HEALTHCARE LANGUAGE PROGRAM (HELP) TO ENHANCE STUDENTS’ ENGLISH PROFICIENCY FOR NURSING ACADEMY TOWARD ASEAN COMMUNITY

This research aims to convey the development of English proficiency toward Asean community through Healthcare Language Program (HELP) for Nursing Students. The demand of Asean Community is the use of English, as the language of Asean Community. English become a tool for communicating and connecting with other people around Asean Countries. In the Asean community, there will be more developments in Indonesia. Starting from free trade, foreign companies, and also healthcare sector. Not only the case of trade in goods and services, but also in the traffic of people in the context of labor. As an international language, English is required to interact with the global community, especially in the face of the ASEAN Economic Community. In addition, the role of English is also used in writing article for international journal publication. In other case, English can be very helpful in term of searching source of science about nursing which mostly come from international journal. So, nursing students should be able to master English well. In fact most of them encounter problem with English especially concerning with speaking and writing. Those skills are very important for nusring students to face Asean community. They need some activity and program to enhance English proficiency. This study is an investigation of the English program held by STikes Mahardika Cirebon. This study uses descriptive qualitative method. Meanwhile, the data is collected by using observation, interview, as well as documentation. The descriptive qualitative method covers the English proficiency for nursing students through Healthcare language Program (HELP) toward Asean Community. Keywords – English proficiency, Healhcare Language Program, Asean Communit

Meaning Behind the Metrics of Misery: Understanding Prevalence Estimates of Poor Mental Health in Two Samples of Older Rural Indonesians

Background: Late life is typically accompanied by unique physical and mental health challenges. Fewer older people are diagnosed with mood or anxiety-specific disorders than their younger counterparts. However, older people score more highly than younger people on symptom screens indicating high levels of clinically relevant depressive, anxiety, and nonspecific psychological distress symptoms which cause high morbidity, mortality, disability, and poor quality of life. The unique presentation of late life psychiatric syndromes, such as depression and anxiety, remain largely unaddressed in existing psychiatric nosology and measurement techniques, as do depictions of depression and anxiety across diverse cultural contexts. Very few studies exist investigating either the descriptive epidemiology of depression and anxiety among older adults living in low-middle income countries (LMIC) or the unique challenges of mental health measurement in LMIC contexts. This dissertation contributes to this developing evidence base by providing a critical analysis of point prevalence estimates of depression, anxiety, and nonspecific psychological distress (distress) symptoms in two samples of Indonesian rural older persons. Methods: We enumerated greater than or equal to 60-year-olds in 12 Indonesian rural villages as part of the Ageing in Rural Indonesia Study in 2015/16 (N=2526; sample 1). We re-enumerated two of the 12 villages surveyed in 2015 in 2017 (N=536; sample 2). Depressive and distress symptoms were each measured using three scales: PHQ-8/9, CES-D, GDS, and K6, DQ5 and SRQ-20 respectively. Anxiety symptoms were evaluated with the GAD-7. Classical Test Theory and Item Response Theory were used to investigate the psychometric properties of symptom screens. We also undertook mixed effects modelling and Moderated Nonlinear Factor Analysis to identify sources of variability in prevalence estimates. Results: Commonly used cut points of short symptom screens used to approximate diagnostic depressive disorders produced estimates that typically lacked comparability (e.g., sample 2 point-prevalence 3.2%-39.9%). Psychometric analysis further identified mental health scales with better (PHQ-8/9, GAD-7, K6, DQ5) and poorer (GDS, SRQ) construct validity. Sources of variability in point prevalence estimates of depression, anxiety and distress symptoms were identified, and related to study design, cognitive ability, marital status, financial means, level of social support, lifestyle, and health related status. Pervasive non-invariance was identified in participant responses to scale items related to gender, literacy, and ethnicity. However, when modelled, measurement non-invariance did not substantially modify means. Females, respondents with lower literacy levels, and Batak and Sundanese sample villages had significantly higher levels of depression, anxiety, and distress symptoms. Conclusion: The practice of using existing mental health symptom screens combined with commonly used cut points as proxies for depression and anxiety in older rural Indonesians and other diverse populations should be avoided. Rigorous psychometric and diagnostic validation evidence should be ascertained. In the interim, better performing symptom screening tools (i.e., PHQ-8/9, GAD-7, K6, DQ5) may be used as measures of continuous symptom severity. Future research should focus on evaluating the distinctive and overlapping features of mental ill-health in specific subpopulations of Indonesians

Public health interventions to promote oral health and well-being in patients with type 2 diabetes: a systematic review

Background and objective: Poor oral health and type 2 diabetes mellitus (T2DM) are chronic conditions affecting a wide proportion of the population. Both conditions share many risk factors and are linked by a chronic inflammation state. This review aimed at identifying public health interventions that could promote oral health and diabetes control in patients with poor oral health and T2DM. Methods: The systematic review was performed according to the PRISMA Statement and registered in the International Prospective Register of Systematic Reviews (PROSPERO registration: CRD42022310974). Seven electronic databases were searched (PubMed, Scopus, Embase, Web of Science, CINAHL, PsycInfo, Cochrane Library) from inception to 21 January 2022, and additional hand searching was performed across reviews’ references. A qualitative analysis was conducted, including all primary studies on diabetic patients, about interventions whose effectiveness and/or feasibility was measured for at least one outcome related to oral health or T2DM. Results: Of the 3153 records obtained after deduplication, 89 studies were considered eligible for inclusion. The most frequently evaluated outcomes were HbA1c and fasting glucose for T2DM, and parameters such as probing depth, bleeding on probing and clinical attachment loss for periodontitis. Most studies assessed the use of non-surgical periodontal treatment (especially scaling and root planing, sometimes corroborated by antibiotics): evidence confirmed effectiveness on periodontal parameters, but was more contrasting regarding T2DM outcomes. Three studies evaluated interventions involving group education for lifestyle modification, which showed to be effective on both outcomes. Also, community-based oral hygiene interventions and glycaemic control appeared to improve T2DM and periodontal outcomes. Conclusions: A variety of interventions are described in the literature. Of those included in this review, many indicated that there is a potential opportunity to promote good oral health alongside T2DM. An integrated approach involving health education, oral hygiene and glycaemic control may offer synergic improvement of both conditions