Pandemi COVID-19 berdampak pada berbagai aspek dan bidang kehidupan termasuk kesehatan yang berkaitan dengan kerentanan imunitas serta kesehatan mental yang memicu stres, kecemasan, dan depresi. Remaja merupakan kelompok yang rentan terhadap penyebaran COVID-19 dan mengalami masalah kesehatan mental selama masa pandemi. Self-management melalui diet yang mengandung probiotik dan prebiotik dapat menjadi salah salah satu upaya adjuvant treatment dalam meningkatkan imunitas dan kesehatan mental. Dengan demikian, diperlukan edukasi terkait meningkatkan imunitas dan kesehatan mental selama masa pandemi COVID-19. Tujuan kegiatan pengabdian masyarakat ini adalah memberikan pendidikan kesehatan secara daring dengan tema happy tummy, happy brain untuk meningkatkan pengetahuan terkait pentingnya diet probiotik dan prebiotik dalam meningkatkan imunitas dan kesehatan mental selama masa pandemi COVID-19. Peserta kegiatan pendidikan kesehatan ini adalah 32 orang remaja di Kabupaten Garut. Pendidikan kesehatan dapat meningkatkan pengetahuan partisipan terkait manajemen imunitas dan kesehatan mental melalui diet probiotik dan prebiotik secara signifikan (p< .001). Pendidikan kesehatan ini diharapkan dapat meningkatkan sikap dan perilaku partisipan untuk membiasakan diri mengonsumsi diet yang mengandung probiotik dan prebiotik untuk meningkatkan imunitas dan kesehatan mental.

Background: In response to the need for safe care for people with diabetes mellitus in the current outbreak of COVID-19, it is critical to evaluate the model, service delivery, feasibility, and efficiency of diabetes mellitus telecoaching. Objective: This study aimed to conduct a systematic review and meta-analysis of the model and efficacy of telecoaching to improve self-care and clinical outcomes. Methods: This study uses the Preferred Reporting Item for Systematic Review and Meta-Analysis (PRISMA). We searched on 22 March 2022, using keywords that matched the MeSH browser in four databases to find relevant studies, namely, PubMed/Medline, Proquest, Scopus, and EBSCOhost. Additionally, we collected randomized controlled trials (RCTs) on Google Scholar using the snowball technique. A quality assessment was performed using the Cochrane Collaboration’s Risk of Bias tool (RoB)2. The meta-analysis used the DerSimonian–Laird random-effects model to analyze the pooled mean difference (MD) and its p-value. Results: Thirteen RCT studies were included for the systematic review and meta-analysis with a total number of participants of 3,300. The model of telecoaching is a form of using nurses-led telephone and mobile apps, which are relatively cost-effective. The meta-analysis showed a positively improved statistically significance in clinical outcomes, including in HbA1c (a pooled MD of −0.33; 95% CI: −0.51–−0.15; p = 0.0003), blood glucose (−18.99; 95% CI: −20.89–−17.09; p = 0.00001), systolic blood pressure (−2.66; 95% CI: −3.66–−1.66; p = 0.00001), body mass index (−0.79; 95% CI: −1.39–−0.18; p = 0.01), and weight (−2.16 kg; 95% CI: −3.95–−0.38; p = 0.02). It was not, however, statistically significant in diastolic blood pressure (−0.87; 95% CI: −2.02–0.28; p = 0.14), total cholesterol (−0.07; 95% CI: −0.26–0.12; p = 0.46), low-density lipoprotein (−2.19; 95% CI: −6.70–2.31; p = 0.34), triglycerides (−13.56; 95% CI: −40.46–13.35; p = 0.32) and high-density protein (0.40; 95% CI: −1.12–1.91; p = 0.61). Conclusions: The telecoaching with nurses-led telephone and mobile apps significantly affected clinical outcomes on HbA1c, systolic blood pressure, weight, and BMI. Moreover, there was no significant effect on the total cholesterol, low-density lipoprotein, triglycerides, and high-density lipoprotein. Thus, telecoaching has the potential as a care model in diabetes mellitus during COVID-19 and similar pandemics to improve self-care and clinical outcomes, but all the studies analyzed involved non-COVID-19 patients, limiting the generalizability of the results to COVID-19.

