Impact of Opera on Mental Health Stigma: Pilot of Provider/Community Workshop

Background Arts can influence mental health stigma, but little is known about impact of operas. We examined effects of a two-opera workshop on complicated grief and schizophrenia. Methods Pre-post audience surveys with post-workshop discussion. The primary outcome was a 4-item measure of willingness to engage with persons with grief or schizophrenia. Secondary outcomes were perceptions of art affecting stigma and stigma mediators. Of 47 participants, 33 had pre-post surveys for both operas. Results There was a significant pre-post opera increase in audience willingness to engage with persons with grief or schizophrenia (p < .001). Perceptions of impact on mediators such as empathy, were significantly greater for the opera on schizophrenia relative to grief (p < .001).. Conclusion The pre- to post increase in audience willingness to engage with affected persons (primary) with greater impact on secondary mediators for the schizophrenia opera and post-discussion suggest that operas may be a forum for addressing mental health stigma and promoting empathy.

Association of information, education, and communication; and enrollment in health insurance: A case of Nepal

Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making, and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance [HI] in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of HI was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to HI related information were associated with the enrollment of HI. Demographic characteristics of the respondents and households particularly age, wealth status, and presence of chronic diseases in the family were significantly associated with the enrollment of HI. Similarly, exposure to communication and media such as heard about HI and knowledge of contribution amount of HI, having HI related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to HI related messages from radio and television, seen hoarding board, newspaper, and HI related pamphlet, brochure, and posters were significantly associated with enrollment in HI. Heard about HI and knowledge of contribution amount, having HI related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in HI.Conclusion Communication and interaction with peers and neighbours about HI scheme of the government could lead to higher participation in HI programme. It would be better to incorporate this strategy while planning policies and interventions on HI.

Proceedings of the 2018 next-generation Gamma Knife research meeting

In order to determine what areas of research are a clinical priority, a small group of young Gamma Knife investigators was invited to attend a workshop discussion at the 19th International Leksell Gamma Knife Society Meeting. Two areas of interest and the need for future radiosurgical research involving multiple institutions were identified by the young investigators working group: 1) the development of additional imaging sequences to guide the understanding, treatment, and outcome tracking of diseases such as tremor, radiation necrosis, and AVM; and 2) trials to clarify the role of hypofractionation versus single-fraction radiosurgery in the treatment of large lesions such as brain metastases, postoperative cavities, and meningiomas.

Akuntabilitas Sistem Informasi Manajemen Kearsipan dan E-Dokumen

Archival accountability as a public service in meeting stakeholders and study material for managers in making decisions. Archival activities and e-documents on an agency is a sub-system of a government system that is constantly changing and developing so that changes and developments affect the institution as a sub-system where the sub-systems interact between sub-systems in the system itself. In the future, archives and e-documents will use an electronic system because it is very effective and efficient, critical, outcomes in an activity a manager takes a decision and policy. The problem still uses a lot of document archiving manually so that it takes a long time to find archives that have an impact on activities to be less effective and less efficient. The purpose of providing electronic skills competencies in e-documents. The form of activities carried out in the form of training and workshop management system for e-documents. The benefits of this activity provide a competence in knowledge and skills in managing archives through electronic (e-documents) so that organizational activities become effective efficiently productive and outcomes. Target audiences are kindergarten and paud teachers located in Mandastana sub-district, Barito Kuala district. Implementation Method. Training and Workshop, Discussion and Questions and Answers. Results Training and workshop participants get new insights and skills in e-documents Akuntabilitas kearsipan sebagai pelayanan publik dalam memenuhi stakeholder dan bahan kajian bagi manejer dalam mengambil keputusan. Kegiatan kearsipan dan e-dokumen pada suatu instansi merupakan sub sistem dari suatu sistem pemerintahan yang terus berubah dan berkembang sehingga perubahan dan perkembangan tersebut mempengahui isntansi sebagai sub sistem dimana sub sistem saling berinteraksi antar sub sistem dalam suatu sistem itu sendiri. Kedepannya kearsipan dan e-dokumen akan menggunakan sistem eletronik karena sangat efektif dan efisien, kriatif, outcome dalam suatu aktivitas seorang manejer mengambil suatu keputusan dan kebijakan. Permasalahan masih banyak menggunakan kearsipan dokumen dengan manual sehingga memakan waktu lama dalam mencari arsip yang berdampak terhadap kegiatan menjadi kurang efekti dan kurang efisien. Tujuan memberikan kompetensi ketrampilan elektronik dalam e-dokumen. Bentuk kegiatan yang dilakukan berupa pelatihan dan workshop manajemen sistem kearsipan e-dokumen.Manfaat kegiatan ini memberikan suatu kompetensi pengetahuan dan ketrampilan dalam pengelolaaan kearsipan melalaui elektronik (e-dokumen) agar kegiatan oragnisasi menjadi efektif efisien produktif dan outcome. Khalayak sasaran adalah guru TK dan Paud yang berada di kecamatan Mandastana Kabupaten Barito Kuala. Metode Pelaksanaan. Pelatihan dan Workshop, Diskusi dan Tanya Jawab. Hasil Peserta pelatihan dan workshop mendapatkan wawasan dan ketrampilan baru dalam e-dokumen