Tuberculosis (TB) dan Diabetes Mellitus (DM) merupakan kondisi komorbid kronis yang mengalami lonjakan ko-epidemik. Di sisi lain, keterlibatan komunitas umumnya belum dimulai. Tujuan pengabdian masyarakat kali ini adalah untuk meningkatkan pengetahuan kader tentang TB-DM dan meningkatkan kesinambungan program kesehatan dengan melakukan engagement dengan fasilitas kesehatan setempat. Mitra pengabdian masyarakat adalah kader TB-HIV Care Aisyiyah Kota Yogyakarta. Kegiatan dilakukan dengan satu siklus action research, meliputi: 1) diagnosing/ assessment kebutuhan komunitas sasaran, 2) planning/ perencanaan kegiatan, 3) action berupa implementasi sesi edukasi tentang komorbiditas TB-DM serta pelibatan petugas kesehatan setempat sebagai health educator, 4) evaluation/ analisis peningkatan skor pengetahuan kader dan refleksi. Materi edukasi diberikan dalam dua sesi ceramah dan ditambah dengan media edukasi yang telah diujicobakan pada kelompok lainnya. Wilcoxon Sign Rank Test digunakan untuk menganalisis perbedaan skor pre-test dan post-test dalam intervensi/ quasi experiment tanpa kelompok kontrol. Hasilnya didapatkan peningkatan signifikan rata-rata skor total pengetahuan kader tentang komorbiditas TB-DM (p=0.001). Media dan upaya edukasi dinyatakan acceptable dan feasible digunakan pada karakteristik pengguna kader. Kegiatan edukasi bermanfaat meningkatkan pengetahuan kader tentang TB-DM. Kader berpotensi meningkatkan upaya promosi pencegahan dan deteksi dini TB-DM di masyarakat.
Nasopharyngeal cancer (NPC) is a type of cancer in Southeast Asia, with 30-80 cases annually per 10,000 population. Based on the data, about 80% of patients with advanced-stage are diagnosed first, while 20% develop metastases after therapy. Prognostic assessment is essential for the optimization of treatment. Malnutrition is one of the consequences of decreased response to treatment, quality of life, and survival. The patient's albumin determines nutrition. This study was a retrospective study to evaluate the ability of pre-therapy albumin levels to predict long-term mortality in 227 NPC patients at Dr. Sardjito Hospital. Univariate analysis identified albumin as a statistically significant predictive factor for survival (P 0.021). Albumin (ALB) 3.50 was significantly associated with shorter survival. Median Overall Survival showed (OS) ± SE ALB 3.50 vs. ALB 3.50: 9.40 ± 2.56 vs. 17.63 ± 1.51 months, P 0.021, Hazard Ratio (HR) 1.368; 95% CI (1.049–1.783). However, multivariate analysis showed low serum albumin levels before therapy on survival in NPC patients (P 0.778, HR 1.050, 95% CI (0.75–1.469). Treatment was identified as the only independent predictive factor for survival. Albumin before therapy was a potential predictive biomarker to evaluate survival in NPC patients but not an independent predictor.
Indonesia adalah salah satu negara dengan penderita diabetes terbanyak nomor 4 di dunia dengan jumlah 8,4 juta orang. Diabetes melitus memiliki komplikasi yang dapat menyebabkan kecacatan serta kematian. Penyakit DM (DiabbSetes Melitus) dapat dicegah dengan pola hidup yang sehat. Masyarakat perlu diberikan edukasi untuk memiliki pola hidup yang baik sehingga terhindar dari DM. Pos Binaan Terpadu (Posbindu) sebagai Mitra kegiatan, memiliki potensi untuk aktif melakukan promosi dan prevensi Diabetes melitus di masyarakat. Mengikutsertakan pengurus Posbindu dalam meningkatkan derajat kesehatan masyarakat adalah sebuah upaya yang harus dilakukan. Program “Kader Remaja Sehat Waspada Diabetes melitus” bertujuan meningkatkan pengetahuan dan keterampilan melakukan promosi pola hidup sehat dan mencegah DM. Metode kegiatan pengabdian kepada masyarakat ini adalah pelatihan yang terdiri atas ceramah, diskusi dua arah dan bermain peran, dilanjutkan dengan penugasan di lapangan. Peserta adalah 30 pengurus Posbindu wilayah Tamantirto, Kasihan, Bantul sebagai wilayah yang dekat dengan kampus UMY, yang termasuk dalam salah satu wilayah binaan dan tempat pendidikan mahasiswa FKIK UMY. Kegiatan dilaksanakan 1 hari dan melibatkan tim pengabdian sebagai narasumber, serta pengurus Posbindu. Kegiatan ini menggunakan modul yang dibuat tim pengabdian. Luaran program adalah modul, naskah publikasi ilmiah, dan publikasi populer di media massa.
Honey is a special food because of the taste, nutrition, and high benefits of it. Honey’s effect to healing process also as well known already and has been reported, even the benefits of honey written in Holy Quran. Honey also has an antimicrobial effect because it produces hydrogen peroxide, nonperoxide component effect, acidity, immune system stimulation, and honey viscosity as the barrier against pathogenic bacteria. This scientific paper is presented to observe the stimulation of the effect of the immune system of honey in the lymph after the honey exposure. This research is observational, using experimental approach, which is done by using male white mice (Rattus norvegicus), with a body weight ± 220 gram, expose with honey for as long 35 days. The mice are divided into two groups, the control group and the treatment group. Each group consist of five mice. After the treatment, the mice are decapitated, and then the lymph are collected. The immune system activation in the lymph is estimated by measuring the white pulp diameter which will be compared between that of the treatment group and the control group. As the result of the observation, is obvious that the diameter of the white pulp in the treatment group is less than that of the control group. From the result of the statistical analysis, the significances counted 0,006 (p<0,05). It shows that there are significant differences between those two groups, and also proves that honey has indeed the effect to support the peripheral immune system.
One of the consequences of the Covid-19 pandemic is the adaptation process and changes in the education process. During the Covid-19 crisis, the Indonesian Ministry of Education and Culture implemented a policy to aid in preventing Covid-19 spread through regulations governing the implementation of "Learning from Home" education. The implementation of this program which has been going on for quite a long time can create additional life burdens that produce a psychological impact on parents such as stress, anxiety, and depression. The purpose of this study is to determine the prevalence of stress, depression, and anxiety in parents of children who are "Learning from Home" as a response of the Covid-19 epidemic. An online survey was conducted from August 2020 until September 2020 among parents who have a minimum of one child with the age of children or adolescents. The Google Form was used to create a structured self-reported e-questionnaire, and the link was shared through WhatsApp. Respondents completed a survey measuring socio-demographic variables and the DASS-42 (Depression, Anxiety, Stress Scale) to measure stress, depression, and anxiety, after giving informed consent. Researchers received 225 online responses. Microsoft Excel and SPSS 21 were used to perform a univariate analysis on the data collection. Stress, depression, and anxiety were found to be prevalent among parents of “Learning from Home” children in 43.56%, 13.78%, and 18.22%, respectively. This research showed that during the Covid-19 pandemic, a significant number of parents of "Learning from Home" children encountered stress, anxiety, and depression symptomsKeywords: Stress-depression-anxiety; Learning from home; Parents; Covid-19
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