Kecerdasan Adversitas Ditinjau Dari Pengatasan Masalah Berbasis Permasalahan Dan Emosi Pada Orangtua Tunggal Wanita

Fenomena orangtua tunggal bukan hanya terjadi di Indonesia sebagai negara berkembang, tetapi juga terjadi di berbagai negara maju. Bahkan di banyak negara maju dan industri, single parent merupakan gejala yang biasa. Karena kematian pasangan atau perceraian itu, individu menjadi satu-satunya orang yang bertanggung jawab terhadap kehidupan keluarga. Oleh karena itu ia harus menjalankan semua tugas yang dulu ia lakukan bersama pasangannya, seperti mengurus rumah dan memenuhi seluruh kebutuhan keluarga. Keadaan seperti ini menyebabkan orangtua tunggal dikenai banyak tuntutan (stresor) dalam kehidupan sehari-hari. Beban ini menjadi lebih berat bagi orangtua tunggal wanita karena di Indonesia sendiri, umumnya orang menganggap negatif status wanita sebagai orangtua tunggal. Untuk itu, diperlukan strategi untuk mengatasi situasi sulit tersebut, disamping itu, diperlukan juga ketangguhan tersendiri bagi orangtua tunggal wanita agar dapat melalui kesulitan tersebut. Penelitian ini bertujuan untuk mengetahui perbedaan adversity quotient ditinjau dari problem-focused coping dan emotion-focused coping pada orangtua tunggal wanita. Penelitian ini melibatkan 67 orangtua tunggal wanita. Berdasarkan hasil analisis yang dilakukan dengan menggunakan uji U Mann-Whitney diketahui bahwa nilai Z = -3,349 (p < 0.05). Hasil tersebut menunjukkan adanya perbedaan tingkat Adversity Quotient yang signifikan antara orangtua tunggal wanita dengan strategi problem-focused coping dan orangtua tunggal wanita dengan strategi emotion-focused coping

Investigation on oil absorption and microstructural properties of polyethylene composites reinforced with post-agricultural waste fillers

Conventional plastic made from polyethylene (PE) is not able to absorb excess oil from the fried food due to its nature to resist water and oil. As a result, oil inside fried food plastic packaging will be accumulated and will affect the freshness and shelf life of the product. To address this issue, polyethylene incorporated post-agricultural waste filler which is rice husk (RH) and rice husk ash (RHA) is produced. Five levels of filler loading which are 10, 15, 20, 25, and 30 in weight percent were incorporated into the PE to produce RH-PE and RHA-PE composites. Tests were performed to evaluate the oil absorption and microstructural properties of the composites. The results showed that the addition of fillers at any loading percentages resulted in significant improvement on the oil absorption of the composites as compared to control sample which is PE. The RH-PE and RHA-PE composites with 25% of fillers were found to possess the best oil absorption property as compared to other compositions. An increase in the loading of fillers would lead to some large agglomeration, high amount of spaces between rice husk and polyethylene and subsequently allow more oil to be absorbed into the composite. It proved that R RH-PE and RHA-PE composites with optimum composition have a great potential to be a good oil absorbent material

Enablers and Barriers to Implementing ICU Follow-Up Clinics and Peer Support Groups Following Critical Illness: The Thrive Collaboratives

OBJECTIVES: Data are lacking regarding implementation of novel strategies such as follow-up clinics and peer support groups, to reduce the burden of postintensive care syndrome. We sought to discover enablers that helped hospital-based clinicians establish post-ICU clinics and peer support programs, and identify barriers that challenged them. DESIGN: Qualitative inquiry. The Consolidated Framework for Implementation Research was used to organize and analyze data. SETTING: Two learning collaboratives (ICU follow-up clinics and peer support groups), representing 21 sites, across three continents. SUBJECTS: Clinicians from 21 sites. MEASUREMENT AND MAIN RESULTS: Ten enablers and nine barriers to implementation of "ICU follow-up clinics" were described. A key enabler to generate support for clinics was providing insight into the human experience of survivorship, to obtain interest from hospital administrators. Significant barriers included patient and family lack of access to clinics and clinic funding. Nine enablers and five barriers to the implementation of "peer support groups" were identified. Key enablers included developing infrastructure to support successful operationalization of this complex intervention, flexibility about when peer support should be offered, belonging to the international learning collaborative. Significant barriers related to limited attendance by patients and families due to challenges in creating awareness, and uncertainty about who might be appropriate to attend and target in advertising. CONCLUSIONS: Several enablers and barriers to implementing ICU follow-up clinics and peer support groups should be taken into account and leveraged to improve ICU recovery. Among the most important enablers are motivated clinician leaders who persist to find a path forward despite obstacles

