Experience Of Health Problems Research Articles

MENTORING PROGRAM IMPROVES MOTHER’S AND FAMILY’S CAPABILITY TOWARD THE HEALTH OF PUERPERIUM HEALTH

Background: The postpartum period starts after giving birth and lasts until 6 weeks afterward. Women during this period experience physiological and psychological changes and are at risk of experiencing health problems, especially in the first week of the postpartum period, especially due to fatigue, pain and stress. Efforts need to be made to overcome this problem in order to improve the welfare of mothers during the postpartum period. The problems experienced by postpartum mothers as partners are a lack of knowledge about the health of postpartum mothers and the family's lack of skills in supporting the postpartum period. Several treatments that can be done to overcome this include increasing the mother's knowledge about health during the postpartum period starting from pregnancy and increasing the role of the family as a companion to the mother during the postpartum period. Objectives: The aim of this community partnership program is to increase the knowledge of mothers and families and improve practical skills in overcoming problems during the postpartum period. Method: This community partnership program implemented in Sukajadi sub-district, Bandung City from July to December 2024. Partners in this activity are third trimester pregnant women and their families. The implementation of this program takes the form of partner assistance in 14 activities which include providing education on basic postpartum material, theory and practice of effleurage massage. Before and after participating in the enrichment material, the mother's knowledge regarding the postpartum period was measured, then practice and assessment were carried out using an effleurage massage checklist. Result: The result of this activity is increased knowledge of mothers and families regarding the health of postpartum mothers and families are able to perform Effleurage massage on postpartum mothers Conclusion: Community partnership programs through assistance to pregnant women and families are effective in increasing knowledge and abilities in supporting improved health of postpartum women.

Breast Implant Surgery: The Importance of Informed Health Care Decisions and Outcome Monitoring.

Breast implant surgery is a popular, globally performed, and frequently requested cosmetic and reconstructive surgical procedure. Breast implant surgery can cause implant-associated systemic symptoms and types of implant-associated cancers, so it is vital to monitor patient outcomes. Most patients who undergo breast implant surgery do not experience health problems. However, patients who do experience health problems as a result of breast implant surgery form a unique patient population. When plastic and aesthetic surgeons, nurses, and other healthcare providers are knowledgeable and experienced in recognizing and treating patients with health problems related to breast implant surgery, the health outcomes of this patient population improve. This article aims to promote informed decision-making and increase patient safety by providing information about the health problems associated with breast implant surgery. This article also highlights recent safety announcements and updates from the United States Food and Drug Administration (FDA). Ensuring the safety of patients undergoing breast implant surgery is a responsibility shared by plastic and aesthetic surgeons, nurses, and other healthcare providers; the general medical community; breast implant manufacturers; and the FDA. These entities must collaborate and coordinate as a united group to accomplish this important goal. The nursing profession can contribute to these collaborative efforts by serving as professional liaisons to these entities and advocating for continued collaborative efforts to increase the safety of patients who have undergone breast implant surgery.

The dark side of close-ties communities: how strong social connections shape health-related risk perceptions

ABSTRACT This study explores public risk attitudes toward environmental hazards with a focus on threats such as air, water and soil pollution or toxicant spillage. We emphasise the social dimension of risk and analyse how strong networks of social connections affect community members’ sensitivity to the health risks from pollution-type hazards. We develop a model that integrates the social dimension using aspects like social capital with a set of individual-level factors including people’s awareness of environmental issues, knowledge of threats, and experience of health problems. We test our models with US national survey data (N = 1207) focusing on health hazards and integrating location-based measures of social capital. Our findings highlight the detrimental (albeit relatively small) effect of strong social networks as residents of communities with high social capital downplay the health threats from hazards and report decreased risk attitudes. We also find an important role for individual-level factors led by awareness and knowledge of the threats. Our findings offer a unique perspective on risk attitudes by demonstrating the potentially harmful effects of strong social ties on community members’ sensitivity to health risks from pollution-type hazards. In addition, we offer evidence on factors that shape risk perceptions in the face of less common environmental hazards.

