Pemberdayaan Masyarakat Melalui Program Matang (Menanam Tanaman Telang) Sebagai Obat Keluarga di Kelurahan Mekar Sari Dumai

  Menjaga kesehatan dengan cara tradisional merupakan salah satu bentuk upaya menjaga kesehatan dan daya tahan tubuh. Mengkonsumsi minuman tanaman obat keluarga salah satunya yaitu dengan tanaman bunga telang, di lihat dari keadaan letak geografis daerah pengabdian kukerta di Kelurahan Mekar Sari, Kabupaten Dumai Selatan ini mempunyai tanah yang berpotensi dibidang perkebunan. Dengan kondisi masyarakat tersebut maka melakukan sosialisasi dan pemberdayakan masyarakat tentang tanaman obat keluarga terutama tanaman telang sangat cocok untuk menjadi pendamping masyarakat kelurahan tersebut, kegiatan ini merupakan bentuk program kerja KUKERTA yang bermaksud untuk mengedukasi masyarakat setempat dengan harapan masyarakat dapat meningkatkan imunitas tubuh dengan mengkonsumsi minuman obat tanaman tradisional yang mudah di jangkau, kegiatan KUKERTA yang di lakukan adalah sosialisasi mengenai manfaat serta cara meracik tanaman obat dengan benar dan juga pemberian bibit bunga telang, Metode dalam pelaksanaan kegiatan dilakukan dalam 4 ( empat ) tahapan, yaitu (1) Sosialisasi, (2) Peningkatan kompetensi, (3) Pelaksanaan kegiatan, serta (4 ) Monitoring dan Evaluasi. Penggunaan 4 metode ini efektif digunakan untuk memberikan peningkatan pengetahuan masyarakat. Kegiatan sosialisasi ini diharapkan menjadi modal awal dari masyarakat Kelurahan Mekar Sari dalam memulai budidaya Tanaman Obat Keluarga (TOGA), yang banyak manfaatnya bagi kesehatan tubuh

Analisis Fatwa DSN-MUI NO: 98/DSN-MUI/XII/2015 Tentang Pedoman Penyelenggaraan Jaminan Sosial Kesehatan Syariah

Penyelenggaraan Jaminan Sosial Kesehatan merupakan suatu penyelenggaraan perlindungan sosial di bidang kesehatan untuk menjamin seluruh rakyat agar dapat memenuhi kebutuhan dasar hidupnya yang layak di bidang kesehatan. Namun perlu diperhatikan bahwa landasan dan konsep dari Penyelenggara Jaminan Sosial Kesehatan ini belum syariah. Akhirnya, ijma' ulama memutuskan untuk mengeluarkan Fatwa DSN-MUI NO: 98/DSN-MUI/XII/2015 Tentang Pedoman Penyelenggaraan Jaminan Sosial Kesehatan Syariah sebagai landasan atau konsep BPJS Kesehatan. Tujuan penelitian ini adalah untuk menganalisis Fatwa DSN-MUI NO: 98/DSN-MUI/XII/2015 Tentang Pedoman Penyelenggaraan Jaminan Sosial Kesehatan Syariah. Hasil penelitian menunjukkan bahwa Fatwa DSN-MUI NO: 98/DSN-MUI/XII/2015 Tentang Pedoman Penyelenggaraan Jaminan Sosial Kesehatan Syariah belum terkonsep secara detail dan pengaplikasian terhadap fatwa tersebut masih kurang terutama pada nomor 5 ayat (1), (2) dan (3) tentang Ketentuan terkait Dana Jaminan Sosial Bernilai Negatif, Nomor 4 ayat (1), (3) dan (5) tentang Ketentuan terkait Iuran dan Layanan. Nomor 8 ayat (1), poin a, b dan c tentang Ketentuan terkait Sanksi

Evaluating the Effects of Aluminum-Containing and Non-Aluminum Containing Deodorants on Axillary Skin Toxicity During Radiation Therapy for Breast Cancer: A 3-Armed Randomised Controlled Trial

Purpose: Deodorant use during radiation therapy for breast cancer has been controversial as there are concerns deodorant use may exacerbate axillary skin toxicity. The present study prospectively determined the use of both aluminum-containing and non aluminum containing deodorants on axillary skin toxicity during conventionally fractionated postoperative radiation therapy for breast cancer. Methods and Materials: This 3-arm randomized controlled study was conducted at a single center, tertiary cancer hospital between March 2011 and April 2013. Participants were randomized to 1 of 2 experimental groups (aluminum-containing deodorant and soap or non–aluminum containing deodorant and soap) or a control group (soap). A total of 333 participants were randomized. Generalized estimating equations were used to estimate and compare the odds of experiencing high levels of sweating and skin toxicity in each of the deodorant groups to the odds in the control group. The study evaluated a range of endpoints including objective measurements of axilla sweating, skin toxicity, pain, itch and burning. Quality of life was assessed with a validated questionnaire.Results: Radiation characteristics were similar across all groups. Patients in the deodorant groups did not report significantly different ratings for axillary pain, itch, or burning compared with the control group. Patients in the aluminum-containing deodorant group experienced significantly less sweating than the control; the odds of their sweating being barely tolerable and frequently or always interfering with their daily activities was decreased by 85% (odds ratio, 0.15; 95% confidence interval, 0.03-0.91). Conclusions: We found no evidence that the use of either aluminum-containing or non–aluminum containing deodorant adversely effects axillary skin reaction during conventionally fractionated radiation therapy for breast cancer. Our analysis also suggests patients in the aluminum-containing deodorant arm had significantly less sweating without increased symptoms of axillary radiation skin toxicity. These results add to the evidence that the prescription of deodorants during radiation therapy for breast cancer is now questionable

A qualitative exploration of nurse's perception of Critical Outreach Service: A before and after study

Summary:Background: Critical Care Outreach Services (CCOS) have been reported to streamlinethe transfer of patients from the intensive care unit (ICU) to the wards and providea follow-up service supporting ward staff to provide optimum care for patientsdischarged from ICU.Purpose: The aim of this study was to explore the perceptions of nursing staff beforeand after the introduction of a CCOS at three adult teaching hospitals in Perth,WesternAustralia.Methods: Exploratory focus groups were conducted with registered nurses (RNs)at each of the participating hospitals prior to and 6 months after the introductionof a CCOS. Framework analysis was used to analyse the transcribed datausing a thematic approach with themes developed from the narratives of theparticipants.Results: Inexperienced RNs in particular voiced positive comments about the CCOS.The role was seen as a senior nurse who was an additional resource for less experiencedstaff as they educated them on complex procedures that were not common on thegeneral wards. The RNs reported that apprehensions about the role that they hadpre-implementation were not borne out in practice and that they believed that theCCOS had positive effects on patient outcomes.Conclusion: The CCOS improved communication processes between members ofthe multidisciplinary team and units within the hospital, which subsequentlyenhanced the ward transition process for critically ill patients and ward nursingstaff