The Analysis of The Incidence of Depression and Risk of Suicide Using Buddy App on Teenagers in Makassar

The data from the World Health Organization in 2017, suicidal behavior of teenagers Indonesia of 13-17 years old, as many 5.6% teens had made plans related to the way they committed suicide. The aim of this research is  to find out the analysis of the incidence of depression and risk of suicide using Buddy App on teenagers in Makassar. This research was an analytic quantitative with cross-sectional study approach. As many 285 teenagers involved in this research recruited by simple random sampling. Data collected by using a of depression namely KADS that are provided through online form and questionnaire of risk of suicide, namely CSSRS using buddy apps. It is called Buddy App because of its function as an application that can be a close friend to users. The incidence of depression and risk of suicide is higher in the late adolescents. Mean of depression in early adolescent (4.78) and late adolescent (6.31). The statistical test results showed the significant differences between the incidence of depression (p-value 0,000) and the level of risk of suicide (p-value 0,022) in early adolescence and late adolescents. The next researcher is expected to examine the level of depression in each level of suicide risk by developing the questionnaire of depression

Hubungan Peran Keluarga dengan Depresi pada Lansia di Desa Carigading Kecamatan Awangpone Kabupaten Bone

Menua adalah proses alami yang disertai penurunan fungsi organ tubuh, perubahan emosi secara psikologi dan kemunduran kognitif sehingga untuk menjalankan aktivitas lansia sering mengalami hambatan. Keluarga yang mempunyai lansia, perlu meningkatkan kepedulian dan perannya dalam melayani agar mereka agar lansia bisa nyaman dan bahagia dalam hidupnya sehingga terhindar dari depresi. Peranan keluarga dalam pembinaan lansia berupa memenuhi kebutuahan ekonomi, psikososial dan kesehatan fisik, nutrisi, serta berupaya untuk mendorong lansia agar tetap berperilaku hidup sehat sehingga tercapai kualitas hidup sehat baik fisik maupun mental. Tujuan penelitian ini adalah untuk mengetahui hubungan antara peran keluarga dengan depresi pada lansia di desa Carigading Kecamatam Awangpone, Kabupaten Bone. Sampel dalam penelitian ini berjumlah 48 orang dan teknik sampling purposive sampling. Data diambil dengan menggunakan kuesioner. Desain penelitian yang digunakan cross sectional dilakukan untuk mengetahui hubungan peran keluarga dengan depresi pada lansia. Setelah dianalisis dengan uji Chi square, hasil yang diperoleh menunjukkan hubungan bermakna antara peran keluarga dalam pemeliharaan kesehatan dan peran keluarga dalam mencegah menarik diri dengan nilai p masing-masing 0,02 dan 0,000. Sedangkan peran keluarga dalam pemenuhan kebutuhan perawatan diri, pemenuhan kebutuhan nutrisi dan pencegahan potensi kecelakaan tidak menunjukkan hubungan bermakna dengan depresi. Dari penelitian dapat disimpulkan bahwa ada hubungan antara peran keluarga dalam pemeliharaan kesehatan dan pencegahan menarik diri dengan depresi pada lansia. Bagi peneliti selanjutnya, disarankan agar ruang lingkup penelitiannya lebih mendalam lagi untuk hasil yang lebih akurat dimana dalam penelitian ini hanya mengukur peran keluarga menurut keluarga sendiri dan tidak melibatkan lansia

APLIKASI SINC (SPIRITUAL ISLAMIC NURSING CARE) DALAM PEMENUHAN KEBUTUHAN SPIRITUAL PASIEN DI RUMAH SAKIT

Spiritual merupakan salah satu kebutuhan dasar yang dibutuhkan oleh setiap manusia. Seseorang yang dirawat diruang Intensif Care Unit (ICU) dengan kondisi kritis maupun terminal pada umunnya takut akan sakit fisik, ketidaktahuan, dan kematian. Bagi pasien terminal maupun kritis, sumber penyembuhan yang utama ialah spiritualitas mereka. Sarana dan Prasarana sangat berpengaruh dalam memberikan pelayanan spiritual kepada pasien. Tujuan studi ini adalah Diketahuinya implementasi kebutuhan spiritual pasien dengan Menggunakan Aplikasi SINC (Spiritual Islamic Nursing Care)”. Sehingga dapat memberikan rekomendasi guna memaksimalkan pemenuhan kebutuhan spiritual pasien di Ruangan ICU Rumah Sakit Labuang Baji Makassar. Metode yang digunakan adalah Studi Kasus Kualitatif dengan melakukan Pengkajian, Analisis Swot, Identifikasi Masalah serta POA (Planning Of Action). Teknik pengumpulan data dilakukan dengan cara wawancara, observasi dan data sekunder dari studi dokumentasi data Rumah Sakit. Responden dipilih dengan cara Teknik Accidental Sampling. Hasil analisis didapatkan bahwa pelayanan spiritual belum dilakukan secara optimal, hal ini dikarenakan kurangnya peran perawat dalam memenuhi kebutuhan spiritual pasien, kurangnya fasilitas penunjang pemenuhan kebutuhan Spiritual, tidak terdapat SOP pemenuhan kebutuhan spiritual, tidak terdapat pendokumentasian keperawatan mengenai pengkajian kebutuhan spiritual pasien dan tidak terdapat anggaran khusus yang disediakan ruangan untuk pemenuhan atau pembelian alat-alat spiritual, maupun untuk mengundang pemuka agama. Dalam mengatasi masalah pelayanan spiritual, makasi dilakukan sosialisasi aplikasi SINC (Spiritual Islamic Nursing Care) kepada Petugas dan kepada pasien/keluarga pasien. Kesimpulan dari analisis fungsi manajemen keperawatan  ialah pasien/keluarga pasien merasa puas terhadap pemenuhan kebutuhan spiritual dengan Aplikasi SINC (Spiritual Islamic Nursing Care) juga sebagai fasilitas dalam memberikan pelayanan spiritual kepada pasien.

Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among Preschoolers

Diarrhea is still the second highest cause of the death in children under five in the world. Innovation programs continue to be sought to reduce the number of child death due to diarrhea and help diarrhea prevention in Indonesia. This study aimed to examine the effectiveness of educational games called as Arbi Care on diarrhea prevention towards the knowledge of healthy behavior among preschoolers. This study used pre-post test control group design involving 120 participants whom fit the inclusion criteria. Participants were andomly divided into a control group of 60 participants and the intervention group consists of 60 participants. Data were analyzed using one-way MANOVA test. The results showed there were significant mean differences in knowledge of healthy behavior to prevent diarrhea between control group and intervention group. There was also a different increased inclination of mean score which is intervention group score higher than control group. Arbi Care is effective in improving the knowledge of healthy behavior to prevent diarrhea among preschoolers. Thus, Arbi Care is recommended to be the model to help prevent diarrhea in children using educational game

A global-scale screening of non-native aquatic organisms to identify potentially invasive species under current and future climate conditions

The threat posed by invasive non-native species worldwide requires a global approach to identify which introduced species are likely to pose an elevated risk of impact to native species and ecosystems. To inform policy, stakeholders and management decisions on global threats to aquatic ecosystems, 195 assessors representing 120 risk assessment areas across all six inhabited continents screened 819 non-native species from 15 groups of aquatic organisms (freshwater, brackish, marine plants and animals) using the Aquatic Species Invasiveness Screening Kit. This multi-lingual decision-support tool for the risk screening of aquatic organisms provides assessors with risk scores for a species under current and future climate change conditions that, following a statistically based calibration, permits the accurate classification of species into high-, medium-and low-risk categories under current and predicted climate conditions. The 1730 screenings undertaken encompassed wide geographical areas (regions, political entities, parts thereof, water bodies, river basins, lake drainage basins, and marine regions), which permitted thresholds to be identified for almost all aquatic organismal groups screened as well as for tropical, temperate and continental climate classes, and for tropical and temperate marine ecoregions. In total, 33 species were identified as posing a 'very high risk' of being or becoming invasive, and the scores of several of these species under current climate increased under future climate conditions, primarily due to their wide thermal tolerances. The risk thresholds determined for taxonomic groups and climate zones provide a basis against which area-specific or climate-based calibrated thresholds may be interpreted. In turn, the risk rankings help decision-makers identify which species require an immediate 'rapid' management action (e.g. eradication, control) to avoid or mitigate adverse impacts, which require a full risk assessment, and which are to be restricted or banned with regard to importation and/or sale as ornamental or aquarium/fishery enhancement. Decision support tools AS-ISK Hazard identification Non-native species Risk analysis Climate changepublishedVersio

A global-scale screening of non-native aquatic organisms to identify potentially invasive species under current and future climate conditions

The threat posed by invasive non-native species worldwide requires a global approach to identify which introduced species are likely to pose an elevated risk of impact to native species and ecosystems. To inform policy, stakeholders and management decisions on global threats to aquatic ecosystems, 195 assessors representing 120 risk assessment areas across all six inhabited continents screened 819 non-native species from 15 groups of aquatic organisms (freshwater, brackish, marine plants and animals) using the Aquatic Species Invasiveness Screening Kit. This multi-lingual decision-support tool for the risk screening of aquatic organisms provides assessors with risk scores for a species under current and future climate change conditions that, following a statistically based calibration, permits the accurate classification of species into high-, medium- and low-risk categories under current and predicted climate conditions. The 1730 screenings undertaken encompassed wide geographical areas (regions, political entities, parts thereof, water bodies, river basins, lake drainage basins, and marine regions), which permitted thresholds to be identified for almost all aquatic organismal groups screened as well as for tropical, temperate and continental climate classes, and for tropical and temperate marine ecoregions. In total, 33 species were identified as posing a ‘very high risk’ of being or becoming invasive, and the scores of several of these species under current climate increased under future climate conditions, primarily due to their wide thermal tolerances. The risk thresholds determined for taxonomic groups and climate zones provide a basis against which area-specific or climate-based calibrated thresholds may be interpreted. In turn, the risk rankings help decision-makers identify which species require an immediate ‘rapid’ management action (e.g. eradication, control) to avoid or mitigate adverse impacts, which require a full risk assessment, and which are to be restricted or banned with regard to importation and/or sale as ornamental or aquarium/fishery enhancement.publishedVersio

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely