Kemoterapi memiliki dampak terjadinya kelelahan pada anak yang menderita leukemia limfoblastik akut. Kelelahan yang dialami anak berdampak pada kehidupan dan mempengaruhi kualitas hidup anak. Penelitian ini bertujuan untuk menggambarkan kelelahan yang terjadi pada anak yang menderita leukemia limfoblastik akut yang menjalani kemoterapi fase induksi. Desain penelitian ini adalah deskriptif analitik dengan pengukuran berulang kelelahan pada anak berumur 7-18 tahun (n=62). Pengambilan data dilakukan selama 7 hari yaitu, satu hari sebelum, lima hari selama, dan satu hari setelah kemoterapi. Hasil analisis data didapatkan bahwa hampir seluruh anak mengalami kelelahan (98%). Kelelahan terjadi selama menjalani kemoterapi dan terus meningkat hingga hari terakhir kemoterapi. Terjadinya kelelahan juga berlanjut setelah kemoterapi. Kesimpulannya kelelahan yang terjadi pada anak terus meningkat selama dan setelah menjalani kemoterapi. Perlu eksplorasi intervensi untuk mengatasi atau meminimalkan kelelahan yang dialami anak sesuai tahap perkembangannya agar meningkatkan kualitas hidup anak.

Chemotherapy has an effect on the occurrence of sleep disorders in children who suffer from acute lymphoblastic leukemia. Sleep disorders experienced by children have an impact on optimizing the long-term quality of life of children. This study aims to describe sleep problems that occur in children suffering from acute lymphoblastic leukemia who undergo induction phase chemotherapy. The design of this study was descriptive analytic with repeated measurements of sleep disorders in children aged 7-18 years (n = 62). Data collection was carried out for 7 days, that is, one day before, five days during, and one day after chemotherapy. The results of data analysis found that children have > 15 minutes to fall asleep, children have less than normal amounts of sleep (the number of hours of sleep is normal, school age: 9-11 hours / day, adolescence: 8-10 hours / day) and there was a decrease in the quality of sleep scores. In conclusion, there are sleep disorders that occur in children, namely children have less time to sleep, children need a long time to be able to fall asleep, and children experience a decrease in the quality of sleep. The need for exploration of interventions to facilitate efficient sleep according to the stages of child development.

This study aims to determine the relationship between the mother's level of awareness about the pathology of pneumonia and the duration of breastfeeding under five with the incidence of pneumonia in DR. M.A. Hospital Hanafiah. This research is a retrospective analytic descriptive study with a cross-sectional design. The results showed that mothers' awareness of pneumonia was lower by 71.8%, they breastfed their babies for less than six months (71.8%), and more than two-thirds of children under five (76.9%) were diagnosed with pneumonia. Furthermore, statistical analysis significantly correlated the mothers' awareness of pneumonia and the duration of breastfeeding they performed on their children with pneumonia. The conclusion is that the mother's understanding of pneumonia has a linear effect on the incidence of pneumonia in infants and toddlers. The duration of breastfeeding has a significant impact. We assume that non-exclusive breastfeeding in infants stimulates underweight and immunological disorders that accelerate the incidence of pneumonia.   Keywords: Mother's Awareness, Length of Breastfeeding, Toddler Pneumonia

This study aims to examine the relationship between these factors and sleep disorders and determine the factors that most influence the occurrence of sleep disorders in ALL children undergoing chemotherapy. The design of this research is descriptive-analytic with a cross-sectional approach. The results showed a statistically significant relationship between the type of ALL, chemotherapy regimen, hemoglobin levels, fatigue, pain, and anxiety with a value of (p<0.005). In conclusion, pain and anxiety factors are the most influencing sleep disorders. Cancer and treatment, physiological, and psychological factors are related to the occurrence of sleep disturbances that will affect the quality of life of the next child.   Keywords: Sleep Disorders, Chemotherapy, Acute Lymphoblastic Leukemia

In Indonesia, the target of herd immunity/(herd immunity) is 70% in accordance with the characteristics of the spread of Covid-19. The development and discovery of the Covid-19 vaccine as well as minimal public compliance raises the issue of "herd immunity. The purpose of this community service is to increase public knowledge about the delivery of the COVID-19 vaccine. From the field survey data, it was found that 88% of the residents of Aur Kuning Village on average had a bad attitude about PHBS in the New Normal Era, and were not willing to be vaccinated to prevent Covid-19 transmission. Furthermore, observation and interview data for three families (Heads of Families) in the Aur Kuning sub-district also knowledge about the Covid-19 vaccine is still not good, people think that vaccines are not effective in preventing the transmission of Covid 19, and there is no information regarding the Covid-19 vaccine given to them. Public. This made the community service team interested in providing an explanation about Herd Immunity (herd immunity) in administering the Covid-19 vaccine and also the head of the village at that time asked the Community Service Team of the Perintis Indonesia University to provide counseling about administering the Covid-19 vaccine in the Guguk Panjang Health Center Work Area. Aur Kuning Village, Bukittinggi. The method used in this service is to provide counseling about the importance of the Covid-19 vaccine by means of lectures, discussions, and questions and answers. The results of this activity obtained that the majority of participants were aged around 30 to 60 years, the majority of which were high school education. After conducting health education about the Covid-19 vaccine, there was an increase in public knowledge about the importance of the Covid-19 vaccine. It is recommended that after this service the community is willing to carry out the Covid-19 vaccine and still pay attention to health protocols Keywords: Herd Immunity, Covid-19 vaccine