Malignant diseases as suicidal motives

Introduction Suicide is a conscious and intentional destruction of one?s own life, which occurs as a result of mutual influence of a person?s disposition and motives (facts inspiring the commitment of suicide). It is well known that various diseases, including malignancies, could be important and in some cases the only motive for committing suicide. Objective The purpose of the study was to analyze in detail suicides of persons whose only motive was an established malignant disease. Method The analysis was performed using the autopsy material of the Institute of Forensic Medicine, School of Medicine, University of Belgrade, during the period from 1990 to 2004. The reports on performed medico-legal autopsies were used, as well as history data obtained from the family members of suicidal persons, investigation reports and the available medical documents. Results In 1931 cases there was established suicidal nature of a violent death. Neoplasms were the suicidal motive in 37 persons (1.9%). The basic characteristics of the analyzed sample were predominance of males (26:11, ratio 2.4:1), the age of over 70 years and the highest incidence of malignant lung and breast tumors. Almost all cases were the persons who underwent treatment for malignant neoplasms over a longer period of time. During 19 autopsies (51.3% out of 37), a progressive phase of malignancy was established, i.e. metastases. The data on prior oral announcement of suicide intention were obtained for 70.3% (26 cases), and on previous suicidal attempts only for 13.5% (5) cases. In the majority of cases (78.4%) the place of committed suicide was the person?s home. In 16 cases (43.2%) the suicide was committed with a firearm. Hanging as a manner of destroying one?s own life was chosen by 12 persons (32.4%), while other ways were less frequently used. Conclusion Although malignancies were not present with high incidence as a suicidal motive in our analyzed sample, such cases require particular care of health workers in order to enable the application of adequate measures in the prevention of suicides in persons with malignant diseases. The suicide analyses performed so far indicated that a malignant disease was the motive. Doctors have to show maximal interest for the patient. Prevention is crucial, so the patient should be provided with such surroundings in which the person will not feel alone and abandoned.

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POLA RESPON KELUARGA DALAM MANAJEMEN DIABETES ANAK DENGAN DIABETES TIPE 1 DI IKATAN DIABETES ANAK DAN REMAJA (IKADAR) KOTA MALANG

Jurnal Kesehatan Mesencephalon ◽

10.36053/mesencephalon.v6i1.189 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Aloysia Ispriantari

Keyword(s):

