Urgent Assistance Research Articles

Artificial Intelligence-Based Telemedicine for Mass Gathering Medicine in Arbaeen Health

: Mass-gathering medicine refers to medical services provided to large crowds, where technology can help reduce the burden on medical staff. Artificial intelligence (AI), as a recent technological advancement, offers intelligent assistive systems in these environments. In this paper, we propose both telemedical and AI-based medical services for mass-gathering medicine at the Arbaeen pilgrimage, aiming to facilitate remote health services and monitoring. For the telemedical component, we suggest establishing online medical clinics where surgeons, doctors, nurses, and paramedics, who have registered in the system in advance, provide remote services at designated times. These professionals consult with patients by reviewing their conditions through a short questionnaire, brief text, voice, or video message. Based on the initial assessment, they can either provide medical advice or refer patients to an in-person medical team for urgent assistance. In the AI-based service component, patient data—such as images or sounds—is processed by AI algorithms, with results communicated to the patient. As a specific application, we propose an AI-based heat stroke prediction system for the Arbaeen pilgrimage. Additionally, this medical platform can be utilized in other public events or emergency situations, such as natural disasters, to deliver remote healthcare services effectively. The results demonstrate the advantages of this approach, highlighting its potential to improve healthcare delivery in mass gatherings.

Unmasking the human rights needs of internally displaced persons: a case study of selected states in Nigeria

PurposeThe purpose of this study was to explore the perceptions of internally displaced persons regarding their experiences with various human rights prescripts. This study also sought to contribute to the literature on the living conditions of internally displaced persons and narrow the gap in internal displacement studies, particularly in sub-Saharan Africa.Design/methodology/approachA case study approach and quantitative research paradigm were adopted in the study. A questionnaire was used to collect data from 584 participants in Niger State, Edo State and Kaduna State in Nigeria.FindingsThe findings reveal that most of the internally displaced persons were youth, unemployed and had a strong motivation to meet their physiological needs. The empirical evidence in this study leads to the conclusion that the daily struggle of the participants to meet their survival needs overshadows every other human rights consideration among them.Research limitations/implicationsVarious practical and theoretical implications are inferred from this study including the imperative to urgently address the causes of internal displacement and provide urgent assistance to internally displaced persons.Originality/valueBesides the novel conceptual insights and empirical data, this study makes unique contributions to literature on internally displaced persons and human rights theory.

Triple-console robotic telesurgery: first impressions and future impact.

Telesurgery has been recently gaining momentum as a natural evolution of robotic surgery. Besides providing expert surgical care to patients who cannot geographically access it, telesurgery can also facilitate surgical collaboration between surgeons who might need urgent assistance or coaching experts. The idea of having two consoles, with one remote and one local, has been the ideal setup for such ecosystems. However collaborations can take on many forms and might require more than one remote surgeon, depending on procedure complexity and surgeon availability. The objective of the study was to describe our perspectives and experience performing telesurgery on one patient, using three surgeon consoles for three surgeons, operating from three separate cities. In November 2023, a triple-console, robot-assisted radical prostatectomy (RARP) was performed in a collaborative effort among three surgeons in three separate locations employing telesurgery using the Kangduo Endosopic Surgical Robot (KD-SR-01, Sagebot Medical). The furthest distance between participants was approximately 2600km between Beijing and Hainan. We described and illustrated the applications and outcomes of this procedure to treat a single patient with prostate cancer. The local surgeon, along with the operating room team, and the patient were in Hainan, while the other two surgeons were in Beijing and Hunan Telesurgery command centers. The procedure lasted approximately 120min and there were no intra- or postoperative complications. Estimated blood loss was 100ml. The patient was ambulating 4h after surgery and remained in the hospital for 2days secondary to the postoperative care protocol followed by the local team taking care of the patient. The Foley catheter was removed on postoperative day 7 without complication. The final pathology was ISUP Grade Group 4 (Gleason score 4 + 4 = 8) T2cN0 with negative surgical margins. Our experience shows that telesurgery involving multiple surgeons at multiple remote locations is possible and can be completed safely with low-latency connections via available telecommunication networks.

