bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGETAHUAN TENTANG HIPERTENSI MELALUI METODE PENYULUHAN
Authors: Sofiana Liena , Puratmadja Yudha , Sari Baiq Sandi Kartika , Pangulu Abdul Haris R , Putri Ika Handayani
Published: February 2019

Hipertensi masih merupakan masalah besar di Indonesia dengan prevalensi sebesar 25.8%. Berdasarkan data Dinas Kesehatan Kabupaten Kulon Progo pada tahun 2014 hipertensi termasuk dalam 10 besar penyakit dengan jumlah kasus sebanyak 48,929 kasus. Peningkatan kasus ini disebabkan oleh beberapa faktor yaitu kurangnya pengetahuan, sikap yang dimiliki masyarakat mengenai hipertensi sehingga masyarakat memiliki perilaku yang rendah dalam melakukan pencegahan hipertensi. Pendidikan kesehatan dengan menggunakan metode penyuluhan merupakan cara yang dapat dilakukan untuk meningkatkan pengetahuan. Tujuan dari artikel ini adalah untuk mengetahui gambaran pengetahuan mengenai hipertensi melalui penyuluhan. Metode yang digunakan adalah dengan penyuluhan kesehatan interaktik pada ibu-ibu di dusun Bantar Kulon dan Bantar Wetan secara langsung dengan menggunakan power point sebagai penyajian materi penyuluhan. Hasil yang diperoleh adalah kegiatan penyuluhan kesehatan berjalan dengan baik dan lancar, peserta aktif bertanya dan mengikuti penyuluhan dari awal sampai selesai.
PEMBERDAYAAN MASYARAKAT DUSUN WULUH DALAM PROGRAM PENINGKATAN KESEJAHTERAAN MELALUI PEMBERDAYAAN EKONOMI DAN PEMANFAATAN TEKNOLOGI INFORMASI
Authors: Setyawan Fariz , Trisna Helmy
Published: February 2019

Kegiatan pemberdayaan masyarakat Dusun Wuluh, Desa Banjarejo, Kecamatan Tanjungsari, Gunungkidul, Daerah Istimewa Yogyakarta berupa stimulasi kreativitas masyarakat dalam pengembangan pariwisata desa dan kreativitas masyarakat dalam pengolahan hasil alam agar memiliki nilai ekonomis. Program KKN UAD difokuskan pada peningkatan kesejahteraan masyarakat melalui pemberdayaan ekonomi dan pemanfaatan teknologi informasi. Program KKN bertujuan memberdayakan masyarakat Dusun Wuluh dalam program pemberdayaan pariwisata desa berupa kegiatan pelatihan kewiraushaan. Metode pelaksanaan program KKN meliputi: pendidikan masyarakat, difusi teknologi, serta praktek langsung. Dampak dari kegiatan KKN ini adalah 1) peningkatan pengetahuan masyarakat dalam mempromosikan pariwisata desa melalui website, 2) peningkatan kreativitas masyarakat dalam pengolahan limbah laut menjadi souvenir, 3) peningkatan pengetahuan masyarakat mengenai desain kemasan untuk meningkatkan daya jual hasil alam, 4) sadar akan pentingnya sistem informasi desa (SID).
PELATIHAN PEMBUATAN KRIPIK DAUN KERSEN MASYARAKAT BALIREJO, MUJA-MUJU, UMBULHARJO, YOGYAKARTA
Authors: Bhakti Caraka Putra , Hidayat Nuim
Published: February 2019

Salah satu masalah di Kelurahan Muja-Muju yaitu masih banyaknya ibu rumah tangga yang hanya mengurus rumah tangga saja yaitu sebanyak 1.402 jiwa serta warga yang belum memiliki pekerjaan sebanyak 325 jiwa. Maka KKN Alternatif 61 Unit III.C.1 UAD mengadakan program LABU KRIDASEN (Pelatihan Pembuatan Kripik Daun Kersen). Metode pelaksaan yang dilakukan meliputi: (1) Pendidikan Masyarakat dengan penyuluhan mengenai khasiat daun kersen serta makanan dan minuman olahan daun kersen, (2) Praktek Langsung dengan melakukan pelatihan pembuatan kripik kersen. Program ini bertujuan untuk mengurangi pengangguran dan memanfaatkan waktu luang ibu-ibu Muja-muju, khususnya warga RW 6 Balerejo. Sehingga menciptakan masyarakat yang kreatf dan produktif. Metode pelaksanaan yang digunakan adalah pelatihan. Hasil pelatihan menunjukkan peserta mendapatkan pengetahuan manfaat daun karsen dan keterampilan dalam pembuatan kripik daun kersen.
PEMBERDAYAAN MASYARAKAT MELALUI PROGRAM PERILAKU HIDUP BERSIH DAN SEHAT DI KAMPUNG KAUMAN KOTA YOGYAKARTA
Authors: Anggoro Rostien Puput , Rachmi Luthfia Isna , Aulia Enggar Tri
Published: February 2019

Salah satu tema KKN Alternatif di Kampung Kauman, Kecamatan Gondomanan, Kota Yogyakarta adalah Program Kesehatan Lingkungan dalam masyarakat. Hal ini terlihat masih terdapat masyarakat yang belum sadar akan pentingnya menjaga kebersihan di lingkungan sekitar rumah warga. Maka Kuliah Kerja Nyata Alternatif LXI Divisi I.D menggelar program kesehatan lingkungan bagiÂ  warga Kampung Kauman. Metode pelaksanaan program KKN meliputi pendidikan masyarakat dan praktek. Bentuk kegiatannya yaitu penyuluhan PHBS (Perilaku Hidup Bersih dan Sehat) dan penyuluhan kesehatan masyarakat serta olahraga senam rutin. Program ini bertujuan untuk memberdayakan masyarakat Kampung Kauman dalam program kesehatan masyarakat dan lingkungan. Dampak dari kegiatan ini adalah: 1) masyarakat dapat meningkatkan pengetahuan pentingnya tentang perilaku hidup bersih dan sehat, 2) masyarakat dapat menciptakan kesadaran untuk dapat menjaga dan menerapkan perilaku hidup bersih dan sehat, 3) ibu-ibu lansia dapat meningkatkan pengetahuan tentang cara menjaga alat reproduksi wanita.
PEMBERDAYAAN MASYARAKAT DESA TEMUWUH, KECAMATAN DLINGO MELALUI KEGIATAN PELATIHAN PENGOLAHAN SUMBER BAHAN PANGAN LOKAL
Authors: Jatmika Septian Emma Dwi , Maharani Welny Putri , Oktavia Fivetha Titik , Putri Ofhie
Published: February 2019