Gender Analysis of Santri’s Mental Health in Islamic Boarding Schools

Mental health is a health issue that is often ignored. In fact, 1 in 3 adolescent in Indonesia experience mental health problems. Neglect is caused by unawareness of one's condition. Not to mention the problem of negative stigma in people with mental disorders. The purpose of this study was to determine the relationship between gender and mental health of students in Islamic boarding schools. This research method was quantitative with a cross-sectional design. The number of samples in this study was 357 male and female santri in Islamic boarding schools. The sampling technique used proportional random sampling. Data collection was carried out using the Strength and Difficulties Questionnaire (SDQ) with 25 questions referring to the technical instructions for health screening and periodic examinations of school-age children and adolescents. Data analysis was carried out using the chi square test. The results of the study showed that female santri had greater mental health problems, namely in the abnormal category, higher than male santri. The results of the chi square test showed a Pvalue <0.05, meaning that there is a relationship between gender and mental health on the results of the SDQ difficulties, both in terms of emotional symptoms (<0.001), behavioral problems (0.031), hyperactivity (<0.001) and peers (<0.001) and cumulatively (0.001). However, there is no relationship between gender and mental health on the results of the SDQ strength (0.074).

Mental Health Arts Festival as a tool for mental health promotion

Abstract Background of the problem 1 in 4 people experience mental health problems each year, and that number is only growing. Stigma and discrimination of mental health are widespread and affect the quality of life at the individual and societal level. The WHO identifies mental health arts festivals as an effective way to reduce stigma and improve mental health. Description of the problem We are not comfortable talking about mental health difficulties and the care we need. Consequently, individuals often withhold personal experiences to shield themselves from potential bias and harsh judgement. Methodology The Mental Health Arts Festival (MHAF) Bonds https://www.rysiaifest.lt/, https://www.facebook.com/Rysiaifest) seeks to contribute to the human rights based mental health knowledge creation across the partner organisations, involved communities and audiences, as well as contribute to local creation of artworks on the topic of mental health in open, accessible, safe space where every voice matters. The biannual MHAF brings together recognised artists, arts institutions, scientists, policy makers and communities of people with mental health issues (over 80 events, attracting about 4,500 spectators) for group exhibition, films, contemporary dance and live performances, literary readings, open microphones, followed by discussions and workshops. Qualitative study methodology is applied to assess the potential impacts of the MHAF. Lessons • Visual identity that seeks to challenge existing stigmatising views. • The festival has become the production or premier place of new artworks on the topics of mental health, spanning addiction, war-related trauma, transgenerational trauma, neurodiversity. Key messages • Mental health arts festivals promote mental health literacy and reduce negative attitudes towards health-seeking behaviour. • Art festivals should be an integral part of national programs to address stigma and promote mental health and well-being.

Termination Of The Office Of The Land Deed Maker Who Are Otherwise Unable To Perform Their Duties Due To Health Conditions

The legal issue is motivated by the existence of arrangements related to the dismissal of PPAT with respect contained in Article 10 paragraph (2) letter B which states that PPAT can be dismissed with respect from his position because he is no longer able to carry out his duties due to the state of his health or mental health, after being declared by the authorized health examination team at the request of the Minister/Head or appointed official. The problem then is how when there is a PPAT who is dismissed with respect for health reasons in accordance with Article 10 paragraph (2) letter b, then the PPAT in question successfully recovers from his illness. The purpose of this study was to analyze and find whether PPAT that was dismissed with respect due to health problems can be reappointed after being declared cured and formulate future regulatory formulations related to PPAT dismissal regulations due to health problems. This research uses normative juridical research method, legislation research approach and conceptual approach, and legal materials used consist of primary, secondary, and tertiary legal materials obtained through literature studies in the library of the Faculty of law, Universitas Brawijaya, and also internet access. The results of this study were analyzed by the method of legal discovery, namely the method of interpretation and construction. The results of this study are PPAT dismissed with respect in accordance with Article 10 paragraph (2) letter B PP No. 24 of 2016 if the PPAT has recovered, it still cannot be reappointed to his position as PPAT because there are no rules governing it. This would have been contrary to the theory of legal certainty according to Nurhasanah Ismail. For the formulation of future arrangements related to PPAT dismissal regulations due to health problems can be constructed into a new provision that PPAT who experience health problems, changed from the previous one dismissed with respect, is changed to become a temporary dismissal.