A MOBILE-BASED LOCALIZATION SYSTEM FOR INFRASTRUCTURE-INDEPENDENT EMERGENCY COMMUNICATION

After natural or human-made disasters, determining the locations of individuals needing urgent assistance is critical and time-sensitive. This paper introduces a novel ad-hoc infrastructure-less communication system for emergency scenarios, relying solely on basic mobile device capabilities. The proposed approach estimates mobile device coordination using multilateration, incorporating path loss theory to transform receiving signal strength into distance. A least square optimization algorithm is also applied to enhance localization accuracy. The system facilitates coordination and communication among citizens and first responders by strategically positioning a few emergency mobile devices as temporary base stations. Mobile devices search for neighboring base stations and transform into temporary base stations upon finding at least four. Those temporary base stations assist farther mobile devices in localization, creating a cascading effect until no more mobile devices are discovered. Simulation demonstrates robustness with a 97% discovery rate, maintaining accuracy even in environmental noise. While promising, real-world validation is essential to assess performance under diverse conditions and practical feasibility.

A MOBILE-BASED LOCALIZATION SYSTEM FOR INFRASTRUCTURE-INDEPENDENT EMERGENCY COMMUNICATION

After natural or human-made disasters, determining the locations of individuals needing urgent assistance is critical and time-sensitive. This paper introduces a novel ad-hoc infrastructure-less communication system for emergency scenarios, relying solely on basic mobile device capabilities. The proposed approach estimates mobile device coordination using multilateration, incorporating path loss theory to transform receiving signal strength into distance. A least square optimization algorithm is also applied to enhance localization accuracy. The system facilitates coordination and communication among citizens and first responders by strategically positioning a few emergency mobile devices as temporary base stations. Mobile devices search for neighboring base stations and transform into temporary base stations upon finding at least four. Those temporary base stations assist farther mobile devices in localization, creating a cascading effect until no more mobile devices are discovered. Simulation demonstrates robustness with a 97% discovery rate, maintaining accuracy even in environmental noise. While promising, real-world validation is essential to assess performance under diverse conditions and practical feasibility.

Natural Polysaccharide-Based Hydrogels Used for Dye Removal.

Removal of contaminants from discharge water is vital and demands urgent assistance with the goal to keep clean water. Adsorption is one of the most common, efficient, and low-priced methods used in water treatment. Various polysaccharide-based gels have been used as efficient dye adsorbents from wastewater. This review summarizes cutting-edge research of the last decade of different hydrogels based on natural polysaccharides (chitin, chitosan, cellulose, starch, pullulan, and dextran) concerning their dye adsorption efficiency. Beyond their natural abundance, attributes of polysaccharides such as biocompatibility, biodegradability, and low cost make them not only efficient, but also environmentally sustainable candidates for water purification. The synthesis and dye removal performance together with the effect of diverse factors on gels retaining ability, kinetic, and isotherm models encountered in adsorption studies, are introduced. Thermodynamic parameters, sorbent recycling capacity along with conclusions and future prospects are also presented.

The Role of Yemeni Translators in Promoting the Humanitarian Action in Yemen During the Civil War

Seven years have passed since the forgotten war in Yemen, as Western media called it. During these years, the Yemeni translator played a prominent role in promoting humanitarian work by accompanying international aid and medical staff their interventions and responses in an internally displaced person (IDP)camps, field hospitals, shelters, and food and drug distribution centres. This study aimed to examine the roles played by the Yemeni translators in promoting human actions and meet community needs. An interview was conducted with 10 Yemeni translators working in the field of relief and humanitarian actions in Yemen. The United Nations has classified Yemen as one of the worst humanitarian disasters in the world. Therefore, to meet the needs of society and the huge number of internally displaced people because of the ongoing conflict. Several international organizations provided urgent assistance to affected families and IDP camps, which required bilingual translators and assistants to provide field support, monitor the needs of indigenous people. The study found that Yemeni translators have played a key role in promoting humanitarian work, despite the difficulties and risks facing their works in the field. Therefore, this study recommended training the local translators by provide an adequate and up to date training for local translators who are working in the field of translation to reach effective and professional results.

