Introduction. Osteosarcoma is the most common primary bone tumor in children. The current management is the surgical method (amputation) and continued chemotherapy. When someone is expected to do this treatment, there will be various possible psychological reactions occur. This amputation condition will affect psychological symptoms both before and after the procedure. Case presentation. A girl, Ms. D, seven years old, first grade of elementary school, planned to be amputated with a diagnosis of right tibia proximal osteosarcoma. The patient is a child the second of 3 siblings. The patient was taken to Dr. Soetomo General Hospital, after checking at the hospital in Ponorogo, then a referral was given for further treatment. Patient is referred because the swelling in the right knee is getting bigger day by day. The patient is being treated and will be planned for surgery with a diagnosis of proximal osteosarcoma right tibia. The patient is consulted by a psychiatrist for assistance considering the patient will be carried out  right leg amputation surgery. Conclusion.Chemotherapy with various side effects will also have an effect on the psychological condition of the patient. So there is a need for full involvement multidisciplinary in dealing with pediatric patients with osteosarcoma that will be carried out amputation to obtain optimal therapeutic results.

Background: Depression is a common cause of poor health throughout the world. Genotype factors and cultural environment will interact to influence the psychodynamics of a person's behaviour in expressing depression.Aim: This paper aims to describe the influence of cultural factors on a person's psychodynamics and clinical appearance of depression.Methods: PubMed were searched using the following keyword: (culture) AND (expression of depression OR expression OR clinical appearance) AND (psychodynamic) AND (psychometrics) using the journal publication filter for the 2014-2020 issue. We also used textbooks published in the last 10 years and were related to writing themes.Review: Every individual has "internal" and "external" views within him, which are influenced by the culture in which he grows and develops. These views, along with beliefs, religions, and gender differences can influence the type and severity of depression as well as variations in clinical appearance. In addition, most of the existing psychometrics developed in Europe and the United States, so there are some items that are not appropriate when applied in different cultures. In Indonesia there is an Indonesian Depression Checklist that has been adapted to Indonesian culture to detect depression. Physicians must avoid stereotyping members of certain cultural groups while respecting the importance of cultural influences.Summary: Psychodynamics and culture will influence behaviour in response to distress, resulting in clinical vary features of depression across cultures. Health care workers must have the cultural competence to sharpen their analytical power and avoid misdiagnosis of depression.Keywords: culture, depression, expression, psychodynamics, psychometrics.

Keberadaan Perpustakaan Puskesmas dibawah pengelolaan UPTD Puskesmas Nanggulan selain sebagai layanan masyarakat juga merupakan sumber data, informasi, dan pengetahuan. Perpustakaan Digital berbasis Web sangat diperlukan karena dapat mempermudah penyimpanan dan penyebarluasan informasi serta ilmu pengetahuan ke seluruh masyarakat. Untuk penelitian ini merancang bangun aplikasi “Sipedi” yaitu Sistem Informasi Perpustakaan Digital berbasis web pada UPTD Puskesmas Nanggulan. Metode pengumpulan data yang digunakan adalah wawancara, observasi, dan studi pustaka. Website ini dikembangkan menggunakan program PHP dan pengolahan data menggunakan database MySQL. Design tampilan dirancang menggunakan Adobe Dreamweaver CS6. Metode pengembangan perangkat lunak penelitian ini menggunakan model waterfall dengan beberapa tahapan, meliputi analisis kebutuhan perangkat lunak, desain, pembuatan kode program, pengujian, dan pendukung (support) atau pemeliharaan (maintenance). Sedangkan pengujian yang dilakukan menggunakan Black Box Testing.

<p>The concept of environmental governance does not promise practical solutions and provides short guidance in solving intertwined environmental problems in Indonesia. But at least environmental concept is useful when we try to realize environmental management in Indonesia currently. The worst is that the mistake has become routine manifesting in pragmatism in environmental management. Before it all too late, it is better that we keep in mind a German proverb in the beginning of this writing, which more or less, means “ we do not know what the future brings, but we know that we should act.”</p>

Background: Playing angklung, an Indonesian traditional musical instrument and practicing silence have been shown to exert beneficial effects on emotion and cognition; the mechanism of such an effect possibly involve oxytocin. To date, only a few clinical and biomolecular studies have investigated the effects of playing angklung and practicing silence. This study aimed to examine the effects of playing angklung and practicing silence on human emotion and cognition and on oxytocin levels. Methods: This experimental study involved 61 Fourth Grade students from Surabaya, East Java, Indonesia. The participants were divided into two groups: the angklung intervention group and silence intervention group. The two interventions were performed for 15 min before the morning classes for 2 months. The control group attended their classes as usual. Clinical parameters, namely, emotion and cognition, as well as the saliva oxytocin levels were measured. Results: No significant differences were observed among the three groups in terms of concentration and cognitive flexibility. However, changes in oxytocin levels significantly differed among the three groups (P < 0.001) and the oxytocin levels were highest in the silence intervention group. Conclusion: Practicing silence significantly increased the oxytocin levels, but it did not elicit changes in cognitive function and emotion of the students.