bluuebunny/crossref_metadata_2025 huggingface dataset:
A formulation-based model of care in a dementia inpatient ward
Authors: Maisey Paula , Dawson Rikki , Collins Laura , Provan Valerie , James Ian
Published: January 2023

This ecologically valid audit was presented as an example of clinically relevant, ‘on-the-job’ translational research in the presentation entitled ‘Behaviours that Challenge in Dementia care’ by Duffy and James at FPOP 2018. The study examined the impact of formulation-led interventions on an organic inpatient unit over a 12 month period; six months baseline versus six months formulation-led interventions. A lower number of problematic patient incidences were observed in the formulation phase. To control for the possibility of ‘seasonal’ effects, the results of the formulation unit (Unit 1) were compared to an inpatient unit in the same NHS Trust (Unit 2). The number of incidences in the second unit were significantly higher in all phases of the 12 month assessment period, indicating that the second unit experienced more problematic behaviours. A comparison of the two units showed that they differed in a number of ways, for example Unit 2 was a traditional psychiatry-led eight-bedded unit, whereas the first was a nurse-led unit with 15 beds.
‘It reminds you really of what the job is about’: Introducing narrative practices to an older adult day hospital
Authors: Blake Daniel , Kaiser Polly
Published: January 2023

Our hopes are to share with you how we used narrative informed approaches to support clients, colleagues, and ourselves in an older adult day hospital. Using narrative practices here resulted in innovative approaches to team formulation and group level interventions being developed and piloted. An unexpected consequence was the benefits for the staff in re-connecting them with their values. Working together in these ways helped colleagues to remember ‘what the job is about’ which was sustaining in the context of the modern day NHS. Also, these practices re-connected us with our own values and opened up new possibilities for our own future practice.
Formulating and formulations in dementia care: Reviewing our perspectives
Authors: Reichelt Katharina , Moody Laura , Wells Julia , James Ian A.
Published: January 2023

Seventy four participants were given the opportunity to comment on a 15 minute presentation on formulation for Behaviours that Challenge (BtC) and to participate in a guided-workshop on the topic. The contents of the responses, feedback and discussions were analysed. It emerged that participants, particularly non-psychologists, were cautious about the use of formulations in the treatment of BtC. Some participants were unclear about the meaning of the term; some felt that formulations were ‘too psychological’; it was also thought that formulations were not always required. These issues are examined below, and we will discuss whether we need to alter our approach to describing, and using, formulations in dementia care.
Do we need specialist teams for behaviours that challenge in dementia care?
Authors: Bowie Gillian , Duffy Frances , Marshall Joanna
Published: January 2023

This paper will describe three examples of specialist teams in the UK (England, Scotland and Northern Ireland) and discuss some of the advantages and disadvantages of such teams. It includes ideas generated following a presentation by one of the authors (F.D.) on ‘The value of Specialist Teams’ at a Behaviours that Challenge workshop in February 2019.
‘If only it was that easy’: Supporting staff to approach behaviour that challenges work within care home settings
Authors: Howarth Alan , Lee Katy
Published: January 2023

In an earlier article (Lee & Howarth, 2018) we discussed the difficulties in implementing the stepped care guidance for Behaviours that Challenge (BtC) in dementia (Brechin et al., 2013) and proposed referral criteria to help translate the model into practice. Building on these ideas, we outline the challenges faced by staff trying to assist People with Dementia (PWD) who are showing signs of distressed behaviour within care homes. We also highlight the support needs of staff working in Community Mental Health Teams (CMHTs) when applying protocol-led interventions. To conclude, we reflect on how these ideas shape the way in which BtC services should be delivered.
Reflection from keynote speech – It is never too late
Authors: Price Dilys
Published: January 2023

Guest editor’s note:For those who were sadly unable to attend the conference, and may not know the inspirational story of Dilys Price, OBE, I would encourage you to visit her website, listen to her podcasts and watch her television appearances. She is a truly wonderful human being, who has overcome so much adversity, yet remains the most passionate advocate for living (and ageing) well I have ever met. Dilys continues to share her knowledge and compassion through her professional work and teaching around the world, and she cannot help but inspire everyone she meets with her tireless enthusiasm and love for other people.
Mild cognitive impairment: Helpful or harmful?
Authors: Blatchford Lisa
Published: January 2023

A systematic review concerning whether ‘Mild Cognitive Impairment’ (MCI) is a helpful concept for service users was presented at the FPOP conference in July 2019. This paper will summarise the findings relating to impact and utility of the label, in addition to discussing the clinical implications.
The 8-needs framework’s relevance to the Covid-19 pandemic: A model for meeting the needs of residents and staff in care homes
Authors: James Ian A. , Marshall Joanna
Published: January 2023

An ‘unmet needs’ philosophy has existed in care homes for many years, though without consensus about what constituted a need. There were already good, but not entirely sufficient, frameworks for identifying needs in the literature (e.g. Kitwood’s flower; Maslow’s hierarchy). What was required was a model of needs co-produced by care staff that reflected the needs we saw expressed clinically. To identify such needs we developed an exercise within the CAIT training programme (i.e. the ‘stranded naked on a desert Island’ exercise), which produced the necessary data. After further cross-checking against Kitwood’s and Maslow’s models, we developed the ‘8-needs framework’.