Type 1 Diabetes ◽

Diabetes Management ◽

Health Workers ◽

Family Responsibility ◽

Perfect Agreement ◽

Purposive Sampling ◽

The Family ◽

Almost All ◽

Diabetes Family

Type 1 diabetes is the type of diabetes that most occurs in childhood. The complexity of management of type 1 diabetes requires a large role from the family in monitoring and managing diabetes owned by children. The purpose of this study was to determine the pattern of family response in the diabetes management in children with type 1 diabetes in IKADAR Malang. This research was a descriptive study. The populations were all children with their parents in IKADAR Malang. The respondents of this study were 19 children and 19 parents in IKADAR Malang taken by purposive sampling. The variable was the pattern of family response measured by using the Diabetes Family Responsibility Questionnaire (DFRQ) questionnaire. It was found that the pattern of family response in diabetes management is the perfect agreement pattern of 10.1 ± 3.2, the overlap pattern of 6.7 ± 3.3 and the pattern of no responsibility that is equal to 0.2 ± 0, 4 which can be interpreted that almost all (82.3%) diabetes management tasks have been fulfilled and only a small portion (17.7%) tasks have not been fulfilled. It can be expected that nurses can assist the family so that the diabetes management is fully achieved and help children begin to learn to manage diabetes independently with the supervision of a team of health workers and parents. Keywords: The Pattern of Family Response, Diabetes Management, Children, Type 1 Diabetes Abstrak : Diabetes tipe 1 merupakan tipe diabetes yang paling banyak terjadi di masa anak-anak. Kompleksitas manajemen diabetes tipe 1 ini membutuhkan peran besar dari keluarga dalam mengawasi dan mengelola diabetes yang dimiliki oleh anak. Tujuan penelitian ini adalah untuk mengetahui pola respon keluarga dalam manajemen diabetes anak dengan diabetes tipe 1 di Ikatan Diabetesi Anak dan Remaja (IKADAR) Kota Malang. Penelitian ini adalah penelitian deskriptif. Populasi dalam penelitian ini adalah seluruh anak beserta orang tuanya yang tergabung dalam IKADAR Kota Malang. Sampel penelitian ini sebanyak 19 anak dan 19 orang tuanya yang tergabung di IKADAR (Kota Malang yang diambil secara purposive sampling. Variabel penelitian adalah pola respon keluarga yang diukur dengan menggunakan kuisioner Diabetes Family Responsibility Questionnaire (DFRQ). Didapatkan hasil bahwa pola respon keluarga dalam manajemen diabetes yaitu pola persetujuan sempurna sebesar 10,1 ± 3,2, pola overlap sebesar 6,7 ± 3,3 dan pola tidak ada yang bertanggung jawab yaitu sebesar 0,2 ± 0,4 yang dapat diartikan bahwa hampir seluruhnya (82,3%) tugas manajemen diabetes telah terpenuhi dan hanya sebagian kecil (17,7%) tugas yang belum terpenuhi. Diharapkan perawat dapat mendampingi keluarga agar manajemen diabetes anak tercapai penuh serta membantu anak agar mulai belajar mengelola diabetesnya secara mandiri dengan tetap dalam pengawasan tim tenaga kesehatan dan orang tua. Kata kunci: Pola Respon Keluarga, Manajemen Diabetes, Anak, Diabetes Tipe 1

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Analisis Perbandingan Manajemen Keuangan Ojek Online Dan Ojek Reguler Studi Kasus Kecamatan Duren Sawit Jakarta Timur

Liquidity ◽

10.32546/lq.v7i1.173 ◽

2018 ◽

Vol 7 (1) ◽

pp. 41-52

Author(s):

M. Koesmawan ◽

Darwin Erhandy ◽

Dede Dahlan

Keyword(s):

Financial Management ◽

Average Income ◽

Savings And Loans ◽

Financial Difficulties ◽

The Family ◽

Family Finances ◽

The Subject ◽

Almost All

In order to meet the needs of living which consists of primary as well as secondary needs, human can work in either a formal or an informal job. One of the informal jobs that is became the subject of this research was to become an ojek driver. Ojek is a ranting motorcycle. Revenue of ojek drivers, accordingly, should be well managed following the concept of financial management. This research was conducted for the driver of the online motorcycle drivers as well as the regular motorcycle drivers they are called “The Ojek”. Ojek’s location is in Kecamatan (subdistrict) Duren Sawit, East Jakarta with 70 drivers of ojeks. The online ojeks earn an average of Rp 100,000 per day, can save Rp 11,000 to 21,000 per day, while, the regular ojek has an average income per day slightly lower amounted to Rp 78,500, this kind of ojeks generally have other businesses and always record the outflow of theirs money. Both the online and regular ojeks feel a tight competition in getting passengers, but their income can help the family finances and both ojeks want a cooperative especially savings and loans, especially to overcome the urgent financial difficulties. Almost all rivers, do not dare to borrow money. They are afraid of can not refund the money as scheduled.

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Pengaruh Penyuluhan Terhadap Respon Psikososial Keluarga Pasien Yang Dirawat Di Ruang Icu Rsud Dr.Sosodoro Djatikoesumo Bojonegoro

Jurnal Ilmu Kesehatan MAKIA ◽

10.37413/jmakia.v2i1.8 ◽

2016 ◽

Vol 2 (1) ◽

Author(s):

Maslichah Maslichah ◽

Bayu Akbar Khayudin ◽

Ikha Ardianti

Keyword(s):