The potential of Temuwuh Village in producing food is very good, so innovation on available food is needed. Generally, people process food such as cassava, ginger and tempeh in a simple way. Therefore, UK KKN students are moved to empower the community by providing training on making cakes made from mokaf flour, ginger powder and tempe nugget. The purpose of this training is to provide knowledge and business skills for the people of Temuwuh Village. The method of implementing the training includes the activities of nutrition counseling and product manufacturing practices. The impact of this activity is the increase of public knowledge about how to process the food and the development of a business prospect.
ANALISIS PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA (PIS-PK) INDIKATOR HIPERTENSI DAN KB DI DESA COMBONGAN RT 01, RT 02 DAN RT 03
Authors: Marwati Triani , Aisya Irnafa Ratri , Alifariani Aulia
Published: February 2019

The Healthy Indonesia Program with Family Approach (PIS-PK) integrates program implementation through the 6 main components in strengthening health systems (six building blocks), namely strengthening efforts to health services, availability of health workers, health information systems, access to essential medicines, financing and leadership or government. The purpose of this study is to increase family and member access to comprehensive (promotive-preventive, curative and rehabilitative health services) and to understand the healthy family approach program with a family approach (PIS-PK). The location of this study was in Combongan Village RT 01, RT 02 and RT 03, Bantul Regency. The population in this study were residents who lived in Combongan Village, Banguntapan District, Bantul Yogyakarta. The sample in this study was all families living in Combongan Village, Banguntapan District, Bantul, Yogyakarta. The results of this study the highest coverage value found in the indicators of families having access and using healthy latrines, which is 37%. There were 5 main problems in RT 01, RT 02, and RT 03. Hypertension and family planning were the priority problems in the area. The Healthy Indonesia Program is one of the programs from the 5th agenda of Nawa Cita, namely Improving the Quality of Indonesian Human Life. The goal of the Healthy Indonesia Program is to increase the health status and nutritional status of the community through health and community empowerment efforts supported by equitable health services and financial protection
PEMBERDAYAAN LINGKUNGAN MELALUI PROGRAM PEMBUATAN HIDROPONIK, PROBIOTIK, DAN KOMPOS DI DUSUN TIRTO, PANDAK, BANTUL
Authors: Anggoro Rostien Puput , Saputra Ahmad , Putri Nila Hutami
Published: February 2019

Salah satu tema KKN Reguler di Kecamatan Pandak adalah pemberdayaan lingkungan karena melihat pemanfaatan pekarangan rumah yang kurang dan banyaknya sampah-sampah organik di lingkungan sekitar rumah warga yang belum termanfaatkan. Maka Kuliah Kerja Nyata Reguler LXV Divisi IV.B menggelar program pembuatan hidroponik, probiotik, dan kompos untuk memanfaatkan kondisi lingkungan yang ada. Metode pelaksanaan KKN yang diselenggarakan di Dusun Tirto yaitu pelatihan pemanfaatan pekarangan rumah (Hidroponik), pelatihan pembuatan probiotik dan pembuatan pupuk kompos di dusun Tirto, desa Triharjo, Pandak, Bantul. Program ini bertujuan agar masyarakat Dusun Tirto dapat memberdayakan lingkungannya program program pembuatan hidroponik, probiotik, dan kompos. Dampak dari kegiatan ini adalah: 1) masyarakat dapat mengetahui bagaimana cara memanfaatkan pekarangan rumah yang terbatas menjadi lebih bermanfaat, 2) mengetahui bagaimana cara membuat hidroponik, probiotik dan pupuk kompos, 3) memanfaatkan sampah-sampah rumah tangga dan dedaunan kering di lingkungan sekitar rumah sebagai kompos.Â Kata kunci : pemberdayaan lingkungan, hidroponik, probiotik, kompos.
PENGUATAN KELUARGA SEBAGAI UPAYA MENEKAN ANGKA STUNTING DALAM PROGRAM KEPENDUDUKAN, KELUARGA BERENCANA DAN PEMBANGUNAN KELUARGA (KKBPK)
Authors: Tentama Fatwa , Delfores Hasothiya Dwi Lestari , Wicaksono Andhika Eko , Fatonah Siti Feti
Published: February 2019

Salah satu permsalahan yang ada di Desa Sidoharjo adalah kebiasaan penduduk setempat, dimana dalam aktivitasnya di bidang pertanian atau perkebunan, seringkali mengharuskan orang tua meninggalkan anaknya di rumah. Hal ini seringkali menjadikan anak kurang dalam mendapatkan asupan gizinya, terutama ASI dan MP-ASI. Tujuan program ini adalah sebagai upaya pencegahan stunting serta upaya pembangunan dan penguatan keluarga demi menuju terwujudnya keluarga sejahtera, khususnya di Desa Sidoharjo, Kecamatan Samigaluh, Kulon Progo. Metode yang dilakukan adalah penyuluhan, pelatihan, penguatan kelompok. Hasil dan dampak dilakukannya program ini bahwa melalui program-program yang dilaksanakan oleh KKN yang bekerjasama dengan BKKBN maka adanya peningkatan kesadaran masyarakat terhadap masalah stunting dan penanggulangannya, tercipta kondisi lingkungan yang mendukung program penguatan 1000 HPK sebagai pencegahan stunting dan tercipta rasa kesatuan yang mampu menguatkan warga dalam pembentukan kampung KB dan penguatan PIK-R
UPAYA PENINGKATAN KELUARGA SAMARA DI PUNDONG BANTUL YOGYAKARTA
Authors: Sukesi Tri Wahyuni , Malik Adam Abdul , Handayani Siska
Published: February 2019