Measuring fidelity to manualised peer support for people with severe mental health conditions: development and psychometric evaluation of the UPSIDES fidelity scale

BackgroundPeer support workers provide support for people experiencing mental health conditions based on their own lived experience of mental health problems. Assessing fidelity to core ingredients of peer support is vital for successful implementation and intervention delivery. Modifications to its implementation are needed when scaling up to different socio-economic settings, raising further uncertainty about fidelity. As part of a large multi-centre study on peer support called Using Peer Support In Developing Empowering Mental Health Services (UPSIDES), we developed and evaluated the psychometric properties of the UPSIDES Fidelity Scale.MethodsWe constructed the fidelity scale based on an initial item pool developed through international expert consultation and iterative feedback. Scale refinement involved site-level expert consultation and translation, resulting in a service user-rated 28-item version and a peer support worker-rated 21-item version assessing receipt, engagement, enactment, competence, communication and peer support-specific components. Both versions are available in six languages: English, German, Luganda, Kiswahili, Hebrew and Gujarati. The scale was then evaluated at six study sites across five countries, with peer support workers and their clients completing their respective ratings four and eight months after initial peer support worker contact. Psychometric evaluation included analysis of internal consistency, construct validity and criterion validity.ResultsFor the 315 participants, item statistics showed a skewed distribution of fidelity values but no restriction of range. Internal consistency was adequate (range α = 0.675 to 0.969) for total scores and all subscales in both versions. Confirmatory factor analysis indicated acceptable fit of the proposed factor structure for the service user version (χ2/df = 2.746; RMSEA = 0.084) and moderate fit for the peer support worker version (χ2/df = 3.087; RMSEA = 0.093). Both versions showed significant correlations with external criteria: number of peer support sessions; perceived recovery orientation of the intervention; and severity of illness.ConclusionsThe scale demonstrates good reliability, construct and criterion validity, making it a pragmatic and psychometrically acceptable measure for assessing fidelity to a manualised peer support worker intervention. Recommendations for use, along with research and practical implications, are addressed. As validated, multi-lingual tool that adapts to diverse settings this scale is uniquely positioned for global application.Trial registrationISRCTN, ISRCTN26008944. Registered on 30 October 2019.

A Novel Cognitive Behavioral Therapy-Based Generative AI Tool (Socrates 2.0) to Facilitate Socratic Dialogue: Protocol for a Mixed Methods Feasibility Study.

Digital mental health tools, designed to augment traditional mental health treatments, are becoming increasingly important due to a wide range of barriers to accessing mental health care, including a growing shortage of clinicians. Most existing tools use rule-based algorithms, often leading to interactions that feel unnatural compared with human therapists. Large language models (LLMs) offer a solution for the development of more natural, engaging digital tools. In this paper, we detail the development of Socrates 2.0, which was designed to engage users in Socratic dialogue surrounding unrealistic or unhelpful beliefs, a core technique in cognitive behavioral therapies. The multiagent LLM-based tool features an artificial intelligence (AI) therapist, Socrates, which receives automated feedback from an AI supervisor and an AI rater. The combination of multiple agents appeared to help address common LLM issues such as looping, and it improved the overall dialogue experience. Initial user feedback from individuals with lived experiences of mental health problems as well as cognitive behavioral therapists has been positive. Moreover, tests in approximately 500 scenarios showed that Socrates 2.0 engaged in harmful responses in under 1% of cases, with the AI supervisor promptly correcting the dialogue each time. However, formal feasibility studies with potential end users are needed. This mixed methods study examines the feasibility of Socrates 2.0. On the basis of the initial data, we devised a formal feasibility study of Socrates 2.0 to gather qualitative and quantitative data about users' and clinicians' experience of interacting with the tool. Using a mixed method approach, the goal is to gather feasibility and acceptability data from 100 users and 50 clinicians to inform the eventual implementation of generative AI tools, such as Socrates 2.0, in mental health treatment. We designed this study to better understand how users and clinicians interact with the tool, including the frequency, length, and time of interactions, users' satisfaction with the tool overall, quality of each dialogue and individual responses, as well as ways in which the tool should be improved before it is used in efficacy trials. Descriptive and inferential analyses will be performed on data from validated usability measures. Thematic analysis will be performed on the qualitative data. Recruitment will begin in February 2024 and is expected to conclude by February 2025. As of September 25, 2024, overall, 55 participants have been recruited. The development of Socrates 2.0 and the outlined feasibility study are important first steps in applying generative AI to mental health treatment delivery and lay the foundation for formal feasibility studies. DERR1-10.2196/58195.