Ensuring operational resilience in Japan: The rise of new regulations and their implications

In 2022, regulators around the world began to take steps to instil greater operational resilience throughout the financial services sector to deal with unforeseen systemic risks. Regulations vary from region to region, but they all mandate an integrated risk management approach that combines multiple aspects of operational risk into a single framework, identifies crucial business services and identifies how to respond in the face of a system failure with enterprise-wide agreement. Financial institutions need urgent and significant assistance in transforming their risk capabilities, as many regulators are calling for enhanced processes and systems by 2025. Many financial institutions are realising that a higher level of collaboration is needed across the enterprise to meet regulatory requirements. Financial institutions need to improve both enterprise-level visibility into risk and compliance activities and enterprise-level crisis response capabilities. This paper analyses the latest developments and provides implications through its primary research in the Japanese market.

Abstract HUP18: Clinical Characteristic of a Haitian Stroke Cohort and a Scoping Review of the Literature of Stroke Among the Haitian Population

Background: There are significant disparities in stroke care and outcomes between low- and middle-income country like Haiti, which suffers from a lack of resources for acute stroke management. This study is the first to report the epidemiological profile of the Haitian population at the largest academic hospital in the nation. Methods: This is an observational study conducted over a period of 5 months from April 2021 to August 2021 in the Internal Medicine Department of the State University Hospital of Haiti. There were 51 included patients who were suspected to have had an acute stroke. A descriptive statistical analysis was conducted. A scoping review of the literature was also conducted. Results: Over 50% of included patients were between 19 and 65 years old. The mean age at presentation was 61 years, patients were predominantly female (64.7%). The prevalence of severe motor deficits was over 96%. The mean National Institutes of Health Stroke Scale was 12. Only 15.7% of patients (8/51) had a computed tomography (CT) scan during their hospitalization. The median time to CT scan was 84 h after symptom onset. About 80% of those with complications took more than 24 h to arrive at the hospital after the onset of symptoms. Eleven percent of patients had complications, and the mortality rate was 3.9%. There was a significant association between the Modified Rankin Scale and the occurrence of complications (p = 0.016). National Institutes of Health Stroke Scale (NIHSS) score had a significant association with the Glasgow score (F = 6.3; p < 0.001) where an inversely proportional correlation was observed between them (r = –0.7; p < 0.001) and a proportional correlation with the Rankin prediction score and the NIHSS (r = 0.3, p = 0.04). Little is known about the epidemiology of stroke patients in Haiti, and this limits the ability to develop targeted interventions to improve outcomes. In our scoping review, only three pertinent studies were identified over a 25-year period, this leads to a lack of data in regard to stroke care in Haiti mainly due to the absence of trained personnel. Conclusion: Urgent assistance is needed to strengthen personnel and infrastructure dedicated to stroke. Neurological assessment based on NIHSS and Rankin score should be systematic in stroke evaluation in Haiti.

Parenting and family life experiences of mothers diagnosed with schizophrenia within Chinese cultural context.