In the new model we wanted to highlight that many of the needs driving behaviours were not egocentric, but were concerns about the needs of loved ones (family members, partners, pets). Because of the way the 8-needs were identified, they were also relevant to the caregivers; in this sense the framework is pan-societal. A helpful way of presenting this holistic model is through a tree analogy, with the ground representing the support provided by caregivers. A number of previous articles have examined how the 8-needs framework can be used clinically, (i) as an assessment tool, (ii) component of formulation, (iii) feature of a behavioural support plan.
Frontal presentation of a cerebellar infarct – A memory clinic case study
Authors: Dyson Anna , Macrae Anna
Published: January 2023

Aim:The aim of this study was to describe the case and assessment of a woman with a right cerebellar infarct whose presentation mimicked that of behavioural variant frontotemporal dementia (bv-FTD).

Case report:A 65-year-old woman (J.C) was referred to the service following a marked personality change which occurred over the last 18 months. Her family described symptoms of disinhibition, impulsivity, emotional lability and reduced empathy. In the neuropsychological assessment, the following assessment tools were used: The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the Hayling and Brixton tests, the the Delis–Kaplan Executive Function System (D-KEFS), Ekman’s 60 faces (FEEST) and the Faux Pas test.

Results:Whilst some evidence of executive dysfunction was identified, the psychometric and neuroimaging data was inconsistent with a typical profile seen in bv-FTD.

Conclusion:Insufficient evidence was provided to support a diagnosis of bv-FTD. The changes were instead hypothesised to be due to the dysregulation of the cortico-cerebellar/cerebellar-limbic loops produced by J.C’s cerebellar infarct. This case study is a helpful illustration of how psychometric assessment can aid accurate diagnosis in atypical presentations.
Loss, worry, and resilience: Exploring the experiences of older adults during the first Covid-19 lockdown
Authors: Cabrera Ray , Tinlin Rowan , Sharifi Judi
Published: January 2023

The Covid-19 pandemic has had a devastating impact on the economic, public and emotional health of our society, with the more vulnerable intersectionalities of our society being more severely impacted. Older adults faced greater risk of death by Covid-19 and long-term health complaints following infection. Moreover, pre-existing generational factors such as social isolation and difficulties accessing support were exaggerated during the pandemic. The current study used qualitative enquiry to explore the experiences of older adults during the first UK lockdown by interviewing 13 older adults already accessing mental health services. Five superordinate themes emerged from the data: (1) impact on mental health, including depression and anxiety, (2) restrictions, including ways of staying safe, frustration and indifference, (3) experiencing loss, such as loss of life, activities, connection, independence and stability, (4) coping with it, referring to support from others, developing routines, finding safety strategies and activity, access to services and connection and loss, and (5) hopes for the post pandemic world, including changes in values and priorities, resuming travel and activity. Although the data highlights the difficulties and struggles experienced by the sample of older adults, it also draws attention to the resilience and type of support required. This understanding can help inform our interactions and formulation of older adults within mental health services following the pandemic while keeping their stories and meaning in mind as we find ways to support them.
Pre-launch of the updatedGuide to Psychosocial Interventions in Early Stages of Dementia
Authors: Guss Reinhard , Caryer Felicity , Middleton James , Bone Alex , Slade Lewis
Published: January 2023

This paper describes the development of an emotional ‘check-in’ group, conducted on a male dementia ward at an older adult mental health hospital, in Salford (Greater Manchester). The authors planned and conducted four sessions initially, with an aim to evaluate and adjust sessions dependent on engagement levels and responses from service users (SUs). For context, SUs admitted to the ward were males with diagnosis of dementia, who presented with complex behaviours that challenge. The ward environment included a high level of acute distress and frequent incidents that involve risk. This article outlines the structure and content of the first three sessions, explores the potential impact of the sessions and reflects on the importance of providing individuals with severe levels of cognitive impairment an opportunity to discuss emotions.
Communication and interaction training (CAIT): An interview with Ian James
Authors: Reichelt Katharina , Thompson Daniel
Published: January 2023

This article presents details of CAIT which was one of the online training programmes discussed at the FPOP 2021 conference: ‘CAIT: A training programme that utilises animations for improving communication skills and reducing behaviours that challenge in dementia.’ The current article is in the form of an interview and appears in the introduction of the CAIT online programme.
Treating anxiety in an older adult using internet-based cognitive behavioural therapy (iCBT): A case study
Authors: Izon Emma , Dow Rebecca
Published: January 2023

This paper presents Mrs K, a 73-year-old- woman who received internet-based cognitive behavioural therapy (iCBT) for anxiety, after presenting with high levels of worry, following the separation from her husband. Her associated psychological distress and low mood was maintained by high levels of worry, and low self-worth. This resulted in her withdrawing from friends and relying heavily on her daughter. The sessions took place online during the Covid-19 lockdown. Treatment consisted of psychoeducation about anxiety, relaxation techniques and worry management. Monitoring of Mrs K’s anxiety and distress indicated a reduction in worry and psychological distress after ten sessions of therapy.
‘20 Minute Care Space’ for care home staff: Service-based evaluation
Authors: Martean Melissa , Malik Jennifer , Murray Kevin
Published: January 2023

