Journal articles: 'Education, Community College|Education, Leadership|Education, Guidance and Counseling' – Grafiati (2024)

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Abstract Objectives Identify facilitators of the practice of Responsive Feeding/Parenting (RF/P) among parents of children under 3 years of age in the Central Region of Ghana. Methods Qualitative data was collected through six audiotaped focus group discussions with mothers (n = 27) and fathers (n = 18) living in the Central Region of Ghana who a) were 18 years of age or older; b) had a child under 3 years of age; c) were involved in feeding the child. Transcripts were read and coded independently by three authors, consensus was reached about emerging domains and themes, and a final codebook was developed. Results Three factors were identified as direct facilitators of the practice of RF/P: support, health care providers infant and young child feeding (IYCF) education delivery, and IYCF practice. Family, friends and the community gave parents informational, instrumental and emotional support including education/counseling on childcaring practices, doing chores for parents, giving parents the time off to respond to their children's needs. This support enabled parents to learn and adopt some RF/P behaviours. Health care providers delivered education on IYCF, food safety and, in some instances, provided some RF/P counselling/guidance. This then enabled parents to identify the nutritional and the psychosocial needs of their children and to recognize they should attend to these needs using RF/P knowledge and practice. Non-responsive feeding/parenting practices also emerged within IYCF practices demonstrating the need for more high-quality RF/P education. Conclusions Health care providers as well as family/friends facilitate parent's IYCF practices, which in turn influences their RF/P practices. Strengthening IYCF knowledge delivery through enhanced antenatal and postnatal counselling targeting parents as well as family/friends can promote RF/P knowledge and practices among Ghanaian parents. Funding Sources Hecht-Albert Leadership Award to Dr. Hromi-Fiedler through the Global Health Leadership Institute, Yale University.

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There is much to admire about community schools, which provide students and their families with wrap-around services focusing on mental health, nutrition, college counseling, and other needs. However, says PDK’s Joshua Starr, the community schools movement needs to address a couple of problems that could undermine its work over the long term — one problem has to do with its use of resources and the other with its use of data.

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Inclusive education is a form of education service which does not distinguish between regular students and those with special needs, whether physical, social, intellectual, emotional, linguistic and so on. It also includes students in remote or backward areas, isolated indigenous communities, and experiencing natural disasters, social disasters, and economically incapable of having education in regular schools from primary school till senior high school. In primary schools providing inclusive education, schools are required to make adjustments both in terms of curriculum, educational facilities, and infrastructure, as well as learning systems so that it suits the individual needs of students. Besides, to maximize the implementation of inclusive education in primary schools, guidance, and counseling programs oriented to each individual are needed. This study uses a qualitative approach to the literature review method. The result of this research is guidance and counseling program at inclusive schools is directed at developing personality and life skills so that students can participate in the community and not become a burden on the family or community. The implementation of guidance and counseling programs in primary schools implementing inclusive education is carried out in four stages: planning, designing, implementing and evaluating.

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This article investigates National Defense Education Act and National Defense Education Act-related calls in the late 1950s for the training of guidance counselors, an emergent profession that was to play an instrumental role in both the measuring and placement of students in schools by “intelligence” or academic “ability”. In analyzing this mid-century push for more guidance counseling in schools, this article will first explore a foundational argument for the fairness of intelligence testing made by Educational Testing Service psychometrician William Turnbull in 1951, and then later taken up and employed by other National Defense Education Act-era advocates of testing and grouping. Secondly, this analysis will proceed to National Defense Education Act expert testimony, examining here assertions of the necessity of guidance counseling in schools, and an emergent and shared vision articulating the role guidance counseling was supposed to play in school life. A pattern or structure to this vision emerges here. According to its advocates, guidance counseling would not only inform the self-understanding of the measured individual, but it would also work to condition the ideology of individual intelligence across numerous layers of social life around the student: through peer group, through teachers and school administrators, and finally through home, family, and the wider community.

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At this time character education can no longer be ignored because of the role that is very important to improve the moral and morals of children because the moral children of today's nation are getting away from the good word with the modern era of changes that are cultivated in information technology that is growing rapidly renewal. In this PKM activity, to overcome the apparent problems, the team of lecturers Prodi PAI offers PKM implementation with the form of Character Education Education as a Pillar in Building Moral And Child Morals held at PKBM Luthfillah, which is opened for PKBM and general participants. Considering many people who do not have formal education or equality, this counseling is expected to be useful and equip the community about understanding the guidance of Islam in educating children at home in general and about the procedures for the implementation of personal Islamic character education that can be maximally endeavored by each family members, both the head of the family and the representatives and all their members, so as to assist the government in socializing character education for the grass root community in practice level.