Keluarga sakinah mawadah warohmah (Samara) adalah keluarga yang sejahtera dan penuh dengan kasih sayang didalamnya. Tantangan untuk bisa menuju keluarga Samara ini tidak sedikit sehingga setiap keluarga harus disiapkan untuk bisa menuju keluarga samara. Tujuan dilakukan pengabdian masyarakat ini adalah untuk meningkatkan kesiapan keluarga dalam upaya menuju keluarga yang samara. Metode yang dilakukan adalah dengan penyuluhan, pelatihan dan pendampingan selama mahasiswa melakukan KKN. Hasil yang diperoleh adalah kegiatan penyuluhan, pelatihan dan pendampingan dapat berjalan dengan lancar. Masyarakat dapat bekerjasama dengan baik sehingga semua kegiatan dapat dilakukan bersama sama. Akibat dari kegiatan ini masyarakat khususnya yang sudah berkeluarga dan yang akan berkeluarga memiliki pemahaman tentang keluarga Samara dan upaya upaya yang dapat dilkaukan untuk mencapai keluarga Samara tersebut.Â Kata kunci: keluarga, SAMARA, upayaÂ ABSTRACTThe sakinah mawadah warohmah (Samara) family is a family that is prosperous and full of affection in it. The challenge of being able to get to the Samara family is so much that each family must be prepared to be able to go to the samara family. The purpose of implementing this service activity is to increase family preparedness in an effort to reach the same family. The method used is counseling, training and mentoring as long as students do KKN. The results obtained are counseling, training and mentoring activities can run smoothly. The community can cooperate well so that all activities can be carried out together. As a result of this activity the community, especially those who are married and who will have a family, have an understanding of the Samara family and efforts that can be made to reach the Samara family) Keywords: family, SAMARA, effort
PEMBINAAN KESADARAN PANGAN THOYIB YANG AMAN PENGAWET SINTETIS PADA PENGURUS CABANG â€˜AISYIYAH WIROBRAJAN
Authors: Khairi Amalya Nurul , Juwitaningtyas Titisari , Narwanti Iin
Published: February 2019

Ibu-ibu anggota PCA Wirobrajan sebagian besar adalah pengusaha makanan dan minuman yang terampil dalam pengolahan panganan basah tradisional maupun street food. Kondisi ini merupakan akibat dari banyaknya jumlah sekolah dan adanya Pasar Klitihikan yang khusus menjual makanan jenis camilan di Kecamatan Wirobrajan. Pengabdian ini bertujuan untuk meningkatkan kesadaran Ibu-ibu anggota PCA Wirobrajan terhadap bahaya penggunaan pengawet sintetis sekaligus membekali dengan keterampilan membuat pengawet dari bahan alami dan deteksi sederhana kandungan formalin. Metode yang dilakukan adalah dengan pelatihan dan pemaparan materi. Kegiatan tersebut dilaksanakan dalam tiga kali sesi. Dari hasil pembinaan yang dilakukan diperoleh hasil antusiasme keikutsertaan Ibu-ibu PCA Wirobrajan dan semangat mereka untuk memperbaiki proses pengolahan pangan dengan meminimalisir penggunaan bahan tambahan pangan (BTP) sintetis yang berbahaya.Â
PUPUK ORGANIK CAIR SEBAGAI PEMBERDAYAAN SAMPAH ORGANIK DI DUSUN BANJAR
Authors: Merawati Fitri , Frismayudha Evril
Published: February 2019

Masyarakat Dusun Banjar sebagian besar memiliki mata pencaharian sebagai petani dan memiliki ternak di sekitar tempat tinggalnya. Wilayah yang terletak di dataran tinggi yang dikelilingi berbagai macam tumbuhan mengakibatkan di dusun Banjar termasuk wilayah yang memiliki sampah organik lebih banyak dibandingkan sampah anorganik. Selama ini sampah belum diolah secara maksimal sehingga tumpukan sampah menjadi sumber penyakit. Oleh karena itu, mengubah sampah organik menjadi Pupuk Organik Cair (POC) menjadi sebuah solusi untuk mengatasi masalah tersebut melalui program pengabdian masyarakat. Metode yang digunakan adalah metode pelatihan dan praktik langsung yang berisi tentang sosialisasi jenis-jenis dan manfaat sampah organik, sosialisasi tentang Pupuk Organik Cair, dan pelatihan dengan paraktik langsung membuat Pupuk Organik Cair. Hasil yang dicapai, masyarakat menjadi memahami jenis-jenis dan manfaat sampah sehingga mereka dapat menglasifikasikan sampah-sampah tersebut. Masyarakat juga mengetahui kelebihan maupun manfaat Pupuk Organik Cair. Selain itu masyarakat juga bisa praktik langsung membuat Pupuk Organik Cair.
PELATIHAN DESAIN PEMBELAJARAN PENDIDIKAN MATEMATIKA REALISTIK BAGI GURU MATEMATIKA SEKOLAH DASAR SD MUHAMMADIYAH KOTA YOGYAKARTA
Authors: Hendroanto Aan , Setyawan Fariz
Published: February 2019

