No abstract

Till now not so many research studies have been conducted on the body's immune response to COVID-19 infection, and it is not clear whether those who had recovered from the COVID-19 virus may get reinfected again or not. The vulnerable groups include young children and older adults who were at high risk of infected by this pandemic COVID-19. Those who had recovered from these infections also need to maintain and improves their quality of living. However, there is limited evidence regarding the exercise and physical activity that helps to maintain the overall physical functions. Therefore, this current paper was to map out empirical evidence on exercise prescriptions and physical activity for the prevention and managing the spread of COVID-19 infections. The methodological framework by the TIDIER guidelines were utilized to guide the conduct of MEDLINE complete at EBSCOhost, PubMed, ScienceDirect, CINAHL, Scopus, and Google Scholar. All authors extracted data, summarized the exercise prescription into the relevant concept, and reported the results using a chart and writing a narrative synthesis. Most of the 15 sources that were reviewed reported that the combination of aerobic and strengthening exercise with moderate intensity was considered safe to be performed by individuals under COVID-19 recovery. Moderate intensity indicates effects in enhancing the immune system, preventing cardiorespiratory system problems, and improving the cardiometabolic system. From all kinds of exercises, moderate-intensity is strongly suggested undertaken following the TIDIER guidelines. Moderate-intensity exercise was proven to have positive and safe effects that are recommended for COVID-19 survivors. It is recommended to increase the frequency of exercise from 150-300 to 200-400 minutes per week, including strengthening exercises.

This study aims to improve the application of professional care services in nursing using the simulation method. A quasi-experimental design was applied to the 68 first-line managers working in seven headroom in a psychiatric hospital in Indonesia. The participants were selected through non-probability sampling for one month. The instrument used was the level of knowledge about the primary nursing role; it includes 20 items in 4 domains. The intervention in this study was a simulation of the role of a professional nurse by a trainer which was followed by each group of participants. Descriptive statistics and the Wilcoxon test were used to analyze the data. The mean level of participants' knowledge scores increased from 32,65 to 72, 06. Moreover, there was a statistically significant between before and after the intervention of participants' knowledge (Z= −6.980, p < 0.001). There was an improvement in the level of knowledge of first-line manager who was trained in professional services. Therefore, it is recommended that the necessary measures be taken to improve nursing professionalism through the simulation training method.

Tuberculosis (TB) is still a burden in Indonesia, including in Sukoharjo Regency. The wide gap between the estimated TB cases and those found, and the number of fluctuating cases since 2013 are problems for the Sukoharjo Health Office. Various programs have been created and carried out but Sukoharjo is still ranked low in TB case identification. The aim of this study was to map the information requirements to support the the identification of TB cases by the district health office. This research was a needs assessment, based on the system development life cycle (SDLC) approach. Qualitative data were obtained from in-depth interviews, including with the head of the TB program in the Puskesmas public health center, a TB program supervisor, a head of communicable disease control, a head of disease control, and a head of health systems in Sukoharjo, Central Java, Indonesia. Several programs were identified such as knock-on programs, screening of cross-sectorial TB suspects including Aisyiah TB-HIV care, and strengthening of PISPK (Healthy Indonesia Program With a Family Approach). Strengthening of TB health volunteers was still being carried out, but the achievement of TB screening was still low. Informants were still looking for ways to improve screening for suspected TB. The health agency had not yet developed a decision support system that could be used to help plan TB screening programs, but the health office wanted one to be developed. An information system is needed to help make evidence-based programs to find TB cases. Keywords: needs assessment, system, TB control, Indonesia

BACKGROUND: Adolescents are a vulnerable group to reproductive health and sexuality problems. The problem of drug use and premarital sexual behavior is the focus of attention for adolescents because it can be a risk of HIV transmission. Providing information from various parties regarding reproductive health is expected to reduce adolescents risk of carrying out HIV risk behaviors. AIM: This study purpose was to analyze the experience of obtaining reproductive health information (from friends, parents, community, community leaders, social media, and organizations) that most influence HIV risk behavior in adolescents. METHODS: This cross-sectional study was conducted on adolescents aged 15–19 years living with their parents in Surakarta. The research sample was 450 teenagers. The sampling used convenience sampling technique and data collection using a questionnaire. Data analysis was performed using Chi-square and Fisher’s exact test in bivariate analysis and logistic regression in multivariate analysis. RESULTS: Information from friends is the most influential factor on HIV risk behavior in adolescents (OR = 0.314, CI = 0.090–1.102). Teenagers who get information from friends tend to carry out HIV risk behaviors because the information is not credible and comprehensive and is more toward the negative, namely, pornography. CONCLUSION: Reproductive health information from friends is not necessarily correct. Efforts to improve the skills of adolescents to find credible sources of information on reproductive health and sexuality are needed to reduce the risk of HIV transmission.