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This study aims to analyze the use of learning resources in the field of counseling guidance. This study uses a qualitative research method based on library research (library research). Collecting data using documentation techniques derived from library sources. Data analysis uses content analysis techniques where each source or literature used is adjusted and the context's suitability is seen with other literature from books, journals or other research. At present the quality of learning and community education is strongly influenced by the conditions of existing learning resources, and this cannot be denied because if the conditions and availability of learning resources are adequate, the learning process can run well. This indirectly shows how important it is to use learning resources in a learning process. In the realm of guidance and counseling, learning resources are closely related and are often used in various implementation of guidance and counseling services, both in the formal and non-formal world of education, in this case the associated learning resources can be in the form of religion or instruments used in the successful implementation of guidance and counseling service.

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Health problems in the elderly begins with the process of deterioration of body cells, which causes a decrease in function and immune system so that it can increase risk factors for disease. Some diseases that are often experienced by the elderly include, hypertension, diabetes mellitus, rheumatism, gout, hearing loss, vision problems, osteoporosis, and others. These conditions will have an impact on increasing morbidity and mortality, declining quality of life, and increasing health financing. The method of implementing community service activities is carried out by educating health issues, providing guidance, counseling and mentoring to 20 elderly groups. The purpose of community service activities is to increase health care efforts which are expected to implement programs to create or improve the ability to live healthy in the community both individuals and groups to be able to solve various problems related to health improvement and disease prevention on an ongoing basis. Education is carried out with health education about general elderly diseases that often occur, namely Diabetes and Gout, then conduct guidance and counseling by dividing into groups, and provide assistance by teaching foot exercises and foot care. Results The implementation of community service activities shows the results that Good Knowledge about degenerative diseases (85.0%), after the mentoring activities namely guidance, counseling, foot gymnastics simulation and foot care. Paired t-test results before and after the assistance was given p value of 0.007. It is expected that the elderly group can be independent in efforts to prevent degenerative diseases that are focused on diabetes mellitus

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Background: Stunting is a problem that cannot be considered ordinary. Short toddlers (stunting) can occur due to poor nutrition and nutritional intake and lack of knowledge about stunting. Purpose: Transferring knowledge about how to prevent and manage stunting or short toddlers. Method: counseling and empowering health cadres by using tools such as LCD projectors and using leaflets and interactive discussions. Results: The implementation of this activity included advice and health cadre assistance in conducting health education to the community. Counseling for health cadres was done first to increase cadre knowledge. After that, support was given to health cadres to lead health education to the community around the village. Conclusion: After conducting mentoring activities on health cadres, which was a village program under the guidance of the University of Jember, it could increase the knowledge and motivation of cadres in conducting health education in the context of preventing and managing stunting infants.

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Reading interst is a strong desire that accompanied a sense of pleasure of enjoyment of reading with self­­-will. Reading is a demand for individuals because reading is an effective activity to gain insight and knowledge. Surah Al-Alaq which is the first letter to come down is a reading order. Furthermore, the mandate of regulations and legislation also invites reading culture and encourages people to enjoy reading. The problematics of some of the research results indicate that Indonesian interest in reading is still relatively low. Therefore how important are efforts to foster interest in reading. Improving interest in reading must be done through families, education units and the community. One of the factors influencing reading interest is the teacher. Counseling teacher/ Counselor is a teacher assigned to carry out guidance and counseling activities in schools responsible for providing various service activities in developing various student potentials and encouraging national education goals. Guidance counseling at schools is expected to be more intensive in order to improve students interest in reading through various types of counseling services. As for some services that can be applied in improving interest in reading such as orientation services, information, group guidance and individual counseling.