Key mechanisms by which post-ICU activities can improve in-ICU care: results of the international THRIVE collaboratives

Objective: To identify the key mechanisms that clinicians perceive improve care in the intensive care unit (ICU), as a result of their involvement in post-ICU programs. Methods: Qualitative inquiry via focus groups and interviews with members of the Society of Critical Care Medicine’s THRIVE collaborative sites (follow-up clinics and peer support). Framework analysis was used to synthesize and interpret the data. Results: Five key mechanisms were identified as drivers of improvement back into the ICU: (1) identifying otherwise unseen targets for ICU quality improvement or education programs—new ideas for quality improvement were generated and greater attention paid to detail in clinical care. (2) Creating a new role for survivors in the ICU—former patients and family members adopted an advocacy or peer volunteer role. (3) Inviting critical care providers to the post-ICU program to educate, sensitize, and motivate them—clinician peers and trainees were invited to attend as a helpful learning strategy to gain insights into post-ICU care requirements. (4) Changing clinician’s own understanding of patient experience—there appeared to be a direct individual benefit from working in post-ICU programs. (5) Improving morale and meaningfulness of ICU work—this was achieved by closing the feedback loop to ICU clinicians regarding patient and family outcomes. Conclusions: The follow-up of patients and families in post-ICU care settings is perceived to improve care within the ICU via five key mechanisms. Further research is required in this novel area

Accuracy of EIDSS Software Prognosis on CCHF Natural Foci Activity in Kazakhstan

Based on the actual situation in the CCHF natural foci of Kazakhstan for the first half of 2013, the authors, using EIDSS version 4, evaluated the accuracy of the earlier prognosis of situation development in the CCHF natural foci of Kazakhstan for 2013 (EIDSS Application for CCHF Foci Activity Epi-Analysis and Prediction in Kazakhstan). The prognosis of situation development in 2013 for 11 districts of Kazakhstan (estimated in 2012 as the districts with a high risk of CCHF) proved to be accurate in 90.9% of cases.

Accuracy of EIDSS Software Prognosis on CCHF Natural Foci Activity in Kazakhstan

Based on the actual situation in the CCHF natural foci of Kazakhstan for the first half of 2013, the authors, using EIDSS version 4, evaluated the accuracy of the earlier prognosis of situation development in the CCHF natural foci of Kazakhstan for 2013 (EIDSS Application for CCHF Foci Activity Epi-Analysis and Prediction in Kazakhstan). The prognosis of situation development in 2013 for 11 districts of Kazakhstan (estimated in 2012 as the districts with a high risk of CCHF) proved to be accurate in 90.9% of cases.

ASSOCIATION OF GENETIC POLYMORPHISMS WITH COMPLICATIONS OF IMPLANTED LVAD DEVICES IN PATIENTS WITH CONGESTIVE HEART FAILURE: A KAZAKHSTANI STUDY

The left ventricular assist device (LVAD) is one of the alternative treatments for heart failure (HF) patients. However, LVAD support is followed by thrombosis, and bleeding complications which are caused by high non-physiologic shear stress and antithrombotic/anticoagulant therapy. A high risk of complications occurs in the presence of the genotype polymorphisms which are involved in the coagulation system, hemostasis function and in the metabolism of the therapy. The aim of the study was to investigate the influence of single-nucleotide polymorphisms (SNP) in HF patients with LVAD complications. We analyzed 21 SNPs in HF patients (n = 98) with/without complications, and healthy controls (n = 95). SNPs rs9934438; rs9923231 in VKORC1, rs5918 in ITGB3 and rs2070959 in UGT1A6 demonstrated significant association with HF patients’ complications (OR (95% CI): 3.96 (1.42–11.02), p = 0.0057), (OR (95% CI): 3.55 (1.28–9.86), p = 0.011), (OR (95% CI): 5.37 (1.79–16.16), p = 0.0056) and OR (95% CI): 4.40 (1.06–18.20), p = 0.044]. Genotype polymorphisms could help to predict complications at pre- and post-LVAD implantation period, which will reduce mortality rate. Our research showed that patients can receive treatment with warfarin and aspirin with a personalized dosage and LVAD complications can be predicted by reference to their genotype polymorphisms in VKORC1, ITGB3 and UGT1A6 genes