WHAT IS KNOWN ON THE SUBJECT?: Parenting experiences are a great challenge but also a meaningful achievement for mothers diagnosed with schizophrenia (MDWSs). Most previous studies focused on the parenting experiences of Chinese mothers diagnosed with depression rather than those diagnosed with schizophrenia, who usually experience psychiatric symptoms. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Unlike in Western society, Chinese society is characterised by a family-centred culture. This study insightfully explores MDWSs' parenting and family life experiences addressing their intrapersonal mindsets, interpersonal connections with family members across generations and extrapersonal roles such as traditional social expectations as a mother, wife and daughter-in-law. While Western studies have mainly focused on MDWSs' personal resilience, this study insightfully explored MDWSs' resilient dimensions including their personal, familial and cultural issues within the Chinese society. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This study develops a comprehensive and professional understanding of the parenting experiences and family interactions of MDWSs who struggle to achieve their motherly role and re-establish connections with intimate family members. The findings highlight the following important considerations when offering family-based nursing cares: (1) assess power relationships, familial dynamics and cultural influences between MDWSs and their family members; (2) extend family members' involvement, such as parents-in-law, while offering psychoeducation to MDWSs and their family members. ABSTRACT: Introduction In Chinese culture, raising the next generation is recognised as a crucial family matter involving intergenerational participation. Mothers diagnosed with schizophrenia (MDWSs) usually experience high stress due to psychiatric symptoms, different parenting values across generations and traditional expectations associated with motherly roles. MDWSs need urgent professional assistance. Aim To explore MDWSs' parenting experiences and family life in Chinese cultural contexts. Method In-depth interviews were conducted with 20 MDWSs. Data were analysed using interpretative phenomenological analyses. Results The superordinate theme was identified as 'You are not a qualified mother'. Three major themes were elicited: experiencing crises in parenting, family life and self-stability; striving to be a good mother and wife under humiliation; and developing wisdom and courage to move forward. Discussion A dehumanised attitude of family members in a paternalistic culture was found. While Western society focuses on personal resilience and family-based nursing care for nuclear families, Chinese society intensively focuses on MDWSs' relationship with nuclear family members as well as extended family members such as parents-in-law. Implications for Practice The results highlighted the significance of culturally sensitive nursing care for MDWSs and family-centred psychoeducation that clarifies familial dynamics and improves effective communication between MDWSs and their family members.

Організація Об’єднаних Націй – як суб’єкт захисту прав і свобод внутрішньо переміщених осіб.

The article defines the concepts of internally displaced persons (hereinafter referred to as IDPs) and refugees. The role of the United Nations (hereinafter referred to as the UN) in protecting the rights and freedoms of internally displaced persons has been studied, and the structure and general directions of its protective activities have been characterized. It is noted that the United Nations is making quite a big effort to deal with the consequences of the pandemic, through a three-pronged response and preparedness strategy, which focuses on certain main clustered areas, which are described in more detail in the article. The main aspects of the activities of the United Nations in the context of military aggression by the Russian Federation (hereinafter referred to as the RF) to Ukraine are described. An analysis of statistical data on the number of internally displaced persons and the application of international and domestic legislation on ensuring the rights and freedoms of internally displaced persons was also carried out. It has been established that the military aggression of the Russian Federation in Ukraine forced millions of people to leave their homes and change their legal status, especially outside of Ukraine. It is indicated that the United Nations will intensify the provision of life-saving assistance of political, economic and social content to those who need it, providing food, water, shelters and medical assistance to the most vulnerable categories of internally displaced persons, including women, children and the elderly (in particular, the city of Lviv also houses the office of the United Nations and mobile assistance points). It is indicated that about 200,000 displaced persons placed in the Lviv region received legal, psychosocial, monetary assistance and basic necessities, as well as urgent housing assistance. It has been proven that humanitarian and other needs continue to grow against the background of the destruction of the population, the long-term destruction of Ukraine's infrastructure. The focus is on the fact that all internally displaced persons have the right to a standard of social security. At a minimum, regardless of the circumstances and without discrimination, competent authorities provide internally displaced persons and ensure safe access to the basic components of a fulfilling life.

Застосування БПЛА для медичної евакуації пацієнтів

The subject of the research in this article is advanced methods and means of emergency evacuation of the injured from the scene to a medical facility, requiring urgent assistance from professionals. In comparison with the traditional method of patient transport by helicopter, particular attention is given to unmanned aerial vehicles (UAVs), which boast an impressive list of advantages and are specially adapted for such functions. Their technical capabilities and effectiveness in transporting the injured to a medical facility are thoroughly examined, making them an attractive alternative in situations requiring urgent medical assistance. The current dynamic development of technology provides the opportunity for significant expansion of the use of drones in the field of medical aviation transportation, becoming the most relevant direction in medical monitoring. The research aims to justify the broader use of drones in the healthcare system, including monitoring diseases, rescue operations, patient transport, medical equipment, medications, and other equipment. The possibilities of providing quick and effective medical assistance in difficult-to-reach places or emergencies are discussed, where drones can ensure rapid and safe transportation. The objectives of this study include determining the role and advantages of drones in medical evacuation, the structural features of drones in terms of their application in aviation transport for medical purposes, and revealing the potential of unmanned aerial vehicles in ensuring safety and optimizing costs. The scientific and practical novelty of the obtained results lies in the comprehensive advantages of drones in the context of medical evacuation and their technical data and capabilities, with particular attention to the selection of optimal power plant options, which are crucial for providing the necessary power and flight range, especially in medical transport missions. This allows for improving the functionality of drones, enhancing safety, and cost savings in performing medical aviation transportation.

