School Strategies to Utilize the Ecotourism Potency of Songgoriti and Cangar of Batu City Tourisms as Learning Sources in High School

School strategies and perceptions of the school principals in utilizing the ecotourism potency is one of important things-which is used as an effort to support the improvement of the quality of learning, not much has been revealed yet. This study aimed at analyzing the school strategies and perspective of school principal in utilizing the ecotourism potency of Songgoroti and Cangar-Batu City tourisms as learning sources in High School. This study used a qualitative approach. Phenomenology was used as design of study. Teachers, school principals, and students of SMAN 3 Malang, SMA Sholahuddin Malang, and MAN 1 Malang were the informants of study. Sampling technique used was purposive sampling. Data collection methods used in this study were in-depth interview and questionnaires. The data of study obtained were analyzed by means of content analysis referred to Interactive Models Miles, Huberman and Saldana, and those were presented in a descriptive description. The results of study indicated that the school strategies in utilizing the ecotourism potency covered up 1) the analysis strategy of ecotourism potency as effective learning sources for High School in an effort to determine learning place, Â in which it consisted of two strategies, namely (a) Student- Teacher Centered Strategy and (b) Teacher -Student Centered Strategy; 2) The planning strategy in utilizing the ecotourism potency as effective learning sources consisted of three strategies, namely (a) initiator strategy, (b) planning policy-making process strategy, and (c) planning implementation strategy; and 3) The implementation strategy in utilizing the ecotourism potency consisted of two strategies, namely (a) Collaborative/Resource sharing Strategy, dan (b) Semi-collaborative Strategy. The perceptions of school principals in utilizing the ecotourism potency were that the school principals were very supportive, both through direct statements and through policies made. It can be concluded that there are various strategies to utilize the ecotourism potency of learning sources in High School. The principals reinforce the utilization effort through direct statements and policies that are made. In the future, a study is needed on the implementation of the utilization of ecotourism potency in learning

PHBS (Perilaku Hidup Bersih Sehat) Keluarga pada Era New Normal

Pendahuluan: Saat ini COVID-19 menjadi sebuah pandemi yang terjadi di banyak negara di seluruh dunia, termasuk Indonesia. Pada masa pandemi masyarakat Indonesia diharuskan hidup dengan tatanan hidup baru (new normal) dengan menerapkan perilaku hidup bersih sehat (PHBS). Tujuan penelitian ini untuk mengetahui gambaran PHBS keluarga pada era new normal di RT 01 RW 01 Desa Sambongwangan Kecamatan Randublatung Kabupaten Blora Jawa Tengah. Metode: Penelitian ini menggunakan desain penelitian deskriptif yang dilakukan di RT 01 RW 01 Desa Sambongwangan Kec Randublatung Kab Blora Jawa Tengah pada tanggal 11 - 22 Januari 2020 dengan populasi sejumlah 54 kepala keluarga dan sampel sejumlah 54 kepala keluarga. Sampling yang digunakan total sampling. Instrumen menggunakan kuesioner. Analisa data menggunakan analisis univariat distribusifrekuensi. Hasil: Hasil penelitian menunjukkan hampir seluruhnya keluarga di RT 01 RW 01 Desa Sambongwangan Kec Randublatung Kab Blora Jawa Tengah berperilaku cukup sebanyak 41 responden (76%), sebagian kecil berperilaku baik sebanyak 12 responden (22%), dan sebagian kecil berperilaku kurang sebanyak 1 responden (2%). Kesimpulan: Hampir seluruh responden masih memiliki PHBS dalam kategori cukup sehingga diharapkan responden mampu meningkatkan dan saling mengingatkan anggota keluarganya untuk menerapkan PHBS. Kata kunci: PHBS (Perilaku Hidup Bersih Sehat) keluarga, era new normalIntroduction Currently, COVID-19 is a pandemic that is occurring in many countries around the world.  including Indonesia. During the pandemic, Indonesian people are required to live with a new order of life (new normal), by implementing clean and healthy living behavior (PHBS). Purpose Knowing the picture PHBS (clean and healthy living behavior) families in theera new normal in RT 01 RW 01 Sambongwangan Village Randublatung District, Blora Regency, Central Java. Thismethod researchuses a research design descriptive research conducted in RT 01 RW 01 Sambongwangan Village, Randublatung District, Blora Regency, Java Central on 11 - 22 January 2020 with a population of 54 households and samples a total of 54 families. The sampling used is total sampling. The instrument uses a questionnaire.  Data analysis used univariate percentage analysis. The results of the study show that almost all of PHBS (Clean and Healthy Living Behavior) family in RT 01 RW 01 Sambongwangan Village, Randublatung District Blora Regency, Central Java, behaved fairly as many as 41 respondents (76%), a small proportion were well-behaved as many as 12 respondents (22%), and a small portion behave less as much as 1 respondent (2%). Conclusion Respondents were able to improve and remind their family members to implementing PHBS.Keywords: prevention, Covid-19, school-age children, mother’s behavio

