Supporting Resources Research Articles

Trajectories and Prediction Factors of Depression in Elderly Cancer Survivors: Using the Korean Longitudinal Study of Ageing

Purpose: The purpose of this study was to identify the trajectories of depressive symptoms and the predictive factors that determine the trajectories among elderly cancer survivors in South Korea. Methods: This study was a secondary data analysis using the Korean Longitudinal Study of Ageing (KLoSA). The inclusion criteria were adults who were aged 65 years or older, diagnosed with cancer, and participated in the panel survey at least three times. Data were analyzed using SPSS 25.0 and STATA 16.0 for Group-Based Trajectory Model. Results: This study comprised 197 participants. Depression trajectories were derived into the three groups of ‘non-depression,’ ‘mild depression,’ and ‘depression.’ As a result of multinomial logit analysis using ‘mild depression’ as a reference group, the significant predictors that differentiated the ‘non-depression’ and ‘mild depression’ groups was whether the subject was living alone or not (p=.001). Conclusion: To prevent and manage depression among the elderly cancer survivors living alone, it is necessary to first identify the social support resources from a cancer diagnosis. In addition, a social foundation should be established to enable elderly cancer survivors to utilize the supporting resources. Further studies should be conducted considering disease-specific variables such as types of cancers, stages of cancer, and treatment methods.

The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources

The Relationship between Parenting Stress and Health Promotion Behavior of Working Women: Mediating Effect of Supporting Resources

An Exercise Training and Healthy Eating Group Program (ATHENA) for Overweight and Obese Women with Urinary Incontinence: An Intervention Description.

Background: Despite strong evidence for supervised pelvic floor muscle training (PFMT) for women with urinary incontinence (UI), and weight loss and exercise for overweight and obese women with UI, implementation literature on these combined interventions is limited. This paper aimed to describe the rigorous and systematic processes involved in the collaborative development, implementation, refinement and evaluation of a novel, holistic 12 week exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. Methods/Design: This intervention description paper is part of a larger mixed-methods feasibility study of implementing the ATHENA intervention within a physiotherapy service at a public hospital in Australia. The collaborative intervention design had input from clinicians, researchers and a consumer representative. Results: The intervention involved four evidence-based components—(1) supervised PFMT; (2) general exercise training; (3) pelvic health education; and (4) healthy eating education—delivered face to face over a 12 week period. Supporting resources developed included a Facilitator’s Guide and Participant Workbook. Conclusion: ATHENA is an evidence-based, multifaceted, group-based intervention targeting exercise training and healthy eating for management of UI for overweight and obese women. The structured development process and transparency of intervention content and resources aims to enhance practical application and success in future studies.

Age-Friendly Community Education: Fostering Health Behavior Change in a Medically Underserved Community

The University of Chicago GWEP, SHARE Network (Supporting Healthy Aging Resources and Education), is located on the South Side of Chicago, an urban medically underserved community. SHARE Network partners with a variety of community based organizations (CBOs) to support Age Friendly care through an Age Friendly Community Education Curriculum. In a one year period, 28 events were held in 13 CBO sites. Each of these events addressed the 4Ms of Age Friendly care with a specific content focus on Mentation (5 events), Mobility (5), Medications (4), and What Matters (10), and 4 events focused on multiple domains. There were 458 attendees, 290 completed surveys (63% response rate). Eighty-eight percent of participants planned to make a healthy behavior change after participation. Age Friendly Community Education can complement health system transformation to lead to health behavior change for community-dwelling older adults in medically underserved communities.

How can mobile applications support suicide prevention gatekeepers in Australian Indigenous communities?