Health and social care staff wellbeing was highlighted as a priority in light of pressures during the Covid-19 pandemic (Duffy et al., 2020; Gray et al., 2021). The 20 Minute Care Space session was developed to facilitate self-care and connection among colleagues, based on compassion-focused principles (Association of Clinical Psychologists, 2020). Between February and September 2021, NHS Greater Glasgow and Clyde’s Care Home Liaison Psychology Service delivered 14 remote 20 Minute Care Space sessions via Microsoft Teams for care home staff across Glasgow City Health & Social Care Partnership (HSCP). A total of 88 care home staff and managers attended these sessions, and 32 completed evaluation forms. Findings are discussed in relation to attendance, awareness of self-care and connection to colleagues, alongside qualitative themes and facilitator reflections. The increasing recognition of the importance of self-care among health and social care staff, has resulted in funding being secured for two 8B Clinical Psychologist posts in NHS Greater Glasgow & Clyde (GG&C) to lead on staff support across the Health Board.
Fast and slow thinking applied to dementia: An animation explaining the relevance of Kahneman’s theory
Authors: Birtles Heather Kay , Thompson Daniel , Gray Kristina , James Ian Andrew
Published: January 2023

This article outlines an animation entitled ‘Understanding Thinking in Dementia’, which applies Kahneman’s notion of ‘fast and slow thinking’ to dementia and behavioural expressions of need (BEN). It posits that in dementia, slow thinking becomes less reliable and available, and fast thinking becomes more heavily relied upon. The implications of this in relation to the care and management of BEN are discussed, as well as recommendations for the design and delivery of appropriate activities for people living with dementia. The advantages of animations as a teaching tool are considered. Applications of Kahneman’s theory to functional mental health disorders, namely depression and anxiety, are also introduced. This animation joins a collection of educational videos produced for Communication and Interaction Training (CAIT).
The Acute Community Service: An intensive outpatient programme for older adults in crisis
Authors: Banyard Harry , Reading Lucy , Patterson Kirsty
Published: January 2023

One aspect of the NHS Long Term Plan is to establish a more comprehensive community-based mental health crisis response. NHS trusts have therefore looked to new services to help alleviate in-patient bed pressures. Intensive Outpatient Programmes (IOPs) have been previously used to help support people living with substance-misuse or eating disorders. More recently IOPs have been utilised to support people living with depression and anxiety. The Acute Community Service (ACS) was established as an IOP to support older adults in crisis by providing psychological, nursing, occupational, and physiotherapy interventions. Initial findings are consistent with previous research showing significant improvements in mood, levels of anxiety, and quality of life, with some service users being suitable for discharge to primary care. The ACS looks to build on these promising findings by working towards understanding the impact of the service on the frequency and length of in-patient admissions. Additionally, we would aim to understand the longer term impact of the ACS on service users and re-referrals rates.
Specialist hoarding training: Should we be providing it within our mental health teams? Evaluating the utility and effectiveness of a Hoarding Disorder (HD) training package within older adult community mental health teams
Authors: Wu Jacqueline H.F. , Tinlin Rowan
Published: January 2023

Hoarding disorder (HD) is usually more prevalent within the OA population, however, CBT treatment protocols for OA with HD show relatively weak outcomes which are not sustained at follow up. Recent research revealed that clinicians lacked understanding, skills or knowledge to incorporate evidence-based approaches into their care plan whilst working with OA with HD. As a result, a specialist HD training package was developed and delivered to staff to enhance their understanding of HD. The current evaluation sought to determine the effectiveness of the training package and staff’s experience of the training, to inform and develop the HD training package for future use. Self-report surveys collected both quantitative data and qualitative data, regarding participants’ (N=24) understanding of HD related to the aims of the session and their general training experiences. Participants’ understanding in HD; knowledge of assessment, formulation and treatment for HD; and confidence in working with OA with HD significantly increased after training. Five superordinate themes and 17 subordinate themes were identified within the qualitative feedback; 1) knowledge about HD; 2) emotional understanding of HD; 3) validation; 4) multidisciplinary approach to HD; 5) training adaptations. The data highlights the importance of delivering HD training to all staff members involved in multidisciplinary team care and treatment for OA with HD, moreover, suggesting adaptions which have been implemented to further develop the training package’s suitability and content.
The ‘Northumberland MDT Hoarding Pathway’ (N-MDT-HP): Developing a community mental health multidisciplinary team approach to working with individuals with hoarding behaviours
Authors: Tinlin Rowan , Stevenson Lin
Published: January 2023

Mental health professionals report finding clinical work with individuals with hoarding behaviours challenging, due to a lack of experience or training, poor communication with other agencies and a lack of clarity around roles and remits. Within the current scoping study mental health professionals within a multidisciplinary team (MDT) were asked about their specific role in the assessment, formulation, and intervention of older adults with hoarding behaviours. This data was content coded by two researchers, and although finding some overlap between professional groups, they identified distinct tasks carried out by different professionals within the team. This data, alongside recent findings regarding clinicians’ subjective experiences of working with individuals with hoarding (Tinlin, 2022) and a literature review highlighting best practice for working with older adults with hoarding behaviours (Tinlin & Purvis, 2022), informed the development of a hoarding pathway. The pathway guides the treatment of an individual with hoarding difficulties by outlining distinct aspects of an MDT assessment, formulation, and care plan. Finally, recommendations are made for appropriate evidence-based interventions, with acknowledgement of how each professional group within the MDT can work together to support the individual with hoarding difficulties. The pathway was shaped in consultation with clinicians involved in the scoping study, and next steps include piloting the pathway within secondary care mental health services and gaining service user feedback.
A model of proactive care by an older people’s mental health care home team during Covid-19
Authors: Appleyard Sara
Published: January 2023