Ecotourism-Based Learning Models in Efforts to Implement Effective Learning: A conceptual research

Various previous studies have shown that ecotourism has great potential and benefits when associated with education and especially in learning. This review study aimed to explore an ecotourism-based learning model at the high school level in Malang, East Java. The focused in the review were (1) competencies and indicators of learning outcomes of all subjects in all subjects that could apply ecotourism-based learning 2) the potential for regional ecotourism (especially school environments in East Java) which could be used for ecotourism-based learning based on competencies and outcome indicators learning, and 3) drafted recommendations for learning models based on ecotourism. Based on the results of a review of various references, it can be stated that four things need to be considered in the application of an ecotourism-based learning model, namely the conceptual framework, planning, implementation, evaluation, and furthering the ecotourism-based learning model. Furthermore, It was necessary to develop an ecotourism-based Learning Model that follows an appropriate development model, so that an implementable model is produced

Ecotourism-Based Learning Models in Efforts to Implement Effective Learning: A conceptual research

Various previous studies have shown that ecotourism has great potential and benefits when associated with education and especially in learning. This review study aimed to explore an ecotourism-based learning model at the high school level in Malang, East Java. The focused in the review were (1) competencies and indicators of learning outcomes of all subjects in all subjects that could apply ecotourism-based learning 2) the potential for regional ecotourism (especially school environments in East Java) which could be used for ecotourism-based learning based on competencies and outcome indicators learning, and 3) drafted recommendations for learning models based on ecotourism. Based on the results of a review of various references, it can be stated that four things need to be considered in the application of an ecotourism-based learning model, namely the conceptual framework, planning, implementation, evaluation, and furthering the ecotourism-based learning model. Furthermore, It was necessary to develop an ecotourism-based Learning Model that follows an appropriate development model, so that an implementable model is produced

Analisis Faktor Yang Mempengaruhi Keluarga Penderita Gangguan Jiwa Berat Memilih Pengobatan Tradisional Di Wilayah Kerja Puskesmas Bantur Kab. Malang