Sosialisasi Pendewasaan Usia Perkawinan Sebagai Upaya Mengatasi Pernikahan Usia Anak pada Siswa MA Miftahul Ulum di Desa Gisting Atas

Early marriage is a marriage that takes place at an age below the productive age, which is less than 20 (twenty) years for women and less than 25 (twenty five) years for men. With the rampant early marriages that occur due to the mindset of the community that considers early marriage to be commonplace, especially for rural communities. To support the knowledge of MA Miftahululum students, students conducted socialization regarding the maturity of the age of marriage which was carried out targeting students of MA Miftahululum, Gisting Atas Village. This activity aims to increase student awareness regarding the maturity of the age of marriage. Through various educational activities, such as seminars and discussions, students are expected to be able to understand the consequences of the decision to marry at a young age. Education is one of the main keys to overcoming the problem of early marriage. By providing a good understanding of reproductive health, children's rights, and the importance of education, adolescents can be better prepared to face the challenges of life. In addition, reproductive health is also an important aspect that needs to be considered. Adolescents who marry early are at higher risk of experiencing health problems, such as complications during pregnancy and childbirth. The role of parents and society is also very important in supporting the maturity of the age of marriage.

Proper Nutritional Care and Growth and development Stimulation for Premature Children

Premature children, or those born before 37 weeks of gestation, are at high risk of experiencing health problems and developmental delays. Proper nutritional care is essential to support their physical growth and cognitive development. Adequate nutrition can help overcome malnutrition that is often experienced by premature children, which can affect long-term health. In addition, growth and development stimulation through social interaction and physical activity also plays an important role in increasing the developmental potential of premature children. This study aims to explore the importance of proper nutritional care and growth and development stimulation in premature children. This study uses a qualitative research method. The data collection technique in this study was through literature studies. The data that has been collected was then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The results of the study showed that the care of premature infants should begin with the provision of appropriate nutrition. This nutrition comes from breast milk, however, to meet the nutritional needs of premature infants, especially those who are very premature and have very low birth weight, breast milk alone is insufficient, so special formulas such as FSMP premature are needed. In addition, optimal nutritional care needs to be balanced with proper growth and development stimulation. Stimulation in premature babies can be done through various methods, such as physical contact, sound, sight, and movement. The role of parents is very important in supporting children's development, so they need to get accurate information about the appropriate care and types of stimulation.

Mental health problems in Somalia after decades of humanitarian crises: a qualitative exploration of perceptions and experiences

BackgroundHumanitarian crises increase the risk of mental health problems. Somalia has been affected by conflict, insecurity, and economic turmoil for over three decades, as well as climatic shocks. However, 80–90% of Somalis who have mental health problems do not have access to good-quality, and affordable mental health care. To develop an evidence-based, effective, equitable, and humane programme for mental health, we need to have a holistic understanding of mental health problems and care in relation to people’s perceptions, experiences, and behaviour related to mental health.MethodsWe undertook a qualitative study to explore Somalis’ perceptions and experiences of mental health problems. We conducted three key informant interviews, two in-depth interviews, nine focus group discussions, 12 observations in private and public health facilities and more than 12 informal discussions. We used case vignettes translated into Somali during our discussion. We also studied three cases with experience of mental health problems to understand care-seeking behaviour and the experiences with services available.ResultsSomalia has been moving from a traditional pastoral nomadic lifestyle to a settled one. A strong informal support system exists in the community within clans or family relations. Armed conflict often among clans, natural disasters, and khat use are the three main factors affecting mental health. The prevalence of mental problems is likely greater than is evident. It is perceived that about 95% of people suffering from mental illness remain outside of appropriate care. Few people seek care for mental health problems because they are not aware of it and because it is highly stigmatized and neglected. Those who do seek care usually go to traditional healers because of culture and cost. Resources for mental health care are grossly inadequate with a limited and often poorly trained workforce. At least two levels of barrier to mental health care exist, at the individual/family level (e.g. poor awareness of mental health and stigma) and service provider level (e.g. lack of staff and limited ability to diagnose, treat, or refer persons with mental health problems and stigma). No tool or evidence-based programme is available to address these barriers.ConclusionA qualitative data-driven mental health programme that addresses all these issues is needed with more trained mental health professionals. Given the stigma about mental health problems, there is also a need for a tool to raise awareness about mental health and the importance of mental health care among both the public and health workers.