In 2020, reports of a novel coronavirus, Covid-19, started to be reported by the global media. When the virus reached Northern Europe it became increasingly apparent that healthcare workers in acute and community facilities were at risk of becoming ill, with staff shortages negatively impacting patient care. In the UK concerns mounted about hospitals becoming overwhelmed, and care homes placed at increased risk due to hospitals discharging into the care home sector. UK Health Trusts were considering how to redeploy staff to best manage the rapidly changing situation. A specialist mental health care home liaison team in the North of England rapidly rolled out a model of proactive support to local residential and nursing care homes, whilst prioritising team cohesion and utilising specialist skills. A tier system was devised to ensure extra support was offered to care homes that had been high users of secondary mental health services, and offered a range of resources to 88 care homes across Kingston-Upon-Hull and the East Riding of Yorkshire. Care homes who received resources rated the resources that were provided to them, including telephone support, clinics, and written handouts, and feedback was positive. Ensuring that services can adapt rapidly to support care homes during a pandemic which disproportionately affected older people with dementia has been important to ensure that carers, as well as healthcare professionals, have access to a range of support structures to enable them to keep providing good quality care.
MBT and older adults: A learning journey and some reflections
Authors: Beldon Georgina , Caryer Felicity , Meraj Uzma
Published: January 2023

As group of psychologists across the UK who have found one another through our shared journey and struggles in training and using Mentalisation-Based Treatment (MBT) with Older Adults we hoped to share some of our thoughts, reflections and challenges at the Faculty of Psychology of Older People conference 2022 and within this summary. We hope that it may be of some help for clinicians interested in MBT and for those who may be considering integrating MBT into their treatment pathways. And if you are interested in any way – we also love you to join our special interest group! You can email us on the addresses provided at the end of article. Keywords: MBT; older people; complex emotional; relational needs.
Complex emotional needs and older people: Setting standards for inclusion
Authors: Dykes Kathryn
Published: January 2023

Community Mental Health Transformation in England provides an opportunity to change the structure and culture of mental health care delivery in community services. It is vital that the needs of older people are equitably considered and resourced through this work. One of the key strands of community transformation relates to care provision of people with complex emotional needs, an area under-researched and recognised in older adult mental health care. This paper sets out the current landscape within NHS community services in England, the challenges of meeting the needs of this clinical group and the creation of a national document which lays out recommendations for services working to meet clinical needs of older people with complex emotional needs.
Working with hoarding disorder in older age: Using archetypal themes
Authors: Basedau Natascha , Wilson Chris
Published: January 2023

Older people with hoarding disorder often find themselves in precarious social circumstances that can limit their access to health and social care. To maximise engagement and to reduce health inequalities, the authors propose a model using universal archetypal themes to formulate and intervene with complex hoarding behaviours in later life. This paper argues that the current clinical diagnosis of hoarding’ is a modern incarnation of an ancient human process; a way of managing loss and existential threat. It is proposed that a Jungian frame, and the archetypal themes present in story and myth, can guide formulation and intervention with this vulnerable group to facilitate positive change.
An exploration of the psychological and emotional experiences of people with Parkinson’s and the potential barriers to accessing support
Authors: Morton Ruth Lewis , Tong Molly , Montgomery Sara , Fflur Siana
Published: January 2023

This service evaluation aims to understand the psychological and emotional impact of Parkinson’s and the ways in which these experiences may generate potential barriers to accessing psychological support. Semi-structured interviews were conducted with people with Parkinson’s (pwP). The predominant psychological and emotional impact of Parkinson’s reported from this exploration included the following; anxiety and panic, low mood, loss of confidence and cognitive change. There were three dominant themes identified: (i) Making comparisons; (ii) Minimising and dismissing one’s own psychological needs; and (iii) A concern of burdening others. Further research is required to support our understanding of how to improve access to services for pwP.
‘I’m recovered from the unhappiness of being unwell’ Using interdisciplinary work and group therapy to foster recovery and inclusion of Older Adults
Authors: Blake Daniel , Tomlinson Gareth , Marston Ariadne
Published: January 2023

The Original Authentic knowledgeable Souls (OAKS) group was born in response to a clear need for group therapy within older adult’s service. Compared with working adult populations, older adults may experience higher levels of loneliness and isolation, which has been further exacerbated due to the Covid-19 pandemic (Age UK, 2021). Involvement in group therapy can mitigate these discrepancies by regenerating a sense of independence, mutual support and decrease loneliness (Poole et al., 2009). The OAKS group is an intersection of occupational therapy and psychology which uses narrative therapy, meaningful activity, and the recovery model to boost the confidence and identity of older people. The themes of the recovery model scaffold the structure and sessions of the group. Narrative therapy acts as a vehicle to explore these themes and strengthen preferred self-narratives (White, 2005). Meaningful occupational activity is used to embed these themes and alternative narratives. Being based within the community, the group encourages inclusion of older adults in society by promoting their engagement and presence within communities. The therapeutic use of self, transfer of energy and knowledge between disciplines, and orientation towards recovery are the essence of the OAKS group.
Implementing playlist for life in care home settings
Authors: Holden Megan , Marshall Joanna , Lowndes Andy
Published: January 2023

Personalised, music playlists are a promising non-pharmacological intervention for people living with dementia, however, there are numerous practical barriers to implementing this intervention. This paper will look at the barriers faced by the Durham and Darlington Care Home Liaison Hub when implementing personalised music playlists into care home settings, and how we have overcome them.