Health Workers ◽

Family Members ◽

T Test ◽

Family Counseling ◽

Test Design ◽

Significance Level ◽

Paired Sample ◽

The Family ◽

Post Test ◽

Psychosocial Responses

ABSTRAK Pasien yang dirawat di ICU pada umumnya mengalami sakit kritis biasanya hal ini akan menimbulkan bebagai respons psikososial dari anggota keluarganya. Respons ini dapat berupa respons positif maupun respons negatif. Salah satu cara agar respons psikososial menjadi positif yaitu memberikan penyuluhan kepada keluarga pasien agar ada peningkatan kognisi dan emosi. Desain penelitian ini menggunakan metode “Pre-Experiment”, dengan rancangan “One group pra-post test design”. Dengan populasi semua keluarga yang anggota keluarganya dirawat di Ruang ICU RSUD.dr.Sosodoro Djatikoesumo. Sampel diambil dengan proses Total Sampling. Variabel independen yaitupenyuluhan keluarga pasien ICU, dan variabel dependen adalah respon psikososial keluarga pasien. Pengumpulan data menggunakan kuesioner. hasil penelitian yang dilakukan dengan uji statistik paired sample t-test, pada tingkat signifikansi diperoleh nilai 0,027 0,05 maka Ho ditolak dan H1 diterimaPerawat sebagai tenaga kesehatan yang harus selalu mengembangkan profesionalisme, perlu mengupayakan agar respons psikososial keluarga yang negatif dapat ditekan. Salah satu upayanya yaitu adalah memberikan penyuluhan kepada keluarga. Dalam penyuluhan akan diberikan: komunikasi, informasi, edukasi dan support. Kata Kunci : Penyuluhan, Respon Psikososial Keluarga ABSTRACT Patients admitted to the ICU in general suffer from a critical illness usually this will lead to the kinds of psychosocial responses of family members. This response can be either a positive response or a negative response. One way to be positive psychosocial responses that provide counseling to the patient's family that there was an increase in cognition and emotion.This study design using the "Pre-Experiment", the draft "One group pre-post test design". With a population of all the families who have family members admitted to the ICU RSUD.dr.Sosodoro Djatikoesumo. Samples were taken with total sampling process. Independent variables, family counseling ICU patients, and the dependent variable is the family of the patient's psychosocial response. Collecting data using questionnaires. results of research conducted by the statistical test paired sample t-test, at a significance level obtained value 0,027 0,05 hence Ho refused and H1 accepted.Nurses as health workers must always develop professionalism, needs to strive for psychosocial response can be suppressed negative family. One of the efforts that are giving counseling to the family. In the extension will be granted: communication, information, education and support. Keywords: Counseling, Family Psychosocial Response

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Outflow management of health professionals in Serbia: survey results from a tertiary-level hospital

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.530 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Šantrić Milićević ◽

N Vasilijevic ◽

V Vasic

Keyword(s):

Health Workforce ◽

Organizational Support ◽

Health Workers ◽

Work Conditions ◽

Medical Doctors ◽

Policy And Practice ◽

Retention Factors ◽

Hospital Doctors ◽

Almost All ◽

Doctors And Nurses

Abstract Background Some rich countries are actively recruiting labour from abroad for lack of health workforce. A high-level tendency for emigration among health care personnel in Serbia has attracted the attention of policymakers. In the search for evidence that can support the interventions to manage the outflow of the health workforce, the objective of the study was to obtain the opinion of medical doctors and nurses about retention factors. Methods A 65-item questionnaire was distributed to 384 hospital physicians and nurses to explore their views on fourteen aspects for labour outflow management (recruitment, training, job, salary, benefits, managers' behaviour, career development, relationships, work conditions, institutional image, organizational support, and three types of organizational commitment). Any difference between physicians and nurses and their responses' scores was assessed with Pearson Chi-Square (p < 0.05) and Independent Samples t-test (p < 0.05). Results Few nurses (17.8%) and physicians (13.6%) are familiar with measures taken in the country to manage the migration of healthcare workers, but most would work abroad if given such opportunities (56.8% and 63.0%, respectively). The responses of physicians and nurses differ for many aspects of management; the best scored were managers' behaviour (11.9 v 10.4, respectively, p < 0.001) and organizational support (15.3 v 13.4, respectively, p < 0.001), while the least scored were job benefits (4.1 v 4.0, respectively p = 0.531), salary (5.9 v 5.8, respectively p = 0.459), relationships (5.3 v 5.3, respectively p = 0.911) and performance assessment (5.3 v 4.9, respectively p = 0.008). Conclusions The study has identified success and failure factors for the outflow management of health workers in Serbia. Hospital doctors scored higher than nurses almost all retention factors. There is a space to strengthen the policy and practice to retain hospital doctors and nurses in the country. Key messages Hospital nurses are in a worse position than hospital doctors in regard to almost all aspects of outflow management. Stakeholders should invest in retaining medical doctors and nurses in the hospital.

