Nurse prescribing in end-of-life care in the community: meeting patients' needs

This article outlines the important role of medicines in managing community-based palliative care in the last year of life, together with the central role of nurses prescribing in this context. The article discusses the key needs of patients and carers managing palliative care medicines in the home setting, which include a requirement for streamlined, rapid access to medicines, as well as information about and support for daily self-management of medicines. The article draws on recent research in the field of palliative care medicines management and highlights the implications for nurse prescribers.

Primed, but not engaged: the poor performance of self-efficacy primes in promoting civic engagement, in a laboratory experiment in Uganda

Civic engagement is considered an important element of a healthy polity. Yet, many attempts to induce it fail, and experimental evidence on ‘what works’ to induce it is limited. Further, most experimental studies in this area of research focus on self-reported or low-cost proxy behavior outcomes. This paper describes a laboratory experiment with 809 participants to measure the impact of short behaviorally-informed messages on civic engagement in Uganda. We randomly assign participants to three treatment audio messages, applying different self-efficacy enhancing techniques, and one control audio, and measure their effect on two primary components of civic engagement: a lab measure of attention to political and pre-political information, and a real-world activity measure: attendance at a community meeting. We find that short audio messages can prompt people to pay more attention to pre-political information, but do not encourage overall civic engagement behavior, and some treatments produce a significant negative effect on our measures of engagement. We also find that a rights-focused message, closely modelling current civil society practice, does not generate increased civic engagement. We conclude that one-off behaviorally informed audio messages are insufficient to generate civic engagement in this context.

Edukasi Gerakan Hidup Sehat dengan Aktivitas Fisik Pada Wali Murd Paud Gemilang, Kelurahan Benda Baru

Perilaku Hidup Bersih dan Sehat merupakan suatu bentuk perilaku keseharian yang sangat penting untuk dilakukan karena mendukung terciptanya kualitas hidup yang lebih baik. Gaya hidup masyarakat sekarang lebih menyukai makanan siap saji, dimana makanan tersebut banyak mengandung lemak, protein, tinggi garam dan rendah serat. Gaya hidup seperti ini dapat menyebabkan berbagai masalah kesehatan antara lain hipertensi, gagal jantung, diabetes mellitus, stroke dan penyakit ginjal. Dari hasil Musyawarah Masyarakat Desa maka didapatkan satu permasalahan kesehatan di wilayah kerja UPT Puskesmas Benda Baru khususnya di RW 003 yaitu kurangnya aktivitas Fisik, kurangnya konsumsi buah dan sayur dan merokok. Metode yang digunakan adalah pre dan post test serta edukasi gerakan sehat dengan aktivitas fisik. Kegiatan penyuluhan ini meningkatkan pengetahuan dan kesadaran masyarakat mengenai pentingnya melakukan aktivitas fisik untuk menurunkan faktor risiko terjadinya Penyakit tidak menular khususnya penyakit Hipertensi wali murid PAUD Gemilang.---Clean and Healthy Living Behavior is a form of daily behavior that is very important to do because it supports the creation of a better quality of life. The lifestyle of people now prefers ready-to-eat food, where these foods contain lots of fat, protein, high salt and low fiber. This lifestyle can cause various health problems including hypertension, heart failure, diabetes mellitus, stroke, and kidney disease. From the results of the Village Community Meeting, one health problem was found in the work area of the Benda Baru Health Center, especially in RW 003, namely lack of physical activity, lack of consumption of fruits and vegetables and smoking. The method used was pre and post-test and healthy movement education with physical activity. This counseling activity increases public knowledge and awareness about the importance of doing physical activity to reduce risk factors for non-communicable diseases, especially hypertension, guardians of PAUD Gemilang students.

A study of the utilization of community meeting as an interactive strategy in substance abuse management

In a treatment facility in Nigeria community meeting has been an effective strategy in substance abuse management for identifying and addressing motivation in the treatment, insight and judgment, self-esteem, psychotic symptoms, readiness for treatment etc. The components of community meeting significantly facilitate effective transition in stages of change. This research utilised information from various meetings, individual interviews and Focus Group Discussion. The study also obtained information about substance use from files of 211 participants previously admitted from 2014 – 2020, descriptive statistics using SPSS version 20 was utilized in the analysis. The analysis show that male were predominant at 91.9% with a mean of 1.08, 24.6% primary substance of abuse is alcohol and the most common substance abused at 29%. Clients admitted with psychotic symptoms were 47.9% and 29% common problematic substance is cannabis and 65% of them are within the ages of 21-30 years, while 45% of them have used other psychoactive substances like opioids and cocaine. The qualitative study reveals that all the components of community meeting significantly contributed positively in the management of clients. Consequently, community meeting gives people experiencing addiction the opportunity to self-examine, express, and adapt to techniques of living a substance free life effectively. This gathering allows all categories of clients interact freely and respectfully given way to teaching, learning and mentoring. The researchers therefore, suggest that though substance abuse problems may not vary, however, the approach to addressing this problem should be tailored in a ways that reflects the people and their culture.

A deep learning approach to capture the essence of Candida albicans morphologies

We present deep learning-based approaches for exploring the complex array of morphologies exhibited by the opportunistic human pathogen C. albicans. Our system entitled Candescence automatically detects C. albicans cells from Differential Image Contrast microscopy, and labels each detected cell with one of nine vegetative, mating-competent or filamentous morphologies. The software is based upon a fully convolutional one-stage object detector and exploits a novel cumulative curriculum-based learning strategy that stratifies our images by difficulty from simple vegetative forms to more complex filamentous architectures. Candescence achieves very good performance on this difficult learning set which has substantial intermixing between the predicted classes. To capture the essence of each C. albicans morphology, we develop models using generative adversarial networks and identify subcomponents of the latent space which control technical variables, developmental trajectories or morphological switches. We envision Candescence as a community meeting point for quantitative explorations of C. albicans morphology.