Adult mortality patterns in Yemen before and during armed conflict: evidence from a web survey of the global diaspora

BackgroundThe ongoing war in Yemen has created a severe and protracted crisis that has left nearly three-quarters of the population in need of urgent humanitarian assistance. Despite eight years of conflict there exist few robust estimates of how the conflict (and the conflict combined with the COVID-19 pandemic) have affected mortality in Yemen. As the security situation has limited access to affected populations we have designed a novel alternative to local mortality surveys.MethodsWe used a web-based, respondent-driven sampling method to disseminate a mortality survey amongst the global Yemeni diaspora. We used Cox proportional hazards survival models to estimate the association between the exposure (i.e. between the pre-conflict, conflict, and conflict/pandemic periods) and mortality risk, adjusted for gender and birth cohort.ResultsEighty-nine eligible respondents completed the survey. Respondents provided data on the status of 1704 individuals of whom 85 (5%) had died; of these 65 (3.8%) were reported to have died in Yemen. An analysis of survivorship of respondents’ parents after their 50th birthday (adjusted for gender and birth cohort) provided weak evidence that the war and pandemic periods were associated with higher mortality when compared to the pre-war period. Analysis of the subset of individuals who died in Yemen also suggested an increased, but non-significant hazard of dying during the war/pandemic period: this association tended towards significance when allowing for varying degrees of out-migration from Yemen across the cohort. The number of deaths amongst respondents’ siblings and children under five in Yemen were too low to allow meaningful analysis.ConclusionsOur data suggest increased mortality during the war/pandemic period, compared to the pre-war period, among older Yemeni adults. However, our findings require careful interpretation as our study design cannot establish causation, and as our small and non-representative sample appeared skewed towards higher-income, urban communities. Surveys of diaspora populations offer a promising means of describing mortality patterns in crisis-affected populations; though, large numbers of respondents are likely required to achieve accurate mortality estimates and to adjust for selection bias.

Achieving Our Moemoeā: Community-Led Food Security Strategy Development.

The Manawatū Food Action Network (MFAN) is a collective of social service and environmental organizations and community stakeholders that work together to promote collaboration, education and awareness of issues surrounding food security, food resilience, and localization in the local community. In 2021, the 4412 neighborhood was identified as requiring urgent assistance, with approximately one third of residents experiencing food insecurity. The 4412 Kai Resilience Strategy was developed with the community to move from food insecurity to food resilience and sovereignty. Recognizing that food security is complex and based on multiple causes, six interwoven workstreams were identified to create a multifaceted, coordinated strategy. This includes education, food economy, community, food support, māra kai, and social enterprise. The strategy cultivates local ownership and commitment to change. It creates a broader constituency of support, balancing the urgent need to feed people today with the long-term need to change systems through step-change initiatives. Through this approach, communities can better make sustainable and meaningful changes to their lives and circumstances rather than relying on external resources.

