Sepsis is one of the common causes of morbidity and mortality in the ICU. Clinicians need to know and realize of good diagnosticmarkers to identify sepsis as early as possible. The role of eosinopenia as a marker of sepsis has recently been evaluated.The aim of thisstudy was to test the value of eosinopenia as a diagnostic marker of sepsis in comparison to Procalcitonin. A cross sectional study wasperformed in 61 adult patients with SIRS, and blood of all patients were cultured. Further examinations were done for comparing theeosinophil count with the Procalcitonin levels if the blood culture was positive or when there were clinical signs which supported for sepsis.In this study there were fourty two patients enrolled. Procalcitonin level yielded a sensitivity of 90.0%, specificity of 83.3%, a positivepredictive value (PPV) of 93.1% and a negative predictive value (NPV) of 76.9% at cut-off value of 2.75 ng/mL. The eosinophil (cut off ≤50 cells/μL) produced a sensitivity of 80.0%, specificity of 75.0%, PPV of 88.9%, and NPV of 60.0%. based on this study Procalcitoninappeared to be a more accurate diagnostic of sepsis than eosinopenia, but eosinopenia is still a helpful tool for clinicians, and may also beused as a diagnostic marker of sepsis, because it is highly sensitive, moderately specific, easy to measure, rapid and inexpensive as well.

ABSTRAKPenderita penyakit ginjal kronis (PGK) harus menjalani hemodialisa seumur hidup dan mengalami berbagai masalah akibat tidak berfungsinya ginjal yang dapat muncul setiap saat sampai akhir kehidupan. Keadaan ini menjadi stresor yang berpengaruh pada berbagai dimensi biopsikososiospiritual pasien seperti: ketidakberdayaan, kurangnya penerimaan diri yang dapat mengarahkan pasien pada kondisi stres, cemas, bahkan depresi. Tujuan penelitian ini untuk mengetahui perbedaan kejadian depresi antara pasien CKD on HD yang memperoleh dukungan keluarga baik dan kurang. Variabel penelitian ini meliputi variabel bebas dukungan keluarga variabel terikat depresi. Desain penelitian cross sectional. Populasi pasien CKD on HD dan jumlah sampel 40 pasien dengan teknik consecutive sampling. Hasil penelitian menggunakan fisher exact test menunjukkan perbedaan kejadian depresi pada pasien CKD on HD antara yang memperoleh dukungan keluarga baik dan kurang (p=0,021 ; α=0,05). Rekomendasi, keluarga perlu memberikan meningkatkan dukungannya kepada pasien CKD on HD. Peneliti selanjutnya dapat melanjutkan investigasi tentang variabel lain yang mempengaruhi depresi pasien CKD on HD.

<p>Background. Prediabetes is a condition when blood glucose levels are above normal but do not yet meet the criteria for diabetes mellitus. Many people have already been diagnosed with prediabetes. However, there is little data that shows the prevalence and characteristics of people with prediabetes.</p><p>Objective. To identify the prevalence and demographic characteristics of adults with prediabetes in Semarang, Central Java, Indonesia.</p><p>Method. A cross-sectional study conducted in 21 Puskesmas (public health centers) in Semarang which were randomly selected from a total of 37 Puskemas. Out of 123 respondents participating in this study, 105 respondents met the inclusion criteria of the study. Oral Glucose Test Tolerance (OGTT) was done after peripherally screening for random glucose levels. Univariate analysis was performed to calculate the frequency and percentage of each variable.</p><p>Results. The result shows that the prevalence of adult respondents with prediabetes in this study accounted for 17.14%. This study also found that the respondents’ mean age was 38.57 ± 14.84. The majority of the respondents were women (66.7%). They have normal BMI, yet higher waist circumference (23.82 ± 4.48; 83.13 ± 11.34), respectively.</p><p>Conclusion. Prediabetes is prevalent among adults in Semarang. Thus, to control the incidence of uncontrolled DM, screening needs to be done to identify individuals with prediabetes in order to prevent it from developing into DM. In addition, the application of healthy lifestyle interventions among adults at risk of diabetes also needs to be improved.</p>

Hemodialisis merupakan salah satu terapi yang dilaksanakan oleh klien dengan penyakit ginjal kronis stadium akhir. Berbagai perubahan fisik dan psikologis klien yang menjalani hemodialisi berpengaruh pada kemampuan klien dalam melakukan aktivitas fisik. Pengalaman klien yang menjalani hemodialisis dalam melakukan aktivitas fisik merupakan hal penting untuk diketahui agar dapat menjadi dasar pengembangan program intervensi untuk mengurangi resiko komplikasi penyakit jantung yang menjadi penyebab utama kematian penyakit ini.Tujuan penelitian ini yaitu mengeksplorasi secara mendalam pengalaman pemenuhan kebutuhan aktivitas fisik klien yang menjalani hemodialisis.Metode yang digunakan dalam penelitian ini yaitu kualitatif dengan pendekatan fenomenologi. Data dikumpulkan melalui in-depth interview kepada 8 (delapan) orang klien yang menjalani hemodialisis.  Keabsahan data meliputi credibility, dependability, confirmability, transferability. Teknik analisis data menggunakan metode Collaizi.Hasil penelitian didapatkan 4 (empat) tema yaitu:  (1) Perubahan pemenuhan kebutuhan aktivitas selama menjalani hemodialisis; (2) Mempertahankan kemampuan perawatan diri selama menjalani hemodialisis (3) Perencanaan dalam upaya mempertahankan kemampuan aktivitas fisik; (4)  Harapan terhadap pelayanan terkait dengan intervensi keperawatanHasil penelitian pengalaman aktivitas fisik klien yang menjalani hemodialis dapat dijadikan dasar pengembangan program pelayanan keperawatan yang lebih bermutu untuk dapat meningkatkan produktifitas klien sehingga kualitas hidup klien hemodialisis menjadi lebih baik.

Introduction: Cervical cancer treatment process proves to make women experiencing emotional distress that brings new problems in life. Women with cervical cancer who undergo treatment suffer affecting all aspects of life that impact on the meaning of life. There is limited literature review regarding life meaning resources and technique used by women with cervical cancer who undergo treatment. The aim of this study is to find out description about the meaningfulness in life of cervical cancer survivor during treatment period based on sources and technique of finding meaning. Methods: This study used literature review method. The literature search engines used are SCOPUS, SINTA and Google Scholar. The inclusion criteria of article were articles in Indonesian or English, containing sources and techniques for finding meaning in abstract, respondents cervical cancer survivor and published from 2011 to 2020.  Results: Eleven articles show the existence of meaning in life build upon sources of meaning in life including creative, experimental, attitudinal, and hopeful values. Moreover, there are techniques in seeking meaning involving self-understanding, positive action, familiarity with relationships, deepening the values of the meaning of life and worship. Conclusion: The beginning of treatment process results feelings of meaningless, but efforts to make sense of life remain. Family support and spirituality were found to be the things that give the most meaning for cervical cancer survivors to survive.