Mental Rehabilitation Research Articles

The relationship of probable clinical anxiety with attitude-behaviour, coping styles and social support in healthy pregnant women during the late period COVID-19 pandemic

The aim of the study is to investigate the prevalence of state and trait probable clinical anxiety and their relationship with socio-demographic factors, attitude-behaviour, coping styles and social support level in high-risk pregnant women in the late period of COVID-19 pandemic. The pregnant women followed up in the gynaecological outpatient clinic were evaluated during their admissions. About 191 healthy pregnant women were included in the study. Data were collected using the socio-demographic and pregnancy attitude-behaviour data form, STAI (Spielberger’s State-Trait Anxiety Inventory), the Coping Styles Scale Brief Form (Brief-COPE) and the Multidimensional Scale of Perceived Social Support (MSPSS). Our study found that pregnant women had high anxiety levels (STAI-S:37.90 ± 8.88; STAI-T:42.46 ± 7.80) and probable clinical anxiety prevalences (STAI-S:81(42.4%); STAI-T:123(64.4%)) in the late period of the COVID-19 pandemic. The fact that COVID-19 determined the preference of the birth method and the level of knowledge about COVID-19 predicted state probable clinical anxiety. Educational status, concern for COVID-19 transmission to the baby during pregnancy/birth, behavioural disengagement, focussing on and venting emotions predicted trait probable clinical anxiety. Our results have emphasised the factors that should be taken into account and coping styles that may be functional to protect the mental well-being of healthy pregnants. IMPACT STATEMENT What is already known on this subject? The COVID-19 pandemic has been shown to increase the symptoms of stress, anxiety and depression of the general population and healthcare workers. There is limited studies about pregnant women. What do the results of this study add? According to our study, we can say that approximately half of the pregnant women in a pandemic need psychiatric evaluation due to probable clinical anxiety. The relationship between anxiety in the pandemic process and birth preference has been shown and coping styles in healthy pregnant women have been investigated for the first time, effective and ineffective coping styles have been shown. In addition, it has been found that the social support of pregnant women is effective in managing the pandemic process. What are the implications of these findings for clinical practice and/or further research? According to our current findings, a multidisciplinary approach in which pregnant women are screened with self-report psychiatry tests and appropriate pregnant women are consulted to psychiatry during pandemic processes will make it easier for obstetricians to manage the patient. Especially strengthening effective coping styles and social support will have a great effect in mental rehabilitation. In this respect, further studies on pregnant women are needed.

"Why I stay in community psychiatric rehabilitation": a semi-structured survey in persons with schizophrenia

AimsAlthough community psychiatric rehabilitation plays an important role in returning persons with schizophrenia to the society, many patients in China stay in rehabilitation centers for longer periods of time and subsequently fail to integrate. This study is aimed to explore the underlying causes of this trend and identify possible solutions.MethodsThis study used a qualitative descriptive design to examine the persons with schizophrenia who stay in rehabilitation centers for longer periods of time. The researchers conducted semi-structured telephone interviews with the patients recruited through purposeful sampling. The audio-recorded interviews were transcribed in transcripts in Chinese. Thematic analysis was performed using Colaizzi's 7-step method.ResultsMost patients believe that they have gained knowledge, improved skills, friendship and social circles through community mental rehabilitation, with the sense of belonging and enriched life strongly attracting them to the rehabilitation centers. They felt that the difficulty of further integration into society is mainly because of social prejudice and rejection. In addition, the activities of community mental rehabilitation meet the needs of social communication, which also hinder patients from further entering the society.ConclusionsPersons with schizophrenia with long-term stay in community mental rehabilitation centers meet their friendship, sense of belonging and social needs by participating in rehabilitation activities. Providing special social opportunity for these patients can get them out of the rehabilitation center. Overall, it is possible for patients to gradually return to society in a collective form.

Messenger RNA expression profiles and bioinformatics analysis of mouse hippocampi during exercise alleviates methamphetamine dependence via mRNA profile change in hippocampi.