Suicide prevention training in Aboriginal and Torres Strait Islander communities is a national health priority in Australia. This paper describes a qualitative study to increase understanding of how a mobile application (app) could be used to support suicide prevention gatekeepers in Indigenous communities. We respectfully use the term Indigenous to refer to Australian peoples of Aboriginal and/or Torres Strait Islander descent. Two participatory design workshops were held with 12 participants who were either Indigenous health workers or community members. The workshops first explored what knowledge, skills, and support suicide prevention gatekeepers in Indigenous communities may require, as well as how technology, specifically mobile apps, could be used to support these needs. Qualitative analysis identified four themes related to perceptions of who gatekeepers are, their role requirements, technology and supporting resources, as well as broader community issues. Participants thought training programs should target key, accessible, and respected people from diverse, designated, and emergent groups in Indigenous communities to act as gatekeepers, but requested an alternative, more culturally appropriate term to 'gatekeeper' (e.g., responder). Training should prepare gatekeepers for multifaceted suicide prevention roles, including the identification and management of at-risk Indigenous persons, the provision of psychoeducation and ongoing support, as well as facilitate integrated care in collaboration with community services. A combination of multiple support resources was recommended, including multi-platform options in the technology (e.g., mobile applications, social media) and physical domains (e.g., wallet cards, regular meetings). Recommended app features included culturally appropriate refresher content on suicide intervention, training recall, integrated care, how to access gatekeeper peer support, and debriefing. Broader community concerns on gatekeeper support needs were also considered.

Pelaksanaan Rencana Kerja Operasional (RKO) Program Posyandu Lansia Sehati Wilayah Kerja Puskesmas Wonorejo Samarinda

Sehati Integrated Health Service Center (Posyandu) is one of four Integrated Health Service Center (Posyandu) for the Elderly at the Wonorejo Health Center. During this time, the Integrated Health Service Center (Posyandu) for the Elderly has not been maximized because of inadequate human resources. This study aims to describe the implementation of the operational work plan in Sehati Integrated Health Service Center for Elderly programs in Wonorejo Health Center works area. The type of research was qualitative with a phenomenological approach. The research informants were the chief of the Health Center, senior program person in charge and cadres. Observation, interviews, and documentation are used to collect the data. The techniques to analyze data were data collection, reduction, data presentation, and verification. The results showed that there was no background for the role of the PKK due to the lack of human resources however the person in charge was right and supporting resources namely equipment for the Integrated Health Service Center for Elderly activities were available. There had been no role of the PKK due to lack of human resources, cadres were still less active and there were still elderly people who didn’t come to the Integrated Health Service Center due to lack of motivation from the elderly family are the Conclusion of this research. The person in charge of the implementation of the Integrated Health Service Center for the elderly was appropriate namely the chief of RT and the leader of the Integrated Health Service Center for the elderly cadres. Supporting resources such as the equipment for the activities of the Integrated Health Service Center for the elderly programs are already available at the moment.
 Keywords: posyandu; elderly; cadres
 
 ABSTRAK
 
 Puskesmas Wonorejo memiliki 4 Posyandu Lansia, salah satunya adalah Posyandu Sehati. Pelaksanaan Posyandu lansia belum maksimal karena SDM kurang memadai. Penelitian ini bertujuan untuk menggambarkan pelaksanaan rencana kerja operasional program posyandu lansia sehati wilayah kerja Puskesmas Wonorejo Samarinda. Jenis penelitian adalah kualitatif dengan pendekatan fenomenologi. Informan penelitian adalah kepala puskesmas, pemegang program lansia dan kader. Teknik pengumpulan data melalui observasi, wawancara dan dokumentasi. Teknik analisis data yaitu pengumpulan data, reduksi, penyajian data dan verfikasi. Hasil penelitian yaitu latar belakang belum ada peran dari PKK dikarenakan kurangnya SDM, penanggung jawab sudah tepat dan sumber daya pendukung yaitu peralatan untuk kegiatan posyandu lansia sudah tersedia. Kesimpulan belum ada peran dari PKK dikarenakan kurangnya SDM, kader masih kurang aktif dan masih ada lansia yang tidak datang ke posyandu karena kurangnya motivasi dari keluarga lansia tersebut. Penanggung jawab pelaksanaan posyandu lansia sudah tepat yaitu ketua RT dan ketua kader posyandu lansia. Sumber daya pendukung, yaitu peralatan kegiatan program posyandu lansia sehati sudah tersedia.
 Kata kunci: posyandu; lansia; kader

