Background: Aging that happens naturally in human life does not only cause physical dysfunction but also have an impact to mental and social aspects. In the elderly there is a problem of degenerative disease. Hypertension has become a serious health problem and a major challenge of public health worldwide because of either high prevalence or major risk factor for cardiovascular disease. Pharmacological as well as non-pharmacological efforts have been made to prevent and cure the disease; however until today the growing number of hypertensive patients has not been successfully controlled. Consequently behavioral intervention has to be made to cure hypertensive patients. One of the recommended interventions is fitness exercise for the elderly.Objective: The study aimed to identify the effect of fitness exercise to increasing stamina of heart and lung, nutrition status and reduced blood pressure of hypertensive elderly at integrated service post of Sub district of Pahandut, Palangkaraya Municipality.Method: The study was an experiment (before and after) without control group using one group pretest posttest study design. Subject of the study was a group with pre experimental, evaluation, effect of variables and post experimental evaluation. Measurement was made in week two, three and four to blood pressure, heart and lung stamina, nutrition status of hypertensive elderly, discipline in exercise and food recall 24 hours. The interventions made were lecture and fitness exercise package D for the elderly.Results: There was significant association between elderly fitness exercise and systolic blood pressure, heart and lung stamina and nutrition status of hypertensive elderly (p<0.05). Result of Wilcoxon signed ranks test and paired sample test between gymnastic elderly on increase of endure capacity heart lung are significantly associated (p=0,001) and so on nutritional status (p=0,002) and decrease systolic tension (p=0,001) and diastolic tension (p=0,002).Conclusion: There was significant association between elderly fitness exercise and the increase of heart and lung stamina, nutrition status and the decrease of blood pressure in hypertensive elderly.

Background: Every hospital has high demand of nutritional support for patient but limitation of hospital funding to get commercial enteral nutrition that may influence the hospital of making its own enteral nutrition. It has some weakness such as not ready to use, not durable, and unstandardized nutrition content. Pumpkin, fish cork, and tempeh are less costly local food which contain high protein and antioxidant that may lead nutritional status improvement. Objectives: Determining total fungal count, total bacterial count and organoleptic properties of instant local food based-enteral nutrition.Methods: Pure-experimental study with completely random design was conducted on March-August 2018.  There are 4 flavors of the instant formula such as vanilla, ginger, cinnamon, and original. Total fungal count (TFC) and total bacterial count (TBC) were used for microbiological analysis. Organoleptic properties was evaluated by 80 panelists from Yayasan Stroke Indonesia. Inclusion criterias: aged 19-years or above and signing the informed consent. Organoleptic evaluation determined by 5 score of appearance, taste, texture, odour and overall formula. Statistical analysis used Kruskal Wallis to determine the difference of enteral nutrition acceptability for each flavor. Results: Mean of TBC of local food based-enteral nutrition was 3.5 x 104 ± 0.14 cfu/mg and mean of TFC was 1.65 x 102 ± 0.21 cfu/g. The acceptability of local food based-enteral nutrition was significantly different based on taste, odour, and overall aspect.Conclusions: Based on microbiology analysis showed that local food based-enteral nutrition was desirable. Panelist liked original flavor most based on appearance, taste, and texture. While the vanilla flavor was liked the most based on the odour and overall aspect. The score of acceptability showed significantly different on ginger, vanilla, and original flavors based on taste, odour, and overall aspect.ABSTRAKLatar Belakang: Tingginya kebutuhan dukungan gizi pasien namun terbatasnya biaya penyediaan makanan enteral komersial mendorong Rumah Sakit (RS) untuk membuat formula enteral sendiri. Kekurangan dari formula enteral buatan RS diantaranya tidak praktis, tidak tahan lama, dan nilai gizi yang tidak terpantau. Labu kuning, ikan gabus dan tempe merupakan bahan pangan lokal yang terjangkau dengan kandungan protein dan antioksidan tinggi  bermanfaat untuk perbaikan status gizi.Tujan: Mengetahui angka total mikrobia (bakteri dan jamur) dan sifat organoleptik dari makanan cair instan berbasis pangan lokal.Metode: Penelitian eksperimental dengan rancangan acak lengkap dilakukan pada Maret-Agustus 2018. Formula makanan cair memiliki 4 varian: vanilla, jahe, kayu manis, dan original. Analisis mikrobiologi menggunakan metode angka lempeng total (ALT) untuk bakteri dan jamur. Pengujian sifat organoleptik formula dilakukan oleh  80 panelis tidak terlatih dari anggota  Yayasan Stroke Indonesia. Kriteria inklusi untuk panelis uji organoleptik antara lain bersedia menjadi panelis dengan mengisi informed consent, usia ≥19 tahun. Uji organoleptik dengan 5 skala kesukaan berdasarkan aspek warna, aroma, rasa, tekstur, dan keseluruhan. Uji statistik menggunakan Kruskal Wallis untuk melihat perbedaan tingkat kesukaan dari tiap varian formula makanan cair.Hasil: Hasil analisis mikrobia dari formula menunjukkan rerata ALT bakteri 3,5 x 104 ± 0,14 cfu/mg, dan ALT jamur 1,65 x 102 ± 0,21 cfu/g. Terdapat perbedaan yang signifikan pada tingkat kesukaan varian formula makanan cair dari segi rasa, aroma, dan keseluruhan formula.Kesimpulan: Uji mikrobia formula makanan cair masih dalam batas aman untuk dikonsumsi. Responden paling menyukai varian rasa original dari aspek warna, rasa, dan tekstur, sedangkan secara keseluruhan dan aroma formula rasa vanilla yang paling disukai. Perbedaan rerata skor yang signifikan ditunjukkan pada varian rasa jahe, vanilla dan original dari segi rasa, serta varian rasa jahe dengan vanilla dari segi aroma dan keseluruhan.

