End-stage renal disease is the last stage of chronic kidney disease and is associated with a decreased quality of life and life expectancy. This study aimed to explore palliative care with end-stage renal disease. Qualitative meta-synthesis was used as the study design. The search was performed for qualitative studies published until June 2021 and uses reciprocal translation and synthesis of in vivo and imported concepts. Five themes were included: Struggling to face the disease, experiencing deterioration, overcoming the challenges of dialysis, leading to a positive outlook, and preparing for the end of life. In facing chronic disease with life-limiting potential, patients experienced some negative feelings and deterioration in their quality of life. Adaptation to the disease then leads patients to a better outlook through increased spirituality and social status. Furthermore, by accepting the present condition, they started to prepare for the future. Increasing awareness of mortality leads them to discuss advance care (ACP) planning with healthcare professionals and families.

Most of pregnancy women experience anxiety during pregnancy, both of in high-income and low-middle income countries. Financial security supported by the easiness access to the healthcare facility were important to the antenatal anxiety. Mother’s age, mother’s and husband’s working status will decrease anxiety in facing delivery. This study aimed to examine the effect of socioeconomic factors including working status, family income, health insurance, accessibility to the healthcare facility, and mother’s age to the prenatal anxiety of women in Indonesia. This study was a cross-sectional study conducted between April-May 2022 to examine the effect of socioeconomic factors to the prenatal anxiety. 155 pregnancy women in a Maternal Clinic participated in this study, chosen used consecutive sampling. Multiple linear regression has been used to explore the predictive and protective factors related to the prenatal anxiety. Majority of mother and husband’s age were 20-35 years old, with most of them graduated from Senior High School. Mother dominated mother’s working status without employment and or housewives while husband worked in non-government institutions. Only few of mother used the private insurance as their healthcare insurance and public transportation to go to the healthcare facility. Two of socioeconomic factors found significantly affected the prenatal anxiety including the distance to access the healthcare facility (.020, B: -.163) and wife’s age (.000, B: -.510). The distance between residence to the healthcare facility and mother’s age were socioeconomic factors affected the prenatal anxiety. Other factors could help mother have better preparation in pregnancy and facing delivery. Abstrak: Mayoritas Ibu hamil mengalami kecemasan selama kehamilan, baik pada negara-negara dengan pendapatan tinggi dan menengah ke bawah. Keamanan keuangan didukung dengan kemudahan dalam mengakses fasilitas kesehatan penting bagi kecemasan sebelum persalinan. Usia ibu, status bekerja Ibu dan suami akan membantu menurunkan kecemasan menghadapi persalinan. Penelitian ini bertujuan untuk menguji pengaruh faktor sosial dan ekonomi yang terdiri dari status bekerja, pendapatan keluarga, asuransi kesehatan, akses terhadap fasilitas kesehatan, dan usia Ibu terhadap kecemasan persalinan Ibu di Indonesia. Penelitian ini merupakan penelitian cross-sectional yang dilaksanakan pada April-Mei 2022 untuk menguji faktor sosial dan ekonomi dengan kecemasan persalinan. Mayoritas usia Ibu dan suami berada pada rentang 20-35 tahun, dengan pendidikan terakhir Sekolah Menengah ke Atas. Status bekerja Ibu didominasi oleh Ibu tidak bekerja atau Ibu rumah tangga sementara suami banyak bekerja di institusi non-pemerintah. Hanya sebagian Ibu menggunakan asuransi pribadi sebagai asuransi kesehatan dan transportasi umum untuk menuju ke fasilitas kesehatan. Dua dari faktor sosial dan ekonomi berpengaruh secara signifikan terhadap kecemasan persalinan yakni akses terhadap fasilitas kesehatan (.020, B: -.163) dan usia Ibu (.000, B: -.510). Jarak antara tempat tinggal menuju fasilitas kesehatan merupakan faktor sosial dan ekonomi yang berpengaruh terhadap kecemasan persalinan. Faktor lainnya memungkinkan Ibu untuk memiliki persiapan lebih baik dalam kehamilan dan proses persalinan.

Umrah is a series of rites performed in worship of the holy city of Mecca. Manasik preparation is the best preparation. Umrah is also a means of communicating with foreign citizens engaged in the same activities. The density of activities carried out quickly requires optimal health conditions for prospective Umrah pilgrims. Community service activities, carried out in the form of early detection of prospective pilgrims' health, have been conducted to identify the various possible diseases they may experience. Other activities were English communication training and a demonstration of Manasik. The activities were carried out by conducting health checks consisting of blood pressure, uric acid, blood sugar, and cholesterol. The activities were attended by the majority of female pilgrims, with an average age of 40 years, a systolic blood pressure of 121.5 mmHg, and a diastolic blood pressure of 85.75 mmHg. Additional results from blood component examinations showed that the highest abnormal blood sugar value was 457 mg/dL. Participants' English-speaking ability is expected to increase after receiving intensive training before departure. Participants' knowledge of Umrah rituals is limited because they were not exposed to how to perform them in the appropriate sequence beforehand. Community service activities are considered to build knowledge of health issues, manasik, and English communication skills during travel. Further detection during worship activities, more intensive practice in speaking English, and repetition of manasic material will help prospective Umrah pilgrims be better prepared overall.

Chronic kidney failure is one of the diseases that is experiencing an increase in cases, including in children. This condition can lead to serious complications if not treated properly from an early age. This community service activity aims to enhance elementary school students' understanding of preventing chronic kidney failure through health education and observation of fluid consumption patterns. The methods employed consist of three stages: preparation, implementation, and evaluation. Health education was provided to 20 elementary school students in grades 5 and 6, covering topics such as kidney function, causes of kidney failure, and healthy lifestyle practices to prevent this disease. Evaluation was conducted through pre-tests and post-tests, as well as observation of fluid consumption. The study's results showed a significant increase in participants' knowledge levels, with an average pre-test score of 8.3 and a post-test score of 9.8 (p = 0.002). Additionally, the results of the observations showed variations in fluid consumption, with the majority of respondents choosing water as their main drink. This activity concludes that health education is efficacious in improving students' knowledge about preventing chronic kidney failure. It is recommended that similar activities be carried out continuously and integrated into health promotion programs in schools to increase awareness and early prevention of chronic kidney failure.