Predicting patient deterioration by nurse intuition: The development and validation of the nurse intuition patient deterioration scale

IntroductionEarly warning scores based on vital signs are used in hospitals to estimate patient deterioration and to initiate an adequate and timely response when necessary. These scores show acceptable performance in predicting patient outcomes. However, they tend to generate many false positives leading to an increased workload in clinical practice. Additionally, nurses feel a tension between the application of an early warning score and their own clinical judgement. Nurse intuition is often included as an extra call criterion next to an early warning score. It is therefore important to investigate its predictive value. The aim of this study was to develop and validate a Nurse Intuition Patient Deterioration Scale (NIPDS). MethodsThe NIPDS was developed using the latest evidence after which relevant items were selected by an expert panel. The scale was tested in a prospective observational study in 2 surgical and 2 medical wards in a Belgian hospital. Data were collected from December 1st, 2019 until March 31st, 2020. A NIPDS registration was done at each patient admission and whenever the attending nurse felt worried. The studied outcomes were urgent physician assistance call, resuscitation team call, patient death, and unplanned transfer to intensive/medium care. Psychometric analyses and scale optimisation were carried out using Rasch modelling techniques. Finally, the scale's accuracy and an optimal threshold were determined. ResultsThe scale item content validity index is 0.88 indicating that the selected items should be included in the instrument according to the expert panel. Item-total score correlation coefficients range between 0.573 (item 9 – pain) and 0.874 (item 6 – behaviour). The Person Separation Index is 0.814 indicating satisfactory discriminatory power. An overall fit of the NIPDS data to the Rasch model was confirmed. Rasch modelling showed that the item ‘pain’ signalled misfit. Furthermore, the person-item map showed disordered items which were corrected in the final model. The AUROC to predict an event within 24 h after registration was 0.957 (95% CI 0.932–0.982; p < 0.001) indicating excellent model performance. DiscussionThe results showed that the NIPDS is a valid and accurate instrument to predict events in surgical and medical patients. It showed better performance compared to an existing score estimating nurse intuition. In practice, the NIPDS could be used by nurses to estimate clinical deterioration in addition to an early warning score. It remains unclear if the combination of NIPDS with an early warning score could reduce workload without losing accuracy and this should be explored in future research. Tweetable abstractNewly developed nurse intuition scale, which uses clinical cues to estimate deterioration in hospitalised patients, is brief and performs well in predicting physician assistance, resuscitation team calls, patient death and unplanned transfer to intensive or medium care.

“For whom the bell tolls”? A ‘vulnerability-responsibility’ model based on democratic and ‘dignified’ transactions”

The welfare state, once seen as the best institutional response to people in need, has steadily come under pressure, as much from shrinking state capacities as from neo-liberal advocates of individual responsibility. Still, despite decline of the post-war consensus on the efficacy of the welfare state, social ‘vulnerability’ still remains the key focus of public policy. However, though much in use in contemporary political discourse, the logical and practical implications of social vulnerability remain unclear. Its essential subjectivity – it is the ‘feeling of vulnerability’ which makes one vulnerable – turns the concept into a catch-all variable, impeding rigorous theoretical and empirical analysis. I respond to this problem with a ‘vulnerability-responsibility’, model. Its parameters include a ‘responsive’ state, an active civil society and a participatory political environment, bolstered by the assertion of agency of the vulnerable. With India as an empirical exemplar, the essay shows how ‘nested’ vulnerability – a community of pro-active citizens in need of urgent and vital assistance - in the backdrop of a responsive state and competitive, robust and resilient political participation, can generate a sustainable, context-relevant process to cope with the problem of social vulnerability. The model, currently aimed at vulnerable citizens in a democratic state, has the potential of being extended to non-democracies as well as vulnerable non-citizens into its domain.

Enhance Security and Privacy in VANET Based Sensor Monitoring and Emergency Services

VANET performs analysis of patient records and sends security warnings to the carer through VANET so that they may provide urgent assistance while keeping patient data safe. Threat actors might potentially access data packets that go between biological sensors and smart ambulances in the vehicular network. When healthcare professionals use a VANET, they run the risk of receiving inaccurate or delayed data as a result of assaults like the Sybil attack, denial of service attacks, and impersonation attacks. As a result, protecting people’s personal information and data has become an important task for academics. In this research, we propose the use of an Urbanized Block Chain Key Agreement Protocol (UB-KAP) based on a one-way hash chain model to increase protections for individual privacy and data integrity in VANET-based healthcare networks. The messages include timestamps in case the messages that have already expired cause excessive delays. The beacons’ packet classification mechanism separates them into benign and harmful emergency signals to speed up response times. The suggested model is tested by road traffic simulation using SUMO (Simulation of Urban Mobility). Data collection per user, message delivery ratio, total data gathered, delay, and energy usage are all included in the model’s overall evaluation.

