No abstract

Social isolation is interpersonal relation disorders that caused by personal inflexibility, until maladaptive behavior and disturb the function of individual in relation. It isthe third largest mental disorder diagnosis in the hospital. This condition describe that it requirestherapiesfor decreasing cases. One of them is Socialization Activity in Group Therapy that facilitates clients doing socialization in group. The influence of Socialization Activity in Group Therapy to socialization capability in clients with social isolation was measured in this study. The method of it used experimental study with pretest and post-test one group design. Samples selected using purposive sampling(32 samples). In pretest, socialization capabilities of clients were assessed using GAT observation sheet, after that the intervention of Socialization Activity in Group Therapy was given every week until seven week for seven steps. At post-test, Socialization Activity in Group Therapy was evaluated using same tool in pretest. The result showed that the mean of socialization capabilities at pre-test was 2.73 and 6.70 at post-test, there was a statistically high significant difference with paired t-test at p 0,001 or 00,05 score.

Damage to tissues causes damage to blood vessels.In patients with DM with diabetic ulcers, perfusion repair is absolutely necessary because it will be very helpful in transporting oxygen and blood to the damaged tissue. A good indicator of perfusion is characterized by normal oxygen saturation support Physical exercise stretching the legs is the main treatment in the prevention and healing of diabetic foot ulcers. Research purposes Identifying the effect of Stretching Exercises on oxygen saturation in patients with diabetes mellitus ulcers. Research methods used is quasi-experimental (Quasi experiment designs) with the design of the Pre test and Post test nonequivalent control group design. Non-probability sampling technique with consecutive sampling technique. The study was conducted at the General Hospital dr. R. Soetijono Blora from May to November 2019 with a sample of 20 respondents. Univariate analysis includes descriptive analysis and bivariate analysis with Paired Samples Correlations and Paired Samples test. Research Results and Discussion showed stretching exercises (Stretching Exercises) correlated (Sig value 0,000 <α 0.005) and effect (Sig 2-tailed value = 0.001 <½ α 0.025) on oxygen saturation in patients with diabetes mellitus ulcers on stretching days 2 and 3 Leg stretching exercises cause the muscles to contract continuously and activate the blood vessel system and venous pump so that blood circulation will increase. Leg stretching exercises (Stretching Exercises) in the Ankle section to improve the function of blood flow in the legs so that tissue requirements such as oxygen and nutrients are met, these exercises also have a positive impact on the healing process of diabetic foot ulcers or can optimize the vascularization of the ulcer area with indicators of improvement in oxygen saturation. Conclusions and Suggestions research on stretching exercises (stretching exercises) correlated and affected the oxygen saturation in patients with DM ulcers, after doing leg stretching exercises day 2 and 3.

Willingness to pledge as an organ donor after death in Malaysia increased from 26 donors to 39 donors in 2009 compared with the previous year. However, this is still a relatively low number, translating to a donation rate of 1.38 per one million people. The aim of this study was to determine the proportion of receiving information about organ donation, willingness to donate, refusal factors for organ donation and reasons for refusal. We used data from organ donation module from the National Health and Morbidity Survey (NHMS) 2006, a nationwide cross-sectional study by the Institute for Public Health. Data were analyzed using SPSS ver. 19 and Stata Ver. 11 for descriptive and inferential statistics. They were 34,208 respondents in this study. About 69.6% (95%CI: 68.65-70.15 respondents who ever received information on organ donation and the proportion of those who pledged as organ donors was 1.5% (95%CI: 1.40-1.70). Pledge for organ donor was less likely among Malays (aOR=3.45, p<0.001), those with no formal education (aOR=3.93, p=0.001) and those with monthly incomes less than RM1000 (aOR=1.87, p=0.001). Main reasons for not pledging were fear (39.4%), against their religion (10.5%) and uncertainty because of religion (10.9%). Study revealed receiving information alone won't encourage organ donation. Therefore, awareness and in-depth knowledge is necessity to create positive perception on pledging for organ donation.

Kelab Doktor Muda (KDM) which translates as Young Doctors Club was established by the Ministry of Health (MOH) Malaysia to train a group of schoolchildren as educators in assisting their peers to adopt healthy practices. This research aims to assess the effectiveness of KDM as a peer education program to increase the health knowledge of school children, and instil healthy practices among schoolchildren by identifying the difference in the level of knowledge, attitude and health practice between school with KDM (SKDM) and school without KDM (NKDM). This is a nationwide comparative cross-sectional study between SKDM and NKDM. This study was carried out between March 2016 and March 2017. Data were obtained using a guided self-administered questionnaire through survey involving 2588 (1294 SKDM; 1294 NKDM) year 5 (11 years old) schoolchildren from 87 primary schools nationwide. The results revealed a significantly higher overall knowledge score of health practices, knowledge and practice score for No Smoking component, as well as hand hygiene knowledge in SKDM compared to NKDM. Schoolchildren in SKDM also had significantly lower BMI compared to NKDM, directly related to healthy eating, active lifestyle and ideal body weight, 3 of the 6 components in this program. As a conclusion, the program was found to be not only effective in increasing the overall knowledge of health practice among schoolchildren, but also results in a meaningful impact to the health of schoolchildren. Further improvements to the modules however should be undertaken to enable more comprehensive changes on the health practices of schoolchildren.