Indonesian government, through BKKBN, has joined to promote healthy life in the elderly in the community. Bina Keluarga Lansia (BKL) programme was established to fulfil elderly need through a family-based approach. This study is aimed to evaluate the programme with the examination of the quality of life of its members, including the elderly and their family member. We used a cross-sectional method using WHO-QOL BREF questionnaire to assess the quality of life and another questionnaire to enlist the involvement on the BKL activities. This study was conducted in 2018, at four BKL groups across Sleman Regency. Further analysis was conducted with gaussian mix models to adjust for the cluster effect from sampling method. Our 103 respondents with 68 family members and 35 elderly generally have a good quality of life on four dimensions of WHO-QOL BREF. We found that BKL activities statistically significant associated with better QoL, especially in Social Domain and Psychological Domain. Activities that were specifically associated with better QoL was health education on elderly resilience and art/music activities. Other activities that show borderline association was business activities. BKL programme has shown an association with better QoL, thus any successful activities should be maintained or improved, and other less influential activities should be reviewed and customised with local needs.

Introduction: There is an increasing number of new hemorrhagic stroke cases from 2017 to 2018 on The Province of Central Java and Salatiga. A study of demographics, laboratory examination, radiology, outcome, risk factor, and clinical presentation on hemorrhagic stroke patients are rarely done at Salatiga Regional Public Hospital. Objectives: This study aims to describe the hemorrhagic stroke profile on Salatiga Regional Public Hospital patients. Materials and Methods: Hemorrhagic stroke inpatient of Salatiga Regional Public Hospital in the period between October 2018 and October 2019 is studied. Demographic, laboratory examination, radiology, outcome, risk factor, and clinical presentation data are reported. Results: From a total of 192 data gathered, 120 meet the inclusion and exclusion criteria. 47,5% male and 52,5% female with highest age range (55-64) 33%. The majority of patients came from outside of Salatiga city 71,7%. Patients with blood pressure classification stage 1 11,7%; stage 2 80%. Laboratory examination data shows 52,5% high leucocyte count; normal thrombocyte count; normal lymphocyte count; normal monocyte count; 72,5% high neutrophil count; 71,7% high Neutrophil-Lymphocyte Ratio; 89,2% high ureum level; normal creatine serum; 80% not at risk based on eGFR. Types of hemorrhages are ICH, IVH, and SAH with percentages 68,7%; 25,3%; 6% respectively. Basal Ganglia (48,1%) are the most common location for ICH and lateral ventricle (61,9%) are the highest for IVH. Clinical presentation for GCS (14-15) are the highest 58%. Patients with mortality are dominant in males with mean age 59,61 (year); followed by high counts of leucocyte, neutrophil, NLR, and ureum. Conclusion: Hemorrhagic stroke patients at Salatiga Regional Public Hospital are mainly female with the age range of 55-64 are the highest, came from outside of Salatiga city. The most frequent risk factor is hypertension. Most patients have GCS of 14-15 and stage 2 blood pressure classification. Most of the patient have leucocytosis, neutrophillia, high NLR and ureum level. ICH is the highest stroke subtype with the most frequent location of basal ganglia. More patients with good outcomes compared with a bad outcome.

Background: Immune system function decreases with age. Steroid use might accelerate this process, especially in adults in Indonesia. Melatonin is a natural hormone which show antioxidant effect and immunoprotective effect. Melatonin administration might help in reviving humane immune system due to aging and exogenous steroid exposure. Objective: This experiment is aimed to determine the effect of melatonin on leukocyte and lymphocyte count of methylprednisolone-induced immunosuppression on Wistar rat. Method: This study was true experimental with post-test only control group design using 32 male rats. Rats were divided into control and the intervention group. Control group was given methylprednisolone 0.144 mg/200 g rat 3 times a day and distilled water. The treatment group was given methylprednisolone 0.144/200 g rat 3 times a day and 0.054 mg/200 g melatonin once daily. The blood was taken after 14 days of treatment. Results: Intervention group shows higher lymphocytes count (4.95 ±1.58x103/L) compared to the control group (3.091.33x103/L), with p < 0.01. The intervention group also has higher leukocyte count (8.37± 2.02x103/L) compared to the control group (6.70 ± 1.96x103/L), with p<0.05. Conclusion: This study concluded that oral melatonin inhibited the decrease number of lymphocytes and leukocytes in rats given methylprednisolone.

Persons with Cerebral Palsy (CP) have disabilities due to disorders of the musculoskeletal system that were often accompanied by various other symptoms with different degrees of severity, such as seizures, intellectual disabilities, bone deformities, learning disorders, etc. Those people have a higher risk of malnutrition and seizures, especially children with CP. Mitra Ananda, an organization of parents of persons with CP that aimed to empower families of persons with CP Gunungkidul Regency. Understanding of a problem, knowledge of the solution and confidence to implement the solution are the keys to create an empowered community that will later become a driving force to empower others in health issues. Education on nutrition and seizure control was delivered through presentations and discussions to the members of Mitra Ananda Organization. Program evaluation was carried out quantitatively and qualitatively. A questionnaire for the quantitative method was developed to assess caregivers' knowledge on nutrition. The assessment results presented increased knowledge of the beneficiaries. Focus group discussions and interviews showed changes in attitudes and behavior on nutrition and seizure control. Mitra Ananda members who were also caregivers of children with CP shared the newly acquired knowledge to other members. In addition to the multiplication effect, it also creates a community that becomes a driving force to empower others.

Merebaknya pandemi covid-19 telah menimbulkan dampak pada semua aspek kehidupan, bukan hanya dari sisi kesehatan namun juga telah mengganggu perekonomian, terutama menurunnya volume penjualan. Salah satu kelompok masyarakat yang terdampak oleh pandemi covid-19 adalah keluarga anggota organisasi Mitra Ananda yaitu organisasi orang tua dari anak-anak dengan disabilitas (cerebral palsy, autisme dan down syndrome) khususnya yang berbasis di Kabupaten Gunungkidul. Selama ini, Mitra Ananda telah menghasilkan produk kerajinan dari kain perca yang membuat “keset”. Program ini dilaksanakan pada bulan Maret – Juli 2021 di Kabupaten Gunung Kidul, Daerah Istimewa Yogyakarta. Metode yang digunakan adalah pendampingan praktik pemasaran melalui platform digital dan pelatihan akuntansi dasar. Hasil dari pelatihan diharapkan Mitra Ananda dapat melakukan pemasaran dan pengelolaan keuangan dengan lebih baik.