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Two new species of the genus Syngastes (Copepoda, Harpacticoida, Tegastidae) from South Korea

Crustaceana ◽

10.1163/15685403-00003533 ◽

2016 ◽

Vol 89 (4) ◽

pp. 431-458 ◽

Cited By ~ 1

Author(s):

Jong Guk Kim ◽

Tae Won Jung ◽

Jong Guk Kim ◽

Tae Won Jung ◽

...

Keyword(s):

New Species ◽

South Korea ◽

First Record ◽

Exopodal Segment ◽

Key To Species ◽

Korean Waters ◽

The Family ◽

Two New Species ◽

Almost All

Herein two new species of the genusSyngastesMonard, 1924 are described from South Korea, with detailed descriptions and illustrations. Both new copepods,Syngastesmulticavussp. nov. andS. pseudofoveatussp. nov., have two inner setae on the first exopodal segment of P2 and P3.Syngastesmulticavussp. nov. most closely resemblesS. gibbosusBartsch, 1999 reported from Australia, as they both have a five-segmented antennule in the female. However,Syngastesmulticavussp. nov. has a rounded body outline instead of the gibbose outline observed inS. gibbosus.Syngastespseudofoveatussp. nov. resemblesS. foveatusBartsch, 1994 in almost all aspects. However, they differ clearly in the number of setae on the first exopodal segment of P2 and P3. We also provide a key to species of the genusSyngastesworldwide. The present study is the first record of the family Tegastidae in Korean waters.

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(P1-54) Healthcare Worker's Perception towards Individual and Institution Disaster Preparedness

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11003864 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s116-s116

Author(s):

G.H. Lim

Keyword(s):

Family Support ◽

Emergency Preparedness ◽

Disaster Preparedness ◽

Disaster Response ◽

Healthcare Workers ◽

Health Workers ◽

Response Training ◽

The Family ◽

Training Opportunities ◽

H1n1 Outbreak

Background and AimDisaster and MCI events are occurrences that healthcare institutions must be prepared to respond to at all times. The events of September 11 2001 have rekindled our attention to this aspect of preparedness amongst our healthcare institutions. In Singapore, the SARS experience in 2003 and the recent H1N1 outbreak have thrust emergency preparedness further into the limelight. While priorities had been re-calibrated, we feel that we still lack far behind in our level of preparedness. This study is conducted to understand the perception of our healthcare workers towards their individual and the institution preparedness towards a disaster incident.MethodA questionnaire survey was done for this study for the doctors, nurses and allied health workers in our hospital. Questions measuring perception of disaster preparedness for themselves, their colleagues and that of the institution were asked. This was done using a 5-point likert scale.ResultsThe study was conducted over a 2-month period from 1st August 2010 till 30th September 2010. 1534 healthcare workers participated in the study. 75.3% felt that the institution is ready to respond to a disaster incident; but only 36.4% felt that they were ready. 12.6% had previous experience in disaster response. They were more likely to be ready to respond to future incidents (p = 0.00). Factors that influenced perception of readiness included leadership (p = 0.00), disaster drills (p = 0.02), access to disaster plans (p = 0.04), family support. 80.7% were willing to participate in future disaster incident response training. 74.5% felt that being able to respond to a disaster incident constitute part of their professional competency. However, only 31% of the respondents agreed that disaster response training was readily available and only 27.8% knew where to go to look for these training opportunities.ConclusionThere is an urgent need to train the healthcare workers to enhance their capability to respond to a disaster incident. While they have confidence in the institutions capability they were not sure of their own capability. Training opportunities should be made more accessible. We should also do more to harvest the family support that these worker value in order for them to be able to perform their roles in a disaster incident.

