The Sirnaresmi indigenous people are one of the communities that still maintain their traditional culture to this day. In carrying out the rules and customs in the community, Sirnaresmi Village has its own institutional structure. There are several stakeholder institutions that support landslide risk reduction in Sirnaresmi Village. This study aims to determine the socio-cultural life and disaster risk management of the customary community in Sirnaresmi Village, West Java. The result showed that efforts to reduce the risk of landslides in Sirnaresmi Village have been carried out. However, the capacity in Sirnaresmi Village is still insufficient to reduce the risk of landslides. Some possible solutions are disaster risk reduction efforts by community organizing in disaster management through the formation of Disaster Management Community Groups (KMPB) and increasing public knowledge in reducing disaster risk together with experts from the Regional Disaster Management Agency of Sukabumi Regency. The other practical implications were also suggested such as by nurturing local traditions to help reduce disaster risk and involving local leadership roles in disaster risk reduction efforts.
This study was conducted with the aim of investigating the role of knowledge, attitudes, disaster training and self-efficacy of adolescents of Sirnaresmi Village, West Java on disaster preparedness. This study uses the qualitative method with field research in Sirnaresmi. The results showed that there was a simultaneous or shared influence on knowledge, attitudes, disaster training and self-efficacy on disaster preparedness. The results revealed that there is a relationship between the four aspects in influencing disaster preparedness. Training is needed in mitigation as a short-term educational process. It needs to be conducted by using systematic and organized ways and procedures where training participants will learn practical knowledge and skills for specific purposes. By conducting disaster training, an individual will gain knowledge and skills in dealing with disasters so that with the training carried out, knowledge about disasters will increase.
Background and Aim:No solution has been determined ideal for fluid therapy during cardiac surgery. Previous studies have shown that hyperosmolar sodium lactate (HSL) infusion has improved cardiac performance with smaller volume infusion, which resulted in negative fluid balance. This study compared the effects between a patent-protected HSL infusion and hydroxyethyl starch (HES) 6% on haemodynamic status of the patients undergoing cardiac surgery.Methods:In this open-label prospective controlled randomized study, patients were randomly assigned to receive loading dose of either HSL or HES 6%, at 3 mL/kgBW within 15 min, at the beginning of surgery. Haemodynamic parameters and fluid balance were evaluated, while biochemical parameters and any adverse effect were also recorded. Haemodynamic and laboratory parameters were analyzed through repeated measures analysis of variance. Statistical assessment of fluid management was carried out through Student t-test. All statistical analyses were performed using the statistical package for the social sciences® version 15, 2006 (SPSS Inc., Chicago, IL).Results:Out of 100 enrolled patients in this study (50 patients in each arm), 98 patients were included in analysis (50 in HSL group; 48 in HES group). Cardiac index increased higher in HSL group (P = 0.01), whereas systemic vascular resistance index decreased more in HSL than HES group (P = 0.002). Other haemodynamic parameters were comparable between HSL and HES group. Fluid balance was negative in HSL group, but it was positive in HES group (−445.94 ± 815.30 mL vs. +108.479 ± 1219.91 mL, P < 0.009).Conclusion:Administration of HSL solution during the cardiac surgery improved cardiac performance and haemodynamic status better than HES did.
Disasters are events that threaten and disrupt people’s lives and livelihoods due to natural and/or non-natural factors as well as human factors that cause human casualties, environmental damage, property losses, and psychological. The implementation of disaster preparedness has not been carried out comprehensively and continuously throughout Indonesia. This study aimed to determine the effectiveness of landslide preparedness education interventions in increasing the landslide preparedness capacity of households in the Sukabumi Regency. The minimum sample was 118 for each intervention and control group. Random sampling was used for sampling technique. Data analysis was done using an independent t-test. The results of the study mean that the difference in knowledge scores showed a significant difference between the intervention group and the control group (F = 23.41, p-value = 0.000). In addition, the average difference in household preparedness scores for landslides showed a significant difference between the intervention and control groups (F = 190.08, p-value = 0.000). After the intervention, the intervention group’s household disaster preparedness improved significantly. Meanwhile, no significant increase was observed in the control group’s household disaster preparedness score after the intervention. Household disaster preparedness training may have an impact on the knowledge, attitudes, and behavior of individuals and families. Trainings such as online and simulation using live or recorded demonstrations should be developed and evaluated for their effectiveness. Keywords: household landslide preparedness, education, preparedness capacity
Background: Community-based disaster preparedness is vital in all types of disaster scenarios. Despite having resources and post-disaster training, growing evidence indicates that many residents struggle to prepare ahead of a disaster. Objectives: The aim of this review was to evaluate the effectiveness of disaster preparedness education for community. Methods: A literature search was conducted using combination of the following keyword: “disaster planning” or “disaster preparedness” or “disaster training” and “evaluation or outcomes of education” and “community” or “family” Medline database via OVID and ProQuest Social Sciences Journals. Results: The review included fourteen articles, seven of which were quantitative, four of which were qualitative, and three of which were mixed-method studies. The education contents were related to psychological first aid, evacuation sites and routes in times of disaster, items to prepare in case of emergency, preparing for safety inside a home, community mapping, and responding to psychological trauma, and how to build sustainability into community work. Conclusion: All of the strategies and content used in disaster preparedness tend to enhance community preparedness. More research is needed to identify best practices for community disaster preparedness by using more rigors method and consider the local needs or barriers in designing education program.
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