Those who were at the 2017 FPOP Conference in Durham will remember the inspirational keynote presentation about the work of Playlist for Life, a music and dementia charity. Playlist for Life harnesses the powerful effects of personal music to help people living with dementia. Whether it is the music from a first dance, lullabies from childhood or the theme tune from a favourite TV show, music has the ability to take us back in time and remind us of our past. It can help people living with dementia connect with family, friends and carers (see playlistforlife.org.uk). We invited Andy Lowndes (Vice-Chair of Playlist for Life and Music Detective) back to FPOP 2022 to inspire us again.
Changing Rooms – introducing person-centred, wellbeing-focused bedroom images on an older adult inpatient ward
Authors: Jackson Grace , Watson Ruth
Published: January 2023

By introducing person-centred bedroom design on an older adult inpatient ward, we found that patients experienced increased choice and control over their environment, described their bedroom as more stimulating including as a form of distraction, and reported feeling calmer. As a result, we aim to incorporate this into the admissions process on all wards at the hospital.
PENINGKATAN KESEHATAN MASYARAKAT MELALUI PEMERIKSAAN KREATININ SEBAGAI DETEKSI DINI PENYAKIT GINJAL DI KELURAHAN TAMALABBA
Authors: Rafika Rafika , Hasan Zulfikar Ali , Naim Nurlia
Published: January 2023

Ginjal berfungsi mengatur sekresi  sisa metabolisme (mengeluarkan sampah metabolisme yaitu urea, kreatinin asam urat dan zat kimia asing) berguna bagi tubuh. Orang yang beresiko terjadi gagal ginjal kronik, yaitu umur di atas 35 tahun, riwayat keluarga menderita gagal ginjal kronik, riwayat DM, hipertensi, riwayat ISK, perokok, mengkonsumsi obat-obatan suplemen dalam jangka lama, riwayat konsumsi alcohol. Metode kegiatan berupa pelayanan pemeriksaan kreatinin masyarakat di kelurahan Tamalabba. Lokasi kegiatan ruangan posyandu RW 2 kelurahan Tamalabba kota Makassar. Kegiatan ini dihadiri peserta sebanyak 49 orang diantaranya 40 (81,6%) perempuan dan 9 (18,4%) laki-laki. Pemeriksaan kreatinin melalui sampel darah pada peserta pengabdian masyarakat memiliki hasil normal 69.4% dan tidak normal 30,6%. Peserta kategori hasil tidak normal, menunjukkan adanya gangguan fungsi ginjal.  Hasil pemeriksaan diserahkan di puskesmas untuk dilakukan tindak lanjut agar peserta yang melakukan pemeriksaan penunjang lainnya di laboratorium puskesmas.
HUBUNGAN PENGETAHUAN DENGAN PERILAKU PENCEGAHAN COVID-19 PADA PASIEN DIABETES MELLITUS
Authors: Hardiyanti Diana , Susanti Eriza , Restu Pertiwi Melinda
Published: January 2023

Diabetes Mellitus (DM) dikenal sebagai salah satu faktor yang dapat meningkatkan derajat keparahan dan mortalitas akibat Covid-19. Tujuan penelitian ini mengetahui hubungan pengetahuan dengan perilaku pencegahan Covid-19 pada pasien diabetes mellitus di wilayah kerja Puskesmas Martapura 1. Metode Penelitian desain penelitian bersifat deskriptif analitik dengan studi korelasional dan pendekatan cross sectional. Populasi 756 orang dan sampel 88 orang. Teknik sampling purposive sampling. variabel indenpenden (Pengetahuan Covid-19 Pada Pasien Diabetes Mellitus) variabel dependen (Perilaku Pencegahan Covid-19 Pada Pasien Diabetes Mellitus). Instrumen berupa kuesioner. Hasil uji yang digunakan uji Spearman Rho. Diperoleh nilai spearman p = 0,001 yang berarti nilai tersebut lebih kecil dari p < 0,005 yang berarti Ho ditolak. Kesimpulan terdapat hubungan anatara pengetahuan dengan perilaku pencegahan covid-19 pada pasien diabetes mellitus di wilayah kerja Puskesmas Martapura 1 tahun 2021. Saran menerapkan perilaku pencegahan covid-19 untuk mencegah paparan virus covid-19 pada pasien diabetes mellitus.
PENGARUH EFEK SAMPING KONTRASEPSI SUNTIK TIGA BULAN (PENURUNAN LIBIDO) TERHADAP KECEMASAN IBU AKSEPTOR SUNTIK TAHUN 2022
Authors: Norfitri Raihana
Published: January 2023

