Background: Indonesia is developing countries with phenomenon raises a variety of issues that require resolution for elderly. The government guarantees social welfare that includes the quality of life of the elderly, such as quality of life of the elderly is influenced by biological, psychological and social. This study was aimed to determine the determinant factors onbio-psychosocial with quality of life in elderly. Subjects and Method: This was observational analytic study using control. This was conducted in Laweyan and Banjarsari, Surakarta. A total of 141 subjects were consisted of 47 cases and 94 controlswere selected busing fixed exposure sampling. The independent variable was a chronic disease, the activity daily living (ADL) independence, social interaction, family support, residence, family income, depression and coping mechanism.The dependent variables were quality of life. The data was collected with a questionnaire and analyzed using path analysis. Results: The result showed that respondents with a good quality of life were in the control group (40.4%). Income is directly related to the quality of life of elderly (b= 0.93; 95% CI <0.01 to 1.86; p= 0.048). The residence was indirectly associated to elderly quality of life with depression, and better residence decreased depression (b= -1.34; 95% CI= -2.08 to -0.61; p<0.001), increasing the quality of life of the elderly (b= -1.01; 95% CI= -1.78 to -0.23; p= 0.010). Family support is not related directly with the quality of life of the elderly through residence and depression. The better family support had the better residence (b= 1.30; 95% CI=-0.35 to 2.26; p= 0.007) depression decreased (b= -1.34; 95% CI= -2.08 to -0.61; p= 0.001) so, improves quality of life elderly (b=-1.01; 95% CI=-1.78 to -0.23; p= 0.010). Depression is directly related to the quality of life of the elderly (b= -1.01; 95% CI= -1.78 to -0.23; p= 0.010). Conclusion: Depression, education and income has a direct relationship with the quality of life of the elderly. Residence with the quality of life of the elderly has an indirect relationship through the depression. Family support is not related directly with the quality of life of the elderly through the shelter and depression.

Background:  The temporary suspension of  Posyandu Elderly activities has resulted in a decline in the role and function of health cadres in monitoring the health of the elderly. This is also accompanied by a decrease in the health condition of the elderly because they cannot carry out social leisure activities, which are generally carried out in the Elderly Posyandu activity forum. The purpose of this community service activity is so that cadres can optimize their role and function in monitoring the health of the elderly during a pandemic. The health of the elderly is maintained through the leisure activity program provided. Meanwhile, the elderly who are affected by Covid-19can still be guaranteed their basic needs through the distribution of existing assistance. Methods: For cadres are given counseling and training on the role of health cadres during a pandemic. Elderly people are given leisure activity programs carried out both individually and in small groups, facilitating leisure activities, counseling on preventing the spread of Covid-19, and distributing basic needs assistance for elderly people affected by Covid-19. Results: Kader has demonstrated its performance in monitoring the health of the elderly and helping facilitate elderly leisure activities. Elderly people can do leisure activities during the pandemic so they don't feel lonely anymore, feel happy because they can meet other elderly people of their age, don't feel overly afraid, and can participate in social activities to support the basic needs of elderly people affected by Covid-19. The awareness of the elderly in applying the new health norms has also increased. Conclusion: Of community empowerment with leisure activities during the pandemic can be realized thanks to cross-sectoral cooperation. This activity requires a follow-up in the form of evaluation and monitoring of existing programs.

Background.The raise of aging population increases the risk of non infectious diseases, such as hypertension and diabetes mellitus. A comprehensive treatment consists of pharmacological and non pharmacological approach is required to control and cure those diseases. Exercise as a method of non pharmacological therapy has been shown to be beneficial to control blood pressure and glucose level so that improved the outcome of hypertension and diabetes mellitus. The purpose of this study was to determine the effect of exercise on blood pressure and glucose level of the elderly at Posyandu Lansia Madoh, Boyolali district. Subject and Methods. This study was a quasi experimental study, with one group pre-test post-test design. The intervention included flexibility, resistance, and aerobic exercise. Result. Based on paired t-test analysis of gymnastics groups, it was found that there was a decrease in blood pressure and blood sugar levels after the intervention but it was not significant. whereas in the PMR group there was a significant decrease in blood pressure and nearly a significant difference in blood pressure. the difference in impairment obtained before and after the intervention was greater in the PMR group both in blood pressure and blood sugar than in the gymnastics group. Conclusions. Physical exercise has a positive influence on blood sugar levels and elderly blood pressure. So it needs to be done routinely and scheduled in Posyandu Elderly activities in Ngesrep Village, Ngemplak District, Boyolali Regency .   Keyword: exercise; blood pressure; glucose level; elderly.

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment. Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with  purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed. Results: Statistically the results represent a significant difference in the UE  motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value =  0.000  (ρ < 0,05). Application  of MT effect on upper extremity motor recovery in post-stroke patients. Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.