How can we measure psychological safety in mental healthcare staff? Developing questionnaire items using a nominal groups technique.

There have been growing concerns about the well-being of staff in inpatient mental health settings, with studies suggesting that they have higher burnout and greater work-related stress levels than staff in other healthcare sectors. When addressing staff well-being, psychological safety can be a useful concept. However, there is no measure of psychological safety that is suitable for use in inpatient mental health settings. Edmondson (1999) is the most commonly used measure of psychological safety, but it was designed for use in general physical healthcare settings. As inpatient mental health settings are unique environments, transferability of knowledge from physical to mental healthcare settings cannot be assumed. We sought to develop questionnaire items that capture psychological safety among healthcare staff working in acute inpatient mental healthcare settings. We used the nominal group technique, a consensus method involving rounds of discussion, idea generation, and item rating/ranking to identify priorities. Twenty-eight stakeholders participated, including 4 who had lived experience of mental health problems, 11 academics and 18 healthcare professionals (8 participants identified with more than 1 category). The study involved a workshop with three parts: (i) an overview of current research and limitations of the Edmondson (1999) measure as outlined above, (ii) discussion on what items should be retained from the Edmondson (1999) measure, and (iii) discussion on what items should be added to the Edmondson (1999) measure. Twenty-one items were generated and retained to capture psychological safety in inpatient mental health settings. These measure professionals' sense of being valued by their team and organization, feeling supported at work, feeling physically safe and protected from physical harm, and knowing they can raise concerns about risk and safety. This is the first study to generate questionnaire items suitable for measuring staff psychological safety in mental health settings. These have been generated via a consensus method to ensure stakeholders' views are reflected. Further research is needed to evaluate factor structure, internal reliability, and convergent validity.

NAVIGATING PERSISTENT CHALLENGES: ENVIRONMENTAL ATTITUDES AND EXPOSURE RISKS IN PADDY FIELDS

This study evaluates public exposure to and awareness of toxic metal and pesticide contamination in paddy fields, and examines attitudes toward paying a premium for safe rice. It also explores rice consumption patterns and sources to inform stakeholders such as farmers, policymakers, and marketers. Data were collected through a semi-structured questionnaire administered to 600 respondents across four rice-producing communities in Nigeria: Igbemo (Ekiti), Pategi (Kwara), Isoku (Ogun), and Akeke (Edo). The study used both close-ended and open-ended questions to capture detailed responses about public health risks related to pesticide and heavy metal contamination. Descriptive statistics and binary regression analysis were employed to analyze the data. The findings reveal that most Nigerians prefer locally grown rice, which they consume regularly or occasionally. About 13% of respondents reported chemical exposure from paddy fields via their diet, and 12-13.9% experienced health problems linked to contaminated rice. Approximately 36.6% were aware of pesticide and heavy metal contamination in their area. Those aware of mitigation efforts were 14.9 times more willing to pay a premium for safe rice (B = .879, X2 = 14.901; p < 0.05). Educational initiatives were identified as the most effective strategy to reduce contamination, with 44.1% of respondents supporting this approach. Improving agricultural practices (24.3%) and enforcing regulatory standards (23.4%) were also deemed important, while 8.3% favored promoting diverse rice varieties. These results underscore the need for enhanced public education, improved agricultural methods, and stricter regulations to ensure rice safety and sustainability.

Edukasi Penggunaan Obat di bulan Ramadhan sebagai Upaya Penggunaan Obat yang Rasional di Desa Bugel

The month of Ramadan is a moment that is eagerly awaited by all Muslims in the world. Ramadan fasting is mandatory for every Muslim, but there is relief for sick people who can cancel it. People who experience health problems can affect the pattern of drug use as usual. It is important to pay attention to changes in the medication use schedule so that it does not affect the effect of the therapy being given or currently being undertaken, so education regarding the use of medication during the fasting month is necessary so that it is rational and ensures that the medication that enters the body provides maximum effectiveness without causing danger or bad effects on the body. The community service methods used are face-to-face lectures, discussions and question and answer methods which was attended by 34 posbindu participants. The results of providing this education show that the level of knowledge of respondents before being given education, namely 60%, is in the sufficient category, while the level of knowledge of respondents after being given education is 100% in the good category. Based on the research results, it can be concluded that the level of knowledge of respondents before and after being given education experienced a significant increase in knowledge with a p value <0.05. Community service activities through providing education can increase respondents' knowledge about the use of drugs during fasting.