Sekolah Dasar Muhammadiyah di Kota Yogyakarta masih banyak yang menerapkan pembelajaran konvensional yang berpusat pada guru. Padahal dalam kurikulum 2013, pembelajaran matematika seharusnya berpusat pada siswa. Oleh karena itu, pelatihan ini bertujuan untuk memberikan pelatihan bagi guru matematika Sekolah Dasar Muhammadiyah Kota Yogyakarta untuk mendesain dan mengembangkan pembelajaran pendidikan matematika realistik. Artikel ini membahas tentang pengabdian kepada masyarakat berupa pelatihan desain pembelajaran pendidikan matematika realistik. Metode pengabdian yang digunakan yaitu Seminar dan pelatihan atau workshop. Adapun hasil dari pelatihan yang telah dilaksanakan, dapat disimpulkan bahwa 1) seminar dan workshop berjalan dengan lancar dan baik, 2) respon perserta terhadap pelaksanaan kegiatan ini termasuk dalam kategori baik dengan nilai rata-rata 4,3. Berdasarkan hasil survey diketahui pula bahwa waktu dan target materi menjadi kendala utama bagi para guru dalam mengimplementasikan pembelajaran pendidikan matematika realistik.
PENERAPAN TEKNOLOGI TEPAT GUNA (PENANAM HIDROPONIK MENGGUNAKAN MEDIA TANAM) BAGI MASYARAKAT SOSROWIJAYAN YOGYAKARTA
Authors: Mulasari Surahma Asti
Published: February 2019

Hidroponik adalah suatu metode bercocok tanam tanpa menggunakan media tanah, melainkan dengan menggunakan larutan mineral bernutrisi atau bahan lainnya yang mengandung unsur hara seperti sabut kelapa, serat mineral, pasir, pecahan batu bata, serbuk kayu, dan lain-lain sebagai pengganti media. Tujuan: Tujuan dari kegiatan ini adalah mengurangi masalah sampah dan Menambah wawasan warga sekitar tentang cara pemanfaat barang bekas menggunakan hidroponik. Metode yang digunakan dalam kegiatan ini adalah dengan memberikan ceramah mengenai hidroponik, melakukan diskusi dan tanya jawab, melakukan praktik kegiatan bercocok tanam secara hidroponik. Dampak yang diperoleh adalah peningkatan pengetahuan warga mengenai hidroponik, serta dapat Meningkatkan kesadaran masyarakat untuk memanfaatkan barang bekas sebagai upaya dalam mengurangi keberadaan sampah plastik di kehidupan masyarakat.
PEMBERDAYAAN REMAJA DALAM PEMANFAATAN SISA SAMPAH MENJADI PUPUK ORGANIK CAIR DI DUSUN KADISORO GILANGHARJO PANDAK BANTUL
Authors: Maulana Muchsin , Nugraheni Putri Widi
Published: February 2019

Latar belakang: Pertambahan jumlah penduduk di perkotaan yang pesat berdampak terhadap peningkatan jumlah sampah yang di hasilkan. Peningkatan jumlah sampah yang tidak diikuti oleh perbaikan dan peningkatan sarana dan prasarana pengelolaan sampah mengakibatkan permasalahan sampah menjadi komplek, antara lain sampah tidak terangkut dan terjadi pembuangan sampah liar, sehingga dapat menimbulkan berbagai penyakit, kota kotor, bau tidak sedap, mengurangi daya tampung sungai dan lain-lain.Tujuan: Pelatihan ini bertujuan untuk meningkatkan pengetahuan, kesadaran, kemauan, dan kemampuan Remaja Kadisoro Gilangharjo Pandak, Bantul dalam mengelola sampahMetode: Metode yang digunakan dalam pengabdian ini melalui ceramah, pengarahan kepada remaja terkait bahan-bahan yang dapat dijadikan pupuk organik cair. Selanjutnya adalah praktik langsung bersama remaja pandak bantul dengan arahan dan pendampingan asisten pada saat pengabdian.Hasil & Dampak: Pada saat praktik, remaja di dusun Kadisoro Gialngharjo Pandak bantul sangat antusias, remaja sudah sangat familiar dengan pemanfaatan sampah, akan tetapi pemanfaatan sampah menjadi pupuk cair masih jarang ditemui. Remaja mendengarkan dengan seksama, mulai dari penyampaian materi sampai praktik langsung, dimulai dengan pengarahan oleh asisten secara langsung. Kemudian remaja secara aktif mengikuti dan mempraktikan secra langsung.
UPAYA PENANGGULANGAN RENTENIR OLEH KULIAH KERJA NYATA UNIVERSITAS AHMAD DAHLAN DI DUSUN KLEPU, NGLEGI, PATUK, GUNUNGKIDUL, DI. YOGYAKARTA 2018
Authors: Mulasari Surahma Asti , Fatihah Ana Nur , Setiawan Anggi
Published: February 2019

Dusun Klepu Kecamatan Patuk adalah salah satu wilayah yang memiliki permasalahan perekonomian dan dibutuhkan pemberdayaan untuk meningkatkan kesejahteraan masyarakatnya. Akibat perekonomian yang belum baik masih banyak masyarakat yang terlibat rentenir dan berdampak pada semakin terpuruknya perekonomian keluarga. Pemerintah Kecamatan Patuk mengharapkan kerja sama Universitas Ahmad Dahlan (UAD) untuk membantu mengatasi permasalahan tersebut dengan program Kuliah Kerja Nyata (KKN). Program tematik KKN UAD dengan tema : Peningkatan Unit Usaha di Dusun Klepu, Nglegi Patuk Gunungkidul untuk penanggulangan rentenir. Program kegiatan dilakukan dengan metode penyuluhan dan pelatihan peningkatan usaha kecil dan perintisan unit usaha dengan memanfaatkan potensi lokal. Hasilnya adalah masyarakat memiliki tambahan pengetahuan dan keterampilan untuk pengembangan unit usaha dengan memanfaatkan potensi lokal. Masyarakat berpartisipasi aktif dalam kegiatan dan memiliki antusias yang tinggi dalam kegiatan tematik KKN.
PELATIHAN PEMBUATAN ANEKA MAKANAN DARI TEPUNG MOCAF SEBAGAI UPAYA PEMBERDAYAAN MASYARAKAT DI DESA HARGOMULYO, GUNUNG KIDUL
Authors: Tentama Fatwa , Zakaria Zayah , Yuliansyah Rezi , Haryadi Dicky
Published: February 2019