FORMULASI GULA AREN DAN JAHE PADA PERMEN LEATHER MENGKUDU SEBAGAI PANGAN FUNGSIONAL

Functional food is a nutrient that is needed by the body, besides the basic components contained in food. Supporting local resources such as spices, tuber crops, vegetables, fruit and so on. Noni is one of the potentials of local plants that are classified in functional food. Noni fruit is rarely liked because of the pungent aroma. With a touch of food engineering technology, the noni fruit can be used as a processed product in the form of snacks that contain nutrients for the body. This supports the research in making noni fruit products into leather candy that can be liked by the public. Noni leather candy formulation with the addition of palm sugar and ginger in a sequence of 25%, 35% and 10%, 20%, 35%. Stages of research using organoleptic (hedonic) tests on the taste, color, aroma, and texture of noni leather candy, using the two-way ANOVA Complete Randomized Design (RAL) method and continued with the Duncan's Method Range Test (DMRT). Panelists included 40 semi-trained, 60 nontrained. The resulting average in color is 3.82; taste 4,6; aroma of 3.58; texture 3.82. Based on these results, the dominant formulation preferred by panelists is A2J3 (35% palm sugar; 30% ginger) followed by laboratory testing which includes water content using a gravimetry /oven method, the result is 20.82%, ash content using a gravimetry method /furnace the result 3.99%, protein content using the Kjeldahl method /tool with a yield of 4.54%, fat content using the Soxhlet method with a yield of 0.07%, carbohydrate content using the method /tool by difference with a yield of 70.58%, antioxidant activity using DPPH produces 38.35Meg / 100gr and vitamin C content using the LOD titration method resulted in 225.7%.

Adherence to the EAU guideline recommendations for systemic chemotherapy in penile cancer: results of the E-PROPS study group survey.

To validate the adherence of urologists to chemotherapy recommendations given in the EAU guidelines on PeCa. The European Association of Urology (EAU) guidelines on penile cancer (PeCa) are predominantly based on retrospective studies with low level of evidence. A 14-item-survey addressing general issues of PeCa treatment was developed and sent to 45 European hospitals. 557 urologists participated in the survey of which 43.5%, 19.3%, and 37.2% were in-training, certified, and in leading positions, respectively. Median response rate among participating departments was 85.7% (IQR 75-94%). Three of 14 questions addressed clinical decisions on neoadjuvant, adjuvant, and palliative chemotherapy. Survey results were analyzed by bootstrap-adjusted multivariate logistic-regression-analysis to identify predictors for chemotherapy recommendations consistent with the guidelines. Neoadjuvant, adjuvant, and palliative chemotherapy was recommended according to EAU guidelines in 21%, 26%, and 48%, respectively. For neoadjuvant chemotherapy, urologists holding leading positions or performing chemotherapy were more likely to recommend guideline-consistent treatment (OR 1.85 and 1.92 with p(bootstrap) = 0.007 and 0.003, respectively). Supporting resources (i.e., guidelines, textbooks) were used by 23% of survey participants and significantly improved consistency between treatment recommendations and Guideline recommendations in all chemotherapy settings (p(bootstrap) = 0.010-0.001). Department size and university center status were no significant predictors for all three endpoints. In this study, we found a very low rate of adherence to the EAU guidelines on systemic treatment for PeCa. Further investigations are needed to clarify whether this missing adherence is a consequence of limited individual knowledge level or of the low grade of guideline recommendations.

