mendalam hal dasar apa yang mempengaruhi dari tema yang akan diteliti.

17. Besar Sampel
Untuk besar sampel dalam penelitian yang dibutuhkan
adalah berjumlah 2 orang dengan kriteria narasumber yang
jujur dan bersedia dalam memberikan jawaban yang rinci
ketika dilakukan wawancara.

18. Teknik Pengumpulan Data
Wawancara mendalam (in depth interview)
Wawancara mendalam yaitu teknik pengumpulan data yang
dilakukan peneliti untuk mendapatkan informasi secara lisan
melalui tanya jawab yang berhadapan langsung dengan
sejumlah informan yang dapat memberikan keterangan-
keterangan yang berkaitan permasalahan penelitian. Metode ini
bertujuan untuk memperoleh keterangan langsung dari informan
dengan memberikan beberapa gagasan pokok atau kerangka dan
garis besar pertanyaan yang sama dalam proses wawancara ke
dalam beberapa informan.

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Contents Here
You can simply impress your audience
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your Presentations.
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Online Doctor

39. Infographic Style
85% 35% 65% 45%
Get a modern PowerPoint Presentation that is beautifully designed.
Easy to change colors, photos and Text.
Contents Here
Get a modern PowerPoint Presentation that is beautifully designed.
Easy to change colors, photos and Text.
Contents Here
Get a modern PowerPoint Presentation that is beautifully designed.
Easy to change colors, photos and Text.
Contents Here
Get a modern PowerPoint Presentation that is beautifully designed.
Easy to change colors, photos and Text.
Contents Here
Example Text : Get a modern PowerPoint Presentation that is
beautifully designed. I hope and I believe that this Template will your
Time, Money and Reputation. Get a modern PowerPoint
Presentation that is beautifully designed. Easy to change colors,
photos and Text.

40. You can simply impress your audience and add a
unique zing and appeal to your Presentations. Easy
to change colors, photos and Text. Get a modern
PowerPoint Presentation that is beautifully designed.
You can simply impress your audience and add a
unique zing and appeal to your Presentations. You
can simply impress your audience and add a unique
zing and appeal to your Presentations.
Get a modern PowerPoint
AWESOME
SLIDE

41. Example Text : Get a modern
PowerPoint Presentation that
is beautifully designed. I hope
and I believe that this Template
will your Time, Money and
Reputation.
We Create
Professional
Presentation
Option Type
I hope and I believe that this Template will your Time, Money and
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Option Type
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Option Type
I hope and I believe that this Template will your Time, Money and
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Option Type
I hope and I believe that this Template will your Time, Money and
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42. Infographic Style
Your
Text Here
Add Text
Simple
PowerPoint
Presentation
Add Text
Simple
PowerPoint
Presentation
Add Text
Simple
PowerPoint
Presentation
Your Text Here
I hope and I believe that this Template will your
Time, Money and Reputation.
Your Text Here
Example Text : I hope and I believe that this Template will your Time, Money
and Reputation. Easy to change colors, photos and Text.
Your Text Here
Example Text : I hope and I believe that this Template will your Time, Money
and Reputation. Easy to change colors, photos and Text.
Your Text Here
Example Text : I hope and I believe that this Template will your Time, Money
and Reputation. Easy to change colors, photos and Text.
Your
Text Here
Add Text
Simple
PowerPoint
Presentation
Add Text
Simple
PowerPoint
Presentation
Add Text
Simple
PowerPoint
Presentation

43. You can simply impress your audience and
add a unique zing and appeal to your
Presentations. Easy to change colors,
photos and Text. Get a modern
PowerPoint Presentation that is beautifully
designed. I hope and I believe that this
Template will your Time, Money and
Reputation. You can simply impress your
audience and add a unique zing and
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Simple Portfolio
Presentation
Designed
You can simply impress your
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modern PowerPoint
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designed. I hope and I believe
that this Template will your Time,
Money and Reputation. You can
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and add a unique zing and
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Get a modern PowerPoint
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AWESOME
SLIDE
LOREM IPSUM DOLOR SIT AMET,
CU USU AGAM INTEGRE IMPEDIT.
LOREM IPSUM
DOLOR SIT AMET