Salah satu permasalahan yang ada di masyarakat Desa Hargomulyo, Gedangsari, Gunung Kidul adalahÂ  banyaknya bahan makanan seperti ubi yang kurang mampu diolah menjadi makanan dengan daya jual yang lebih tinggi. Program ini bertujuan untuk pemberdayaan masyarakat dalam mengolah ubi menjadi tepung mocaf serta pemanfaatannya menjadi aneka makanan. Metode yang dilakukan berupa penyuluhan, pelatihan Â dan praktek secara langsung. Program meliputi studi dokumen, pendidikan masyarakat, difusi teknologi, dan praktek langsung. Hasil dan dampak dari program ini adalah tercipta kesadaran masyarakat sasaran tentang cara mengolah ubi, peningkatan pengetahuan masyarakat dalam mengolah tepung mocaf, masyarakat terampil membuat aneka makanan berbahan tepung mocaf, dan tersedianya makanan yang beragam dengan daya jual beli yang tinggi dan lebih bernutrisi.
Rare health conditions 20: three rare forms of epilepsy—myoclonic astatic epilepsy (Doose syndrome), Dravet syndrome, benign Rolandic epilepsy; and a note on cannabis use
Authors: Barber Chris
Published: February 2019

The purpose of this series is to briefly highlight a range of rare health conditions. Rare health conditions are those that affect no more and usually fewer than 1 person in every 2000 and many HCAs and nurses will encounter some of these conditions, given the high number of these conditions.

This 20th article will briefly explore three of these conditions, focussing on rare forms of epilepsy.
The role of the assistant practitioner in the clinical setting: a focus group study. Part 1
Authors: Henshall Catherine , Doherty Andrea , Green Helen , Westcott Liz , Aveyard Helen
Published: February 2019

Background

Assistant practitioners have knowledge and skills beyond the level of traditional support staff, and work in many clinical settings. However, some assistant practitioners lack a clearly defined role and may be under-used due to issues around accountability and uncertainty about their purpose. This paper explores the assistant practitioner role from the perspectives of assistant practitioners and registered nurses.

Methods

This study aimed to explore the role of the assistant practitioner from the perspectives of assistant practitioners and registered nurses in two NHS hospital trusts in Oxfordshire, UK. Six qualitative focus groups were undertaken between February–March 2017. Ethical approval was obtained (FREC 2016/05) and written consent was provided by participants. Data was analysed thematically analysed using the Framework method.

Results

Some 19 participants (assistant practitioners, n = 12; registered nurses, n = 7) were recruited using convenience sampling. Emerging themes related to ‘fluctuating roles and responsibilities of assistant practitioners’, ‘role differences between registered nurses and assistant practitioners’, ‘working relationships’, ‘supervision’ and ‘redefining nursing pathways’. The Results and Discussion sections highlight a lack of role clarity and blurring of boundaries between the roles of assistant practitioners and registered nurses, with many tasks undertaken by both. This lack of ownership of ‘nurse-specific’ roles by registered nurses was evident and clear differences were only encountered with regard to accountability. The development of the nursing associate role provides managers with the opportunity to redefine staff banding hierarchies to ensure that clinical staff are aware of their role capabilities and limitations and are practising safely, while promoting career development and progression pathways.

Conclusion

Addressing issues around role clarity can benefit professional development, satisfaction, role identity and ownership for registered nurses and assistant practitioners, by recognising the individual and collective value they bring to the clinical team. The findings can help inform the development of the nursing associate role.
A qualitative study of women's experience of a perinatal group health-promoting programme
Authors: Buultjens Melissa , Murphy Gregory , Ruddock-Hudson Mandy , Milgrom Jeannette , Taket Ann
Published: February 2019

Background

Antenatal and parenting programmes are a way of supporting and empowering parents. However, not all informational needs are being met, and nor are programmes equipping women with skills and confidence to meet the challenges of parenthood.

Aims

To explore women's experiences of participating in a group psycho-educational programme across their pregnancy and early postnatal period.

Methods

A qualitative descriptive design was applied, incorporating thematic analysis to identify themes in the data.

Findings

The programme demonstrated practical benefits such as dissemination of timely information, continuity of care and professional support. It enabled opportunities for mastering new tasks and increased a woman's social support network.

Conclusion

Focusing on the entire perinatal period can promote better perinatal health and psychosocial outcomes.
Interprofessional education: shared learning for collaborative, high-quality care
Authors: Power Alison
Published: February 2019

‘Working together for patients' is a core NHS value that aims to provide high quality care and a well-trained, cohesive workforce. Landmark reports have highlighted how poor interprofessional communication and teamwork can have devastating implications for standards of care and service user outcomes.

By embedding interprofessional education (IPE) into the undergraduate curriculum, health and social care students are supported to develop the required knowledge, skills and attitudes to make a positive contribution to the interprofessional team, both as students and as qualified practitioners.

This article will give an overview of the drivers for IPE in the UK and look at the challenges of developing an authentic IPE ‘collaborative curriculum’ using the University of Northampton as a case study.
Sepsis
Authors: Axcell Claire
Published: February 2019

A recent focus on the early identification of sepsis has reduced the number of women dying from this condition; yet midwives still need to be vigilant. Claire Axcell describes a recent experience
Zinc toxicosis in dogs
Authors: Bates Nicola
Published: February 2019

Zinc is an essential trace element required for the normal functioning of many enzyme systems, but ingestion of zinc foreign bodies (e.g. zinc-containing coins) can cause toxicosis in dogs. This is characterised by gastrointestinal signs followed by a haemolytic crisis. Pigmenturia and proteinuria are common. Complications include pancreatitis, disseminated intravascular coagulation and renal and liver dysfunction. Diagnosis is based on history and clinical signs; radiography may be negative as the foreign body may have been passed or vomited. Treatment of zinc toxicosis in dogs is supportive, with urgent surgical removal of any retained foreign bodies, as well as rehydration, gastroprotectants and blood products. Prognosis depends on the severity of the anaemia and the extent of liver, renal and pancreatic involvement. In mild to moderate cases improvement usually occurs 48–72 hours after removal of a zinc foreign body, but in dogs with severe zinc poisoning prolonged hospitalisation may be required.
Degloving injuries in companion animals
Authors: Hattersley Rachel
Published: February 2019

