Mean Exercise Duration And Fine Motor Speed In Elderly Living In Bhakti Luhur Tropodo Orphange And Nursing Home

Introduction: For the elderly to live independently and productively, good fine motor skill is needed. It is well known that exercise can preserve fine motor skills. Still, the effect of practices in Bhakti Luhur Orphanage and Nursing Home: Oma-oma’s gym and tai chi haven’t been explored before. Aim: The goal of this research is to analyze the correlation between the median of the exercise duration and fine motor skills represented by the average of finger tapping test on trial three to trial five. Methods: This cross-sectional research employed purposive sampling yielding 22 elderly (≥60 years old) who understood the order given, agreed to join the research, and also free from motor impairment due to cerebrovascular accidents, parkinsonism, pain or arthritis on the dominant hand, and nil from psychiatric drugs as samples. Result: There was a slight correlation between the two variables, which is insignificant (r=0,341, p=0,120) between the duration of the exercises and motor speed. Conclusion: There is no significant correlation between exercise duration and fine motor skills in the elderly in Bhakti Luhur Orphanage and Nursing Home

Depression Levels and Influencing Factors in Cervical Cancer Patients at RSUD Dr. Soetomo

Cancer patients in Indonesia experience mild to severe depression around 34.4% which can affect their quality of life. The study aimed to determine the distribution of depression in cervical cancer patients, the level of depression that predominated in cervical cancer patients, and the relationship between the level of depression in cervical cancer and the influencing factors in cervical cancer patients RSUD Dr. Soetomo. The research design used descriptive-analytic with a research population of 2845 people. The research sample was determined using a descriptive formula and was taken in September 2021 from outpatients at the Poli Onkologi Satu Atap (POSA), who was diagnosed with cervical cancer were 45 people by distributing questionnaires containing BDI-II and Holmes and Rahe Scale instruments. The sampling technique used non-probability sampling with the purposive sampling technique. Analytical descriptive data analysis using Chi-square test. The results showed that the majority had mild depression as many 21 respondents (46.7%), followed by minimal depression as many 19 respondents (42.2%), moderate depression as many three respondents (6.7%), and severe depression as many two respondents (4.4%). The relationship between the level of depression with influencing factors was found to be significant in the number of marriages. The second marriage does not always show better results than the first marriage, the fear of repeated marriage failures and the emergence of conflicts in the future can potentially lead to depression. Women with second marriages have higher rates of depression. In the relationship between depression and other factors, namely age, last education, marital status, monthly income, cervical cancer stage, family history of cervical cancer, and duration of diagnosis, did not have a significant relationship

Psychiatric aspects of healthcare workers during COVID-19 pandemic in Surabaya, Indonesia: prevalence of anxiety, resilience, burnout, and their correlations to stress markers

Abstract Link of Video Abstract: https://youtu.be/nI_6kXZ0cSw Introduction: The coronavirus disease (COVID-19) pandemic severely affected healthcare services, including causing negative impacts on healthcare workers’ mental health. An observational study was conducted at Dr. Soetomo General Hospital aimed to measure the prevalence of anxiety, resilience, burnout and their correlations to stress biomarkers amongst healthcare workers in Surabaya, Indonesia, during the COVID-19 pandemic. Methods: Participants were residents who managed COVID-19 patients, chosen using random sampling. All participants had a 1-week shift working with COVID-19 patients in an isolation ward. The study used online questionnaires and laboratory data at the shift’s beginning and end. Along with collecting sociodemographic characteristics, State-Trait Anxiety Inventory (STAI), Brief Resiliency Scale (BRS), and Maslach Burnout Inventory (MBI) scales were administered online. At the same time, laboratory markers such as Neutrophil to lymphocyte ratio (NLR), Interleukin-6 (IL-6), cortisol, and CD4 values were studied. Results: 61 participants were included in the study. At the beginning of the shift, 59% of participants had moderate to severe anxiety, and 83.62% had normal to high resilience. The early proportion of the participants having burnout from combined MBI measures was 88.52%. MBI-EE median scores were lower in the married group (6.50 vs. 9.50, p-value=0.030). NLR value was significantly related to STAI-S and BRS (p-value=0.007 and 0.049, respectively). Conclusions: Most healthcare workers had anxiety and burnout, with normal levels of resilience. Our study found that NLR might be useful as a marker for anxiety and resilience