Cognitive Issues in Childhood Cancer Survivors and Related Parental Perceptions and Behaviors: An Integrative Review of Literature

Background: Survivorship of childhood cancer is often accompanied by neurocognitive late-effects (NCLE) related to the disease and/or it’s associated treatment regimes. Objectives: The primary purpose of this integrative literature review was to examine NCLE in pediatric cancer survivors and identify parental perceptions and behaviors that correlated to cognitive dysfunction in their children. Method: An integrative literature review was completed utilizing searches in PubMed, CINAHL Complete, and PsycINFO. Some search terms included “childhood cancer”, “survivor”, “cognition”, “cognitive disorder”, “neurocognitive”, “late-effects”, “child(ren)”, “parent(s)”, and “perception”. Results: Analysis of ten predominant methods of neurocognitive evaluation yielded five major cognitive deficit measures in pediatric cancer survivors: attention, working memory, processing speed, full scale IQ, and academic ability. Further analysis determined that parents exhibit five distinct types of perceptions and behaviors related to NCLE. Conclusion: The identification of those major NCLE measurements, cognitive deficit trends, and correlating parental behaviors and perceptions could have significant implications for how cognitive deficits in childhood cancer survivors are treated within the family dynamic in the future

“A peculiar time in my life”: making sense of illness and recovery with gynaecological cancer

Purpose: Worldwide there are nearly 1.1 million new cases of gynaecological cancer annually. In England, uterine, ovarian and cervical cancers comprize the third most common type of new cancer in women. Research with gynaecological cancer patients within 6 months of diagnosis is rare, as is data collection that is roughly contemporaneous with treatment. Our aim was to explore the experiences of women who were, at study entry, within 6 weeks of surgery or were undergoing chemotherapy or radiotherapy. Methods: An interpretative phenomenological analysis (IPA) of data from 16 women in five focus groups was conducted in the UK, exploring women’s experiences of being diagnosed with and treated for gynaecological cancer. Results: Participants conceptualized their experiences temporally, from the shock of diagnosis, through their cancer treatment, to thinking about recovery. They tried to make sense of diagnosis, even with treatment being complete. In the context of the Self-Regulation Model, these women were struggling to interpret a changing and multi-faceted illness identity, and attempting to return to pre-illness levels of health. Conclusions: This study adds to this under-studied time period in cancer survivorship. The results suggest that survivors’ goals may change from returning to pre-illness status to reformulating goals as survival time increases.N/

A case study on waste auditing in an ice cream factory

The management of the ice cream factory concerned in this study strongly felt the importance of undertaking a waste audit of its biggest waste generator, the ice cream plant. Ice cream wastewater constitutes as much as 74% of the total volume of wastewater discharged by the company to the central treatment plant of the Industrial Estate in which the factory is situated. Generation of ice cream wastes is attributed to the high consumptive use of water in the plant for washing and cleaning operations. As a result of waste auditing, methods were proposed to save water and to segregate the waste, and to modify the existing wastewater treatment system of the ice cream plant for better treatment efficiency.<br /

Assessments of the Extent to which Health‐Care Providers Involve Patients in Decision Making: A Systematic Review of Studies Using the OPTION Instrument

Background: We have no clear overview of the extent to which health-care providers involve patients in the decision-making process during consultations. The Observing Patient Involvement in Decision Making instrument (OPTION) was designed to assess this. Objective: To systematically review studies that used the OPTION instrument to observe the extent to which health-care providers involve patients in decision making across a range of clinical contexts, including different health professions and lengths of consultation. We conducted online literature searches in multiple databases (2001-12) and gathered further data through networking

Guidelines for screening and management of late and long-term consequences of myeloma and its treatment

A growing population of long-term survivors of myeloma is now accumulating the ‘late effects’ not only of myeloma itself, but also of several lines of treatment given throughout the course of the disease. It is thus important to recognise the cumulative burden of the disease and treatment-related toxicity in both the stable and active phases of myeloma, some of which is unlikely to be detected by routine monitoring. We summarise here the evidence for the key late effects in long-term survivors of myeloma, including physical and psychosocial consequences (in Parts 1 and 2 respectively), and recommend the use of late-effects screening protocols in detection and intervention. The early recognition of late effects and effective management strategies should lead to an improvement in the management of myeloma patients, although evidence in this area is currently limited and further research is warranted