Degloving injuries are defined as avulsions or detachment of the skin and subcutaneous tissue from the underlying muscle and fascia secondary to a sudden shearing force applied to the skin surface. Degloving injuries are characterised by extensive trauma to the skin and subcutaneous tissues. Skin loss may occur at the time of the injury, or may be delayed, due to skin necrosis such as in physiological degloving injuries, in which tangential forces separate the mobile subcutaneous tissue from the immobile underlying fascia. It is vital to remember that dogs and cat sustaining degloving injuries will have sustained significant trauma and, therefore, a holistic approach to patient management is required to ensure intra-abdominal and intra-thoracic trauma is not overlooked. This review covers patient triage, initial wound management and longer-term options for wound closure.
Hip dysplasia — understanding the disease
Authors: Witte Philip Georg
Published: February 2019

Canine hip dysplasia is a common cause of hind limb lameness. Management of the condition is varied, and options may be broadly divided into conservative and surgical. An understanding of the aetiology and pathogenesis aids communication with clients and improves decision-making. Coxofemoral laxity underlies canine hip dysplasia. There is good evidence that genetics play a large role in the development of laxity; however, the environment has a significant influence on the severity of the clinical and radiographic signs of the developing disease. The relative influence of genetics and the environment (with emphasis on management of the young puppy and body condition score in the adult) is discussed in this first of a series of articles on canine hip dysplasia.
Patient experiences of living with chronic leg ulcers and making the decision to seek professional health-care
Authors: Marczak Jaroslaw , Rembeck Gun , Petersson Eva-Lisa , Nordeman Lena
Published: February 2019

Objective:

The aim of the study was to elucidate how patients experience living with chronic leg ulcers before consulting a health professional, and to determine the reasons behind the decision to visit a health-care centre.

Method:

A qualitative interview study was carried out. There were 11 participants, five men and six women (age range: 27–83 years old). All participants in the study were patients visiting the public primary medical centre in western Sweden for the first time for a chronic leg ulcer. The data was obtained by recorded interviews. Systematic text condensation (STC) by Malterud was applied to the analysis.

Results:

The analysis identified five main categories of the issues relating to ulcers to their ulcers: convictions, pain, emotions, strategies, and health-care treatment. At first, patients accepted the inconvenience of a leg ulcer. Gradually, they focused more on strategies dealing with the ulcer, and withdrew from their social context, while their fears increased. Many needed support in the decision to seek professional care.

Conclusion:

Despite pain, anxiety, emotional lability, and disappointment, they had strategies to cope with ulcers on their own. A social network seems crucial for the decision to seek professional health care and greater knowledge of leg ulcers, particularly in the elderly population, is needed.
Risk factor analysis on the healing time and infection rate of diabetic foot ulcers in a referral wound care clinic
Authors: Kee Khaw Kher , Nair Harikrishna K. R. , Yuen Ng Pei
Published: February 2019

Objective:

Objectives. To determine the prevalence and risk factors for diabetic foot infection (DFI), and to identify factors associated with delayed wound healing of diabetic foot ulcer (DFU).

Method:

The retrospective study was performed in a referral wound care clinic in Hospital Kuala Lumpur. Data was collected from January 2014 to October 2016 on DFU patients who attended this clinic.

Results:

Of the 340 patients (216 male and 124 female) DFU patients who attended the clinic (mean age: 58.1±10.8 years old), 41.5% presented with infection with a mean cross-sectional ulcer area of 21.5±33.2cm2. Binary logistic regression analysis revealed that patients of Chinese ethnicity (OR: 3.39; 95%CI 1.49 to 7.70), with fasting blood glucose ≥7mmol/l (OR: 3.41; 95%CI 1.57 to 7.39), ulcer size ≥10cm2 (OR: 2.90; 95%CI 1.45 to 5.82) and blood pressure ≥140/90mmHg (OR: 2.52; 95%CI 1.54 to 4.14) were more likely to develop DFI. The median healing time for patients with DFUs was three months. There were six variables identified as significantly associated with prolonged healing time of DFU, namely presence of infection (p<0.001), poor glycaemic control with fasting blood glucose ≥7mmol/l (p<0.001), high blood pressure ≥140/90mmHg (p<0.001), large DFU size ≥2cm2 (p<0.001), history of amputation (p<0.005) and plantar location of the DFU (p<0.05).

Conclusion:

Large DFU size, poor glycaemic and blood pressure control are common risk factors for both DFU and DFI. Unexpected high prevalence and ethnicity risk factor for DFI urge more comprehensive primary and secondary preventative strategies to reduce its incidence.
ASPIRIN
Authors: Rees Sharon
Published: February 2019

In this column, Sharon Rees aims to refresh knowledge and interest in some of the commonly used drugs in a series of Tweets. This month she is talking about #aspirin
Medicines adherence to anti-platelet therapy in acute coronary syndrome: part 1
Authors: Paterson Ruth , Mahadi Tasha
Published: February 2019

Ruth Paterson and Tasha Mahadi provide an overview of recently published articles that may be of interest to prescribers. Should you wish to look at any of the articles in more detail, a full reference is provided
Asthma COPD overlap: a case study
Authors: Ray Emma , Kelly Carol
Published: February 2019

Asthma and chronic obstructive pulmonary disease (COPD) are common respiratory diseases that account for a significant number of primary care consultations. The classical clinical features of asthma and COPD can be clearly differentiated. However, many patients have contemporaneous features of asthma and COPD, and it is estimated that a significant proportion of these patients have asthma-COPD overlap (ACO). This article provides an overview of the diagnostic process and clinical management, both pharmacological and non-pharmacological, of a 58-year-old male presenting at his GP practice with ACO.
Hepatitis C: prescribing challenges in the era of new direct-acting antivirals
Authors: Chalmers Lindsay
Published: February 2019