Portfolio Renewal: The Impact of Organization Design and Supporting Resources on New Product Sales

In many industries firms’ on-going livelihoods are determined by the renewal of their product portfolios through the continuous introduction of new products. However, our understanding of what shapes a firm’s ability to continually renew its product portfolio appears to be somewhat limited. In this paper, I examine the process of on-going product portfolio renewal through evaluating how firms’ organization designs and level of supporting resources can shape the proportion of a firms’ product sales that come from new products. Through examining the trade-offs associated with greater organizational decentralization, I argue that greater decentralization is associated with more effective commercialization of firms’ new products as the benefits associated with the ability to use high-powered incentives more effectively and increased market-specific knowledge outweigh the costs of reduced intra-organizational knowledge flows and reduced functional expertise. However, this relationship is moderated by firms’ investments in supporting resources that facilitate the commercialization of inventions such that at higher levels of investment the advantages of decentralization are reduced. This is because business units will tend to over-inflate the opportunities associated with their suite of products to garner more resources resulting in less effective resource allocation across products potentially starving new products of vital supporting resources. I find support for my arguments in the context of the pharmaceutical industry between 1995 and 2015 using a hand-collected data set supplemented by 61 interviews with 28 leading pharmaceutical companies.

Assessment of Processes and Resources for Knowledge of Skills of a Chemistry Laboratory at the Senior High School of Ternate Island

This article discusses the influence of learning support processes and resources in the knowledge of ChemicalLaboratory skills of high school students in Ternate Island. The learning process of chemistry in high schoolespecially on laboratory, related to time/schedule allocation, practical purpose and achievement indicator in skill areabecome the focus of discussion on this aspect. While the supporting resources of learning, more emphasized onaspects of facilities and infrastructure such as the availability of educators, laboratory buildings, tools and chemicalsthat are based on the value of accreditation Senior High School in Ternate Island. in this study using 3 methods ofcollecting data such as survey techniques in schools, interview with teachers in schools and tests students' lab skills.The results showed that the knowledge of high school students' lab skills on Ternate Island is getting higher inschools with better accreditation. Skill Knowledge of High School Students in Ternate Island is still in the lowcategory on the glass organizing aspect at the laboratory.

Integrated Approach for Supporting Sustainable Water Resources Management of Irrigation Based on the WEFN Framework

Irrigated agriculture plays a vital role for the socio-economic development of the Mediterranean area, although it has significant impacts on both water and energy resources. Therefore, in a context in which water resources are also experiencing increasing pressures, there is an urgent need for supporting their sustainable management. This may be an extremely challenging task, especially at the local scale, due to the several interconnected dynamics affecting the state of a complex irrigation system. In fact, multiple actors are involved in decision-making processes, and the use of natural resources (and their mutual interactions) strongly depends on their behaviors, which affect the system as a whole. In this context, the present study proposes an integrated methodology, based on the Water Energy Food Nexus (WEFN), specifically focused on the sustainable management of water resources for irrigation. Firstly, a model based on Causal Loop Diagrams (CLD) is developed in order to get a deep insight into the key dynamics behind a complex irrigation system. Secondly, three indices based on the “footprint” concept are identified, in order to synthesize such dynamics. The integration of these two approaches support investigating the whole system and, particularly, understanding the influence of multiple decisional actors on it, as well as the role of a set of key drivers and constraints. This might also allow drawing some relevant conclusions, useful for supporting effective decisions oriented to a sustainable water resources management. Specific reference is made to a case study, the Capitanata irrigation system, located in the Southern Italy.

Tahfidz Alquran Learning Model in Pesantren: an Example from West Java, Indonesia

This article focuses on the discussion of effective and efficient tahfidz Al-Qur'an learning that has been developed by Podok Tahfidz Hikamus Salafiyyah Cirebon and the pesantren Al-Khoeriyyah-Sukabumi) which has demonstrated its success in giving birth to Quranic hafidul and mufassir, who are ready to compete in various musabaqoh events. local to the international level. The object is to look for models of tahfidz al-Quran distribution that are applied in these two pesantren. Through a study of qualitative descriptive methods with instruments that collect data in the form of observation, documentation study and interview writing, this shows that the implementation of tahfidz Alquran learning in Al-Khairiyyah and pesantren MQHS when viewed from the learning elements has been well established, starting from planning, implementation, and evaluation. ; The interaction pattern built by the pesantren community in creating an academic culture is the existence of a peer tutor program, maximum supervision, and service, building a constructive environment; Appreciation of pesantren for students who excel in the form of full scholarships (living and school fees), given jobs and mated and financed by pesantren; Supporting resources that greatly influence the success of pesantren are highly qualified human resources (all hafidz who have already achieved), adequate funding so that all santri are free.

