Hipertensi merupakan determinan utama untuk terjadinya stroke pada populasi penduduk di daerah pesisir. Hal ini terutama terkait dengan pola diet tinggi garam sodium sehari-hari yang dimiliki oleh populasi penduduk di daerah tersebut. Konsumsi garam sodium > 5 gram/hari secara kronik akan meningkatkan risiko terjadinya hipertensi. Mengingat ikan laut secara alami memiliki kadar sodium yang cukup tinggi dan dapat mengalami peningkatan kadar sodium selama proses pengolahan, maka konsumsi ikan laut secara kronik dapat dipertimbangkan sebagai faktor risiko untuk terjadinya hipertensi dan stroke. Secara patofisiologik, kadar sodium yang tinggi dalam waktu yang lama menyebabkan terjadinya disfungsi pressure natriuresis, suatu kondisi yang mendasari terjadinya hipertensi. Kondisi hipertensi tersebut selanjutnya akan menginduksi terjadinya perubahan struktur dinding pembuluh darah otak yang menunjang untuk terjadinya stroke. Mengingat secara ekonomi, penggunaan garam sodium untuk proses pengawetan, modifikasi rasa, dan modifikasi warna dan tekstur makanan produk hasil laut, termasuk ikan laut, sangat murah, sedangkan ketersediaan bahan-bahan pengganti garam sodium untuk tujuan tersebut relatif mahal dan tidak selalu tersedia, maka upaya edukasi pada masyarakat daerah pesisir terkait kontrol konsumsi garam sodium harian sebagai upaya pencegahan stroke menjadi tantangan tersendiri bagi pemegang kebijakan kesehatan setempat.

An aneurysm is an abnormal formation of a blood vessel. Aneurysms are divided into 4 according to their shape (saccular, microaneurysm, giant, and fusiform). The formation of an aneurysm is caused by many factors (patient risk factors, hemodynamic stress, and involvement of cytokines and inflammatory mediators as well as macrophages, T cells, and mast cells). The diagnosis of an aneurysm is carried out with the help of tools such as MRA and CT angiography. In providing management of an unruptured aneurysm, consideration is needed by taking into account many factors, to facilitate this consideration, an assessment can be carried out first, it can be carried out using a scoring system called Unruptured Intracranial Aneurysm Treatment Score (UIATS). One of the time-proven aneurysm management is to perform aneurysm clipping. Clipping has advantages such as having a low recurrence rate and has disadvantages such as being invasive with the need to perform craniotomy. Complications that can arise from doing clipping in aneurysms such as infection, allergic reactions to anesthetic drugs, stroke, seizures, cerebral edema. Prognosis of management using the clipping method is good.

Background: Fatigue and sleepiness experienced by nurses can put them at risk of making mistakes in medication administration and clinical judgment. In addition, fatigue and sleepiness can also lead to increased emotions towards co-workers, jeopardize their own safety, especially on the way home from work, and can reduce patient care.Methods: This study used an analytical research method with a cross-sectional study, involving 91 shift nurses. It was carried out by conducting interviews during the first break of the first morning cycle after holiday.Results: Results of this study indicated that all sociodemographic variables did not show significant differences with sleep quality variable with a significance level of p>0.05. There was also no relationship between physical activity and caffeine intake and sleep quality. Moreover, there was no significant difference between physical illness and sleep quality. Sleep quality (Pittsburgh sleep quality index/PSQI) and sleepiness level score (Karolinska sleepiness scale/KSS) showed no significant relationship with p<0.05. KSS was divided into 2 including non-sleepy state (1-6) and sleepy state (7-9).4 Insignificant relationship was also shown between sleep quality score (PSQI) and fatigue level score (fatigue severity scale/FSS). Importantly, insignificant relationship was shown between sleep quality score and hospital anxiety and depression scale. In addition, there was only work unit in COVID-19 isolation room which had a significant relationship to sleep quality compared to non-isolation room with a significance level of p<0.05. Conclusions: Based on results of this study, it can be concluded that work unit in COVID-19 isolation room had a relationship with sleep quality of shift nurses who work in the unit.

Background: According to the World Health Organization (WHO), an elderly person is someone who has entered the age of 60 years and above whose percentage tends to increase along with decreasing morbidity of the elderly. Geriatric Neurology itself is the study of a group of neurological diseases in the elderly. Based on 2012 data, the proportion of elderly population in Indonesia is 7.59%. This is accompanied by an increase in the dependency ratio of the productive age population to the non-productive age population. The results of the 2013 Basic Health Research showed an increase in the prevalence of neurological disease in the elderly which was the main cause of death in 15 regencies in 2011. It is to find out the 5 most neurological diseases in the elderly, clinical characteristics and outcomes of geriatric neurology patients treated at the Central Hospital of Sanglah.Methods: It is a retrospective study using no control by looking at medical records in geriatric neurology patients aged 60 years and over who visited the Central Hospital of Sanglah in the March to May 2019 period.Results: A total of 200 patients consisted of 111 men (55.5%) and 89 women (44.5%) who were divided into 5 most geriatric neurology diseases which included 1. ischemic stroke, 2. bleeding stroke, 3. brain tumor, 4. injury head, and 5. epilepsy. The number of deaths was 16, of which 7 cases were caused by sepsis and pneumonia.Conclusions: Stroke, tumors, head injuries and epilepsy are the dominant neurological diseases found. The focus of care and supervision of elderly neurology patients is expected to be further enhanced to prevent side effects that will extend the patient’s treatment period in the hospital which will automatically increase the burden on the hospital itself.