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At 2045 Indonesia will have a bonus demography of human resources that will contribute greatly in the progress of NKRI. Is a big challenge for all parties, especially since starting January 2016 also enacted ASEAN Economic Community (ASEAN Economic Community) that allows the entry of various cultures from the ASEAN community. Needed human resources characterized so that along with the progress of civilization, the community retains its cultural character. The formation of karatker should start from education from an early age. Counseling and Counseling as an integral part of education has an important role in shaping the character of learners. For that it is necessary various strategies of guidance and counseling services, especially counseling specifically characterized the Indonesia-an taken from local wisdom and cultural values of Indonesia. Some examples of local wisdom that can be raised as the basic values of counseling are religious-spiritual values, kejawen values, sunda values, tri hita karana (bali), and are generally represented by the Indonesian education motto Ing Ngarso sung Tulodho, Ing Madyo Mangun Karso, Tut Wuri Handayani. The core value infusion of the philosophy of each local wisdom must be done so that the national character of Indonesia still exist in the midst of globalization and the progress of civilization. The main values of each culture will provide alternative references to problem solving, alteration and strengthening behavior that affirm the national identity of Indonesian society.

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Currently, all members of the educational community have a relevant role in the development of professional competences on the sustainability of students. This is supported by the findings obtained by different research studies carried out in different countries and which show the need to characterize and evaluate the practice of EGS as key agents in the training and counseling of teachers on sustainability topics, which, in turn, is the goal of this study. To address this, we have conducted an exploratory study based on the case study of EGS members in the metropolitan area of Granada (Spain) that has helped us to profile the professional practice of its members in the development of professional competences in Education for Sustainable Development (ESD). Answers to a questionnaire provided by 43 teachers who are linked to the EGS have been investigated in addition to an interview to six formal members of the EGS. Results evidence that transmit some values over others correlates positively with the type of competences for sustainability that they promote. Therefore, this shows the interrelation of these competencies with the teaching-learning process and, consequently, with the promotion of an education for sustainability. We conclude that counseling on participatory methodologies, working on values, competences, and curricular sustainability, as well as the cross-curricular nature of the content that is imparted, are the most effective ways from which these teacher guidance services can promote the development of professional competences linked to sustainability in schools.

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The role and training of Queensland guidance officers appears to be set toward the practice end of the scientist-practitioner continuum. Yet data are presented which demonstrate that the expectations placed on many guidance officers are relatively sophisticated and specialised. Particularly in the areas of personal crisis counselling, family support and community-school development, today's guidance officers working in Queensland schools are required to demonstrate considerable specialisation. The profession seems to be facing a choice, attempt to develop into a group of true educational specialists with all the required training, supervision and in-service education or move to become a group of expert general practitioners. Some implications of these two options for the profession are explored.

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Parenting plays a very important role in building children’s character and personality, thus it requires the provision of good education and care (nurture) from parents in order to generate children with good character or moral.Parents, especially mothers, therefore, are demanded to possess good parenting skills. But the reality shows that most mothers in Bandung have poor parentingskillsa. It is shown by the large number of parents who still hold the authoritarian type of parenting, which amounts to 86.7%. This phenomenon ofpood parenting skills of mothers in the city of Bandung underlies the need for the arrangement of effective guidance model to improve the parenting skills of parents, especially mothers as the holder of an important role in the education of children in family. For if these parents are allowed to adopt the authoritarian type of parenting, then the character and personality of the children they bring up will be unfavorable, whereas moral or noble character is an important foundation in the establishment of a secure, serene, and peaceful society. Based on such phenomenon, the researcher tried to design a program of guidance supported with a group approach as an effort to enhance the parenting skills of mothers. The program is tested on mothers participating BKB (Bina Keluarga Balita) in Bandung. After going through a series of trials, the result obtained shows that a group guidance held in eight sessions, with the subject of: (1) Monitoring children's behavior, (2) Having effective communication with children, (3) Setting rules and limits, (4) Enforcing rules without collisions, (5) Stimulating the task of childen development, (6) Being a good listener, (7) Applying Love Languages, and (8) Complimenting children, proved to effectively improve the parenting skills of mothers. It is characterized by theshift of parenting type, from authoritarian to authoritative. In conclusion the counseling program with the group approach can be an alternative model of guidance that can be used to enhance the parenting skills of mothers in a variety of settings in the community; in Majlis taklim, it is one of the alternative methods of da’wa, in BKB (Bina Keluarga Balita) it is a model of community counseling, in early childhood education concerning the co-parenting program, it is an education model for parents.