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Resolving the Lourinia armata (Claus, 1866) complex with remarks on the monophyletic status of Louriniidae, Monard 1927 (Copepoda: Harpacticoida)

Zootaxa ◽

10.11646/zootaxa.5051.1.15 ◽

2021 ◽

Vol 5051 (1) ◽

pp. 346-386

Author(s):

SÜPHAN KARAYTUĞ ◽

SERDAR SAK ◽

ALP ALPER ◽

SERDAR SÖNMEZ

Keyword(s):

Comparative Evaluation ◽

Species Complex ◽

Detailed Examination ◽

The Other ◽

Phylogenetic Position ◽

Nicobar Island ◽

Other Hand ◽

The Family ◽

Close Relationship ◽

Almost All

An attempt was made to test if Lourinia armata (Claus, 1866)—as it is currently diagnosed—represents a species complex. Detailed examination and comparisons of several specimens collected from different localities suggest that L. armata indeed represents a complex of four closely related morphospecies that can be differentiated from one another by only detailed observations. One of the four species is identified as Lourinia aff. armata and the other three species are described as new to science and named as Lourinia wellsi sp. nov., L. gocmeni sp. nov., and L. aldabraensis sp. nov. Detailed review of previous species records indicates that the genus Lourinia Wilson, 1924 is distributed worldwide. Ceyloniella nicobarica Sewell, 1940, originally described from Nicobar Island and previously considered a junior subjective synonym of L. armata is reinstated as Lourinia nicobarica (Sewell, 1940) comb. nov. on the basis of the unique paddle-shaped caudal ramus seta V. It is postulated that almost all of these records are unreliable in terms of representing true Lourinia aff. armata described herein. On the other hand, the comparative evaluation of the illustrations and descriptions in the published literature indicates the presence of several new species waiting to be discovered in the genus Lourinia. It has been determined that, according to updated modern keys, the recent inclusion of the monotypic genus Archeolourinia Corgosinho & Schizas, 2013 in the Louriniidae is not justified since Archeolourinia shermani Corgosinho & Schizas, 2013 does not belong to this family but should be assigned to the Canthocamptidae. On the other hand, it has been argued that the exact phylogenetic position of the Louriniidae still remains problematic since none of the diagnostic characters supports the monophyly of the family within the Oligoarthra. It has also been argued that the close relationship between Louriniidae and Canthocamptidae is supported since both families share the homologous sexual dimorphism (apophysis) on P3 endopod. The most important characteristic that can possibly be used to define Louriniidae is the reduction of maxilliped.

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THE PATIENT BOY—A POPULAR LESSON, READ TO CHILDREN IN THE 1820'S

PEDIATRICS ◽

10.1542/peds.43.4.526 ◽

1969 ◽

Vol 43 (4) ◽

pp. 526-526

Author(s):

T. E. C.

Keyword(s):

The Family ◽

Almost All

The story below depicts a favorite subject of those who wrote for children in the early days of our country. The inebriated father leading his family inexorably into destitution by his intemperance is counterbalanced by a son who holds the family together. During the last century many children cried over this and similar stories. The Patient Boy There was a journeyman bricklayer in this town, a good workman, but a very drunken idle fellow; he spent at the dram shop almost all he earned, and left his wife and children to take care of themselves; to get food and clothes as they could. They might all have starved, but for the eldest son, whom his father had brought up to help him at his work; and who was so industrious and attentive, that being now at the age of thirteen or fourteen, he was able to earn pretty good wages, every penny of which that he could keep out of his father's hands, he brought to his mother. When the brute of a father came home drunk, cursing and swearing, and in such an ill humour that his mother, and the rest of the children, durst not come near him for fear of a beating, this good lad (Tom was his name) kept close to him, to pacify him, and get him quietly to bed. His mother looked upon Tom as the support of the family, and loved him dearly. It happened one day, Tom in climbing up a high ladder, with a load of mortar on his head, missed his hold, and fell down to the bottom, on a heap of bricks and rubbish.

