Latar Belakang: Bencana tanah longsor merupakan bencana alam yang dapat memberikan dampak yang negatif bagi penyintas bencana tanah longsor. Dampak yang ditimbulkan baik berupa dampak fisik, sosial, lingkungan maupun dampak psikologis. Dampak psikologis yang ditimbulkan setelah bencana yaitu Post Traumatic Stress Disorder (PTSD) yang menunjukkan beberapa gejala berupa Re-experiencing, Avoidance, Negative alteration in mood and cognition, dan Hyperarousal.Tujuan: Mengetahui gambaran Post Traumatic Stress Disorder (PTSD) pada korban bencana tanah longsor.Metode: Jenis penelitian ini merupakan penelitian deskriptif dengan pendekatan survey. Teknik sampel yang digunakan dalam penelitian ini adalah teknik total sampling, sampel dalam penelitian ini berjumlah 38 responden. Analisa data menggunakan analisis univariat untuk mengetahui karakteristik responden yang meliputi umur, pekerjaan, jenis kelamin, agama, suku, Pendidikan, usia saat terjadi bencana dan gambaran gejala PTSD.Hasil: Responden yang mengalami gejala PTSD sebanyak 30 responden (78,9%), sedangkan responden yang tidak mengalami gejala PTSD sebanyak 8 responden (21,1%).Kesimpulan: Sebagian besar responden mengalami PTSD.

Objective: Understand Effect of Education Mitigation of Disasters Land landslide against Preparedness Society in Rural Melung District of Kedungbanteng Regency of Banyumas. Methods: This study uses quantitative methods with quasy experimental designs through the one group pretest-posttest design approach. Test were used in research this is a test paired sample t test with a number of 50 respondents were taken by proposive sampling. Results: Result statistical test p-value = 0.0001 ( p-value < 0.05) which means that there are significant landslide disaster mitigation education to the knowledge society in the village of the District Melung Kedungbanteng Banyumas Regency. This influence is indicated by an increase of 5,640 points from the score before training of 6,140. The difference of 5,640 is statistically significant.Conclusion: The preparedness of the village community in melung is included in the category of being ready to face the possibility of a landslide disaster, before the training knowledge of the people of 6,15 but after the knowledge of the rise of 11,78.Keywords: Mitigation disasters soil landslides, Preparednes, Education.

Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequacy can cause an increased progression of impaired renal function, as well as the increased morbidity and mortality, and declining productivity of hemodialysis patients. Fatigue prevalence ranged from 44,7- 97% from mild to severe. Fatigue is a common complaint of hemodialysis patients that can lower physical function and life quality. To determine the correlation between adequacy and the fatigue level of the patients with End Stage Renal Disease (ESRD) undergoing hemodialysis. This study used a descriptive analytic and cross sectional approach involving 75 respondents and the FACIT-G Questionnaire was used to collect the data. The inclusion criteria are male and female patients aged 18 -70, undergoing hemodialysis for more than 3 months with a frequency of 2 times at least 4 hours, composmentis patients. The adequacy hemodialysis was assessed using the Kt/V formula. All data were collected during the session of hemodialysis. Pearson Product moment test wes used to analyze the data. The mean dialysis adequacy was 1.43±0.380, 57(76%) only 13 (17.3%) patients had adequate dialysis (minimum laboratory standard Kt / v = 1.8) and inadequate were 62 (82.7%) patients. The mean of fatigue was 20.07 and 62 (82.7%) respondents experienced severe fatigue. There was no significant correlation between adequacy and the fatigue level of the patients with ESRD undergoing hemodialysis with p value 0.504 (α> 0.05). Mostly patients had inadequate dialysis, both adequate and inadequate dialysis patients had experience fatigue from mild to severe. Multiple individuale and personnel factors affect dialysis adequacy directly or conversely.

Accidents or unwanted events can happen anywhere and anytime. This incident can be a small incident or a disaster involving a large number of sufferers. Those who attempt to provide this help have varying degrees of knowledge ranging from no knowledge to those who may have been trained. There is a golden time between assistance in the field until the victim can get help by medical personnel at a health facility, so this response time must be used properly so that the victim will survive. The speed of evacuation of victims of traffic accidents is one of the important goals in emergency assistance. In a dangerous situation, a rescuer may need to move the patient immediately. In a dangerous situation, it is very important for rescuers to take appropriate, fast and alert action. Ambulance is a specially designed medical transportation that is different from other modes of transportation. The emergency ambulance is designed to be able to handle emergency patients, provide first aid and perform intensive care during the trip to the referral hospital. This activity was carried out by conducting evacuation and transportation training for the Lazizmu Banyumas ambulance driver and the Banyumas ambulance community which was attended by 38 drivers. This training uses lectures, demonstrations and red-emonstration methods on how to evacuate and transport patients. The result of this training is an increase in driver skills in evacuating and transporting patients in accordance with standard operating procedures (SOPs). The impact of this service is to increase the confidence of ambulance drivers in providing first aid in prehospital events.

Background: Some of regional hospitals still provide oxygen gas for nebulizer to therapies in astma patiens. The study was aimed to observe the effectiveness of jet nebulizer vs oxygen as a driving gas for nebulizer on respiratory parameters of asthma patients which is breath pattern, respiration rate (RR), breath sound, oxygen saturation (SpO2), peak expiratory flow rate (PEF}. Method: The research was an experimental with a combination design, pre-post test with control group and post test only with control group in RSUD dr. R. Goeteng Taroenadibrata Purbalingga consisted of 60 respondents selected by proportional stratified random sampling. Data analysis used was independent t-test and fisher’r exact test. Result: There was no difference in the respiratory pattern variables between jet nebulizer and oxygen as a driving gas nebulizers (p> 0.05). The jet nebulizer was better in reducing RR in asthma patients than the oxygen as a driving gas nebulizer (p