Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.Methods: This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test   to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.Results: The majority of respondents were male (66.1%). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50%). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0.00).Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.

Latar Belakang: Nyeri punggung bawah merupakan penyakit yang banyak dialami oleh pekerja yang melakukan pekerjaan secara statis dan dinamis, kurang olahraga, terlalu lama duduk, terlalu lama membungkuk terutama pada pekerja pengemudi. Pekerja pengemudi bekerja dengan durasi yang lama setiap harinya dan dengan penumpang atau muatan barang yang tinggi, akibatnya pengemudi akan banyak menerapkan posisi yang statis, lama duduk, dan menerapkan posisi duduk yang kurang tepat. Selain itu beberapa faktor yang menyebabkan pekerja pengemudi mengalami nyeri punggung bawah pada pengemudi adalah faktor IMT atau BMI, masa kerja, posisi duduk, durasi kerja, olahraga, merokok, serta usia. Tujuan: Literature review ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kejadian nyeri punggung bawah pada pekerja pengemudi. Metode: Metode literature review ini adalah scoping review. Artikel yang dikumpulkan melalui beberapa database yang meliputi Google scholar, PubMed, Proquest, Wiley online library dan The Cochrane Collaboration. Kriteria artikel yang dipilih yaitu artikel yang diterbitkan tahun 2016 hingga 2021. Analisis dan penyaringan artikel menggunakan metode PRISMA. Hasil: Didapatkan enam artikel yang layak digunakan, serta telah sesuai dengan kriteria inklusi dan ekslusi. Sebanyak 66.67% artikel membahas faktor posisi duduk, 50% membahas faktor durasi kerja, 66.67% membahas faktor usia, 50% membahas faktor IMT, 83.33% membahas faktor masa kerja, 100% membahas faktor olahraga, dan 83.33% membahas faktor merokok. Kesimpulan: Faktor posisi duduk, durasi kerja, usia, olahraga, merokok, berhubungan dengan terjadinya nyeri punggung bawah pada pengemudi. Sementara faktor IMT atau BMI, masa kerja tidak berhubungan dengan terjadinya nyeri punggung bawah pada pengemudi. Kata kunci: faktor-faktor, nyeri punggung bawah, pengemudi.

Background: Intradialytic hypertension is one of the problems experienced by patient with chronic kidney failure who undergoing hemodialysis with a prevalence of 13,2% to 33,9%. This kind of hypertension is one of the biggest causes of death in patient who undergoing dialysis, with a rate of 59%. Several factor can affect intradialytic hypertension, such as interdialytic weight gain, age, gender, and the duration of hemodialysis.Objective: To determine the characteristic of patients who underwent hemodialysis and to determine the correlation between interdialytic weight gain (IDWG) and confounding factors (age, gender, and the duration of hemodialysis) with intradialytic hypertension.Methods: This research used quantitative methods with observational analytic design. The sampling used simple random sampling with a sample size of 126 patients, who met inclusion and exclusion criteria. Data were collected using secondary data and then analyzed using Fischer Test.Results: The result showed there was no correlation between Interdialytic weight gain (IDWG) and intradialytic hypertension (p value = 0,484). For confounding variable, there was also no correlation between age with intradialytic hypertension (p value= 0,584), gender with intradialytic hypertension (p value= 1,000), and the duration of hemodialysis with intradialytic hypertension (p value= 0,333).Conclusion: There was no statistically significant correlation between interdialytic weight gain (IDWG) and intradialytic hypertension. Age, gender, and duration of hemodialysis did not contribute to intradialytic hypertension.ABSTRAKLatar belakang: Hipertensi intradialisis merupakan salah satu permasalahan yang dialami pasien gagal ginjal kronik yang menjalani hemodialisis, dengan prevalensi sekitar 13,2% sampai 33,9%. Kondisi ini menjadi salah satu penyebab kematian terbesar pada pasien yang menjalani dialisis, yaitu sebesar 59%. Beberapa faktor yang dapat memengaruhi hipertensi intradialisis, seperti Interdialytic Weight Gain, usia, jenis kelamin, dan lama hemodialisis.Tujuan: Mengetahui karakteristik pasien yang menjalani hemodialisis serta mengetahui hubungan antara Interdialytic Weight Gain (IDWG) dan faktor confounding (usia, jenis kelamin, dan lama hemodialisis) dengan hipertensi intradialisis.Metode: Penelitian ini menggunakan metode kuantitatif dengan desain analitik observasional. Jumlah sampel yang digunakan sebanyak 126 pasien, yang memenuhi kriteria inklusi dan eksklusi. Pengumpulan data menggunakan lembar dokumentasi subjek penelitian dan analisis data menggunakan Fischer test.Hasil: Hasil penelitian menunjukkan bahwa tidak ada hubungan antara Interdialytic Weight Gain (IDWG) dengan hipertensi intradialisis (p-value = 0,484). Pada faktor confounding juga tidak ada hubungan antara hipertensi intradialisis dengan usia (p-value= 0,584), dengan jenis kelamin  (p-value = 1,000), dan dengan lama hemodialisis (p-value= 0,333).Simpulan: Tidak ada hubungan antara Interdialytic Weight Gain (IDWG) dengan hipertensi intradialisis. Usia, jenis kelamin, dan lama hemodialisis, juga tidak berhubungan dengan hipertensi intradialisis.

Introduction: Self stigma in people living with HIV/AIDS is a survival mechanism to protect themselves from external stigma. Stigma and discrimination in people living with HIV/AIDS can lead to inequality in sociallife. This inequality can cause inferiority complex, preoccupation, and denial of diagnosis, which correlates with the onset of depression. Objective: To review an intervention that can be use to reduce self stigma on people living with HIV. Methods: Researcher conducted a literature review of studies and reports that assessed the effectiveness of interventions to reduce HIV self-stigma. Databases searched from Science Direct, EBSCO Host, PubMed, and Google Scholar. Article criteria is article which published from 2010-2019. Results: Of 117 articles and reports identified, 3 were included in review representing 4 different interventions which used on reduce self-stigma on peple living with HIV. The interventions are logo therapy, Acceptance and Commitment Therapy (ACT), Family psycoeducation, Stigma Reduction Intervention (SRI). Conclusion: This literature review showed that stigma reduction intervention with workshop, logotherapy, ACT, FPE and stigma reduction intervention with video can reduce self stigma on HIV patients. There is a need for policies to be able to implement these interventions because through the reduction in selfstigma, the effect is in improving patient health and patient medicationadherence. All intervention are promising nterventions to reduces self- stigma because applicable and feasible to implement due to its flexibility, non-invasive and no side effects.     Keywords: literature review, HIV, self stigma

People Living with HIV (PLWH) in Indonesia continue to increase in number. Government is needed to know objectively about the number of PLWH. One way is by HIV testing. HIV testing is an important strategy for preventing the spread of HIV. This paper reviews the effectiveness of HIV testing in other countries in order to reduce HIV transmission, so hopefully the result can be adapted to be done in Indonesia for making health policy, especially on urban healthcare services. The publications reviewed comes from Science Direct, PubMed, as well as Google Scholar database covering the period 2016 - 2020 using the keywords “HIV” or “AIDS” and “HIV Testing” and “Healthcare Services” and ‘Urban Healthcare”. Five articles were reviewed in this study. Based on this review, the implementation of HIV testing can be done on several strategies, such as community-based, home-based as well as provider-based testing. Respondents who were given HIV test also varied, from neonates to adults. All of the strategy can succeed for implemented. HIV testing is a promising intervention strategy on healthcare services to reduce HIV transmission that can be adapted in Indonesia.