EFFECTIVENESS OF THE SELF-HELP GROUP (SHG) METHOD ON BLOOD PRESSURE IN PRODUCTIVE WOMEN WITH HYPERTENSION

Productive women are an age group that is vulnerable to experiencing health problems. This problem increases as a person gets older. The increase in age experienced by productive women causes all systems and functions to decline. This shows that hypertension sufferers' awareness of taking medication is still low. So this can be minimized with community empowerment activities, one of which is a self-help group (SHG). The aim of this research is to determine the effect of self help group (SHG) on the blood pressure of productive women with hypertension. The design used was "Quasi experimental pre-post test with control group" with Self Help Group intervention. The sampling method was purposive sampling with a sample of 48 women. Self Help Group is measured using SOP, and a blood pressure measuring device.

Changes in Smartphone Usage among Adolescents and Associated Subjective Health Concerns: A Secondary Analysis of the Korea Youth Risk Behavior Survey.

We evaluated changes in the smartphone use rate and time among Korean adolescents and their awareness of associated health problems. This study was a secondary analysis of the Korea Youth Risk Behavior Survey (2020-2023) conducted by the Korean Disease Control and Prevention Agency. The total number of enrolled adolescents aged 12-18 years was 214,526. The weekly smartphone usage rate increased from 96.4% to 97.1% (p = 0.03), with no significant changes observed in weekend usage. The average smartphone use time was 4.7 h on weekdays (p = 0.17) and 6.6 h on weekends (p = 0.37). Middle school adolescents had a higher weekday use rate than high school adolescents, but the average smartphone use time was significantly less. By 2023, the proportion of adolescents with overdependence was 28% (n = 14,672). Additionally, 11.8% (n = 6255) responded that they had experienced health problems due to smartphone use. The longer they used their smartphones for on the weekends, the more likely they considered their health to be worse. In conclusion, our youth population needs to be educated on the proper use of smartphones.

The relationship between traumatic childbirth perception, desire to avoid pregnancy, and sexual quality of life in women.

To identify factors influencing women's perceptions of traumatic childbirth (TCP) and to determine the relationship between TCP, desire to avoid pregnancy, and sexual quality of life. A descriptive and correlational research study was designed. Data were collected from 225 women aged between 18 and 45 years old. A Demographic Information Form, the Desire to Avoid Pregnancy Scale (DAP), the Sexual Quality of Life Questionnaire-Female (SQLQ-F), and the Perception of Traumatic Childbirth Scale (PTCS) were used for data collection. Women who were not employed, had given birth previously, and did not plan their last pregnancy tended to have higher levels of TCP. Conversely, women who did not experience health problems in their last pregnancy and recalled their last childbirth as very comfortable and happy tended to have lower levels of TCP. A very weak, statistically significant, positive correlation was found between the mean DAP and PTCS scores (r = 0.168, P < 0.05). A very weak, statistically significant, negative correlation was found between the mean SQLQ-F and PTCS sores (r = -0.138, P < 0.05). A 1-unit increase in TCP was associated with a 0.005-unit increase in the desire to avoid pregnancy and a 0.094-unit decrease in sexual quality of life. TCP in women is associated with an increase in the desire to avoid pregnancy and a decrease in sexual quality of life. It is recommended to identify women with high levels of TCP, determine factors contributing to this perception, and plan appropriate nursing interventions accordingly.