Hepatitis C is a chronic but curable disease. The World Health Organization has recognised the huge public health burden that untreated and undiagnosed hepatitis C can cause worldwide and has set a target to eliminate the disease by 2030. The treatment landscape is rapidly evolving, and newer therapies are more effective and have an improved side effect profile. Treatment has become widely available and prescribers have a myriad of new drugs to become familiar with. This article will focus on the more novel therapies, guidelines and treatment options and the challenges facing the prescriber in the age of direct-acting antivirals.
Aid and Human Rights: The Case of US Aid to Israel
Authors: Ali Murad
Published: February 2019

The paper examines the allocation of economic as well as military aid from the United States (US) to Israel and investigates whether the US has ever linked its aid to human rights performance in case of the Jewish State. In doing so, the paper explores US foreign aid policies in the light of US Congressional legislation enacted in 1974, which aimed at linking the provision of US aid to human rights performance of aid recipient governments. An assessment of US foreign aid policies illustrates that the US has rarely acted upon such legislation in letter and spirit to terminate or restrict aid to governments involved in violation of the globally recognized human rights. Focusing on US bilateral aid policies during three distinct periods: the Cold War, the post-Cold War and the ‘war on terror’; this study shows that instead of linking aid to respect for human rights in the case of Israel, the US has rather authorized more aid to the Jewish State despite the latter's dismal record of human rights performance. The paper illustrates that the provision of US aid is not inspired by the promotion of democracy, liberty and human rights in aid-receiving states. The study concludes that when US foreign policy goals including political, security and geo-strategic interests are at stake, human rights are not significant dynamics behind US aid distribution to Israel or any other US strategic partners.
Pre-Trial Detention and its Compensation in International and Pakistani Law
Authors: Hussain Tauqeer
Published: February 2019

Right to liberty is considered a basic human right and the pre-trial detention curtails this right before the guilt is proven. Pre-trial is authorized by international and domestic legal regimes as an unavoidable measure but with certain precautions. Subsequent to pre-trial detention, international human rights law is silent about compensating those who were falsely or mistakenly held by state authorities. Certain states have recently realized the need of a compensation mechanism. In Pakistan, the criminal procedure warrants certain precautions and allows a form of compensation for pre-trial detention, yet the law lacks in certain respects. Exploring evolution of the realization to compensate for the apprehension before conviction, this paper looks for the convergence and divergence of Pakistani and contemporary legislation on the issue of pre-trial detention and its compensation. The paper suggests reforms through minimal use of pre-trial detention and by providing compensation to the innocent victims of pre-trial detention.
Healthcare System and Medical Malpractice Law in Pakistan
Authors: Waraich Rukhsana Shaheen
Published: February 2019

Medical profession is a noble profession and requires extraordinary care and caution. The complaints of negligence and medical malpractice is not uncommon, however. Law of Torts is invoked for civil remedy for medical malpractice cases in Pakistan. Medical practitioners can be tried under charges of criminal liability too but courts are very reluctant to treat doctors under Pakistan Penal Code and want to contest such cases under civil liability. Following Indian precedent, Pakistan has given the jurisdiction to Consumer Courts too to try such cases. However, it is detestable to include medical services within the scope of consumer laws. Moreover, there is disparity regarding compensation. Thus, it is argued that a separate law should be devised for medical malpractice keeping in view the need and current practices of legal and healthcare systems.
Mainstreaming Residential Prosumers in Energy Sector
Authors: Saleh Naila
Published: February 2019

With the evolution of Solar PV technology, old paradigm of consumers being passive recipients is changing fast. Distributed generation with the help of end-users can be instrumental in realizing goals of making the energy sector more decentralized, decarbonized and democratized. Against the backdrop, residential prosumers have occupied central role in the transition debate. If adequately empowered, they can prove the change agents for facilitating integration of renewables and building a more sustainable future. However, if policy instruments fail to correspond to the needs of the newly evolving role of consumers as proactive market actors, it would stifle their participation in market. In the case of Pakistan, flawed energy pricing, provision of net-metering facility by limited DISCOs along with cumbersome procedures of availing the facility, and barring of small-scale prosumers from net-metering facilities and financial schemes indicates few major barriers in the way of PV infrastructure dissemination. A strong need exists for addressing the weaknesses in the current policy tools for mainstreaming active engagement of residential prosumers in the energy sector.

A prosumer is a person who consumes as well as produces a product. On the given lines, energy prosumer refers to those customers who self-generate energy for wholly or partially meeting their own energy needs. They are energy producers and consumers at the same time, resulting in a two way or bi-directional flow of energy.
Evolving LNG/RLNG Regime in Pakistan and the National Energy Security
Authors: Qureshi Abdul Basit
Published: February 2019

With economic growth, the demand for natural gas as a fuel has increased recently, while its supply has seen decrease. The demand is projected to further increase and the country's currently known recoverable indigenous gas reserves are insufficient to meet this demand. Gas shortages have already emerged and shall increase substantially in the following years if indigenous supply is not supplemented through imports. This paper aims to review the regulatory framework of LNG/RLNG for creating enabling environment for import, re-gasification, sale and marketing in Pakistan. The focus of this paper is on the supply side of energy, public and private gas utilities relation with respect to LNG, natural gas market liberalization, and its comparative analysis with other fuel prices. In the short term, without importing LNG to the tune of about 800 - 1.2 MMSCFD, the demand-supply gap of the energy in Pakistan would have been much more than it is today. Irrespective of its price, however, LNG is the only short-term solution in augmenting energy supplies.
Editorial: Special issue on social pedagogy in the Nordic countries
Authors: Nivala Elina
Published: February 2019

ThisInternational Journal of Social Pedagogyspecial issue onSocial Pedagogy in the Nordic Countriesgenerally stems from Hämäläinen’s (2012) definition of two main developmental lines of social pedagogy: a line of social care and welfare activities preventing and alleviating social exclusion, and a line of social education supporting growth into membership of society. In the Nordic countries, both of these lines exist in social pedagogical discussion, research and practice. The special issue aims to both discuss the existence of these lines as such and show examples of social pedagogical work in the arenas of both general and special social education.
Peran Pet (Hewan Peliharaan) Pada Tingkat Stres Pegawai Purnatugas
Authors: Juliadilla Risa , Hastuti H. S.Candra
Published: February 2019

