DETEKSI DINI DAN PERAWATAN ULKUS DIABETIK

Peningkatan jumlah penderita diabetes mellitus (DM) akan meningkatkan angka resiko kejadian komplikasi seperti ulkus diabetik. Cara yang dapat dilakukan untuk meningkatkan kompetensi baik pengetahuan maupun keterampilan tentang deteksi dini dan perawatan ulkus diabetik dengan metode kegiatan pengabdian kepada masyarakat service learning dengan tujuan meningkatkan kompetensi perawat pada klien dengan ulkus diabetik.  RSUD Hamba Muara Bulian merupakan mitra dalam kegiatan ini dengan alasan belum terpaparnya dengan informasi deteksi dini dan perawatan ulkus diabetik sehingga target kegiatan adalah perawat. Solusi yang ditawarkan adalah deteksi dini dan perawatan ulkus diabetik melalui metode drill method (desiminasi ilmu, demostrasi dan simulasi). Hasil kegiatan diperoleh bahwa sebesar 100% terjadi peningkatan pengetahuan peserta baik tentang perawatan ulkus diabetik maupun deteksi dini (pemeriksaan ABI), namun peningkatan keterampilan perawat dalam melakukan pemeriksaan ABI tidak diketahui dikarenakan hanya 3,19% peserta bersedia melakukan simulasi kembali

Pengaruh tax avoidance, tax reporting aggressiveness, dan tax risk terhadap risiko perusahaan

This study aims to analyze the effect of tax avoidance, tax reporting aggressiveness, tax risk on corporate risk as proxied by the volatility of stock returns with institutional ownership as moderating. Manufacturing companies become the population with a sample selection technique, namely purposive sampling. Samples obtained is 34 with the 2016-2020 research period, which means the total number of data is 170. The type of data is secondary data that can be accessed through the Indonesia Stock Exchange and Yahoo Finance. Multiple regression analysis and moderating regression analysis were used in the data analysis technique using SPSS version 25. This study found that tax risk had an effect on corporate risk, while tax avoidance and tax reporting aggressiveness had no effect on corporate risk. Then the institutional ownership cannot moderate the effect of tax avoidance, aggressiveness of tax reporting, and tax risk on company risk

Pulmonary Papillomatosis: a Rare Case of Recurrent Respiratory Papillomatosis Presenting with Multiple Nodular and Cavitary Lesions

Pulmonary papillomatosis is an extremely rare variant of recurrent respiratory papillomatosis which is hard to treat, causes prolonged morbidity, and may transform into malignant disorder in several cases. Since the symptoms and radiologic findings are not specific, pulmonary papillomatosis is often being misdiagnosed. Although considered benign, pulmonary papillomatosis carries the most significant mortality. This is a case report of a 26 year old man who complained recurrent chronic cough, slight hemoptoe, occasional pleuritic pain, and several episodes of fever. He also had laryngeal papillomatosis and undergone serial endoscopic resection since his childhood. Multiple nodular and cavitary lesions, some with air fluid level, were found in both lung fields at chest radiography and scintigraphy. Diagnosis of pulmonary papillomatosis complicated with secondary infection was made after endoscopic and histologic study. Key words: pulmonary papillomatosis, recurrent respiratory papillomatosis, nodular lesion, cavitary lesio

Advance care planning for patients with cancer and family caregivers in Indonesia:a qualitative study

Additional file 1: Appendix 1. Interview Guide (Patient). Appendix 2. Interview Guide (Family Caregiver). Appendix 3. Steps of thematic analysis and translation process

Advance Care Planning in Asia: A Systematic Narrative Review of Healthcare Professionals’ Knowledge, Attitude, and Experience

Objective: The value of advance care planning (ACP) for patients with life-limiting illnesses is widely recognized but Asian health care professionals' (HCPs') perspectives on ACP have received little systematic attention. We aim to synthesize evidence regarding Asian HCPs’ knowledge of, attitudes toward, and experiences with ACP. Design: Systematic review with narrative synthesis and stepwise thematic analysis. Setting and Participants: HCPs in southern, eastern, and southeastern Asia. Methods: Studies from inception to September 2019 were identified from English-language searches of Embase, MEDLINE, Web of Science, and Google Scholar with reference-chaining and hand-searching. Two investigators independently screened and assessed the risk of bias in all original studies reporting HCPs’ knowledge of, attitudes toward, and experiences with ACP, including their perspectives toward barriers and facilitators of ACP. Results: Fifty-one studies were included; 42 were quantitative, 43 had been conducted in high-income countries, and 36 were of good quality. Twenty-six studies operationalized ACP as the completion of an advance directive rather than a value-exploration process. Thirteen studies reported knowledge, 44 attitudes, 29 experiences, and 36 barriers and facilitators of ACP. Asian HCPs addressed the essential role of families in ACP. They acknowledge the importance of ACP but rarely engage the patient in it. They considered ACP difficult to initiate, partly because of their lack of knowledge and skills in ACP, personal uneasiness to conduct ACP, fear of conflicts with family members and their legal consequences, and the lack of a standard system for ACP. Most studies indicated HCPs’ low engagement and late initiation of ACP. Conclusions and Implications: Despite acknowledging its importance, Asian HCPs felt that engaging in ACP is challenging. Capacity building for ACP in Asia should focus on culturally adapting ACP models concerning the essential role of the family in Asia, education for HCPs and the public, and providing institutional support for ACP