Teridentifikasi influenza H1N1 pada tahun 2009 yang menyebar dengan pesat ke seluruh dunia berdampak pada  jumlah pasien yang mencari perawatan di sistem pelayanan kesehatan. Di samping itu, fasilitas kesehatan mengalami keterbatasan dalam menyediakan tempat dan alat pelindung diri bagi petugas. hal tersebut dapat mengakibatkan meningkatnya penularan di sistem pelayanan kesehatan. Penulis bermaksud melakukan studi terintegrasi dengan tujuan meninjau model dan desain triase selama pandemi influenza H1N1 yang berfokus pada pencegahan penularan di sistem pelayanan kesehatan dengan pemanfaatan Internet of Thing (IOT). Metode yang digunakan penulis adalah literature review dengan menggunakan kata kunci H1N1 influenza,  internet of thing, dan triage,. Hasil pencarian didapatkan terdapat beberapa negara dengan model dan desain triase yang terdigitalisasi. Model tersebut dirancang dalam mengefisiensikan proses triase untuk mengurangi lonjakan pasien selama pandemi. Model triase tersebut menggunakan jaringan terkoordinasi untuk melakukan penilaian klinis, membantu menemukan tempat perawatan, penyebaran informasi, memberikan saran klinis, dan koordinasi penyediaan akses terhadap antivirus. Kesimpulannya, digitalisasi model dan desain sudah mulai dikembangkan dan memiliki dampak dalam mengurangi lonjakan pasien selama pandemi dalam pencegahan penularan di sistem pelayanan kesehatan. Rekomendasi penulis, berharap digitalisasi model dan desain triase dapat digunakan pada seluruh triase pandemi virus seperti H1N1 seperti Covid-19 selama masa pandemi.

The connectivity of the Barat Cave underground river system needs to be known to support the implementation of proper environmental management so that water resources can be maintained sustainably. However, the mapping of underground river paths is often hindered by conditions of narrow cave passages, a barrier blocking the flow of water (siphon), deep underground lakes, underground waterfalls, as well as paths filled with water. This research was conducted in Barat Cave, Karangbolong Karst Area. The purpose of this study is to determine the upstream-downstream connectivity system in this underground river and define the characteristics of the passageway based on quantitative analysis of the transport parameters from the tracer test results. This underground river network analysis needs to be done because previous research has never analyzed this underground river network. The research method used in this study is divided into three stages, namely the pre-field stage, the field stage, and the post-field stage. The pre-field step includes determining the location of the study, collecting secondary data, and studying the literature. The field stage consists of a hydrogeological survey to find information on the presence of caves, springs, sinking stream ponors, or luweng in the study area, instantaneous discharge measurements, and tracer tests. The post-field stage includes data processing and analysis. The results showed that the Barat underground river system originated from the Kalimas sinking stream, Mblabak Cave, Pendok Cave, and Pagilangan sinking streams, then merged into a single tunnel without a flow breaker to the Barat Cave, Pengantin Cave, and appeared in the Kalikarak springs to become a surface river, with a tunnel pattern in the form of curvilinear branchwork. The transport parameters for the underground system tracing of the Barat cave have an advection value of 86.528 m/hour, a dispersion of 0.092 m2/second, a dispersivity of 3.38 meters, and a recovery of 63%. The transport value of the tracing test parameter is influenced by the characteristics of the passageway and underground river flow conditions.

The condition of vertigo if left unchecked will endanger the patient. Vertigo has an impact on quality of life which includes limitations in carrying out daily activities, the risk of falling and can result in injury. This study was conducted to determine the multi-intervention of balance exercise in preventing the risk of falling in vertigo patients. A rapid literature review was conducted on this study related to multi-intervention balance exercises in preventing the risk of falls in vertigo patients from the PubMed, CINAHL, and Science Direct databases. Inclusion criteria for vulnerable full text research articles in 2017-2021 using English. Balance exercise with vestibular rehabilitation, balance retraining, wobble board exercise can be one way to prevent the risk of falling by maintaining balance in vertigo patients and being able to reduce dizziness symptoms, improve quality of life, compliance in exercise and improve dizziness symptoms. Most studies say that balance exercise interventions with vestibular rehabilitation, balance retraining, and wobble board exercises are effective in improving balance, reducing dizziness symptoms in vertigo patients as a prevention of the risk of falling