Aim: The aim of the research was to demonstrate the effect of genetic counseling on depression, anxiety and knowledge level among diabetes mellitus patients. Design: Quasi-experimental study. Methods: A quantitative study that used a questionnaire instrument to assess participants' levels of depression, anxiety, and knowledge. A total of 38 diabetes mellitus patients who met the inclusion criteria were studied for two months at the Lakbok Public Health Center with genetic counseling. Outcomes were measured before and after the counseling intervention provided. The statistical analysis was performed using the IBM SPSS version 25.0 software. Results: The results showed that the majority of participants (76.3%) had moderate depression prior to the genetic counseling intervention. However, after the intervention, most of the participants (73.7%) experienced mild depression, with a change in mean ± standard deviation (SD) pre-post 26.3 ± 3.1 to 17.6 ± 2.6. The anxiety level of most participants was moderate (73.7%). After the intervention, most participants experienced mild anxiety (86.8%) with a change in mean ± SD 16.7 ± 3.3 to 11.3 ± 2.3. In addition, before the intervention the knowledge level of the majority of the participants was satisfactory (86.8%). After the intervention, the knowledge level of the majority of the participants became good (52.6%) with a change in the mean ± SD of 12.8 ± 1.4 to 16.1 ± 2.3. Conclusions: Changes in the level of depression, anxiety and knowledge in different categories are real evidence of the consistency of the intervention's effect on these very significant factors that have implications for health services in various health facilities such as hospitals and public health centers. Therefore, serious efforts are needed so that health policies encourage the presence of genetic counseling services for DM patients and patients of other genetic diseases.

Chronic Obstructive Pulmonary Disease (COPD) is a chronic disease that attacks the respiratory system caused by inflammation and pollutants that are sucked in the respiratory tract which will cause bronchial stiffness resulting in dyspnea or gasping breath. West Java itself has a prevalence of 3% including Ciamis. Dyspnea will reduce the ability of lung physiology which is marked by a decrease of peak expiratory flow rate<150 L which will eventually cause the death. The purpose of this study is to reduce dyspnea in COPD patients seen from the increase ofPEFR. The sample of this study was 25 medium classifications of COPD patients who were given the technique of Purse Lips Breathing 2 times a day in 7 days. The method of this research is one group pre-post test design with a sample of 25 COPD patients. The results of the study were tested by paired T-test where the results showed a P value of 0.00 <0.05, which means that there was a clear and significant increase in PEFR after given the Pursed lips breathing technique. Discussion of increasing PEFR requires consistency of COPD patients so that complementary therapy or even collaboration can be used to reduce dyspnea symptoms. As the conclusion, the increase of PEFR as a sign of reducing dyspnea does not stand alone but requiring a comprehensive examination, it can be used as the first measure of emergency breathing.

COVID-19 is an infectious disease that attacks the respiratory tract. Its spread is so fast that all countries in the world have contracted this disease. As of the time of writing, in the world there are an estimated 69 million positive cases. In Indonesia, in 2020 there were 605,243 confirmed cases. West Java occupied the 4th position in number of cases in Indonesia with 64,072 confirmed cases. Meanwhile, in the Garut Regency area, there were 2,641 confirmed cases from different sub-districts, one of which is Malangbong District. This study aimed to determine the relationship between the knowledge and attitudes of the community towards implementing health protocols in efforts to prevent COVID-19 in Sakawayana village. This research used a descriptive correlation method with a cross-sectional approach. 98 people in Sakawayana village (which has a population of 5,329 people) were recruited through purposive sampling. The results of this study indicated that 78 people (79.6%) had a good level of knowledge, 55 people (56.1%) had a positive attitude, and 78 people (79.6%) appropriately applied the health protocols. There was a relationship between knowledge and attitudes of the community towards implementing health protocols in efforts to prevent COVID-19 in Sakawayana village, with a p-value < 0.05. Keywords: attitudes, health protocols, knowledge

Hipertensi adalah keadaan dimana tekanan darah meningkat secara kronis karena  jatung memompa darah lebih kuat untuk memenuhi kebutuhan tubuh. Hipertensi dikatakan sebagai penyakit silent killer dikarenakan hipertensi ini merupakan penyakit yang terkadang tidak menunjukkan gejala namun dapat menimbulkan komplikasi yang membahayakan bahkan secara tiba-tiba dapat mengakibatkan kematian. Health Belief Model (HBM) merupakan salah satu pendekatan promosi kesehatan yang digunakan dalam perubahan perilaku yang berorientasi terhadap persepsi pasien. HBM telah lama dikembangkan, namun tampaknya hanya sampai dengan penelitian, sementara implementasi di lapangan masih jarang dilakukan. Tujuan penelitian adalah untuk mengetahui efektifitas edukasi health belief models dalam perubahan perilaku pasien hipertensi. Metode penelitian yang digunakan aadalah penelitian sekunder dengan literature reviews. Populasi sebanyak 168 artikel jurnal dengan sampel yang memenuhi kriteria inklusi sebanyak 15 artikel jurnal dan prosiding nasional dan internasional dengan search engine proquest dan Google Schoolar. Hasil penelitian menunjukkan bahwa edukasi HBM efektif dalam meningkatkan perilaku sehat pasien hipertensi. Disarankan hasil penelitian sekunder ini dapat dijadikan dasar teori bagi penelitian yang akan datang untuk dilanjutkan sebagai penelitian primer.

Purpose This paper aims to investigate the dynamic relationship between profit and loss sharing (PLS) financing and banking-specific variables, macroeconomic variables and religiosity in Indonesia. Design/methodology/approach This study used seven variables, such as PLS financing, Islamic financing rate, risk-sharing deposits, bank size, interest rate, economic growth and level of religiosity. The data used were monthly time series during the 2009–2019 period, and they used the structural vector autoregression method plus ARDL and ECM as a robustness check mechanism. Findings The results show that in the short term, PLS financing is more influenced by changes in the risk-sharing deposits and bank size variables. Meanwhile, analysis of variance decomposition illustrates that variations in PLS financing are more influenced by the dynamics of PLS financing itself than other variables. This finding also strengthens the characteristics of PLS financing that is immune to the influence of interest rates, and this result can strengthen the implementation of the PLS scheme as an alternative to the monetary channel in the dual banking system in Indonesia. Practical implications The immunity of PLS financing to changes in interest rates has implications for the management of Islamic banking risk management. Evaluation must be carried out by increasing the skills of the bankers in response to losses arising from moral hazard and asymmetric information. Originality/value This paper used empirical evidence to show the influence of internal and external factors toward PLS financing performance. To the best of the authors’ knowledge, the study on determinants of PLS financing is limited, particularly in the context of Indonesia.