BackgroundMethamphetamine (METH) is a highly addictive, psychoactive drug which can harm individual health and lead to great social problems. Various approaches have been adopted to address the problems arising from METH addiction, but relapse rates remain high. Recently, it has been found that comprehensive treatment combined with scientific and appropriate exercise interventions can improve the mental state and physical fitness of drug addicts and promote their physical and mental rehabilitation. Long-term, regular exercise improves the symptoms of METH withdrawal and reduces METH relapse. This study aimed to investigate the effects and regulated gene expression related to running exercise in METH-addicted mice.MethodsMale C57BL/6J mice were used to construct a METH addiction model. We performed a running exercise intervention and used conditioned place preference (CPP) to measure the effects of the running intervention on the METH-addicted mice. We also performed RNA sequencing (RNA-seq) and transcriptome analysis on the mice hippocampi, and the functions and differentially expressed genes (DEGs) that were significantly regulated by exercise intervention in the METH-addicted mice were analyzed and noted.ResultsThe results showed that days of CPP were shortened to 3 days in METH-addicted mice that underwent moderate exercise intervention, compared to 6 days in METH-addicted mice that went without exercise intervention. In addition, hippocampal transcriptome analysis revealed 12 DEGs significantly regulated by exercise intervention. By performing Gene Ontology (GO) and the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis, it was revealed that the function of immune responses was significantly enriched in the METH-addicted mice undertaking exercise. The expression of 12 DEGs was verified by real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR), which showed that relative messenger RNA (mRNA) expression of DEGs was consistent with the RNA-seq results.ConclusionsA running intervention can promote the recovery of METH addiction in mice, and the 12 candidate DEGs from the mouse hippocampus can be used for further research on the regulatory mechanisms of exercise in METH-addicted mice.

Complication of lengthening and the role of post-operative care, physical and psychological rehabilitation among fibula hemimelia.

There is a clear clinical need for efficient physiotherapy and rehabilitation programs during and after bone lengthening and reconstruction for gaining the optimal effect and also prevention or treatment of lengthening side effects. Pin tract infection is the most prevalent side effect during lengthening which could be prevented and treated initially via proper wound care. Muscle contractures are typically a consequence of the generated tension on the distracted muscle. It can be managed by physiotherapy initially and surgically in later severe stages. Furthermore, it is essential to avoid muscle contracture development, which is the demonstration of the imbalanced muscle appeals on the joint to inhibit the following subluxation. The knee is the furthermost affected joint by the aforementioned problem due to the inherent lack of ligamentous and bony stability. Joint stiffness is the other possible unfavorable effect of lengthening. It happens because of extensive muscle contractures or may possibly be attributed to rigidity of the joint following the amplified pressure on the joint surface during the process of lengthening. Physiotherapy and occupational therapy including endurance and strength exercise as well as stretching play an important role during the rehabilitation periods for the prevention and also the treatment of muscle contracture and the following deformity and also joint stiffness. Likewise, the effect of mental and physical rehabilitation programs should not be overlooked.

Cycling through 360° Virtual Reality Tourism for Senior Citizens: Empirical Analysis of an Assistive Technology.

In recent years, there has been a renewed interest in using virtual reality (VR) to (re)create different scenarios and environments with interactive and immersive experiences. Although VR has been popular in the tourism sector to reconfigure tourists’ relationships with places and overcome mobility restrictions, its usage in senior cyclotourism has been understudied. VR is suggested to positively impact tourism promotion, cycling simulation, and active and healthy ageing due to physical and mental rehabilitation. The purpose of this study is to assess the senior citizens’ perceived experience and attitudes toward a designed 360° VR cyclotouristic experiment, using a head-mounted display (HMD) setting within a laboratory context. A total of 76 participants aged between 50 and 97 years old were involved in convergent parallel mixed-method research, and data were collected using a questionnaire based on the technology acceptance model, as well as the researchers’ field notes. Findings suggest that 360° VR with HMD can be an effective assistive technology to foster senior cyclotourism by promoting tourism sites, simulating the cycling pedaling effect, and improving senior citizens’ general wellbeing and independence with physical and mental rehabilitation.

Effects of Multimodal Analgesia Combined with Auricular Point Therapy on Physical and Mental Stress and Rehabilitation Quality of Patients with Meniscus Injury during the Perioperative Period.