In gerontology, the issue of pets as a "negative effect killer during retirement" has long been believed to be an activity that can improve living welfare. This study used 77 male retired employees. This study aims to determine the effect of pet ownership on stress levels, differences in stress levels between groups that have animals and do not have animals and know the characteristics of the group of pet owners related to stress levels. The research data will be analyzed using simple regression, Mann Whitney test and Chi square. The research instruments used were the Perceived Stress Scale from Cohen (1988) and the questionnaire. Obtained overall results of respondents at moderate stress levels. The research findings are that pet ownership has an effect on stress levels of 37, 2%. It was also found that groups that had pets had lower stress levels than those who did not have pets. In addition, it was concluded that there was a correlation between the level of education and the level of stress that was not significant, the correlation between marital status and residence status with stress levels significantly. Keywords: :Pet, Retirement, Stress Levels
KESEJAHTERAAN PSIKOLOGIS DITINJAU DARI SPIRITUALITAS SISWA DI LEMBAGA PENDIDIKAN BERBASIS AGAMA PESANTREN DAN NON PESANTREN
Authors: Lisnawati Lisnawati , Al Rahmah Ifah Afifah Dayyanah
Published: February 2019

This study aims to determine the relationship between spirituality with psychological well being in students of Islamic Boarding School and State Islamic High School, as well as the differences of the students psychological well being of State Islamic High School and Islamic Boarding House. The research subjects of the 3rd grade students of State Islamic High School and Islamic Boarding House, each represented by 45 students, the data collection tool used in this research is the scale of spirituality and psychological well being scale. The sampling technique used in this research is purposive sampling technique. Data analysis method used in this research is product moment technique and independent sample t test. The result of correlation analysis shows that the relation of spirituality with psychological well being in State Islamic High School has r value of 0.794 and p value of 0.000 (P <0,05) and the result of spirituality analysis with psychological well being in Islamic Boarding House has r value of 0,742 and p value 0.000 (P <0.05) thus the two results indicate a very significant positive relationship. Based on these two results can be drawn the conclusion the higher the level of spirituality, the higher the psychological well being in the students, and it can be concluded that the first hypothesis in this study, that there is a positive relationship between the spiritual and psychological well being accepted. The result of psychological well being test analysis on students at State Islamic High School and Islamic Boarding House has value of difference index (T) psychological well being in State Islamic High School students and Islamic Boarding House of 5.407 with significance level (P) of 0,000 (P <0,05) and mean on student State Islamic High School is 133,71 while in Islamic Boarding House students equal to 120,10. So the psychological condition well being subject in State Islamic High School is higher than the Islamic Boarding House. The second hypothesis is that there is a difference of psychological well being in State Islamic High School and Islamic Boarding House students accepted. Keywords: Spirituality, Psychological well being
MAKNA KESEJAHTERAAN PADA GURU PENDIDIKAN ANAK USIA DINI
Authors: Maulia Desi , Rakhmawati Ellya , Suharno Agus , Suhendri Suhendri
Published: February 2019

Kajian kesejahteraan pada guru anak usia dini belum banyak dikaji. Pemaknaan mengenai kesejahteraan psikologis pada guru akan memberikan gambaran mengenai bagaimana guru memaknai kesejahteraan terhadap profesinya. Penelitian menggunakan metode Interpretative Phenomenological Analysis (IPA) untuk memahami bagaimana guru memaknai kesejahteraan. Partisipan melibatkan 5 narasumber guru Taman Kanak – Kanak di Kota Semarang yang sekolahnya memperoleh akreditasi A dan telah bekerja minimal 5 tahun. Instrumen penelitian menggunakan wawancara semi terstruktur.Hasil penelitian menggambarkan bahwa kesejahteraan bagi guru pendidikan usia dini mengacu pada perasaan bahagia dan tercukupi dalam menjalankan perannya sehingga mampu mengarahkannya pada pencapaian yang lebih baik. Kesejahteraan ini muncul dari rasa dicintai oleh siswa, teman guru dan orang tua; rasa dihargai; dan adanya rasa didukung. Perasaan sejahtera hadir semakin kuat apabila disertai rasa syukur dan adanya tujuan yang akan dicapai dan memberikan dampak positif bagi sekitar. Pemahaman ini akan membantu dalam proses diskusi mengenai pemetaan kebutuhan guru dalam meningkatkan kesejahteraan psikologis.
Commentaries on Omphile and his Soccer Ball: Colonialism, Methodology, Translanguaging Research
Authors: Nana Aba Appiah Amfo , Alan Carneiro , Don Kulick , Kathleen Heugh , Lynn Mario Mendezes de Souza T , Manuel Guissemo , Rajagopalan Kanavillil , Reite Torun , Bock Zannie
Published: February 2019

Commentary on “Omphile and his soccer ball: colonialism, methodology, translanguaging research”
Family Language Policy ten years on: A critical approach to family multilingualism
Authors: Rafael Gomes Lomeu
Published: February 2019

Family language policy (FLP) has been establishing itself as a field in the past decade. Yet, much of the scholarly debate around family multilingualism has remained within the boundaries imposed by Western-centric epistemologies. In order to address this issue, this article reviews FLP studies published between 2008 and 2017, and discusses accomplishments and limitations of recent publications. The main argument presented here is that a critical approach to family multilingualism might contribute to the development of FLP in an unexplored direction. More specifically, this paper shows how drawing on a decolonial approach allows for an express engagement with debates that have only been marginally tapped into in current FLP scholarship, for instance, the intersectional dimension of social categorisations such as social class, race, and gender. Furthermore, a decolonial approach provides a robust frame to examine transnational practices by reconciling perspectives that tend to privilege either the material basis of the economic relations of production, or the cultural domain as a locus where these relations gain meaning. Finally, a decolonial approach to family multilingualism takes a step towards redressing the extant underrepresentation of southern theories in sociolinguistics.