Latar Belakang : Kontrasepsi suntik 3 bulan memiliki salah satu efek samping yaitu penurunan libido. Penurunan libido akan berdampak langsung terhadap hubungan seksual berupa ketidaknyamanan, perasaan tidak aman, cemas, dan rasa khawatir tak mendapat perhatian dari pasangan. Tujuan penelitian ini mengetahui pengaruh efek samping kontrasepsi suntik tiga bulan (penurunan libido) terhadap kecemasan ibu akseptor suntik. Metode : Desain Penelitian ini Analitik Korelasional, populasi dalam penelitian ini seluruh Akseptor kontrasepsi Suntik Tiga Bulan dengan sampel berjumlah 65 orang. Hasil : Hasil penelitian ini menunjukkan bahwa penurunan libido yang terbanyak adalah kategori penurunan libido sedang sebanyak 59 orang (90,7%), dan kecemasan yang terbanyak adalah kategori tingkat kecemasan ringan sebanyak 37 orang (57%). Hasil uji Spearman rho didapatkan nilai (p value=0,887) < 0,05).Kesimpulan : berdasarkan hasil uji analisis maka dapat disimpulkan bahwa tidak ada pengaruh efek samping kontrasepsi suntik tiga bulan (penurunan libido) terhadap kecemasan ibu akseptor kontrasepsi Suntik. Saran Ibu hendaknya memahami hal-hal yang terbaik dalam penggunaan kontrasepsi Suntik tiga bulan.
Climate Change and Global Health Governance in Relation to the Global South and the Global North
Authors: Nenmini Dileep Vivek
Published: January 2023

This essay attempts to piece together the main trajectories of climate change and global health governance starting with the historical connectedness of the idea of the global. While the Global South and the Global North constitute key concepts in the approach to global governance of key issues such as climate change and health governance, this essay attempts to locate the historical course undertaken by both concepts within the context of colonialism and postcolonialism in the unequal exchanges between these geopolitical entities. The essay argues that the hegemonic relationship between the Global North and South is traceable to colonialism and its epistemic vestiges (manifest, for instance, through state laws and concerns of security) that have an adverse impact on the countries of the Global South where health and climate change governance is concerned. The essay suggests that the majority of the socioeconomic issues currently plaguing the Global South can be attributed to colonialism and imperialism, which were supported in many parts of the world in the 19th and 20th centuries, as well as to the neocolonial and commercial strategies of extractive and exploitative capitalism of the 21st century. The costs of these changes must be considered in the context of a long-standing theme of the Global North's exploitation of the environment and the people of the Global South, particularly in terms of heritage loss, loss of biodiversity, extreme weather conditions, and even health emergencies like the COVID-19 pandemic. The essay concludes by advocating for a greater inclusion of the Global South in the governance of climate change through hybrid institutional complexes (HICs) in governing the global commons.
“Greening” Speculative Urbanism? Space Politics and Model Circulation in South Korea and Vietnam’s Special Economic Zones
Authors: Zappa Marco
Published: January 2023

As products of the waves of deregulation and liberalization of trade and investments in the region in the 1980s and mid-1990s, special economic zones (SEZs) have emerged as an important tool of economic governance in East and Southeast Asia. Recently, governments and investors around the region, have favored multi-purpose SEZs conceived for land and real estate development which exhibit several similarities such as eliciting tourism as the main driver of local development and a declared “eco” and “green” configuration. The Incheon Free Economic Zone (IFEZ) in the Republic of Korea (ROK) and the Van Don SEZ in the Socialist Republic of Vietnam (SRV) are two illustrative cases of urban policy diffusion as a complex phenomenon combining the ROK’s increased international activism and SRV’s own institutional structure and preferences in terms of development goals. Based on a close reading of reports, official documents, qualitative interviews and site visits, this article will further contribute to the debate on the complexity of urban policy diffusion in contemporary East and Southeast Asia.
Lupin Conference and the Tensions between Ikhwan and Ibn Saud
Authors: Alawni Mohammed Muqhim
Published: January 2023

The Lupin conference was held in 1930 to reach a peace treaty between Iraq and Saudi Arabia. This study aims to highlight the issues and concerns that compelled the Saudi authorities to demand the extradition of Farhan bin Mashhour from Iraq. This study is based on the review and consolidation of secondary data regarding the rebellion of the leaders that was discussed at the Lupin conference in 1930. The sources mentioned in the country library were reviewed, particularly those records were focused that mentioned the rebellious attitudes of foreign politicians to affect the sovereignty and stability of the Kingdom of Saudi Arabia. The study found that the peace treaty in 1930 at the Lupin conference was a win-win situation for Iraq and Saudi Arabia, as it paved the way for future beneficial associations. British officials also agreed to the extradition of Ikhwan leaders from Iraq and handing over to Ibn-Saud.
Land Right and its Implementation in Bangladesh for Women
Authors: Lina Naima Akhter
Published: January 2023

