Pelatihan Mindfulness Untuk Meningkatkan Kualitas Hidup Pada Orang Dengan HIV/AIDS (ODHA)

Abstract: HIV/AIDS can emerge a number of issues that can lead to the deterioration quality of life to People Living with HIV/AIDS. The problems arising include  the poor physical condition, social pressure and psychological effects on people living with HIV/AIDS. One of the efforts that can be done to improve the quality of life ODHA is through the mindfulness training. Mindfulness is a set of structured activities in the form of mind meditation aimed to train the individual to develop the ability to focus the attention on the existing conditions, events and activities. This research aims to observe the effectiveness of mindfulness training to improve the quality of life to People Living with HIV/AIDS (ODHA). The participants consisted of five people as the subject. The design of this research used was One Group Pre-test Post-test. Intervention was given within two days. The measurement tool used was the  questionnaires of WHOQOL-HIV BREF developed by WHO (2017) that has been adapted into Indonesia Language by Muhammad, Shatri, Djoerban and Abdullah  (2017). Based on the Wilcoxon Signed Rank Test, it was found the value of Z = -2,023 with p = 0,043 meaning that mindfulness training was effective to improve the quality of life PLWHA

The elements of end-of-life care provision in paediatric intensive care units: a systematic integrative review

Background: Deaths in paediatric intensive care units (PICUs) are not uncommon. End-of-life care in PICUs is generally considered more challenging than other settings since it is framed within a context where care is focused on curative or life-sustaining treatments for children who are seriously ill. This review aimed to identify and synthesise literature related to the essential elements in the provision of end-of-life care in the PICU from the perspectives of both healthcare professionals (HCPs) and families. Methods: A systematic integrative review was conducted by searching EMBASE, CINAHL, MEDLINE, Nursing and Allied Health Database, PsycINFO, Scopus, Web of Science, and Google Scholar databases. Grey literature was searched via Electronic Theses Online Service (EthOS), OpenGrey, Grey literature report. Additionally, hand searches were performed by checking the reference lists of all included papers. Inclusion and exclusion criteria were used to screen retrieved papers by two reviewers independently. The findings were analysed using a constant comparative method. Results: Twenty-one studies met the inclusion criteria. Three elements in end-of-life care provision for children in the PICUs were identified: 1) Assessment of entering the end-of-life stage; 2) Discussion with parents and decision making; 3) End of life care processes, including care provided during the dying phase, care provided at the time of death, and care provided after death. Conclusion: The focus of end-of-life care in PICUs varies depending on HCPs’ and families’ preferences, at different stages such as during the dying phase, at the time of death, and after the child died. Tailoring end-of-life care to families’ beliefs and rituals was acknowledged as important by PICU HCPs. This review also emphasises the importance of HCPs collaborating to provide the optimum end-of-life care in the PICU and involving a palliative care team in end-of-life care

PROFILAKSIS PRA-PAJANAN (PPrP) HIV/AIDS PADA LELAKI SEKS LELAKI

Introduction: HIV is an infection that attacks the immune system which is characterized by a decrease in CD4+ cells with MSM as the 2nd largest contributor globally. PPrP serves as an additional option in the prevention of HIV-negative MSM from becoming infected with HIV. Objective: This study was conducted to review more deeply the role of pre-exposure prophylaxis in reducing the risk of contracting HIV in male sex groups with HIV negative men and to review the effectiveness and implementation of HIV/AIDS pre-exposure prophylaxis in male sex men so that it is expected to be a consideration in efforts to combat HIV/AIDS. Methods: Literature search was conducted from journal articles published online in the period 2012-2021. The databases used are ScienceDirect, Pubmed, Google Scholar, and Cochrane. Results: The study showed that the factors that significantly affected the high prevalence of HIV cases among MSM were anal sex and based on the findings the use of PrEP showed a significant effectiveness for the MSM group with pre-exposure prophylaxis as a preventive measure in dealing with HIV positive cases. Conclusion: PrEP has been shown to significantly reduce the risk of contracting HIV in HIV-negative MSM groups and has the potential to be an additional prevention option so that it can be applied in efforts to prevent HIV infection and reduce the spread of HIV in MSM

Tele-Intervention Resources

The restrictions of the COVID-19 pandemic forced many early intervention (EI) providers and families to adopt an emergency virtual service delivery model. The exigent nature of the pandemic necessitated the rapid transition to virtual early intervention, often without the benefit of training and guidance for both providers and caregivers regarding the use of virtual platforms, objectives, procedures, and the overall dynamics of the virtual session. As restrictions begin to ease and in-person home visits once again become possible, many providers and caregivers may be wondering how tele-intervention (TI) services might fit in ongoing early intervention for children who are deaf or hard of hearing. It will be necessary to review desired family outcomes and the components of high-quality TI services as caregivers and providers determine their intervention plan forward together. The purpose of this article is to highlight resources pertaining to the provision of high-quality TI services in keeping with recommended family-centered early intervention practices

Making it Rich and Personal: crafting an institutional personal learning environment

Many of the communities interested in learning and teaching technologies within higher education now accept the view that a conception of personal learning environments provides a the most realistic and workable perspective of learners’ interactions with and use of technology. This view may not be reflected in the behaviour of those parts of a university which normally purchase and deploy technology infrastructure. These departments or services are slow to change because they are typically, and understandably, risk-averse; the more so, because the consequences of expensive decisions about infrastructure will stay with the organisation for many years. Furthermore across the broader (less technically or educationally informed) academic community, the awareness of and familiarity with technologies in support of learning may be varied. In this context, work to innovate the learning environment will require considerable team effort and collective commitment. This paper presents a case study account of institutional processes harnessed to establish a universal personal learning environment fit for the 21st century. The challenges encountered were consequential of our working definition of a learning environment, which went beyond simple implementation. In our experience the requirements became summarised as “its more than a system, it’s a mindset”. As well as deploying technology ‘fit for purpose’ we were seeking to create an environment that could play an integral and catalytic part in the university’s role of enabling transformative education. Our ambitions and aspirations were derived from evidence in the literature. We also drew on evidence of recent and current performance in the university; gauged by institutional benchmarking and an extensive student survey. The paper presents and analyses this qualitative and quantitative data. We provide an account and analysis of our progress to achieve change, the methods we used, problems encountered and the decisions we made on the way

Epithelial invagination by a vertical telescoping cell movement in mammalian salivary glands and teeth

Epithelial bending is a fundamental process that shapes organs during development. Previously known mechanisms involve cells locally changing shape from columnar to wedge-shaped. Here we report a different mechanism that occurs without cell wedging. In mammalian salivary glands and teeth, we show that initial invagination occurs through coordinated vertical cell movement: cells towards the periphery of the placode move vertically upwards while their more central neighbours move downwards. Movement is achieved by active cell-on-cell migration: outer cells migrate with apical, centripetally polarised leading edge protrusions but remain attached to the basal lamina, depressing more central neighbours to "telescope" the epithelium downwards into underlying mesenchyme. Inhibiting protrusion formation by Arp2/3 protein blocks invagination. FGF and Hedgehog morphogen signals are required, with FGF providing a directional cue. These findings show that epithelial bending can be achieved by a morphogenetic mechanism of coordinated cell rearrangement quite distinct from previously recognised invagination processes