Objective To investigate the effect of multimodal analgesia combined with auricular point therapy on physical and mental stress and rehabilitation quality of patients with meniscus injury during the perioperative period. Methods 148 patients in our hospital from October 2019 to October 2021 who were scheduled to undergo meniscus surgery were selected and grouped according to the order of file establishment, with 74 cases in each. The control group was given routine analgesia, and the observation group was given multimodal analgesia combined with auricular point therapy. The pain level (visual analogue scale (VAS)), physical and mental stress (heart rate (HR), mean arterial pressure (MAP), depression scale (PHQ-9), and anxiety scale (GAD-7)), complications, rehabilitation quality, and analgesia satisfaction were observed. Results The VAS scores of pain in the observation group were lower than those in the control group at 6 hours before operation and at 6 hours, 24 hours, and 72 hours after operation (P < 0.05). The MAP, HR, PHQ-9, and GAD-7 scores of the observation group were lower than those of the control group 6 hours before operation (P < 0.05). There was no significant difference in MAP, HR, PHQ-9, and GAD-7 scores between the two groups at 6 hours and 24 hours after operation (P > 0.05). The analgesic satisfaction of the observation group was better than that of the control group (P < 0.05). The incidence of complications in the observation group was 8.11% compared with 12.16% in the control group, which was not statistically significant (P > 0.05). The first exhaust, getting out of bed, and hospital stay in the observation group were shorter than those in the control group (P < 0.05). Conclusion Multimodal analgesia combined with auricular acupuncture therapy is effective in perioperative patients with meniscus injury. It can reduce perioperative pain, reduce physical and mental stress, and promote early postoperative recovery through a variety of analgesic mechanisms.

Developing a National Trauma Research Action Plan: Results from the long-term outcomes research gap Delphi survey.

In the National Academies of Sciences, Engineering, and Medicine 2016 report on trauma care, the establishment of a National Trauma Research Action Plan to strengthen and guide future trauma research was recommended. To address this recommendation, the Department of Defense funded the Coalition for National Trauma Research to generate a comprehensive research agenda spanning the continuum of trauma and burn care. We describe the gap analysis and high-priority research questions generated from the National Trauma Research Action Plan panel on long-term outcomes. Experts in long-term outcomes were recruited to identify current gaps in long-term trauma outcomes research, generate research questions, and establish the priority for these questions using a consensus-driven, Delphi survey approach from February 2021 to August 2021. Panelists were identified using established Delphi recruitment guidelines to ensure heterogeneity and generalizability including both military and civilian representation. Panelists were encouraged to use a PICO format to generate research questions: Patient/Population, Intervention, Compare/Control, and Outcome model. On subsequent surveys, panelists were asked to prioritize each research question on a 9-point Likert scale, categorized to represent low-, medium-, and high-priority items. Consensus was defined as ≥60% of panelists agreeing on the priority category. Thirty-two subject matter experts generated 482 questions in 17 long-term outcome topic areas. By Round 3 of the Delphi, 359 questions (75%) reached consensus, of which 107 (30%) were determined to be high priority, 252 (70%) medium priority, and 0 (0%) low priority. Substance abuse and pain was the topic area with the highest number of questions. Health services (not including mental health or rehabilitation) (64%), mental health (46%), and geriatric population (43%) were the topic areas with the highest proportion of high-priority questions. This Delphi gap analysis of long-term trauma outcomes research identified 107 high-priority research questions that will help guide investigators in future long-term outcomes research. Diagnostic Tests or Criteria; Level IV.

Prevalence of depression and suicidal ideation in trauma patients in western Rajasthan