Penerapan Value Stream Mapping untuk Mengurangi Pemborosan pada Bagian Back Post Up Assy Piano di PT Yamaha Indonesia

Untuk dapat mengurangi inventori, mempersingkat lead time, mengetahui pemborosan perlu ada perbaikan-perbaikan dalam penelitian kali ini penulis menggunakan metode value stream mapping. Value stream mapping merupakan alat yang diadopsi dari proses produksi Toyota, yang mampu mereduksi pemborosan (waste) yang terjadi dalam perusahaan, sehingga akan diperoleh proses yang lebih efisien. Dengan proses yang efisien tersebut (lean process) maka diperoleh lead time yang lebih pendek. Waste itu sendiri adalah suatu aktivitas yang menambah biaya akan tetapi tidak menambah nilai sebagaimana yang dirasakan oleh konsumen atau pelanggan akhir. Tujuh tipe dasar pemborosan tersebut antara lain pemborosan dari produksi berlebih, pemborosan waktu menunggu, pemborosan pengangkutan, pemborosan proses, pemborosan persediaan berlebih, pemborosan gerak, pemborosan produk cacat, dan pemborosan part

Peran Kepala Sekolah dalam Membina Kompetensi Sosial Guru

, Dalam upaya peningkatan mutu pendidikan, kompetensi sosial guru merupakan salah satu faktor yang amat penting. Upaya untuk meningkatkan kompetensi social guru dapat dilakukan melalui optimalisasi peran kepala sekolah, sebagai: educator, manajer, supervisor, leader, pencipta iklim kerja dan wirausahawan. Permasalahan yang menjadi pokok pembahasaan dalam penelitian ini adalah bagaimana usaha dan upaya yang dilakukan oleh kepala sekolah dalam meningkatkan kompetensi social guru. Pembahasan penelitian ini menggunakan metode penelitian kepustakaan (Library Research), data diperoleh dengan teknik: observasi. Penelitian ini bertujuan untuk memberikan masukan bagi kepala sekolah terhadap usaha dan upaya dalam meningkatkan kompetensi social guru di sekolah, bagimana mana mengatasi kendala yang paling mendasar yang di hadapi kepala sekolah dalam meningkatkan kompetensi social guru. Dari hasil penelitian bahwa usaha yang dilakukan kepala sekolah dalam meningkatkan kompetensi social guru di sekolah dilakukan dengan cara 1). membuat pertemuan, memberikan motivasi serta mengikutsertakan para guru dalam Diklat. 2). Memberikan pengalaman baru seperti makan bersama, mengajak liburan, berziyaroh ketempat para wali – wali Allah, Hal ini terlihat dari hasi pentingnya pengaruh penilaian dan bentuk social dari kepala sekolah terhadap guru, guru harus selalu dimotivasi oleh kepala sekolah agar selalu meningkatkan kompetensinya sebagai guru. 

Kepemimpinan Karismatik dalam Membangun Mutu Performa Guru Pendidikan di Madrasah Diniyah

Abstract: The existence of this paper is to analyze the leadership of the kiai figure in building the quality of the performance of formal diniyah education teachers at the Nurul Qodim Islamic Boarding School. This study uses a qualitative approach to examine the condition of natural objects. The data collection techniques used were interviews, observation and document studies which are directly related to the characteristics of KH's charismatic leadership. Nuruddin Musyiri and KH. Hasan Abdul Jalal at the Nurul Qadim Islamic Boarding School Kalikajar kulon Probolinggo. The focus of this research is how is charismatic leadership in building the quality of the performance of Ulya Nurul Qadim Probolinggo formal diniyah education teachers? Charismatic leadership can be the right choice in improving teacher performance. The results of his research show that charismatic leadership at the Nurul Qadim Islamic Boarding School is leadership that promotes exemplary caregivers, character building, improving the quality of education, evaluating as a whole, and having the spirit of Al-Jihad spirit, and remaining patient.