Addressing Childhood Trauma in School Settings: A Framework for Evidence-Based Practice

Supporting evidence and intervention resources for addressing childhood trauma are growing, with schools indicated as a potentially critical system for service delivery. Multiple points for prevention and intervention efforts in schools are possible, but in this manuscript, we review evidence on trauma-specific interventions targeted to students exhibiting negative symptoms. Trauma-specific interventions with evidence and utility for school-based delivery are highlighted, along with key considerations in selection. In addition, we discuss the potential to maximize the impact of trauma-specific interventions for individual students when delivered as part of a school-wide trauma-informed approach that incorporates system-level prevention and intervention strategies. Future directions for research on trauma-specific interventions and trauma-informed approaches in school settings are discussed.

STRATEGI DAYA SAING WISATA KOTA TUA JAKARTA

The Old City of Jakarta as a major tourist destination, is at the “Competitive Parity” level In the “tourism destination competitiveness” criteria. That position has not been posted in the “Sustained Competitive Advantage” as the highest level. Hence, in order to improve the competitiveness level, the effective and efficient strategy should be formulated and implemented. To formulate the strategy, this research analyse the five components of tourism destination competitiveness by the SWOT analysis model. The five components are Core Resources and Attractors; Supporting Factors and Resources; Destination Management; Destination Policy, Planning and Development and Qualifying and Amplifying Determinants. The SWOT Analysis also includes the SWOT Matrix and Quadran as the reference for formulating the strategy. The result shows that progressive strategy could be formulated and implemented to enhance the competitiveness of the Jakarta Old City.

An Integrated Approach of System Dynamics, Orthogonal Experimental Design and Inexact Optimization for Supporting Water Resources Management under Uncertainty

An integrated approach of system dynamics (SD), orthogonal experimental design (OED) and inexact optimization modeling was proposed for water resources management under uncertainty. The developed method adopted a combination of SD and OED to identify key scenarios within multiple factors, through which interval solutions for water demands could be obtained as input data for consequential optimization modeling. Also, optimal schemes could be obtained in the combination of inexact two-stage stochastic programming and credibility constrained programming. The developed method was applied to a real-world case study for supporting allocation of multiple-source water resources to multiple users in Dalian city within a multi-year context. The results indicated that a lower credibility-satisfaction level would generate higher allocation efficiency, a higher system benefit and a lower system violation risk. The developed model could successfully reflect and address the variety of uncertainties through provision of credibility levels, which corresponds to the decision makers’ preference regarding the tradeoffs between system benefits and violation risks.

Modeling Water Trading under Uncertainty for Supporting Water Resources Management in an Arid Region

AbstractIn this study, a joint-probabilistic interval multistage programming (JIMP) method is developed for planning water resources management under uncertainty. The JIMP method can tackle uncertainties presented in terms of interval parameters in objective function and constraints, in addition to random variables in the left and right-hand sides of constraints. It can also reflect the dynamics in terms of decisions for water resources allocation through transactions at discrete points of a complete scenario set over a multistage context. Moreover, the JIMP method can be used for analyzing various policy scenarios that are associated with different levels of economic consequences when the promised water-allocation targets are violated. The JIMP method is applied to a real case of planning water trading for supporting the regional sustainable development of the Kaidu-Qongque River basin, which is one of the most arid regions of China. Monte Carlo simulation is introduced into the JIMP framework for evalua...

Computing Cloud as the Tool Supporting Human Resources Management in Transnational Transport Corporation

In this article authors focused on problems, which transnational corporations come across in the area of resource management human, in particular in managing the development of employees and pointed, in what way application of cloud computing lets them reduce these problems and make the whole process more transparent. First two sections presented theoretical dissertations about problems of human resources management in transnational corporations and the application of cloud computing as the tool for increasing the flexibility and better employers management. A next part of the text is an analysis made on the basis of observation and documentation of causes and effectiveness of application of the cloud as a toll supportinghuman resources management in the international corporation.