Depression is a common psychiatric disorder in trauma patients. Early detection of depression in a traumatized patients can help alleviate long-term symptoms and adverse effects associated with depression. This study aimed to determine the prevalence of depression and suicidal ideation in trauma patients after one month of injury. Hospital-based cross-sectional study was carried out among 120 individuals with a history of trauma from March 2020 to May 2020. Purposive sampling was used to recruit participants over a specified period. The Beck's Depression Inventory-II (BDI-II) was used to measure depression intensity and suicidal ideation. The statistical analysis was carried out using SPSS version 20. The study included a total of 120 participants. The prevalence of depression was 30% in study participants. In our study, 8 (44.44%) of 18 participants over the age of 60, 30 (36.59%) of 82 male participants, 9 (64.29%) of 14 separated or divorced participants, 17 (45.95%) of 37 illiterate participants, 25 (43.86%) of 57 participants from low socioeconomic backgrounds, and 23 (42.59%) of 54 participants from rural backgrounds had more depression. Twenty (46.51%) out of 43 polytrauma participants, 5 (45.45%) out of 11 participants injured due to violence, 31 (33.70%) out of 92 participants who had a history of more than 48 hrs hospitalization, and 17 (48.57%) out of 35 participants had a history of ICU admission had more depression. Twenty-one participants (58.33%) of the 36 who suffered from depression had suicidal thoughts or intentions. Suicidal ideation and depression were more common in traumatic patients. Physicians' treatment should not be limited to early physical rehabilitation. They must also prioritise early mental rehabilitation in order to avoid long-term issues with mental and physical disabilities.

Challenges faced when living with schizophrenia in the community: A narrative inquiry.

Schizophrenia is a chronic and severe mental disorder. People with schizophrenia have transferred from hospital-based care to community-based care with the support of mental health legal policies. Challenges faced in the community should be emphasized. Limited qualitative studies have explored the challenges of living with schizophrenia. To explore the challenges of people living with schizophrenia in the community. A narrative method was used, including semi-structured, face-to-face interviews. Thematic analysis approach was used to analyze data. Ten clients and their family members participated in the study. Analysis revealed three main themes related to their challenges in the community: deficits in self-management of illness; insufficient community mental health care; and the influence of policy. These challenges prevent those with schizophrenia from effectively managing their illness, returning to a productive role in society, and improving their quality of life. There are challenges in mental health rehabilitation and social reintegration of individuals with schizophrenia. There is a need for continuous community mental rehabilitation services, appropriate policy support, and the need to educate the public to reduce social bias and discrimination which allows individuals with schizophrenia to assume a productive role in the community.

Evaluasi Kinerja Program Rehabilitasi Mental terhadap Orang Dengan Gangguan Jiwa

Currently, it is estimated that there are 450 million peoples uffering from mental disorders (WHO,2016). The recurrence rate at the Jambi Provincial Mental Hospital, which is the only mental hospital in Jambi Province is 89.2%. The purpose of this research his to find out how mental rehabilitation is given at this hospital. This study use the evaluation framework of the CDC. Step 1, the stakeholders consulted were the head of the field, the head of the section, the head of the room. Step-2 there is no special model/design in report generation. Reports are based on daily visits and become monthly reports. Step-3, the report in this installation doesn’t use any special evaluation model in the development program and currently in the process of facilities and infrastructure that are still lackingare psychologists in installation and religious therapists for non-Muslims. For step-4 data collectionare from daily record, whether the patient can or cannot or less in participating in the therapy activities, there is no special team in program evaluation. Step-5, to understand the findings, the stakeholders didn’t find any problems, drawn based on the monthly results. Step-6 every stakeholders can see the report result. Mental rehabilitation activities have been going well, in the evaluation of the program evaluation, need a model that can support the program description so that it can help the program development stage. The hospital also needs to cooperate with institutions/organizations tohelp patients that just discharged from the hospital toreceive direction and prevent recurrence patients

Positive Organizational Psychology Factors as Serial Multiple Mediators of the Relationship between Organization Support and Job Satisfaction Among Peer Support Specialists.

