This study aimed to look further at the immunity possessed by humans who live in rural areas compared to urban areas. The method of this research is qualitative with the literature method, in which to answer this research, the researcher looks for evidence from various international journal publications published in the last ten years. Then, to prove the above assumption, the researcher first collects evidence of study findings that sound for health reasons, then chooses to live in a peaceful and pollution-free tree area. Next, we study and analyze in-depth evaluation and coding systems to draw conclusions that answer the above issues validly and convincingly. The findings of this study are that humans who live in forests have a robust immune system compared to those who live in cities, so when the COVID-19 pandemic occurs, it is not a problem. Suggestions for the findings of this study are expected to be meaningful input for the development of environmental health sciences in further studies, both for academics and environmental health practitioners.

Objective: The purpose of this study compared the outcome of PCNL under general and spinal anesthesia for the outcome. Material & Methods: PCNL had been performed from 2000 until 2011 with total 760 PCNL divided into 220 PCNL using general anesthesia (Group A) and the remaining 540 PCNL using spinal anesthesia (Group B) The data of both groups were evaluated with Chi square test, and Mann-Whitney test. Result: Stone free rate in Group A was 71.37% similar with Group B 72.97% (p > 0.05). Spinal anesthesia was used more often in patient who had previous surgery 65.5% compared with general anesthesia 36.82% (p < 0.05). The average surgery duration in Group A was longer than group B (77.10 ± 35.59 minutes vs 68.42 ± 30.55 minutes) (p < 0.05). The average length of hospital stay in Group B was shorter than Group A (3.90 ± 2.72 days vs 5.47 ± 4.25 days) (p < 0.05). There was no difference between Group A and Group B in complication and the needs of tranfusion. Conclusion: PCNL under spinal anesthsia was feasible and safe even better in the shorter surgery duration and the length of hospital stay.

This qualitative research aims to obtain an overview of the implementation of online learning in the Covid-19 Pandemic. In general, the implementation of online learning during the Covid-19 pandemic positively impacts the continuity of education in Indonesia. This research method is obtained from online observations and Scoping reviews. Literature is obtained from various databases such as Google Scholar, Scopus, Web of Science, Crossref Search. Furthermore, the literature was mapped in several parts so that 40 appropriate literature was obtained and could be used regarding teaching and learning activities in schools and the higher education environment. The study results show that online learning is currently considered adequate to replace conventional learning, but several factors related to the implementation of learning must be considered.

BACKGROUND: Hypertension is a symptom of a cardiovascular degenerative disease that is mostly experienced by the elderly and cause is not certain. However, the reduction of blood pressure with drugs and non drugs can reduce damage to target organs and prevent cardiovascular diseases. AIM: Identified the effect of hypertension exercise videos of lowering blood pressure. METHODS:  The type of research that has been used is quasi experimental with Pretest and Posttest design with control group. The sampling technique used was random sampling, the number of samples was 30 samples which were the treatment group and 30 samples were control the control group. The data analysis used  was the T test and Wilcoxon and Mann Whitney test. RESULTS:  The mean reduction in systolic blood  pressure in respondents who did exercise  was 13.67 mm Hg with a standard deviation of 10.57, while the mean  in systolic  blood  pressure in respondents who did not exercise was 0.50 mmHg  a pressure were 40.95 in the group of respondents who did hypertension exercise with p value =0.000.This mean that there is significant difference, in the mean reduction in systolic and diastolic blood pressure between respondents those who do exercise. CONCLUSION. Hypertension exercise video reduce blood pressure of hypertension patients.

Background: Nursing care quality as an indicator for the quality of health care is one of the determining factors for health care institutions image. Nurse is the profession with the highest number, at the front line and closest to the suffering and illness of patients and families. One of the indicators of nursing care quality is whether the nurses give satisfying services to patients or not. Objective: The goal of this research is to find out correlation between nursing care quality and patient satisfaction level in Rumah Sakit JIH Yogyakarta. Methodology: The type of this research is descriptive analytic non experimental; which used cross sectional approach. The technique for collecting sample was proportionate stratified random sampling; with 100 outpatients in Rumah Sakit JIH Yogyakarta as the respondents. The collecting sample used questionnaire while the analyzing used Rank Spearman Correlation. Result: The results of this research are (1) nursing care quality in Rumah Sakit JIH Yogyakarta are 45% good and 54% good enough, (2) patient satisfaction level in Rumah Sakit JIH Yogyakarta are 87% moderate level and 12% high level. The result for Rank Spearman is r account of 0,440; and it has probability of 0,000 (0,000 < 0,05). Hence, there is correlation between nursing care quality and patient satisfaction level in Rumah Sakit JIH Yogyakarta with the result in moderate level. Conclusion: the correlation between nursing care quality with outpatient satisfaction level in Rumah Sakit JIH Yogyakarta is on moderate level.