Gangguan jiwa merupakan suatu sindrom pola perilaku atau psikologik seseorang yang bermakna secara klinis dimana gejala klinis tersebut menimbulkan penderitaan (distress) berupa rasa nyeri, rasa tidak nyaman, rasa tidak tenteram, terganggu, serta disfungsi organ tubuh dan disabilitas dalam aktivitas kehidupan sehari- hari. Gangguan jiwa tidak menyebabkan kematian secara langsung, namun beratnya gangguan jiwa ini dapat menyebabkan ketidakmampuan serta invaliditas baik secara individu maupun kelompok sehingga akan menghambat pembangunan suatu negara, apalagi sebagian besar penderita tergolong dalam usia yang masih produktif. Saat ini masih banyak kasus gangguan jiwa yang terlambat mendapatkan penanganan petugas kesehatan, karena biasanya keluarga atau masyarakat mencari pengobatan alternatif dulu sebelum datang ke pelayanan kesehatan. Banyak faktor yang mempengaruhi diri seseorang dalam memilih fasilitas pelayanan kesehatan, baik itu pelayanan kesehatan konvensional maupun pelayanan kesehatan tradisional. Tujuan dari penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi keluarga penderita gangguan jiwa berat memilih pengobatan tradisional. Desain penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh keluarga yang memiliki anggota keluarga menderita gangguan jiwa berat di wilayah kerja Puskesmas Bantur Kabupaten Malang Propinsi Jawa Timur sejumlah 132 orang. Sampel diambil dengan teknik proportional cluster random sampling dengan jumlah responden sebanyak 100 orang. Variabel independent yang diteliti adalah health beliefs, sumber daya keluarga, sumber daya social, kebutuhan keluarga, dan evaluasi pencapaian kebutuhan keluarga. Sedangkan variabel dependent-nya adalah pemilihan pengobatan tradisional. Instrumen pengumpulan data menggunakan kuesioner yang terdiri dari 6 bagian. Bagian A: kuesioner untuk mengukur health beliefs merupakan hasil modifikasi dari Health Beliefs Toolkit yang dibuat oleh Maritza Concha, Maria Elena Villar, dan Lauren Azevedo dari Covian Consulting, University of South Florida pada tahun 2014. Bagian B: kuesioner untuk mengukur variabel sumber daya keluarga mengadopsi dari SCREEM Family Resources Survey (SCREEM-RES) yang dikembangkan oleh M. Medina, Jr. M.D dan The Section of Supportive Hospice and Palliative Medicine University of the Philippines tahun 2011. Bagian C: kuesioner untuk mengukur variabel sumber daya social/masyarakat mengadopsi dari Social Determinants of Health (SDH) Needs Assessment Survey dari Colorado Community Health Work tahun 2014. Bagian D: kuesioner untuk mengukur variabel kebutuhan keluarga mengadopsi dari Social Determinants of Health (SDH) Needs Assessment Survey dari Colorado Community Health Work tahun 2014. Bagian E: kuesioner untuk mengukur variabel evaluasi kebutuhan yang ditelah dicapai keluarga merupakan modifikasi dari Social Determinants of Health (SDH) Needs Assessment Survey dari Colorado Community Health Work tahun 2014. Dan bagian F: kuesioner untuk mengukur pemilihan pengobatan tradisional mengadopsi dari The International Questionnaire to Measure Use of Complementary and Alternative Medicine (I-CAM-Q). Data dianalisis secara univariat, bivariate, dan multivariate. Analisis data univariat menggunakan persentase, analisis bivariat menggunakan uji Chi square, dan analisis multivariate menggunakan uji regresi logistik berganda. Penelitian ini dilakukan pada tanggal 11 - 14 Juli 2018 di wilayah kerja Puskesmas Bantur Kabupaten Malang Propinsi Jawa Timur, yang terdiri dari 5 desa yaitu: desa Bantur, Bandungrejo, Wonorejo, Sumberbening, dan Srigonco. Hasil penelitian diketahui bahwa karakteristik keluarga penderita gangguan jiwa berat selaku responden rata-rata berumur 47,4 tahun, bersuku Jawa 94%, beragama x Islam 87%, berjenis kelamin perempuan 67%, status menikah 74%, pendidikan tamatan SD 47%, pekerjaan petani 54%, penghasilan dibawah UMR 100%, hubungan dengan penderita sebagai ibu kandung 29%, rata-rata jarak rumah ke puskesmas 9 km dengan transportasi 92% milik sendiri, rata-rata jarak rumah ke pelayanan pengobatan tradisional 9,2 km dengan transportasi milik sendiri 48% dan sewa 47%. Karakteristik penderita gangguan jiwa berat di wilayah kerja Puskesmas Bantur Kabupaten Malang Propinsi Jawa Timur rata-rata berumur 40 tahun, bersuku Jawa 94%, beragama Islam 87%, berjenis kelamin perempuan 57%, status belum menikah 46%, pendidikan tamatan SD 48%, pekerjaan serabutan 46%, penghasilan dibawah UMR 100%, dan lama menderita gangguan jiwa berat rata-rata 6 tahun. Dari 100 orang responden yang diteliti, sebanyak 73 orang (73%) memiliki keyakinan kesehatan negatif dan 27 orang (27%) memiliki keyakinan kesehatan positif. Sumber daya keluarga reponden sebanyak 29 orang (29%) tidak memadai dan 71 orang (71%) memadai. Sumber daya sosial/masyarakat responden sebanyak 31 orang (31%) tidak memadai dan 69 orang (69%) memadai. Kebutuhan yang dirasakan oleh keluarga sebanyak 30 orang (30%) kebutuhan tinggi dan 70 orang (70%) kebutuhan rendah. Dari hasil evaluasi pencapaian kebutuhan keluarga, sebanyak 30 orang (30%) terpenuhi tinggi dan 70 orang (70%) terpenuhi rendah. Hal ini menggambarkan bahwa kehidupan responden sangat sederhana dan tidak memiliki keinginan yang tinggi akan kebutuhan hidupnya, dan mereka merasa sudah cukup dengan pemenuhan kebutuhan selama ini. Dari 100 orang responden, sebanyak 51 orang (51%) memilih pengobatan tradisional dan 49 orang (49%) tidak memilih pengobatan tradisional. Gambaran pemilihan pengobatan tradisional, dari 51 orang responden yang memilih pengobatan tradisional, sebanyak 38 orang (75%) memilih kyai/tokoh agama sebagai jenis pengobat tradisional untuk mengobati anggota keluarganya yang menderita gangguan jiwa berat, 20 orang (40%) memilih dukun, dan yang paling sedikit dipilih adalah akupunkturist yaitu hanya 5 orang (9%). Sedangkan dari segi produk pengobatan tradisional yang dipilih paling banyak oleh responden adalah jamu-jamuan yaitu sebanyak 22 orang (44%) disusul produk herbal sebanyak 21 orang (42%). Dari segi praktek pengobatan tradisional, sebanyak 33 orang (77%) responden memilih mempraktekkan doa-doa, disusul mantra/jampi-jampi sebanyak 23 orang (45%), dan yang paling sedikit adalah meditasi 6 orang (11%). Hasil uji chi square didapatkan nilai variabel health beliefs (p value 0.005), sumber daya keluarga (p value 0.022), sumber daya sosial (p value 0.025), kebutuhan keluarga (p value 0.013), dan evaluasi pencapaian kebutuhan (p value 0.013). Hasil uji regresi logistic berganda diketahui bahwa p value variabel health beliefs adalah 0.007 dengan OR 0.258. Kesimpulan dari penelitian ini adalah ada pengaruh variabel keyakinan kesehatan (health beliefs), variabel sumber daya keluarga,variabel sumber daya social/masyarakat, variabel kebutuhan keluarga, dan variabel evaluasi pencapaian kebutuhan keluarga terhadap pemilihan pengobatan tradisional oleh keluarga penderita gangguan jiwa berat. Variabel yang paling dominan berpengaruh terhadap pemilihan pengobatan tradisional adalah variabel keyakinan kesehatan (health beliefs) dengan kekuatan korelasi kua