Research has demonstrated the effectiveness of peer support specialists in helping people with severe mental illness increase community tenure, decrease hospitalization, boost treatment satisfaction, improve social functioning, and increase quality of life. The purpose of the present study was to evaluate positive organizational psychology constructs as serial multiple mediators of the relationships between perceived organizational support and job satisfaction among peer support specialists. One hundred and twenty-one peer support specialists from the Texas statewide peer certification training programs and the National Association of Peer Supporters participated in the present study. These peer support specialists completed an online survey composed of self-report measures related to perceived organizational support, positive organizational psychology factors, and job satisfaction. A serial multiple mediation (SMMA) analysis was conducted to evaluate autonomous motivation to work, work engagement, and organizational commitment as mediators of the relationship between perceived organizational support and job satisfaction. The SMMA model accounted for 49% of the variation in job satisfaction scores (R2 =. 49, f2 = 0.96 [> 0.35], a large effect size). Autonomous motivation to work, work engagement, and organizational commitment were significantly associated with job satisfaction after controlling for the effect of perceived organizational support. Perceived organizational support increased autonomous motivation to work, work engagement, organizational commitment, and job satisfaction. Peer support specialists are integral members of the interdisciplinary mental health treatment team. Leaders of community-based mental health and rehabilitation agencies who are committed to hire and retain peer support specialists must provide strong organizational support and develop interventions to increase peer support specialists' autonomous motivation to work, work engagement, and organizational commitment as a job retention and career development strategy.

AL-FAJAR BERSERI FOUNDATION PREACHING STRATEGY IN DEVELOPING THE LIFE SKILLS OF PEOPLE WITH MENTAL REHABILITATION

Research purposes: This study aims to determine the da'wah strategy applied by the Al-Fajar Berseri Foundation to people with mental rehabilitation or ODGJ (People with Mental Disorders) with the strategies applied to them so that it can also be applied to people with mental rehabilitation who are outside , or if it can be applied to other normal people. Research Methods: The method used in this research is using qualitative methods using purposive sampling data analysis techniques combined with the Miles &amp; Huberman interaction analysis model with the theory of da'wah strategy proposed by Al-Bayanuni, namely by taking some samples from a large number of representatives of the population to explore further important information regarding the strategy of da'wah and coaching and mental recovery of people with mental disabilities into other normal people. Conclusion: In the results of this study, it was found that the strategy carried out by the Al-Fajar Bereri Foundation for people with mental rehabilitation, there were at least 2 stages, 1. At this stage, the chairman of the Al-Fajar Bereri Foundation, namely Marsan Susanto, gave water ruqyah, massage and massage and traditional ingredients. 2. And in the second stage this is done by the coaches by providing educational offerings such as the Koran, learning to pray, managing daily personality, sports, singing, etc. At this stage, the Chairperson of the Al-Fajar Bereri Foundation, namely Marsan Susanto, provides ruqyah water, massage and massage and traditional ingredients. 2. And in the second stage this is done by the coaches by providing educational offerings such as the Koran, learning to pray, managing daily personality, sports, singing, etc. At this stage, the Chairperson of the Al-Fajar Bereri Foundation, namely Marsan Susanto, provides ruqyah water, massage and massage and traditional ingredients. 2. And in the second stage this is done by the coaches by providing educational offerings such as the Koran, learning to pray, managing daily personality, sports, singing, etc.

The Influence of Sports on the Mental Rehabilitation of Correctional Inmates in the Kogi State of Nigeria

The study assessed and analyzed the influence of sport on the rehabilitation of correctional inmates in the Kogi state of Nigeria. The study population comprises about 2,500 selected correctional from the state's three geopolitical zones: Kogi-west, Kogi-east, and Kogi-central. A total of five hundred (500) subjects were randomly selected from correctional inmates of the state. The instrument used for the study was a well-developed and validated questionnaire that contains forty-five (45) items. One hypothesis was formulated to direct the study using one sample employed in testing the hypothesis on the influence of participation in sports on correctional inmates' mental rehabilitation. The outcome of the study revealed that the respondents were of the opinion that participation in sports has a positive influence on the mental rehabilitation of the inmates. As a way forward, sporting activities should be made mandatory for correctional inmates. The outcome of the study revealed that the respondents were of the opinion that sports participation positively influences the inmates' mental rehabilitation. As a way forward, sporting activities should be made mandatory for correctional inmates as such would influence their mental behavior and development.