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The public should be aware of the sudden change of life style of some people that makes their life completely different from their previous ones. All of us must be ready to face any circ*mstances from this manifestation in the future. The rich, wealthy and famous should be made aware that that type of life style is not wrong, but they should also be taught how to follow a normal way of life. Proper guidance and counselling on how to live normally needs to be provided with especially designed lectures and classes. Bringing these “students” to remote villages where the poor and the disadvantaged live may help them to understand the hardships of life around them. Having a short intern period within such a community will help them further understand the real life of the majority in their country. Furthermore, if they are always taught in an environment of luxury and are never faced with a normal education system and style of life, a major problem arises: if, in the future, our country is led by such graduates, who never went through our normal education system or lived a normal style of life, how can they understand and lead the majority in our country? This paper discusses this phenomenon.

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RESUMENSe presentan los resultados de un estudio empírico, cuya finalidad es analizar el nivel de satisfacción y las dificultades que encuentran los orientadores de Cantabria. El objetivo de este trabajo se centra en analizar el nuevo modelo de orientación implantado en Cantabria a partir del curso escolar 2005-06, que se desvía del modelo LOGSE, aunque sin llegar a abandonarlo completamente. Los orientadores constituyen una pieza clave en el modelo de orientación de esta comunidad. Se analizará este nuevo modelo de orientación mediante las opiniones vertidas por ellos y las propuestas que sugieren para mejorarlo.En la metodología se adopta un enfoque cualitativo que permite triangular la información, realizada a través de cuestionarios, entrevistas y grupos de discusión. Han colaborado 12 centros de Cantabria y los 6 EOEPs que existen en la Comunidad. Han participado 62 orientadores en el estudio empírico completo. También se han aplicado cuestionarios a directores y tutores de primaria y secundaria que se analizan en otros trabajos. La falta de tiempo para realizar todas las funciones atribuidas al orientador aparece como principal dificultad, seguida de la complejidad de las necesidades del alumnado y de la excesiva dependencia del orientador en actuaciones que pueden realizar de forma autónoma los docentes.ABSTRACT We present the first results of an empirical study, whose purpose is to analyze the level of satisfaction and difficulties encountered by guidance teachers from Cantabria. The aim of this the study is to analyze the new counseling model carried out in Cantabria from the 2005-6 school year, which deviates from the LOGSE model but does not completely abandon it. Guidance teachers are a key element in the counseling model of this community. This new counseling model will be analyzed as a result of the opinions expressed by them and their proposals to improve it.From the methodological point of view, a qualitative approach is adopted to triangulate the information, carried out through questionnaires, interviews and discussion groups. Twelve centers from Cantabria and all the guidance teacher groups of the Community have collaborated in the project. 62 primary and secondary guidance teachers participated in the whole study. Questionnaires, which are analyzed in other studies, have also been applied to primary and secondary school principals and tutors. The lack of time to perform all the functions attributed to the counselor appears as a key difficulty, followed by the complexity of the students' needs and the excessive dependence on guidance teachers.

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This study investigated the challenges and counselling needs of sickle cell patients attending the University of Ilorin Teaching Hospital (UITH) Kwara State, Nigeria. Purposive sampling was used to select 120 literate regular and non-regular patients of the hospital. A researcher developed instrument titled “Challenges and Counselling Needs of Sickle Cell PatientsQuestionnaire” (CCNSPQ) was used to elicit information from these participants. Five research questions raised in the study were answered using frequency counts, means and ranking and Analysis of Variance was used to test the hypotheses formulated at the .05 level of confidence. Thefindings showed that excessive bone, abdominal and chest pains are the major challenges confronting the respondents while occasional embarrassment due to unexpected sickness accompanying sickle cell disorder and stigma are the most serious counselling needs. There was nosignificant difference in the challenges of sickle cell patients based on age but the respondents had significantly different counselling needs. Therefore, it is recommended that guidance and public health education be put in place to reduce the stigmatisation of sickle cell patients. In addition, wellequipped clinics should be provided to facilitate early treatment. Genetic Counselling should also be provided both in the school and the community to prevent future occurrence of sickle cell disorder.Keywords • Sickle cell disorder • Genetic Counselling • Higher Education

