Background:Stroke is an emergency condition that can cause a decrease in nerve function that is affected by injuries to the central nervous system. The initial examination is needed by nurses to find out the type of stroke that can determine the right treatment and quickly. Determination of the type of stroke is done by using a CT scan tool that has limited facilities in some hospitals, so we need a tool in the form of a stroke scoring that can be used. Aim: This study aims to determine the accuracy of Allen's score in predicting the type of stroke in patients. Methods: This study uses an observational analytic method with a cross-sectional design. The sample selection uses purposive sampling with the number of respondents as many as 100 stroke patients. Observations were made using the Allen score. Results: The results showed 100 patients. Demographic characteristics of patients who have the most strokes are men, the age group that has the most strokes is 54-64 years, working privately. The sensitivity, specificity, NPP, NPN, and accuracy of Allen scores were 98.6%, 100%, 100%, 96%, and 99.0% in predicting the type of ischemic stroke. Whereas in predicting the type of hemorrhagic stroke, sensitivity, specificity, NPP, NPN, and accuracy are 83.3%, 92.6%, 71.4%, 96.2%, and 91%. Conclusion: Determining the type of stroke quickly and precisely, help is needed by using stroke scoring that can be done by nurses as a basis of providing collaborative care in patient management.

Stroke merupakan suatu kondisi klinis yang dapat menyebabkan menurunnya fungsi saraf yang dipengaruhi oleh cidera pada system saraf pusat. Stroke menyebabkan tingginya angka kematian dan kecacatan. Pemeriksaan awal secara tepat dan cermat merupan suatu tindakan yang berpengaruh pada penatalaksanaan. Terdapat alat bantu skoring dapat digunakan dalam membantu menegakkan diagnosa dan memprediksi jenis stroke apabila di IGD rumah sakit belum tersedia standar baku CT scan atau sudah tersedia tetapi penggunaannya masih belum maksimal. Skor Siriraj merupakan skoring yang dapat membantu dan diandalkan untuk mengetahui jenis stroke. Penelitian ini bertujuan untuk mengetahui akurasi skor Siriraj dalam memprediksi jenis stroke pada pasien. Penelitian ini menggunakan metode observasional analitik dengan rancangan cross sectional. Pemilihan sampel menggunakan purposive sampling dengan jumlah 100 pasien stroke. Observasi dilakukan dengan menggunakan skor Siriraj. Karakteristik demografi pasien yang mengalami stroke dengan usia 54 – 64 tahun dan 67 % stroke dialami pasien laki – laki. Hasil penelitian menunjukkan bahwa skor Siriraj untuk menentukan  stroke iskemik memiliki sensitivitas 94,5%, spesifisitas 92,5%, NPP 97,1%, NPN 86,2% dan Akurasi 94%, sedangkan untuk menentukan stroke hemoragik memiliki sensitivitas 100%, spesifisitas 100%, (NPP) 100%, (NPN) 100% dan akurasi 100%. Penentuan jenis stroke dengan cepat dan tepat, diperlukan skoring stroke Siriraj yang dapat dilakukan oleh perawat dalam memberikan penatalaksanaan stroke. Skor Siriraj dapat digunakan untuk menentukan stroke iskemik dan hemoragik

Introduction: Heart failure is a pathological condition in which the heart's organs no longer have the ability to pump blood to the ventricles and throughout the body. One of the leading causes of morbidity and mortality is heart failure. Functional capacity and patient quality of life are correlated in patients with heart failure. Exercise and diet can be used to increase functional capacity. This study aimed to identify the effectiveness of exercise and diet as treatment modalities to improve patient well-being and quality of life outcomes. Methods: This article employs the evidence-based practice of physical exercise (exercise) and a comprehensive diet for heart failure as part of a literature review methodology. Journal articles that meet the requirement of 12 were included in this article. While articles that are inappropriate or only abstract did not include in this study. Result: Twelve articles were included in the study. The suggested physical activity, such as walking, can be completed in 6 minutes or 30 minutes over a week, three times. And a 30-minute riding session is possible. The DASH diet is advised, and patients should receive the recommended amount of sodium (1500 mg/day). Conclusion: Physical exercise and a comprehensive diet that can be done well in heart failure patients can help patients reduce the risk of developing symptoms that can trigger the severity of heart failure. Moreover, patients can carry out daily activities and do their jobs well, and improve their quality of life.

Introduction: The unpredictability of body response to organ dysfunction needs an effective tool to predict the prognosis of shock septic. Early recognition and treatment of septic shock improved prognosis and reduced mortality, especially in pediatrics. This review aimed to identify the predictor of mortality in pediatric septic shock. Methods: We performed a literature review of the predictor of mortality in pediatric septic shock conducted between 2015 and 2020 in ProQuest, Google Scholar, PubMed, and Science Direct. We used keywords (predictor or predictive) and (septic shock or septic), and (prognostic or prognosis) and (pediatric or children). The study selection was using the Preferred Reporting Items for Systematic Review and Meta-Analysis PRISMA framework. Results: 944 articles identified in ProQuest, 720 articles in Science Direct, 339 articles in Google Scholar, and 67 in Pubmed. Equally, the total articles were 2,070 articles, and there were 414 duplicates. After review of the complete texts was performed for 35 potential studies. In the full-text review, we excluded review articles (n = 3), different populations (n=8), and of poor quality (n = 20). Eventually, four papers were reviewed in this study. We found PELOD, PELOD-2, PIM, PIM 2, PIM 3, PMODS, PRISM, PRISM-III, PRISM-IV, and pSOFA as a predictor of sepsis in pediatrics. Conclusion: In conclusion, pSOFA is a more accurate screening result for estimating the risk of death by being 10 times more sensitive and specific. However, adding biomarkers to pSOFA will improve the accuracy of the predictor prognosis of pediatric sepsis.