Analysis Of Depression And Psychosocial Problems Elderly In The Nursing Homes

Progress in the fields of helath and technology as well as increasing welfare of course also have an impact on individual health. The healthier the individual, the greater the opportunity to increase his or her lufespan.Thus the number or erderly individuals also continues to increase.Erderly are individuals who are 60 years old or more.The elderly physioligical systems have experienced a decline.This condition certainly has the impact that elderly, so they have various diseases that are classified as degenerative diseases such as hypertension, diabetes mellitus, osteoarthritis and others. Most elderly are also unable to be economically productive. Elderly have not income and no adequate family support can live in nursing home. Nursing home is social or free of charge residence for elderly poors. Conditions of being economically disadvantaged, having physical illness, no family support, and have to live in a nursing home can trigger elderly to experience health problems such as depression. Depression in the elderly has the impact of psychosocial problems such as powerlesness, hopelessness, low self-esteem, and social isolation. The aim of this research is to analyze depression and psychosocial problems in elderly living in nursing homes. The research design descriptive analytic. The research sample was elderly living in nursing homes and sampling technique used was purposive sampling. The total sample was 86 elderly. Data collection used the Geritriac Depression Scale instrument and psychosocial response instruments. Descriptive data analysis. The research results showed that 87% of the 86 respondents experienced depression. In 75 elderly who were depressed, it was found that 97% (73 people) experienced psychosocial problems low self-esteem, 93% (70 people) of powerlesness, 99% (74 people) of hopelessness, and 77% (58 people) of social isolation. The suggestions given are strengthening care, especially related to the mental health of the elderly and the need for programmed activities that support the physical, psychological, socio-cultural and spiritual health of the elderly living in nursing homes. Keywords: Depression, Psychosocial Problems, Elderly.

Penerapan Perilaku Hidup Bersih dan Sehat (PHBS) di SD dan SMP Kecamatan Kapuas Tengah

School-age children are classified as a critical age group, because at that age an individual is more susceptible to experiencing health problems. The health problems experienced by school-age children are very complex and varied, but according to many children who are sick today because of a lack of knowledge about personal hygiene. Socialization regarding the application of Clean and Healthy Living Behavior to students is a response to problems that occur which is carried out in order to increase students' awareness and knowledge so they can practice Clean and Healthy Living Behavior. This outreach was carried out to students of SDN 1 Masaran and SMPN 5 Kapuas Tengah, in Masaran Village, Kapuas Tengah District, Kapuas Regency, Central Kalimantan Province. The implementation method uses a qualitative method to identify the Clean and Healthy Lifestyle of school children at the elementary and junior high school levels. The activity was carried out in two stages, namely planning and implementation through lectures, questions and answers, and hand washing demonstrations. The PHBS socialization activities went smoothly and well, all students enthusiastically took part in the socialization activities regarding PHBS. The results of the service include an increase in students' knowledge regarding PHBS which is proven through the understanding of PHBS and the implementation carried out by students

Eco-anxiety among regional Australian youth with mental health problems: A qualitative study.

In Australia, climate-related disasters disproportionately affect rural, regional and remote young people with effects ranging from severe flooding and catastrophic fires to unbearable heat and yet most studies on eco-anxiety are based on reports by urban youth who do not have direct experiences of such impacts. Furthermore, there is a dearth of research on how eco-anxiety impacts those who already experience mental health problems. The present study aims to address this gap by focussing on the lived experiences of regional Australian youth with recent experience of climate-related disasters alongside clinical insights from those involved in their care. Two groups, a clinician and client group, were recruited through headspace Port Macquarie-a primary youth mental health service in a regional city of New South Wales, Australia. In all, 25 participants took part in focus group discussions, including 13 clinicians and 12 clients of the service. Clients and clinicians responded to a version of the same questions: (1) whether the effects of climate change impact on regional youth with mental health problems, (2) how young people cope with eco-anxiety and (3) how regional communities can help young people cope with eco-anxiety better. Group discussions were audio-recorded and transcribed. Transcripts were analysed according to the principles of Interpretative Phenomenological Analysis using a team approach. Three dimensions of eco-anxiety were identified by clinicians and clients-helplessness in the present, hopelessness about the future and acute stress and anxiety related to experiences of severe flooding and fires. Clinicians and clients also thought that a misalignment between young people and older generations, including government, was a source of eco-anxiety and having a collective voice was seen as important for regional youth as was community support through social media sites. Clinicians thought that eco-anxiety was 'in the background' for their clients, whereas the clients who participated were clearly experiencing eco-anxiety. Whereas clinicians could identify potential coping strategies, clients could not. Eco-anxiety can be experienced by regional youth with mental health problems as both an acute response to natural hazards and a more sustained sense of hopelessness about the future. Impacts of acute anxiety and chronic hopelessness, with its associated depression risk, among young people with pre-existing mental health problems warrants further investigation as this study suggests that it may exacerbate their existing conditions. Clinicians and clients in this region would benefit from specific training and resources related to the identification and treatment of eco-anxiety. Future research on climate-related mental health should be inclusive of the perspectives of those who have direct experience of climate-related adverse events.