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Background: Dementia has become a global concern in ageing societies nowadays. Nurses have major roles in caring for dementia patients in various settings. There have been many trainings on dementia conducted for nurses and other health staff. However, reviews of the effect of the trainings on nurses are still scarce. This paper aims to review the impact of training on dementia care among nurses in differents settings. Method: systematic search from Medline, Pubmed and Scopus was conducted until February 2019. Additional references were collected using Google Scholar. The inclusion criteria were: primary papers, written in English, involving nurses, and related to dementia. Results: There were 20 papers included in this review. In terms of methodology, most of the articles employ quantitative method (90%). Only one article uses qualitative method (5%) and another one employs mixed methods design (5%). Pretest and posttest design is the mostly used design and four articles use Randomized Control Trial (RCT). The settings of the papers were nursing home or long-term care facilities (45%), hospitals (35%) and other settings (20%).  The lenght of the training was varied from 2 hours to 18 hours within a maximum period of eight months. The various outcome measures are categorised into four domains: cognitive, physical, psychological and working performance. The results of the review indicate that training and education for nurses can improve their knowledge, attitude, confidence and self efficacy towards better dementia care. However, the results regarding staff burnout, stress and physical health complaint are still unclear. Conclusion: raining and education in dementia care were varied and generally improve nurses’ capacities mainly in cognitive domain. However, the effect for the psychological and their working performance were still doubted Keywords: dementia, training, education, nurses

The quality of life in elderly hypertension with overweight and non-overweightBackground: Indonesia will enter the period of aging and an increase in several elderlies with chronic diseases. The biggest health problems of the elderly are degenerative diseases, namely hypertension which significantly disrupts the quality of life both in terms of physical and mental health. One of the causal conditions associated with hypertension is overweight and obesity, which is known at this time the prevalence of obesity is growing progressively in old age. However, the results of research related to the influence of obesity on quality of life are still controversial.Objective: To determine differences in quality of life between hypertensive elderly who are overweight and non-overweight.Method: Cross-sectional study conducted in Yogyakarta City in Januari-April 2017 with a subject of 200 elderly people aged 60-74 years. Overweight was determined based on BMI measurements (>23 kg/m2) with an estimation of elderly height using depa length, quality of life of the elderly was measured using WHOQOL-BREF questionnaire, and compared the quality of life by age, gender, education, occupation, income, marital status, comorbidity, and disease history. Data analysis used independent t-test and linear regression.Results: Mean of environmental domain score was significantly higher (p=0,012) in elderly hypertension with overweight (26,69±3,28) compared to elderly hypertension non-overweight (25,44±3,58). Overweight protective effect on the low quality of life of the environment domain because it is influenced by other factors such as marital status, income, and education. Multivariate analysis shows that income and marital status are external factors that consistently influence the quality of life of the elderly both in total scores and per domain. High-income elderly people with married status have a better quality of life score.Conclusions: The mean score of the environmental domain is higher in elderly hypertension with overweight. Quality of life scores will be better in high income elderly and married.