At-distance neurocognitive rehabilitation during COVID-19 pandemic: A first glance of patients’ perspectives about the process and an online platform

Despite the use of digital communication technologies in neurocognitive rehabilitation has been widely used in face-to-face interventions, the difficulties of using ICT-based tools to provide rehabilitation services and the unfamiliarity of the neuropsychologists with internet interventions limited the use of these kinds of interventions in their clinical practices. The lockdown and mitigating measures associated with the COVID-19 pandemic, on the other hand, forced the use of at-distance and online interventions as a means to mitigate the impact of those measures on the mental health and rehabilitation processes of people with neurological disorders. Overall, little is known about the perspectives of patients with acquired neurological conditions about rehabilitation services delivered at distance. Therefore, the main goal of this study was to explore the perceptions that patients with neurological disorders have on at-distance online neurocognitive rehabilitation, namely during the COVID-19 pandemic. Sixteen patients with acquired neurological conditions attending an online neurocognitive rehabilitation program in a Portuguese rehabilitation center filled in an online questionnaire during the mandatory lockdown. The results of this study highlight the potential of delivering rehabilitation services at distance, presenting its advantages and limitations from patients’ perspectives, as well as suggestions for improving both neurorehabilitation processes and the online rehabilitation platform used.

ANALISIS BUDAYA ORGANISASI PADA PANTI REHABILITASI MENTAL PRIMAGUNA DI SERPONG TANGERANG SELATAN

The research aims to analyze the organizational culture at the Primaguna Mental Rehabilitation Center in Serpong, South Tangerang. Through qualitative descriptive method, the research used 15 informants with in depth interview as a primary data collective. The result indicates all employee understand of the two organizational culture which are professional and teamwork. It provides a role to improve employee performance by carrying out a meaning-making and control mechanism to guides and shapes the attitudes and behaviour of employees to be more disciplined and skilled. In general, the emotional relationship of the employees already established well. The role of key executives is important in the process of directing and socializing for employees. To improve team orientation, superiors appoint people in the sub-teams for mutual coordination and cooperation in building a solid team. The inhibiting factors were found. The first is come from internal factor, the employees, low enthusiasm and initiative of the employees that affect the employee performance, the employee saturation caused by daily routines and no training programs were given to develop their skills. Second is the external factor of inadequate facilities and infrastructure, such as limited sport facilities, limited supply of PPE (Personal Protective Equipment), and incomplete the procurement of medical equipment.

Membangun Time Management Ibu Rumah Tangga yang Baik

Time management is one of the important skills for housewives, it is even one of the keys to success in running a business. Housewives are the first educators in the family. The education provided by parents, especially mothers, is the core and foundation of overall education before taking formal education or living in society. For this reason, a mother figure is needed who can devote her time to her family, and we will see this more often in the figure of a housewife. Being a housewife and taking care of a business will also be very complicated. However, with good time management all these things can be done. Time management is a way that we can do to balance our time for study or work activities, have fun, and rest effectively. We are given the same time by God which is 24 hours. However, there are some people who are successful in dividing their time there are some who are not successful in dividing their time. The main purpose of dividing time is to be able to do things effectively and efficiently. The problem with mothers is that they actually don't like being targeted, but they themselves are targeting themselves. Therefore it needs to be managed efficiently. Effective time management can help do important things in every working hour. In it every individual or leader can use their time well, delegate tasks, organize work, plan the time for meetings (meetings), carry out effective mental and physical rehabilitation after doing heavy work and experiencing heavy pressure. These are some of the main tasks, which can be carried out well. The location of this service is in the cassava chip business, Mrs. Imah Rosyidah, in the Pengsinan Village of Gunung Sindur, Bogor. The purpose of this service is to provide assistance to employees because most of them consist of housewives so that they can manage their time well. The results of this service can be concluded that managing time is very important and needs to be managed properly so that their activities can be organized and do their work optimally.

Clinical, psychopathological and pathopsychological features of non-psychotic mental disorders in persons who suffered from combat actions (combatants, volunteers and internally displaced persons)