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Abstract WP199: Higher Stroke Prevalence Rates among Ribeirinhos Compared to Townsmen in the Brazilian Amazon.

Stroke ◽

10.1161/str.44.suppl_1.awp199 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Tiotrefis G Fernandes ◽

Isabela M Bensenor ◽

Paulo A Lotufo

Keyword(s):

Urban Area ◽

Health Workers ◽

Prevalence Ratio ◽

Epidemiological Studies ◽

Population Based ◽

Cerebrovascular Diseases ◽

Prevalence Rates ◽

Family Health Program ◽

Stroke Prevalence ◽

The Family

There is a lack of epidemiological studies addressing cerebrovascular diseases in remote places as the Amazon river basin. We aimed to calculate the stroke prevalence rates among "ribeirinhos", rural inhabitants who living in riverbanks fishing and extracting fruit and nuts, in the rainforest comparing to townsmen in the same municipality. Methods: From May to October 2011, 6216 residents aged over 35 years in the of Coari, a municipality that is coverage by the Family Health Program with of 76 000 inhabitants, 35% of them are "ribeirinhos”. We trained all community health workers to carry out a door-to-door application of the “Stroke Symptom Questionnaire” for people over 35 years-old. This tool was applied first for the family for stroke screening and further for the index stroke case, including questions about six key functional impairment. It was previously translated to Portuguese and validated by a neurologist. Results: From a total of of 4897 respondents of urban area and 1028 "ribeirinhos", we calculated crude prevalence of stroke of 6.3% (95% CI; 5.0-7.7) among the "ribeirinhos" and of 3.7% (95% CI; 3.3-4.1) among townsmen. This difference was maintained after sex-age-adjustment. The female:male prevalence ratio was 1.37 (95% CI; 1.02-1.85) in urban area and the rural area of 0.93 (95% CI; 0.57-1.52). Among stroke suffers, the "ribeirinhos" were those with less access to medical care (32.1% vs. 52.5%, p=0.01) and a lower proportion of stroke survivors requiring help with least 1 activity of daily living (16.9% vs. 39.3%, p=0.001) in comparison to townsmen. Conclusion: To our knowledge it was the first study that provided a population-based stroke survey in the Amazon rainforest revealing a higher stroke prevalence among "ribeirinhos" compared to townsmen of the same municipality.

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Participation and social control: perception of family health workers

Texto & Contexto - Enfermagem ◽

10.1590/s0104-07072013000100011 ◽

2013 ◽

Vol 22 (1) ◽

pp. 89-96 ◽

Cited By ~ 5

Author(s):

Jacks Soratto ◽

Regina Rigatto Witt

Keyword(s):

Social Control ◽

Health Workers ◽

Family Health ◽

Disease Monitoring ◽

Health Team ◽

The Family ◽

Local Contribution ◽

Family Health Team ◽

Health And Disease ◽

Health Model

This is a qualitative, exploratory-descriptive study that aimed at analyzing the perceptions of a family health team regarding participation and social control in health. The study was developed with workers of a Family Health Team in southern Santa Catarina. Data were collected using the Sensitive Creative Method and analyzed through the process of thematic content analysis. Regarding participation in health, two empirical categories were identified: passive participant in health; and dialogical process as participation in the Family Health Team. As for social control in health, the categories identified were: institutionalized space as a social control in health; and disease monitoring as social control in health. The results showed perceptions related to the reflections on the health model and others that indicate the possibility of advancements in the discussions with local contribution for participation and social control in health.

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