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Background and context: Since 1982, cancer has been the leading cause of death in Taiwan, claiming more than 40,000 lives each year. This not only caused huge medical expenses, but also affected the quality of life of patients and their families. However, many cancer survivors and their caregivers do not fully understand lifestyle advice, including nutrition and dietary behaviors, to lower the progression of the disease. Due to cancer and painstaking treatment, cancer patients often suffer from inadequate calories intake and serious body weight (BW) loss, which is highly related to malnutrition or cancer cachexia. After they leave the hospital, they still need nutritional guidance; therefore, the importance of providing nutrition services in the community should be emphasized. Aim: To help cancer survivors achieve better nutritional status by teaching them how to have adequate calories intakes and maintain BW that they're supposed to have better quality of life. Strategy/Tactics: (1) Cancer survivors with nutritional needs were referred from 66 cooperative cancer resources centers of hospitals nationwide. (2) Dietitians assess their nutritional conditions and provide nutritional guidance. (3) Deliver free nutritional supplements to the cancer survivors who are financially disadvantaged or have dysphagia problems. Program/Policy process: The registered dietitians conducted nutritional education through nutrition counseling and guidance. For those who are financially disadvantaged or have dysphagia problems, the 24-hour dietary recall and PG-SGA scale were used to assess the survivors' nutritional status, including BW and calories intake, then free nutritional supplements according to their needs and a regular follow-up to collect their BW and nutritional information changes after our interventions were done. Outcomes: From 2016 to 2017, a total of 434 of cancer survivors who have financial difficulties or dysphagia problems accepted the free nutritional supplements and nutritional guidance services. 178 survivors completed follow-up and collected nutritional information. 40.4% of them are head and neck cancers, 38.2% are digestive system-related cancers that were in poor eating conditions. After our interventions, 70.2% of these survivors can maintain or increase their BW with average BW 57.9 ± 12.8 kg; and 77.0% can maintain or increase the calories intake, which average increased from 1798 ± 252.5 kcal/day to 1541.6 ± 347.9 kcal/day. What was learned: We can effectively help cancer survivors achieve adequate calories intakes and maintain BW to prevent the occurrence of malnutrition by providing the services of nutritional supplements and nutritional guidance.

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<p>The rise of coverage of LGBT-Z sexual deviations have led to a polemic in the midst of society. LGBT-Z sexual deviation if not intervened will have an impact on the health, education, social in the community. This condition is caused by various factors, including ignorance of parents, genetics, religion. This phenomenon tends to be even greater in millennial. This type of research is library research that focuses on LGBT-Z sexual deviation behavior. One professional who is considered capable as a solution to the problems that occur in the community is a counselor. Counselors can provide guidance and counseling services that focus on LGBT-Z sexual deviation behavior such as individual counseling, psychological approaches that are needed. It is hoped that the psychological assistance provided by individual counselors will be able to avoid LGBT-Z sexual deviation behavior.</p>

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BackgroundAPOL1 variants contribute to the markedly higher incidence of ESKD in Blacks compared with Whites. Genetic testing for these variants in patients with African ancestry who have nephropathy is uncommon, and no specific treatment or management protocol for APOL1-associated nephropathy currently exists.MethodsA multidisciplinary, racially diverse group of 14 experts and patient advocates participated in a Delphi consensus process to establish practical guidance for clinicians caring for patients who may have APOL1-associated nephropathy. Consensus group members took part in three anonymous voting rounds to develop consensus statements relating to the following: (1) counseling, genotyping, and diagnosis; (2) disease awareness and education; and (3) a vision for management of APOL1-associated nephropathy in a future when treatment is available. A systematic literature search of the MEDLINE and Embase databases was conducted to identify relevant evidence published from January 1, 2009 to July 14, 2020.ResultsThe consensus group agreed on 55 consensus statements covering such topics as demographic and clinical factors that suggest a patient has APOL1-associated nephropathy, as well as key considerations for counseling, testing, and diagnosis in current clinical practice. They achieved consensus on the need to increase awareness among key stakeholders of racial health disparities in kidney disease and of APOL1-associated nephropathy and on features of a successful education program to raise awareness among the patient community. The group also highlighted the unmet need for a specific treatment and agreed on best practice for management of these patients should a treatment become available.ConclusionsA multidisciplinary group of experts and patient advocates defined consensus-based guidance on the care of patients who may have APOL1-associated nephropathy.