Peningkatan Motivasi Berproduksi Berbasis Sumber Daya Lokal di Kecamatan Rowosari, Kabupaten Kendal

Tujuan pengabdian masyarakat ini adalah untuk meningkatkan jiwa kewirausahaan bagai masyarakat di Rowosari Kabupaten Kendal melalui perbaikan tampilan produk. Penampilan produk sangatlah penting, karena konsumen akan semakin tertarik dan berminat untuk membeli. Selain itu kegiatan ini dilakukan dengan memanfaatkan sumber daya lokal, khususnya buah pisang dan nangka sebagai bahan membuat ceriping. Fokus utama pada pemberdayaan masyarakat melalui kegiatan produktif. Kegiatan ini diawali melalui pertemuan masyarakat sasaran untuk menentukan jenis kegiatan, peserta, dan waktu pelaksanaan. Pada inti acara, tim pengabdian masyarakat FE-Unissula memberikan berbagai penyuluhan, khususnya� bidang� entrepreneurship, produksi, pembukuan, dan pemasaran produk. Selanjutnya, peserta diberikan ketrampilan praktek membuat ceriping pisang dan ceriping nangk, yang kemudian difokuskan pada kegiatan pembungkusan (packaging). Packaging merupakan tahapan penting dalam sistem pemasaran produk. Tim FE juga memberikan bantuan berupa alat pembungkusan dan plastik untuk packaging. Kegiatan ini diharapkan dapat memberikan daya tarik pada produk yang dipasarkan melalui penempilan produk yang lebih baik dan menarik.�The purpose of this community service is to improve the entrepreneurial spirit of the people in Rowosari, Kendal Regency through improving product appearance. Product appearance is very important, because consumers will be increasingly interested and interested in buying. In addition, this activity is carried out by utilizing local resources, especially bananas and jackfruit as ingredients for making ceriping. The main focus is on community empowerment through productive activities. This activity begins with a target community meeting to determine the type of activity, participants, and timing of implementation. At the core of the event, the FE-Unissula community service team provided various counseling, especially in the fields of entrepreneurship, production, bookkeeping, and product marketing. Furthermore, participants were given practical skills to make banana chips and jackfruit chips, which were then focused on packaging activities. Packaging is an important stage in the product marketing system. The FE team also provided assistance in the form of wrapping tools and plastic for packaging. This activity is expected to provide attractiveness to the products marketed through better and more attractive product display.

Mixed methods process evaluation of the Sundara Grama intervention promoting latrine use and safe disposal in rural Odisha, India

BackgroundProcess evaluations of public health programs are critical to understand if programs were delivered as intended and to identify improvements for future implementations. The aim of this paper is to describe a mixed methods process evaluation of the Sundara Grama intervention, which sought to improve latrine use and safe child feces disposal among latrine-owning households in rural Odisha, India.MethodsThe Sundara Grama intervention was delivered to 36 villages in Puri district by a grassroots NGO and included eight activities: palla performance (folk theater ‘edutainment’), transect walk, community meeting, community wall painting, mother’s meeting on child feces disposal, positive deviant household recognition, household visit, and latrine repairs. The process evaluation quantitatively assessed fidelity, dose delivered, and reach, and qualitatively examined recruitment, context, and satisfaction. Quantitative data collection included an activity observation survey, activity record, and endline trial survey. Qualitative data collection included an activity observation debrief and in-depth interviews with NGO mobilizers. Data collection took place during three time periods: during intervention delivery, immediately after, and several months post-implementation. For the quantitative data, a ‘delivery score’ was calculated for each activity, as well as the proportion of target participants in attendance. Qualitative data was analyzed using thematic analysis.ResultsMean delivery scores, reported as a percentage, were moderate to high. Household visit activities (97% general visit, 96% positive deviant visit) and the mother’s meeting (81%) had the highest delivery scores, followed by the palla (77%), transect walk (77%), and community meeting (60%). Activities were attended, on average, by 30–73% of latrine-owning households. Several factors aided delivery, including pre-intervention rapport building visits and village stakeholder support. Factors that hindered delivery included inclement weather, certain recruitment strategies, and village social dynamics related to caste and gender. With regard to satisfaction, participants and NGO mobilizers praised the palla but reported mixed reactions to other activities.ConclusionsOverall, the Sundara Grama intervention was implemented as intended and achieved good reach. The findings suggest edutainment and multi-level communication approaches are particularly beneficial, and offer lessons for community-wide programs on the importance of examining the implementer experience and broader context.Trial RegistrationThis trial is registered at clinicaltrials.gov: NCT03274245.

Future NOAA Satellites: Planning for Microwave Remote Sensing Readiness

CAPSULE SUMMARY2020 Community Meeting on NOAA Satellites: Informing the Future of NOAA Satellite Observations

Amazonian worlds of other-than-human beings and the Apurinã through the materiality of oral stories

This article looks at what origin stories teach about the world and what kind of material presence they have in Southwestern Amazonia. We examine the ways the Apurinã relate to certain nonhuman entities through their origin story, and our theoretical approach is language materiality, as we are interested in material means of mediating traditional stories. Analogous to the ways that speakers of many other languages who distinguish the entities that they talk to or about, the Apurinã make use of linguistic resources to establish the ways they interact with different entities. Besides these resources, the material means of mediating stories is a crucial tool to narrate the worlds of humans and nonhumans. Storytelling requires material mediation, and a specific context of plant substances. It also involves community meeting as a space of trust in order to become a communicative practice and effectively introduce the history of the people. Our sources are ethnography, language documentation, and autoethnography.