Post-stress mental disorders caused by military operations in the east of Ukraine are becoming one of the most important internal barriers during adaptation to peaceful life. Due to the accumulation of new stresses associated with social maladaptation on this substrate. We conducted a comprehensive survey of 299 patients with non-psychotic mental disorders, both sexes (mean age — 30.6 ± 4.7 years). The first study group consisted of 96 servicemen of the Armed Forces of Ukraine who were directly involved in hostilities in the Joint Forces Operation zone (66 men and 30 women); group II — 98 volunteers whose activities are related to the support of the soldiers in the Joint Forces Operation zone (44 men and 54 women); group III — 105 internally displaced persons (52 men and 53 women). The clinical structure of post-stress disorders in the examined patients was presented by: posttraumatic stress disorder (F43.1); adjustment disorders (prolonged anxietydepressive reaction) (F43.21); anxiety disorders: generalized anxiety disorder (F41.1); panic disorder (F41.0). The data obtained during the study formed basis for the development of a comprehensive personalized program for the correction of non-psychotic mental disorders and rehabilitation of combat stress victims with the differentiated use of psychopharmacotherapy, psychotherapy and psychoeducation.

Breast Cancer Survivorship Programme: Follow-Up, Rehabilitation, Psychosocial Oncology Care. 1st Central-Eastern European Professional Consensus Statement on Breast Cancer.

Follow-up includes ongoing contact with and health education of the patient, surveillance and control of the adverse effects of surgery, oncological therapies or radiotherapy, screening of metachronous cancers, and comprehensive (physical, psychological and social) patient rehabilitation, which may be enhanced by a healthy lifestyle. Primary attention should be paid to early detection and, when needed, curative treatment of local/regional tumour recurrences. Similarly, with the hope of curative solution, it is important to recognize the entity of a low-mass and relatively indolent recurrence or metastasis (oligometastasis); however, there is still no need to investigate distant metastases by routine diagnostic imaging or assess tumour markers. Below there is a list of possible sources of support, with respect to adjuvant hormone therapy continued during long-term care, social support resources, pivotal points and professional opportunities for physical and mental rehabilitation. Individual solutions for specific issues (breast cancer risk/genetic mutation, pregnancy) are provided by constantly widening options. Ideally, a complex breast cancer survivorship programme is practised by a specially trained expert supported by a cooperative team of oncologists, surgeons, breast radiologists, social workers, physiotherapists, psycho-oncologists and psychiatrists. The approach of follow-up should be comprehensive and holistic.

Victims of Child Sexual Violence from a Legal Perspective

Law enforcement officers give appropriate punishments to perpetrators of sexual violence, so that the rule of law is truly enforced and order is created in society. Sanctions are intended to provide a deterrent effect for perpetrators of sexual violence so as not to repeat their behavior and prevent others from committing the crime because of the threat of severe punishment. The purpose of this study is to find: 1) children who are victims of criminal acts of sexual harassment; 2) the impact of children as victims of crimes of sexual violence; and 3) efforts to tackle crimes of sexual violence against children. The results of the study are as follows: efforts to overcome crimes of sexual violence against children are the role of parents who play an important role in protecting children from the risk of sexual violence; legal care as well as psychological rehabilitation support and psychological services for both children and their parents; and the role of the community to ensure the protection of children; also the role of the State, in the form of rehabilitation, which is an integrated process of treatment activities by restoring the child's condition. Rehabilitation in question is a process of organizing physical, mental, and social rehabilitation activities in an integrated manner so that the child can continue to carry out his social functions and skills in social life.

Sufism Reason in Islamic Education

This paper discusses Sufism reasoning in Islamic education which is based on the meaning of ihsan as the basis for character building, referring to the Al-Quran as the main source of guidance for Muslims. Sophistication of ihsan as an approach, presupposes a close relationship between the heart and psychology. Through the intellectual approach, it can develop personality, and mental health that can increase piety, laughter, sincerity, gratitude, and other good deeds. This literature study confirms that ihsan as an educational approach is not only based on rewards and punishments, but rather based everything. His activities on love and affection. Although ihsan is understood as a means of getting closer to God in the world of Sufism, but to some degree ihsan can be a practical approach in the world. Character education. Here Ihsan can become a model of Islamic psychotherapy useful for preventation, curation, and mental rehabilitation, such as stress, traumatic, psychosis, psychoneurosis, frustration, and depression with love as the main foundation. Educators must instill an understanding of love and love to students through an ihsan approach, because without it, no matter how sophisticated the educational approach is. Used unsuccessfully. Therefore, ihsan can be one of the approaches in character education that teaches learners about love and love. A perspective that sits love as a symbol of communication and interaction between each other.