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Kebutuhan akan manfaat pelayanan BK kian dirasakan masyarakat secara luas. Keberadaan BK di Indonesia memang berawal dari dunia pendidikan. Seiring perkembangannya, organisasi biro penyedia jasa layanan BK mulai bermunculan di tengah masyarakat. Namun tidak semuanya asli berlatar belakang lulusan BK, melainkan dari jurusan Psikologi. Keadaan ini mendorong berdirinya organisasi atau yayasan biro penyedia jasa layanan konseling yaitu Edupotensia Foundation. Edupotensia Foundation memberikan layanan Konseling yang dilakukan langsung oleh konselor profesional dan lulusan BK sendiri. Kegiatan konseling berbasis biro bagi perkembangan dunia konseling di Indonesia menjadi hal baru yang harus terus dikembangkan. Penelitian ini menggunakan metode kualitatif dengan alat pengumpulan data berupa wawancara mendalam guna mendapatkan informasi secara rinci. Hasil yang didapat melalui penelitian ini adalah pelaksanaan konseling oleh Edupotensia Foundation dilakukan sesuai dengan prinsip, fungsi dan asaz konseling, berfokus pada pendekatan CBT, SFBT dan Life-Choaching. Selain itu, Edupotensia Foundation juga memberikan workshop pengembangan kompetensi konseling dan beragam pelatihan yang sesuai._______________________________________________________________ The need for benefits from Guidance and Counseling services is increasingly felt by the community at large. The existence of Guidance and Counseling in Indonesia does start from the world of education. Along with its development, the bureau organization of Guidance and Counseling service providers began to appear in the community. However, not all of them are from Guidance and Counseling background, but from the Department of Psychology. This situation encourages the establishment of a bureaus organization or foundation for counseling service providers namely Edupotensia Foundation. Edupotensia Foundation provides Counseling services conducted directly by professional counselors and Guidance and Counseling graduates themselves. Bureau-based counseling activities for the development of the world of counseling in Indonesia are new things that must continue to be developed. This study uses qualitative methods with data collection tools with in-depth interviews to obtain detailed information. The results obtained through this study are that the implementation of counseling by the Edupotensia Foundation is carried out in accordance with the principles, functions and counseling, focusing on the CBT, SFBT and Life-Choaching approaches. In addition, the Edupotensia Foundation also provides counseling competency development workshops and a variety of appropriate training.

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Abstrak Siswa di sekolah bermacam masalah baik pribadi, social, belajar maupun karir. Masalah sering ditemui, seperti terlambat masuk sekolah, kurang konsentrasi belajar, persekusi. Masalah dihadapi siswa perlu pelayanan agar siswa dapat mengembangkan pribadi, sosial, belajar dan karirnya serta siswa terhindar dari prilaku persekusi. Guru bimbingan dan konseling perlu memberikan layanan kepada siswa yang terhambat dalam memecahkan masalah dengan suatu shup skill strategi menganalisis masalah siswa dengan pendekatan psiko-edukasi, sehingga siswa mendapatkan pencerahan mengatasi masalahnya. Pengabdian bertujuan meningkatkan shup skill guru bimbingan dan konseling dalam melakukan analisis masalah siswa dengan pendekatan psiko-edukasi. Khalayak sasaran adalah guru-guru bimbingan dan konseling (masyrakat pendidik) di SMK se kabupaten Banjar. Metode kegiatan dalam bentuk loka karya dan work shup tentang strategi menganalisis masalah siswa dengan psiko-edukasi. Kata kunci : Strategi, Analisis, Psiko-edukasi Abstract Students at school have a variety of personal, social, learning and career problems. Problems often encountered, such as being late for school, lack of concentration in study, persecution. Problems faced by students need services so that students can develop their personal, social, learning and career and students avoid persecution behavior. Guidance and counseling teachers need to provide services to students who are hampered in solving problems with a shup skill strategy to analyze students' problems with a psycho-educational approach, so that students get enlightenment to overcome the problem. Dedication aims to improve the teacher's guidance skills and counseling in analyzing students' problems with a psycho-educational approach. The target audience is the guidance and counseling teachers (community educators) in vocational schools in the district of Banjar. Methods of activities in the form of workshops and work shups on strategies for analyzing students' problems with psycho-education. Keywords: Strategy, Analysis, Psycho-education

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The strategy of improving the quality of character education through the so-called tazkiyatun nafsi method is an effort to improve the quality of character education in Indonesia by inculcating the Islamic values from an early age to the children or the generation of the nation. Data collection is done through such methods as observation, interview, and documentation. The informants are the head of Madrasah, akidah akhlaq teacher, Quránic studies teacher, guidance and counseling teacher, and some students of MI Sabilillah Lamongan. While to analyze the data is by using descriptive qualitative analysis techniques that will explain the phenomenon that occurred in a school. The result shows that the improvement of character education quality applied by using the tazkiyatun nafsi method is to familiarize the students to perform either fardhu or sunnah prayers for example dzuhur prayer, dhuha prayer in addition to familiarizing them to read the Qur'an and familiarizing them on the importance of dzikir, istighfar, and reciting the prayer on the Prophet. In every implementation of education, there are always supporting and inhibiting factors. The factors that support the implementation of quality improvement of character education through the tazkiyatun nafsi method are among others teachers are never tired to educate the students, the principal who always provides good policies on the implementation of KBM, including foundation circles, community organizations, and the last is the enthusiastic students of MI Sabilillah Lamongan, while the most dominant inhibiting factor is lack of available places.

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Tujuan artikel ini memberikan gambaran pentingnya Guru Mata pelajaran melaksanakan layanan bimbingan dan konseling pada proses pembelajaran, karena guru memiliki tiga peran, yaitu sebagai pendidik, pengajar dan pembimbing, hal ini telah tertuang dalam Undang-Undang Nomor 14 Tahun 2005 tentang Guru dan Dosen. Peran sebagai pendidik senantiasa wajib menjadi contoh teladan dalam gerak langkahnya baik dilingkungan sekolah maupun dimasyarakat, peran sebagai pengajar selalu memberikan ilmu pengetahuan dibidangnya secara humanistik, sedangkan peran sebagai pembimbing adalah mengantarkan peserta didik untuk dapat mengatasi permasalahannya sendiri dengan dorongan serta perhatian terhadap pribadinya.Metode dalam penulisan artikel ini menggunakan metode penelitian kajian literatur dengan mengkaji beberapa sumber terkait dengan peran guru mata pelajaran sebagai pembimbing serta landasan hukum pelaksanaan layanan bimbingan dan konseling bagi guru mata pelajaran. Hasil artikel ini diharapkan mengubah persepsiguru mata pelajaranyang keliruterhadap layanan bimbingan dan konseling menjadi persepsi positif. Oleh karena itu, untuk mengubah hal tersebut, perguruan tinggi kependidikan wajib memberikan mata kuliah bimbingan dan konseling dengan konten pelaksanaan bimbingan dan konseling saat pembelajaran dan memberikan rekomendasi kepada dinas pendidikan terkait tentang pentingnya pelaksanaan layanan bimbingan dan konseling bagi guru mata pelajaran melaluikegiatan pelatihan, seminar, workshop atau pembinaan guru-guru di MGMP (Musyawarah Guru Mata Pelajaran).__________________________________________________________This article aims at illustrating the importance of Subject Teachers in carrying out guidance and counseling services during the learning process, because the teacher has three roles namely the role of educator, teacher, and mentor. This has been stated in Law No. 14 of 2005 concerning Teacher and Lecturer. The role as educator is seen from the attitudes both in the school environment and community, the role as teacher is giving knowledge humanistically, and the role as mentor is guiding students to overcome their own problems with encouragement. The method used in this article is literature review research method by examining several sources related to the role of subject teachers as mentors and the legal foundation for the implementation of guidance and counseling services for subject teachers. The results of this article are expected to change negative perceptions of subject teachers toward guidance and counseling services into positive perceptions. Therefore,education colleges are obliged to provide guidance and counseling courses with the content of its implementationand provide recommendations to the education office regarding the importance of the implementation of guidance and counseling services for subject teachers through training activities, seminars, workshops or supervising teachers in MGMP (Subject Teacher Forum).