Integrated Geographic Information System and Global Positioning System for Mapping of Forest Plants in Supporting Natural Resources Protection

Tangkahan region is managed with conservation approach to sustain the utilization of natural resources for the present and future. This study aims to identify the forest plant species in Tangkahan and mapping the existence of these species using Geographic Information System (GIS). Survey method was used to identify the species of forest plant in Tangkahan. To make the tracks Global Positioning System (GPS) were used. Based on exploration in this area, there found five tracks, namely: Rafflesia Garden Track, 60hours Track, Youth Track, Family Track, and Adventure Track. Based on the tracks, there were 5 species in Rafflesia Garden Track, 18 species in 60hours Track, 12 species in Youth Track, 9 species in Family Track, and 11 species in Adventure Track. The species were mapped based on their respective tracks. These species need to be nurtured and protected because there were species that was found as medicinal plants, rare and protected species. By knowing the species of forest plant that exists in Tangkahan area, it is expected to support the conservation of natural resources.

An introduction to the chemistry of the sea

Fully updated and expanded, this new edition provides students with an accessible introduction to marine chemistry. It highlights geochemical interactions between the ocean, solid earth, atmosphere and climate, enabling students to appreciate the interconnectedness of Earth's processes and systems and elucidates the huge variations in the oceans' chemical environment, from surface waters to deep water. Written in a clear, engaging way, the book provides students in oceanography, marine chemistry and biogeochemistry with the fundamental tools they need for a strong understanding of ocean chemistry. Appendices present information on seawater properties, key equations and constants for calculating oceanographic processes. New to this edition are end-of-chapter problems for students to put theory into practice, summaries to allow easy review of material and a comprehensive glossary. Supporting online resources include solutions to problems and figures from the book.

Opportunities from Remote Sensing for Supporting Water Resources Management in Village/Valley Scale Catchments in the Upper Indus Basin

Now and in the future, the flows of the Upper Indus Basin (UIB) are and will be depended upon by hundreds of millions of people for their food security and economic livelihoods. Communities in the headwater reaches of the UIB—which contribute the bulk of runoff for the basin—are equally deserving of improved living conditions, but often lag behind downstream communities in benefitting from infrastructure. Harsh and highly variable climatic conditions pose specific challenges for local agricultural activities in the headwater reaches. Improved scientific understanding of tributary basin scale hydrology should support local development work as well as improvements to large scale infrastructure and water resource management. This study focuses on the challenge of providing meaningful quantitative information at the village/valley scale in the upper reaches of the UIB. The typology of the UIB hydrological regimes—as observed in large gauged basins—are examined, with special emphasis on annual cycles and interannual variability. Variations in river flows (as relative anomalies of discharge rates or runoff) are compared to observations of climate parameters (2 m air temperature, precipitation) from both local (point-based) observations and analogous parameters from remote sensing data products from the MODIS instrument. Although the temporal overlap is limited between river gauging data available to this study and the MODIS observational record, numerical analysis of relationships between relative anomalies in the spatial data and river gauging observations demonstrate promising potential of the former to serve as quantitative indicators of runoff anomalies. In order to translate these relationships to the scale of ungauged village/valley catchments, the available remotely sensed spatial data—snow covered area (SCA), land surface temperature derived (LST)—are assessed as analogues for meteorological point observations. The correlations between local (point-based) observations and remotely-sensed spatial data products are tested across a wide range of spatial aggregations. These spatial units range from the primary contributing area (nearly 200,000 km2) of the UIB at its downstream gauging station Besham to a small valley serving a minor settlement (10 km2). The shape and timing of annual cycles in SCA and LST are consistent across the range of spatial scales although the magnitudes of both intra-annual and interannual variability differ with both spatial scale and hydrological regime. The interannual variability exhibited by these spatial data products is then considered in terms of its potential implications for the smaller hydrological units. Opportunities for improvement and extension of this methodology are also discussed.