Sitokinin Organik: Pendampingan Kelompok Tani Sumber Urip-1 Desa Wonosari Kecamatan Poncokusumo Kabupaten Malang

Mitra dalam pengabdian masyarakat ini Kelompok Tani Sumber Urip-1 yang berlokasi di Desa Poncokusumo Kecamatan Wonorejo Kabupaten Malang Provinsi Jawa Timur-mengalami kendala penggunaan sitokinin organik, yaitu pasokan sitokinin organik terkadang tidak lancar dan harganya mahal sedangkan di banyak daerah mitra terdapat potensi biologis yang dapat digunakan sebagai bahan organik sitokinin. Setelah berdiskusi dengan mitra, permasalahan kongkrit dan prioritas yang akan dibenahi, yaitu  1) Mitra belum menguasai cara pembuatan sitokinin organik berbasis potensi lokal dan 2) Mitra belum menguasai cara penggunaan sitokinin organik menurut bahan baku lokal yang digunakan pada tanaman tertentu. Solusi yang akan dilakukan adalah 1) melakukan pelatihan dan pendampingan produksi sitokinin organik dan 2) pelatihan dan pendampingan sitokinin organik menggunakan ToT Organik (Training of Trainer) yang diikuti oleh 5 orang petani dari perwakilan Kelompok Tani Sumber Urip-1. Hasil pelatihan dan pendampingan selanjutnya disebarluaskan kepada anggota petani lainnya. Melalui rangkaian kegiatan pelatihan, dan pendampingan pembuatan dan pemanfaatan sitokinin organik di Kelompok Tani Sumber Urip-1 Desa Wonorejo, Kecamatan Poncokusumo, Kabupaten Malang, mitra PPMI telah menguasai: 1) cara produksi auksin dan giberelin organik dan 2) Metode penggunaan sitokinin. Produk sitokinin organik diberi merk “Sitonik-BP†(dari Bonggol Pisang) dan “Sitonik-JM†(dari Jagung Muda

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Typology of Use of Plant Growth Regulators by Farmers in Wonorejo Village, Malang-Indonesia

In an effort to increase the growth of plants, in general, farmers use growth regulator substances such as auksin, giberelin, and cytokinin. In an effort to analyze the behavior of plant growth regulator (PGRs), the purpose of this research is to analyze the typology of plant growth regulator. The research design used is descriptive qualitative. The research informant is 10 a member of Organic Farmer Group of Sumber Urip-1 Wonorejo Village, Poncokusumo Subdistrict, Malang District. The sampling technique used is purposive sampling. Data collection methods used were in-depth interviews and participant observation. Data analysis used in this research is qualitative analysis by content analysis by using Interactive Model from Miles and Huberman. In this study, magna findings or concepts about the use of plant growth regulators will be analyzed based on the Social Movement Typology theory. Based on the results of the study can be concluded that the use of plant growth regulators included in Alternative Social Movement Typology

Character Education Strategies of Eating in Indonesian Schools

Character education is an effort to develop characters so that the desired character values can be achieved. Character education strategies of eating are important and strategic to ensure a balanced, halal, thoyib, and civilized nutritional intake. Therefore, this study aimed at examining the character education strategies of eating in Indonesian schools. The method of study used Systematic Review. The data sources of this study were in the form of journal articles and relevant sources both online and even offline, in which it was related to eating character education. Data analysis methods used in this study were meta-analysis for quantitative data and meta-synthesis for qualitative data. Based on the study results, it can be concluded that there are 6-character education strategies of eating in Indonesian schools, namely: reinforcement of daily meal policy, reinforcement of eating manners, learning of halal and thoyib food, reinforcement of healthy eating habits, reinforcement of healthy canteens and nutrition programs, and reinforcement of outdoor class activities. Those six-character education strategies of eating are mostly done by full-day schools, featured schools, favorite schools, and model schools at both the primary and secondary education levels in Indonesia