Clinical and Psychological Features of Patients With Poisoning By Antihypertensive and Antiarrhythmic Drugs as a Result of Suicidal Actions

The effective care for patients with self-poisoning with antihypertensive and antiarrhythmic drugs is associated with taking into account both clinical and adverse social, psychological and environmental stress factors. To identify their specifics, a retrospective analysis of 120 medical records and a clinical and psychological examination of 20 patients with antihypertensive and antiarrhythmic drugs self-poisoning and a comparison group of 34 patients with selfpoisoning with psychotropic drugs were carried out. It has been shown that the risk group for re-suicide in self-poisoning with antihypertensive and antiarrhythmic drugs is about 30% of patients. Risk factors are depressive symptoms that persist before discharge from the hospital, as well as dysfunctional personality traits (perfectionism in the form of increased preoccupation with the assessments of other people and frequent unfavorable comparisons with them, experiencing loneliness and isolation, increased impulsivity and a feeling of hostility from others) and unproductive ways of coping with stress (ruminative thinking or repetitive unpleasant and unproductive thoughts about anergy, lack of strength and loneliness). The results of the study and the developed psychodiagnostic complex can be used to identify targets for urgent psychological assistance and screening for the risk of re-suicide.

Dukungan Yang Dibutuhkan Dalam Implementasi Jabatan Fungsional Penilai Pemerintah Di Lingkungan Pemerintah Daerah Berdasar Pendekatan Analisis USG

As a servant of government affairs, ASN is responsible for the development and implementation of strategic policies to maintain the continuity of government programs. The purpose of this study is to show what forms of support are needed by PFPP on the part of the state government in carrying out the evaluation function in the current conditions, and the most urgent, most serious, and most extensive support assistance. if this is not immediately addressed, placement will be made immediately and alternative solutions will be sought to support the effectiveness of the State Assessor's operational duties and duties in the current conditions. Data collection in research activities is a technique that is processed to obtain the necessary data and data sources, which can then be used with analytical techniques to draw sufficient conclusions, so that the method of data collection must be regulated appropriately. These results are the formulation of the problem as the most important and urgent risk management method in the administration of regional governance from the JFPP point of view, so that this information can serve as an example for the Ministry of Administrative and Bureaucratic Reform. , Ministry of Home Affairs or Ministry of Finance. As an oversight authority, DJKN determines the preferred political direction, especially to support the efficiency of carrying out tasks related to the duties of state experts. In conclusion, JFPP needs some form of local government support that is considered urgent and serious, which has the potential to worsen if not addressed immediately.

Dukungan Yang Dibutuhkan Dalam Implementasi Jabatan Fungsional Penilai Pemerintah Di Lingkungan Pemerintah Daerah Berdasar Pendekatan Analisis USG

As a servant of government affairs, ASN is responsible for the development and implementation of strategic policies to maintain the continuity of government programs. The purpose of this study is to show what forms of support are needed by PFPP on the part of the state government in carrying out the evaluation function in the current conditions, and the most urgent, most serious, and most extensive support assistance. if this is not immediately addressed, placement will be made immediately and alternative solutions will be sought to support the effectiveness of the State Assessor's operational duties and duties in the current conditions. Data collection in research activities is a technique that is processed to obtain the necessary data and data sources, which can then be used with analytical techniques to draw sufficient conclusions, so that the method of data collection must be regulated appropriately. These results are the formulation of the problem as the most important and urgent risk management method in the administration of regional governance from the JFPP point of view, so that this information can serve as an example for the Ministry of Administrative and Bureaucratic Reform. , Ministry of Home Affairs or Ministry of Finance. As an oversight authority, DJKN determines the preferred political direction, especially to support the efficiency of carrying out tasks related to the duties of state experts. In conclusion, JFPP needs some form of local government support that is considered urgent and serious, which has the potential to worsen if not addressed immediately.