<p><strong><em>Background</em></strong><em>: Family function is an important part of family caring particularly for those with aged people in the household. Understanding family functioning is imperative. A valid and reliable tool for measuring the family functioning of Indonesian family caregivers is limited. </em></p><p><strong><em>Objectives:</em></strong><em> This study aimed to examine cross-cultural adaptation, validity, and reliability of the Indonesian version of the family APGAR.    </em></p><p><strong><em>Methods:</em></strong><em> A cross-sectional design was performed as a part of a study measuring subjective family readiness for long-term care at home. A total of 125 family caregivers who were caring for older family members completed face-to-face interviews. A five-items of the family APGAR were translated, validated, and tested its reliability using standardized methods. The correlation matrix was performed to identify item correlations prior to the validation process. Hypothesis testing used a significance value of P = &lt; 0.05 with a confidence interval (CI = 95%). The statistical test was performed using STATA14 statistical software.</em></p><p><strong><em>Results:</em></strong><em> In 125 respondents with a mean age of 52.60 years (CI = 12. 29) were interviewed. The respondents were mostly female 84 (62.20%), employed (85/68.00%). Item test correlation was ranging from 0.77 to 0.90 and the average item correlation was 0.61. Pearson coefficients were presented. The coefficient of scale reliability was Cronbach alpha 0.89.</em></p><p><strong><em>Conclusions:</em></strong><em> The Indonesian version of the family APGAR was a valid and reliable tool used for measuring family functioning among Indonesian. Further study on the use of the instrument in different settings and community characteristics was suggested using categorical level from previously measured. </em></p>

Penderita hipertensi memiliki banyak tanda gejala dalam aspek psikologis maupun fisik. Salah satu gangguan psikologis pada pasien dengan hipertensi adalah kecemasan  yang akan mempengaruhi kulaitas tidur penderita hipertensi  menjadi lebih buruk.Tujuan penelitian ini adalah untuk mengetahui adakah hubungan antara tingkat kecemasan dengan kualitas tidur pada lansia dengan hipertensi di Puskesmas Kasihan II Bantul Yogyakarta. Jenis penelitian ini yaitu penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di Puskesmas Kasihan II  Bantul dengan sampel terdiri 107 responden lansia dengan hipertensi yang dipilih dengan menggunakan teknik accidental sampling. Pengambilan data dilakukan dengan pengisian kuesioner tingkat kecemasan dan kualitas tidur. Teknik analisis data menggunakan Kendall Tau.Penelitian ini menunjukan sebagian besar sampel adalah termasuk dalam kategori kecemasan sedang yaitu sebanyak 38 responden (35,5%), dan sebagian besar adalah termasuk kategori kualitas tidur buruk yaitu sebanyak 58 responden (54,2%). Hasil uji korelasi Kendall Tau diperoleh nilai P value 0.000 ?0.05, yang artinya terdapat hubungan antara tingkat kecemasan dengan kualitas tidur pada lansia dengan hipertensi di Puskesmas Kasihan II Bantul Yogyakarta.Penelitian ini menunjukan adanya hubungan antara tingkat kecemasan dengan kualitas tidur pada lansia dengan hipertensi di Puskesmas Kasihan II Bantul Yogyakarta

BACKGROUND: COVID-19 has spread through the world and has caused a global pandemic. There is a lot of evidence that taking herbal medicines could increase the immune response but otherwise, the relation of herbal medicine and inflammation factors that lead to cytokine storm is still discussing. AIM: The purpose of this article is to review the evidence of herbal medicine that use in COVID-19 patients and the effect on the immune response of patients with COVID-19 infection. METHOD: We conducted a scoping review on the PubMed and Science Direct databases from January 1 to July 2020 using searching terms “COVID-19”, “SARS-CoV2 Infection”, “Herbal Medicine” AND “Immune Response” Or “Humoral Immune, Response”. We use only scientific articles that discuss herbal medicine and its effect on the immune response. There were eight articles included in the analysis, many types of herbal medicines are used to maintain symptom management and to enhance the patient’s immune response, including, Echinacea, QPD (qingfei paidu) and Western medicine, Jiedu Capsule (SFJDC), Yidu-toxicity blocking lung decoction and Ayush Kwath, nagella sative, and LHQW. RESULTS: This article concludes that several alternative herbal medicines affect the immune response in COVID-19 patients, especially in reducing inflammatory agents, cytokine levels, and immunomodulators. Echinacea, Jiedu Capsule (SFJD), QPD (qingfei paidu) and Western medicine, and Ayush Kwath, nagella sative, and Lianhuaqingwen (LHQW) are the alternative herbal medicines that could provide benefits for COVID-19 patients, although research on the target mechanism must need more exploration.

Abstract Kidney is one the organs that has an important function in the body. These functions include regulating the concentration of salt in the blood, and regulating the balance of acid base and the excretion of excess salt.Design Of this study was analytic with total Random Sampling. Research that uses descriptive quantitative type using cross sectional. This researcher only observed and measured variables without giving treatment. Cross sectional design or cross-sectional study, researchers only make observations and measure variables at one time. The Sampling in this study. The sampling in this study were 30 respondents who underwent hemodialysis. The amount was obtained based on data on the number of patients. The results of the analysis of the relationship of diet adherence with the quality of life of hemodialysis patients at Hospital using the chi square test. From table 4.4 the chi suare correlation test results obtained sig (2-tailed) values ​​with the results of 0.003 p value <0.05 to 0.003 <0.05 showed a relationship between diet compliance with quality of life. Data generated from the bivariate analysis of respondents who comply with good quality of life were 14 respondents (66.7%), while respondents who were not compliant and with less quality of life were 4 respondents (44.4%). Key word: Diet, Kidney Failure, Quality Of Life, Hemodialysis

Cedera kepala adalah cedera pada otak yang dapat menyebabkan perubahan fungsi serta struktur jaringan otak akibat mendapatkan dorongan mekanik eksternal seperti trauma tumpul maupun tusuk. Kejadian cedera kepala dan tingkat perburukan cedera kepala sangat tinggi di dunia. Oleh karena itu diperlukan penilaian awal untuk memprediksi perburukan pasien cedera kepala yaitu menggunakan GAP dan RTS. Tujuan penelitian untuk mengetahui perbandingan GAP dan RTS dalam memprediksi perburukan pasien cedera kepala. Desain penelitian observasional analitik dengan pendekatan retrospektif dengan purposive sampling. Responden berjumlah 245 rekam medis cedera kepala. Pengukuran dilakukan menggunakan lembar observasi. Analisis uji Receiver Operating Charateristic (ROC). Didapatkan hasil maisng-masing RTS dan GAP dalam memprediksi perburukan pasien cedera kepala mempunyai nilai = 0.851 vs 0.806. RTS lebih baik dalam memprediksi perburukan pasien cedera kepala dibandingkan dengan GAP.