Risk factors of recurrent diabetic foot ulcers based on the delphi method

Background: The risk factors for recurrence are poorly understood. The purpose of study is to investigate the risk factors that contribute to the recurrence of diabetic foot ulcers. Materials and Methods: This is a cross-sectional study, and the two-phase Delphi method was used. A category was developed to investigate the risk factors of recurrent diabetic foot ulcers by experts. The recurrent items with risk factors were analyzed. Furthermore, the risk factor variables were clinically tested for inter-rater reliability agreement. Fourteen experts and two patients were included from February 15 to September 28, 2020, Indonesia. Results: There were 13 risk factors for recurrent diabetic foot ulcers. The mean authority coefficient was 0.71. The positive coefficients were 100% and 78%, respectively. The Kendall coordination coefficient was statistically significant (p < 0.01), and inter-rater reliability agreement was perfect (1.00). Conclusions: This study found some risk variables related with recurrent diabetic foot ulcers, which might serve as guidance to prevent future recurrences

Penyuluhan Kesehatan Tentang Kesehatan Jiwa Usia Muda (Remaja) Pendekatan Keluarga dan Agama sebagai Preventif Psychosocial Trauma

The general objective of community service with Health Education on Young Mental Health (Adolescents) this Family and Religion approach as Psychosocial Trauma is to increase promotive efforts to stimulate the creation of mental health for young people (adolesencents) in LPKA class IIB Sungai Raya by optimizing the role of the family and religious base, is expected to be able to form characteristics of adolesecents who always have strong religious beliefs in thinking and acting, positive thinking, actualizing themselves well, and having a better outlook on life. The PKM method is to use lecture and discussion techniques. The target of this activity is young people (adolesencents) who inhabit LPKA class IIB Sungai Raya Pontianak Regency. The PKM implementing team is a lecturer involving, educational staff and students of the STIK Muhammadiyah Pontianak. The results of the implementation of the PKM showed the enthusiasm of active participants because the theme of health was never known by students in the LPKA class IIB Sungai Raya and the activities took place in an orderly manner. Of the 25 health participants, 80% of participants were able to answer correctly from the 5 questions given during the summative evaluation. an increase in knowledge of the participants about mental health