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COVID-19 is a new type of disease caused by infection with the Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCOV-2). From its initial appearance at the end of 2019 until May 20, 2020, this disease has infected 4,789,205 people and caused the death of 318,789 people worldwide. In Banyumas, there were more than 250 positive Islamic boarding schools students, resulting in a cluster of Islamic boarding schools, in October 2020, the total number of students who were confirmed to be Covid-19 was 722 people. Learning activities are carried out face-to-face, so that as a consideration for determining the location of service, even though there are hand washing facilities, the teacher still has to supervise all students to wash their hands. This shows the low awareness of students about the transmission of Covid-19. Students really need assistance in implementing PHBS to break the transmission of the virus. Promotive, preventive, demonstration, and appropriate technology for ACI TELOR which has been HAKI is expected to be able to increase the adherence of Islamic boarding school students to the health program. The results of this service show that promotive actions accompanied by ACI TELOR innovation increase the interest of teachers and students in complying with health procedures and minimizing virus transmission. The impact of this service is to increase teacher and student compliance with the Covid-19 health protocol so that it is expected to be a behavior that can be applied continuously.

End stage renal disease (ESRD) is a serious chronic disease that resulted from complications of chronic renal failure and a final diagnosis that requires treatment modalities such as dialysis or continuous ambulatory peritoneal dialysis (CAPD). However, CAPD is rarely selected as renal replacement therapy by ESRD patients in Indonesia. Therefore, the phenomenon associated with patients undergoing CAPD is unclear, especially in Indonesia. The purpose of this study was to explore the lived experiences of ESRD patients undergoing CAPD therapy. The research method employed qualitative descriptive phenomenology. The participants in this study were 10 ESRD patients with CAPD. Data collection utilized semi-structured interviewed and data was analyzed using the Colaizzi approach. The result of the study was explained through 6 themes. These are: 1) Condition improved with CAPD, 2) Freedom of activity, 3) Between feeling better and bored 4) Health is increased, 5) It is sustained life, 6) Resignation to accept illness. In conclusion, the patients with CAPD felt significant positive changes in their life and CAPD is considered life-sustaining for the participants, as the majority of the symptoms was decreased significantly. Therefore, the partisipants felt their conditions improved better. The unpleasant sides of CAPD are feeling bored. The support of the family is important as it produced strength and passion for patients in undergoing CAPD.

Background: The Covid-19 has infected a hundred people countries, in Indonesia at 8.9%, this figure is the highest in Southeast Asia. The phenomenon, shows that nursing volunteers who work in quarantine place for Covid-19 patients not maintenance to screen of SaO2 value of Covid-19 patients, even though the impact of happy hypoxia on mortality will be high if the oxygen saturation value is below the normal value. Comorbid factors, Diabetes Mellitus can worsen the physical condition and clinical assessment thereby increasing mortality.Objectives: The purpose of research to determine the relationship between age, gender, and comorbid factors with the value of oxygen saturation (SaO2) in Covid-19 patients at the Baturaden Quarantine Place. Methods: This study is a quantitative study using an analytical observational method with a crossectional approach. The sample in this study used random sampling of 93 respondents with the Fisher Exact test.Results: The results of this study, fisher exact test obtained with a p-value = 0.007, there is a relationship between the respondent's comorbidity factor and SaO2 in patients with confirmed COVID-19. Respondents with 95-100% SaO2 who have comorbid factors as many as 20 respondents (21.5%) are fewer than respondents who do not have comorbid factors as many as 29 respondents (30.5%). Blood glucose levels can increase viral replication and suppress the antiviral immune response. This causes DM patients to be more likely to be malnourished and susceptible to cytokine storms that cause a rapid deterioration of clinical conditions compared to non-diabetic patients.Conclusions: The comorbid factors will increase mortality of COVID-19 patients due to risk factors, comorbid of diabetes mellitus factors, with COVID-19 associated with advanced age, obesity, chronic systemic inflammation, increased coagulation, which can significantly increase blood pressure, indirectly lead to more severe complications due to COVID-19.

Accidents or unwanted events can happen anywhere and anytime. This incident can be a small incident or a disaster involving a large number of sufferers. Those who attempt to provide this help have varying degrees of knowledge ranging from no knowledge to those who may have been trained. There is a golden time between assistance in the field until the victim can get help by medical personnel at a health facility, so this response time must be used properly so that the victim will survive. The speed of evacuation of victims of traffic accidents is one of the important goals in emergency assistance. In a dangerous situation, a rescuer may need to move the patient immediately. In a dangerous situation, it is very important for rescuers to take appropriate, fast and alert action. Ambulance is a specially designed medical transportation that is different from other modes of transportation. The emergency ambulance is designed to be able to handle emergency patients, provide first aid and perform intensive care during the trip to the referral hospital. This activity was carried out by conducting evacuation and transportation training for the Lazizmu Banyumas ambulance driver and the Banyumas ambulance community which was attended by 38 drivers. This training uses lectures, demonstrations and red-emonstration methods on how to evacuate and transport patients. The result of this training is an increase in driver skills in evacuating and transporting patients in accordance with standard operating procedures (SOPs). The impact of this service is to increase the confidence of ambulance drivers in providing first aid in prehospital events.

Introduction: ESRD adalah diagnosis akhir yang membutuhkan terapi pengganti ginjal seumur hidup seperti hemodialisa, peritoneal dialysis (PD) dan transplantasi ginjal. Populasi di dunia dan prevalensi penyakit ginjal stadium akhir terus meningkat, pasien semakin dihadapkan dengan keputusan untuk memulai terapi pengganti ginjal. Penelitian dan literature review yang menilai dampak perawatan terapi PD pada pasien ESRD masih terbatas. Tujuan dari literature review ini untuk menganalisis terapi CAPD pada pasien ESRD. Pencarian terbatas pada database elektronik seperti Pubmed, Proquest, dan Google Scholar, dengan kata kunci “ESRD”,”CAPD”,“Peritoneal Dialysis”,“Quality of Life” disusun berdasarkan MeSH Database dari NCBI. Methods: Strategi review artikel menggunakan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyses) dan dianalisa menggunakan konten analisis. Studi yang diterbitkan antara tahun 2009-2019, artikel penelitian dengan bahasa inggris, dipertimbangkan sebagai kriteria inklusi dalam tinjauan ini. Results: Didapatkan 25 artikel; 15 kuantitatif, 7 kualitatif, 2 case report dan 1 mixed methods. Discussion: Domain fisik; PD memberikan kelebihan pada peran-fisik, vitalitas, energik, dan bebas nyeri. Domain psikologis; PD menimbulkan depresi dan kecemasan yang lebih rendah daripada HD, bahkan 1 studi menyebutkan HD dapat menyebabkan depresi berat. Hubungan sosial; PD memberikan kemandirian pada gaya hidup, efikasi diri, kebebasan beraktivitas, fleksibilitas, dan mempertahankan kehidupan normal. Hubungan terkait lingkungan; pasien dengan PD lebih mungkin untuk melanjutkan pekerjaan mereka sehingga mereka secara finansial lebih baik dan lebih bebas untuk bepergian daripada HD, penghasilan terus dapat secara signifikan berkontribusi pada kesejahteraan pasien CAPD. Conclusion: PD terbukti memberikan kualitas hidup yang lebih baik. Dengan demikian, penting untuk mengembangkan terapi PD pada pasien ESRD yang membutuhkan dialisis jangka panjang, bahkan seumur hidup.