Every human is getting old and we must attempt to be happy in the old time. The problem is 17.5% of elderly people have poor quality of life and 62.5% are sufficient. Elderly at this level needs immediate intervention because it will be a burden for families. communities and governments. This study aims to analyze the family participation on improving the quality of life. An observational study with cross sectional approach with population study at Posyandu Lansia Mekar Sari Surabaya. We used purposive sampling method. We took 54 samples elderly aged ≥ 60 years out of 96 elderly who enrolled in Posyandu year 2016. Data were obtained from WHOQoL-BREF and family role questionnaire. We analyzed the data with Rank Spearman’s Correlation. There was a positive correlation between the family role and the quality of life (p=0.000.. r=0.568). mainly by environmental domain (p=0.000. r=0.561). psychological domain (p=0.008. r=0.358). and social relations domain (p=0.011. r=0.345). but not for physical domain (p=0.154. r=0.917). The family participation such as adaptation. partnership. growth. affection. and resolve could be one method to improve the quality of life of elderly. Every increasing family value would add up to 26.3-43.2% assessment the quality of life.

Microplastic particles in the blood can cause damage to organs such as the brain. This study aimed to analyze the effect of microplastic particles in the blood on membrane damage (expression of malondialdehyde metabolites) and deoxyribonucleic acid damage (expression of 8-hydroxy-2′-deoxyguanosine metabolites) in hippocampus neurons of Wistar rats. Methods: Forty-two Wistar rats were used and equally divided into six groups. The study groups X1, X2, X3, X4 and X5 was given 0.0375mg, 0.075mg, 0.15mg, 0.3mg, and 0.6mg of low-density polyethylene microplastic powder mixed with 2cc distilled water respectively, while the control group only given distilled water. Microplastic administration was carried out for 90 days. Results: Microplastic particles were found in the blood of Wistar rats. The level of microplastics particle was higher along with the higher exposure dose. The mean expression of malondialdehyde and 8-hydroxy-2′-deoxyguanosine metabolites in the hippocampal neurons in CA1 and CA3 areas were significantly increased with higher exposure doses (Kruskal-Wallis test p <0.01). The Spearmen’s correlation showed a strong relationship between the levels of microplastic particles in blood and the expression of metabolites malondialdehyde and 8-hydroxy-2′-deoxyguanosine (all p <0.01). Microplastic in the blood of Wistar rats has increased expression of malondialdehyde and 8-hydroxy-2′-deoxyguanosine metabolites in hippocampal neurons.

Anxiety is a mental disorder common in elderly people. In the process of becoming elderly, feelings of anxiety arise as a normal response to situations that accompany development, change, new experiences and find meaning in life. Anxious looks from physiological symptoms such as shaking, sweating, heart work increases and psychological symptoms such as panic, tension, confusion, unable to concentrate. This condition will inhibit the elderly's bio-psycho-social condition in living the rest of his life. One effect is seen from their sleep problems. This is observational research with cross-sectional approach. Samples were taken by consecutive sampling technique. 43 elderly who met the exclusion criteria. Research location at Posyandu Lansia Mojo, Surabaya. Data collection using Hamilton Rating Scale for Anxiety and Insomnia Severity Index questionnaires. the results of the study described 41.9% of subjects with anxiety disorders and 67.4% of subjects had insomnia disorders. The cross-tabulation results showed 48% of subjects without anxiety can occur insomnia disorders and only mild anxiety alone can cause insomnia in 100% of subjects. Rank Spearman Test shows a very strong relationship between anxiety with the incidence of insomnia in the elderly (Sig .000; coefficient correlation .535).

Introduction: Noise is a health risk that cannot be avoided in production process. Noise has the potential to cause hearing loss for workers. The bad news, noise damage due to noise is permanent. Audiometric screening at shipyard company employees found 81.2% experienced Sensory-Neural Hearing Loss. 61.5% of employees experience deafness in both ears. The research objective was to find the cause of deafness at shipyard company. Methods: A Quantitative research with cross sectional approach in 64 subjects who worked in the ship repair production unit. The sample is chosen with a simple random technique according to inclusion and exclusion criteria. Assessment was carried out using questionnaires, measurement, and direct observations. Result: The bad habit of wearing ear protectors on employees as a cause of deafness (p<.001, Coef .517**). Sound level measurement shows the activity of chipping, welding, cutting and outfitting with noise intensity more than the recommended threshold (85 dBA for 8 hour per day). Noisy sources were found such as blowers, compressors, grinders, cutting mach ines, ringlet machines, hammer blows on plates and generators. Conclusion: Hearing loss in shipyard company employees is a work-related disease caused by the poor culture of wearing ear protectors. The habits does not wear earplug/earmuff tools because its not comfortable in the ear when the appliance is used, the tools too small so its easily lost, forgetten to carry, and tool are not available.