Inheritance is a problem for women’s economic and financial circumstances as well as for human rights. Bangladesh is a developing country and women have a significant role in it. Culturally it has a patriarchal society. Women’s rights are promptly violated in the society in different physical and mental abuse. Though things are changing in a very slow motion still land right is very crucial in the society. Women have hardly any choice and voice in the inheritance of property. The land right exists for both men and women but the implementation for women is very low and unsatisfying. The law ought to be revised in such a way that ensures the women of Bangladesh the equality and lessen their dependency on men (father, brother, husband). It will enhance their self esteem and credibility to work equally with the male population to develop the nation as well as their families. It will give them confidence and importance as a human being rather than being a woman in mercy of their male relatives. This paper aims to show the present law of land right and the discrimination of its implementation. To do so there will be a survey on a target population of 40 to 50 women who have inherited the property from their fathers to show the present condition of inheritance. Questionnaire will be provided to the target population. It may take a long time to establish a woman friendly law for land right for women but it may take a step forward for the noble cause.
Influence of Typographic Biocomposite Scaffold in Facilitating Biomineralization to Progress Complex Hard Tissue Repair
Authors:   ALV JAYAS Dental Hospital, Valasaravakkam, Chennai, India, Kumar V. Sasi , Beeula A. ,   Senior Lecture, Department of Oral Pathology and Microbiology, Adhiparasakthi Dental College and Hospital, Melmaruvathur, India, Kumar Praveen ,   All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India, Kumar Naveen ,   Faculty of Allied Health Sciences, Chettinad Academy of Research, and Education, Kelambakkam, India
Published: January 2023

Biomaterial modifications and scaffold fabrication methods in hard tissue engineering applications have seen enormous growth. However, clinical demand in treating and regenerating large bone defects is intricate, as current methods fail to meet requirements such as regenerating bone with optimal physical and mechanical properties in complex bone repair due to poor scaffold design and less bioactivity. To meet such clinical expectations, biomaterials are combined to create a 3D bone composite scaffold to improve the quality of the regenerated bone by improving bioactivity through biomineralization. To advance this process, accelerated and homogenous biomineralization is facilitated by the scaffold with increased surface area and active molecules to progress the repair of large bone defect. This facilitation of biomineralization leads to minerals deposition as a layer on the substrate when 3D-printed porous scaffolds made of biocomposite are exposed to body fluid at the repair site where the substrate degrades and releases active biomolecules. These released molecules crystallized evenly to form an apatite layer on the scaffold surface, where bone-forming cells attach, grow, and regenerate bone. Additionally, the formation of the apatite layer through biomineralization to repair lost structure is also governed by the following factors, which include macromolecules and an active site present between collagen molecules in the bone. In this review, we explore the advantages of biocomposite materials and 3D-printed scaffold design in accelerating biomineralization at the bone defect area to facilitate the formation of an apatite layer to progress complex hard tissue regeneration with optimal properties [1].
Electrical Analysis Using ESP-32 Module In Realtime
Authors: Pratama Erik Wahyu , Kiswantono Agus
Published: January 2023

Microcontroller is a core part of the control GUI project. The choice of microcontroller is very influential on the resultsof data processing on the system. On the basis of these thoughts, a study was conducted which aims to find amicrocontroller with good data processing capabilities. In this study using the ESP32 microcontroller microcontroller.Where the microcontroller has different specifications. the ESP32 microcontroller produces an average voltage errorvalue of 0.312182825 percent and a current of 0.194657573 percent.
Impact of digital disruption influencing business continuity in UAE higher education
Authors: Iyer Shankar Subramanian , Gernal Liza , Subramanian Raman , Mehrotra Arpita
Published: January 2023

Digital disruption has been the most used and discussed topic in the last 6 years and has been a trending topic on the Google trends, only second to the remote working searched on Google search engines. Most business continuities have been put at risk due to significant reasons like COVID-19, Social distancing norms, and technology disruption to name a few. Businesses especially in UAE higher education sector need to take a holistic view that considers potential threats to an organization and look at providing a resilience framework to respond effectively to safeguard the key stakeholder’s interests. The research study looks at combining the business continuity maturity model and the digital disruption models and suggests a framework that business managers and owners can consider mitigating the risks and enhancing the resilience of their organization for the future. The organization might be able to enhance its brand value and look at creating more value in its services. This study can help managers and top management look at the factors that can improve performance after the disruption. The participants can be trained to work during disruption to mitigate the risk or crisis, reducing major losses in business.
Pengenalan Pentingnya dan Manfaat Standar Operasional Prosedur bagi Karang Taruna
Authors: Subarjo Abdul Haris , Hermawan Setiabudi Dedet , Nugroho Fajar , Sudarmanto Sudarmanto , Mulyani Sri , Gunawan Gunawan , Kumolosari Eli , Mauidzoh Uyuunul
Published: January 2023

Karang Taruna, adalah organisasi sosial wadah pengembangan generasi muda yang tumbuh dan berkembang atas dasar kesadaran dan tanggung jawab sosial. Karang Taruna melaksanakan strateginya secara optimal agar mampu membina generasi muda, salah satunya dengan mengadakan pertemuan dengan mengundang narasumber. Kegiatan pengabdian masyarakat yang diadakan perguruan tinggi dan bekerjasama dengan mitra Karang Taruna juga bertujuan untuk memberikan tambahan pengetahuan kepada mitra. Materi berupa pengenalan Standar Operasional Prosedur (SOP) serta tujuan SOP. Kegiatan pengabdian kepada masyarakat kepada kelompok pemuda ini dibagi menjadi enam sesi, yaitu sesi pertama pretest, sesi kedua presentasi tujuan Standar Operasional Prosedur, sesi ketiga ceramah pengertian Sandar Operasional Prosedur, sesi keempat praktek penyusunan Standar Operasional Prosedur dengan menggunakan kasus yang dibagikan oleh tim pengabdian masyarakat, sesi kelima kegiatan tanya jawab, sesi keenam posttest.  Hasil kegiatan terjadi kenaikan peningkatan pengetahuan peserta kegiatan pengabdian masyarakat dari 30 peserta kegiatan, awalnya pemahaman peserta mengenai SOP 66,7 % baik, 26,7% cukup, 6,67% kurang meningkat menjadi 96,7% baik dan 3,30% cukup. Hal ini menunjukkan bahwa kegiatan pengabdian masyarakat sesuai dengan harapan. Secara umum kegiatan pengabdian masyarakat berjalan dengan lancar, peserta cukup antusias mengikuti kegiatan. Pada sesi tanya jawab, peserta cukup antusias dalam bertanya tentang materi presentasi kepada narasumber kegiatan.
Valse concurrentie?
Authors: Sybesma J.
Published: January 2023

Valse concurrentie?