44. Infographic Style
Get a modern PowerPoint Presentation
that is beautifully designed.
Get a modern PowerPoint Presentation
that is beautifully designed.
Get a modern PowerPoint Presentation
that is beautifully designed.
Get a modern PowerPoint Presentation
that is beautifully designed.
Get a modern PowerPoint Presentation
that is beautifully designed.
Your Text Here
You can simply impress your audience
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Your Text Here
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Your Text Here
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Your Text Here
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Your Text Here
You can simply impress your audience
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45. Infographic Style
Get a modern PowerPoint
Presentation that is
beautifully designed.
VISION
Get a modern PowerPoint
Presentation that is
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MISSION
You can simply impress your
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VALUE
You can simply impress your
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VALUE
You can simply impress your
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VALUE
CONTENTS

46. You can simply impress your audience and add a unique zing and appeal to your Presentations. Easy to
change colors, photos and Text.
Get a modern PowerPoint Presentation that is beautifully designed. I hope and I believe that this Template
will your Time, Money and Reputation.
Contents Here
You can simply impress your audience and add a unique zing and appeal
to your Presentations. Easy to change colors, photos and Text. Contents Here

47. Infographic Style
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
A 1 A 2 A 3 A 4
Content Here
Get a modern PowerPoint Presentation that is beautifully designed. hope
and I believe that this Template will your Time. Easy to change colors,
photos and Text. Example Text : Get a modern PowerPoint Presentation
that is beautifully designed.
Content Here
Get a modern PowerPoint Presentation that is
beautifully designed.
Content Here
Get a modern PowerPoint Presentation that is
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Content Here
Get a modern PowerPoint Presentation that is
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Content Here
Get a modern PowerPoint Presentation that is
beautifully designed.

48. Infographic Style
You can simply impress your audience and
add a unique zing and appeal to your
Presentations . Easy to change colors,
photos and Text. Get a modern
PowerPoint Presentation that is
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Your Text Here
You can simply impress your audience and
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Presentations . Easy to change colors,
photos and Text. Get a modern
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Your Text Here
You can simply impress your audience and
add a unique zing and appeal to your
Presentations . Easy to change colors,
photos and Text. Get a modern PowerPoint
Presentation that is beautifully designed.
Your Text Here
You can simply impress your audience and
add a unique zing and appeal to your
Presentations . Easy to change colors,
photos and Text. Get a modern
PowerPoint Presentation that is
beautifully designed.
Your Text Here
Easy to
change colors,
photos and
Text.
Easy to
change colors,
photos and
Text.
Easy to
change colors,
photos and
Text.
Easy to
change colors,
photos and
Text.

49. You can simply impress your audience and add a unique zing and appeal
to your Presentations.
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Presentations. I hope and I believe that this Template will your Time, Money and Reputation.
You can simply impress your audience and add a unique zing and appeal to your
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your Presentations. I hope and I believe that this Template will your Time, Money and
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your Presentations. You can simply impress your audience and add a unique zing and
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and Reputation. You can simply impress your audience and add a unique zing and appeal
to your Presentations. You can simply impress your audience and add a unique zing and
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One Column Infographic

50. Column Infographic
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Your Text Here
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hope and I believe that this Template
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photos and Text.
Your Text Here
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You can simply impress your
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change colors, photos and Text. I
hope and I believe that this Template
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You can simply impress your
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change colors, photos and Text. I
hope and I believe that this Template
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change colors, photos and Text.
Your Text Here
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change colors, photos and Text. I
hope and I believe that this Template
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Your Text Here

51. Thank You
Insert the Sub Title of Your Presentation

52. Fully Editable Shapes

53. Fully Editable Shapes

54. PNG IMAGES
Place Your Picture Here
Insert Your Image
Insert Your Image

55. You can Resize without
losing quality
You can Change Fill
Color &
Line Color
www.allppt.com
FREE
PPT
TEMPLATES
Fully Editable Icon Sets: A

56. You can Resize without
losing quality
You can Change Fill
Color &
Line Color
www.allppt.com
FREE
PPT
TEMPLATES
Fully Editable Icon Sets: B

57. You can Resize without
losing quality
You can Change Fill
Color &
Line Color
www.allppt.com
FREE
PPT
TEMPLATES
Fully Editable Icon Sets: C