Osteoarthritis (OA) is a chronic inflammatory disease of the joints due to cartilage breakdown. OA that is left untreated can cause pain, stiffness, swelling, and can lead to disability. Osteoarthritis can occur due to one of the factors which is physical activity that is too heavy. Physical activity and work as farmers and coolies can burden the joints that support the body, especially the knees and waist so that it is very risky to experience osteoarthritis. The purpose of this study was to determine the correlation between physical activity of farm workers that resulted in the incidence of osteoarthritis. This research is a quantitative research, the design of this research is descriptive correlation with cross sectional approach. The number of samples used as many as 113 respondents farm workers. Sample selection using non-probability sampling technique in the form of accidental sampling. Data were collected using the IPAQ questionnaire for measuring physical activity for the last 7 days, and the WOMAC questionnaire for assessing the incidence of osteoarthritis. The questionnaire was distributed directly and analyzed using the Spearman Rank test. The results of statistical tests obtained p-value 0,01 (p < 0,05) which indicates a correlation between physical activity of farm workers with the incidence of osteoarthritis.it is hope that village heads and health workers cam carry out health education activities, especially regarding osteoarthritis and how to prevent it so as not to increase the incidence of osteoarthritis in farmers.

COVID-19 merupakan virus baru yang masih terus dipelajari oleh para ahli. Perawat merupakan tenaga kesehatan yang paling sering dan paling lama kontak dengan pasien di Rumah Sakit. Pada penelitian sebelumnya diketahui tingkat pengetahuan petugas kesehatan tentang COVID-19 berada pada tingkat menengah, dan terdapat 65,6% tenaga kesehatan memiliki gejala kecemasan sedang dan berat. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Penelitian ini dilakukan di salah satu rumah sakit swasta Bandung dengan jumlah responden sebanyak 296 orang perawat. Cara pengambilan sampel dengan cara simple random sampling. Pengumpulan data dengan menggunakan kuesioner. Uji korelasi tingkat pengetahuan tentang COVID-19 dengan tingkat kecemasan perawat menggunakan uji korelasi Spearman rho memiliki p value 0.054. Rata-rata tingkat pengetahuan perawat sebesar 11,93, mendekati skor maximal 13, rata-rata tingkat kecemasan perawat sebesar 21,22 mendekati nilai maximal yaitu 36. Kesimpulan: tidak ada korelasi antara tingkat pengetahuan tentang COVID-19 dengan tingkat kecemasan perawat pada masa pandemi. Saran: perlu dilakukannya konseling pada perawat yang mengalami kecemasan untuk mengurangi tingkat kecemasan.

Background: Myocardial Infarction is one of the major cardiac event that cause of death in the world. One of the first reaction to myocardial Infarction is anxiety, which is a natural response to a life threatening event. High level of anxiety was associated with a higher rate of all cause cardiovascular complication and mortality in the first 3 years following myocardial infarction onset. Objective: This paper purposed to review the best evidence, guideline, or protocol to prevent and control anxiety in patients with myocardial infarction. Methods: A range database was searched to identify studies addressing programs to increase physical function of elderly with heart failure including CINAHL, Proquest, PubMed, and manual searching from the reference list of previous obtained articles. Studies published in English 2006-2015 were included. Results: There were ten studies in the final dataset. Factors related with anxiety were assessed in each study as characteristic and baseline studies. Studies reviewed intervention program to reduce anxiety including health education, relaxation, back massage therapy, whole massage therapy and combination between two interventions. Conclusion: Anxiety management that nurses can use not only health education by giving information about their diseases but they can also give intervention that can decrease their anxiety such as massage and relaxation or by combing together between health education and massage and relaxation.     Keywords: anxiety, relaxation, massage, education, myocardial infarction

Berdasarkan hasil studi pendahuluan dengan melakukan wawancara pada 10 ibu ABK di SLB, didapatkan ibu mengatakan sering mangalami kelelahan, sakit kepala dalam merawat, mengawasi anak berkebutuhan khusus, kurangnya pembagian tugas dalam membantu mendampingi, mengasuh, dan memberikan informasi tentang cara menghadapi ABK dari suami. Tujuan penelitian ini untuk mengetahui hubungan dukungan suami dengan tingkat stres ibu ABK di SLB. Dukungan adalah informasi dan umpan balik dari orang lain yang menunjukkan bahwa seseorang dicintai, dihargai, dihormati dan dilibatkan dalam jaringan komunikasi dan kewajiban timbal balik. Stres adalah suatu reaksi fisik dan psikis terhadap setiap tuntutan yang menyebabkan ketegangan dan mengganggu stabilitas kehidupan sehari-hari. Metode penelitian ini yaitu kuantitatif dengan desain deskriptif korelasional melalui pendekatan cross­-sectional dengan analisa data menggunakan uji Spearman rank. Instrumen penelitian ini menggunakan angket yang dibagikan pada 146 ibu ABK dengan teknik total sampling. Hasil penelitian didapatkan ada hubungan antara dukungan suami dengan tingkat stres ibu yang memiliki ABK di SLB dengan (p-value 0,004 <0,05). Peneliti menyarankan kepada SLB untuk membuat kegiatan “Family Support Group”.

Gitelman syndrome is a relatively rare renal tubular disorder. Though it has been reported as a recessively inherited disorder, sporadic cases have also been reported. Traditionally, Gitelman syndrome is considered as benign or mild tubulopathy. We present the case of an 18-year-old male patient with severe hypokalemia and periodic paralysis. Subsequent laboratory investigation revealed renal wasting hypokalemia, metabolic alkalosis, secondary hyperaldosteronism, hypomagnesemia and hypocalciuria, indicating that the patient might have had a renal tubular disorder. The confirmation of Gitelman syndrome was determined by evaluating tubular function using thiazide and furosemide challenge test. Genetic study was bypassed due to our technical unavaibility. Treament included magnesium aspartate/potassium aspartate, potassium chloride tablets and potassium-sparing diuretic. We are presenting our case seeing that Gitelman syndrome is not a syndrome to be overlooked as it bears a risk of severe complications. Gitelman syndrome may present in adulthood and should be borne in mind in the diagnosis of hypokalemia.