De vraag die in deze bijdrage aan de orde komt is of overheidsentiteiten Aqualectra, Curoil, de CBCS, de Openbare Bibliotheek, TeleCuraçao en mogelijk andere overheidsentiteiten zonder meer mogen participeren op de vrije markt met het aanbieden van producten en/of diensten en daarmee dus als concurrent optreden van andere private instellingen die dezelfde producten aanbieden en diensten verlenen. Is dit geen valse concurrentie?
Afscheid van Lodewijk Rogier en Jan de Boer
Authors: Sybesma J.
Published: January 2023

Afscheid van Lodewijk Rogier en Jan de Boer

De redactie van het CJB heeft afscheid moeten nemen van twee leden die jarenlang lid waren. Niet zomaar lid, maar zeer actief lid. En ieder op zijn eigen manier.
Effect of Elements (Mo, Zr) on a Copper-Based Alloy to Attenuate X-Rays
Authors: Mohammed Fareed Majeed , Razooqi Raed Najeeb , Mahmed Mahmood Abrahim
Published: January 2023

Copper-based alloys were prepared by powder metallurgy technique (Cu +5%Al +3%Ti) to measure the attenuation coefficients of X-rays for a range of operating voltages (20,25,30,35) kV with variable thickness (0.2 - 0.6)Cm at constant compressive pressure (600Mpa) according to the order (A1, A2, A3, A4, A5), variable percentages of molybdenum and zirconium (X=1,2,3,4,5) were added separately to the allo  (Cu 92-x + 5%Al +3%Ti + Mo x) in the order (B1,B2,B3,B4,B5), and allo  (Cu92-x + 5%Al + 3%Ti + Zr x) in the order (C1,C2,C3,C4,C5) with a thickness of (0.6 Cm) and a pressure of (600Mpa), all samples were sintered at a temperature of (900 0C) for a period of (4 hours).The results show that at an operating voltage of (20Kv), the linear and mass attenuation coefficients increased by (47%) (61.8%), the Hardness increased by (30%), and the porosity decreased by (13.3%) when comparing the results of Alloys (A1) with (A5). Results The attenuation coefficients increased when adding the molybdenum element by (31.3%) (30%), the Hardness increased by (22.3%), and the porosity decreased by (33.5%) when comparing the results of Alloys (B1) with (B5).The decrease in the attenuation coefficients when zirconium was added in proportions (28.5%) (25.6%), and the Hardness decreased by (11.4%). The porosity increased by (15%) when comparing the results of Alloys (C1) with (C5). The attenuation coefficient is inversely proportional to the operating voltage. It decreased by (29.4%) when comparing the results of voltages (20Kv) with (35Kv) for alloy (B5) and by (36%) for alloy (C5).
Investigation on Anti-Ulcer Activity of Rhododendron Arboreum Flower in Wistar Rat
Authors: Agarwal Shubhi , Rajput Anurita
Published: January 2023

Peptic ulcers, or open sores in the stomach or duodenum, can cause a great deal of discomfort. What's more, it affects a disproportionately significant percentage of people worldwide. Preliminary phytochemical study revealed that the Ethanol flower extract of Rhododendron arboretum (ELRA) is rich in Alkaloids, saponins, tannins, flavonoids, reducing sugars, and glycosides, all of which have been linked to poor dietary habits, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), stress, and infection. ELRA's significant antiulcer and wound healing actions may be due to the presence of flavonoids and saponins, as suggested by preliminary phytochemical data. This study lends credence to the long-held belief that Rhododendron arboreum flower is an excellent herbal therapy for the treatment of peptic ulcers. More conclusive research on the therapeutic efficacies of Rhododendron arboretum flower is needed, specifically regarding the plant's efficacy, protection, and in vivo toxicity. This research suggests that Rhododendron arboreum ethanol floral extract (ELRA) may be useful for the treatment of peptic ulcers.
Is There Value in Physician Coaching? Implementation of a New Paradigm
Authors: Paterick Timothy
Published: January 2023

Coaching provides education, motivation, skill development, and insight when helping to facilitate an individual’s competency in and mastery of a particular discipline. Physician coaching has been identified as critical to physicians in the practice of medicine, administration, and leadership. Physician coaching impacts a broad swath of physician activities, including work–life balance coaching, executive coaching, leadership coaching, medical practice business coaching, career coaching, financial coaching, billing and coding coaching, HIPAA coaching, federal law and regulation coaching, prevention and treatment of burnout, and, ultimately, transition to retirement coaching. Physician coaching should be implemented across all physician practices.