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This study aims to determine the design of Guidance and counseling programs in Taluba-based schools in the development of the character of learners, to find out the Taluba Character Concepts in the Banjar / Swamp Tribe Society, and to determine the validity of the developmental guidance and counseling program model. The design of this study is the design of educational research and development (Educational Research & Development) Research and development in the context of education is the process used to develop and validate educational products. The stages used in this study were only 8 stages out of 10 stages. The subjects of development in this study were all high schools in Banjarmasin, both public and private. The approach in this study uses qualitative and quantitative approaches. The technique for collecting data is to use interview techniques and documentation in the form of a literature review and use the Delphi to validate the model created by researchers as guidance and counseling experts and practitioners. The target of this research output is to become a speaker at national/international seminars and to be published in Sinta's e-ISSN Journal. The results obtained are based on the results of quantitative and qualitative validation tests by 3 experts in BK Science and 3 Practitioners who are BK teachers/school counselors who indeed understand the science of Guidance and counseling, the six validators alike state that the hypothetical model of the BK program is developed based Taluba character values ​​are very good, useful, easy, proper and appropriate to be used as a reference for BK teachers in providing guidance and counseling services that are integrated with local wisdom and the culture of the Banjar tribe community.

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PELATIHAN STRATEGI MENGANALISIS MASALAH SISWA DENGAN PSIKO-EDUKASI PADA SMK DI KABUPATEN BANJAR Muhammad Yuliansyah*1, Jarkawi*2 1,2Fakultas Keguruan dan Ilmu Pendidikan, Universitas Islam Kalimantan Muhammad Arsyad Al Banjari Banjarmasin *E-mail: m.yuliansyahy@yahoo.com *E-mail: jarkawi010462@gmail.com Abstract Students at school have a variety of personal, social, learning and career problems. Problems often encountered, such as being late for school, lack of concentration in study, persecution. Problems faced by students need services so that students can develop their personal, social, learning and career and students avoid persecution behavior. Guidance and counseling teachers need to provide services to students who are hampered in solving problems with a softskill strategy to analyze students' problems with a psycho-educational approach, so that students get enlightenment to overcome the problem. Dedication aims to improve the teacher's guidance skills and counseling in analyzing students' problems with a psycho-educational approach. The target audience is the guidance and counseling teachers (community educators) in vocational schools in the district of Banjar. Methods of activities in the form of workshops on strategies for analyzing students' problems with psycho-education. Keywords— Analysis, Psycho-education, Strategy Abstrak Siswa di sekolah bermacam masalah baik pribadi, sosial, belajar maupun karir. Masalah sering ditemui, seperti terlambat masuk sekolah, kurang konsentrasi belajar, persekusi. Masalah dihadapi siswa perlu pelayanan agar siswa dapat mengembangkan pribadi, sosial, belajar dan karirnya serta siswa terhindar dari perilaku persekusi. Guru bimbingan dan konseling perlu memberikan layanan kepada siswa yang terhambat dalam memecahkan masalah dengan suatu softskill strategi menganalisis masalah siswa dengan pendekatan psiko-edukasi, sehingga siswa mendapatkan pencerahan mengatasi masalahnya. Pengabdian bertujuan meningkatkan softskill guru bimbingan dan konseling dalam melakukan analisis masalah siswa dengan pendekatan psiko-edukasi. Khalayak sasaran adalah guru-guru bimbingan dan konseling (masyrakat pendidik) di SMK se-kabupaten Banjar. Metode kegiatan dalam bentuk lokakarya dan workshop tentang strategi menganalisis masalah siswa dengan psiko-edukasi. Kata kunci—Analisis, Psiko-edukasi, Strategi

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Fathers play a critical role in children’s development; similarly, fatherhood positively affects men’s health. Among the larger population of fathers relatively little is known about the parenting knowledge of urban, African American fathers. Focusing on urban, African American fathers, the objectives of this study were to (1) understand the primary sources from which fathers learn about parenting, (2) determine where and how fathers prefer to receive future parenting education, and (3) explore the information perceived as most valuable to fathers and how this compares with the recommended anticipatory guidance ( Bright Futures-based) delivered during well visits. Five focus groups, with a total of 21 participants, were conducted with urban fathers at a community-based organization. Study eligibility included being more than18 years old, English speaking, and having at least one child 0 to 5 years old. During the focus groups, fathers were asked where they received parenting information, how and where they preferred to receive parenting information, and what they thought about Bright Futures parenting guidelines. Fathers most commonly described receiving parenting information from their own relatives rather than from their child’s health care provider. Most fathers preferred to learn parenting from a person rather than a technology-based source and expressed interest in learning more about parenting at community-based locations. Although fathers viewed health care providers’ role as primarily teaching about physical health, they valued Bright Futures anticipatory guidance about parenting. Fathers valued learning about child rearing, health, and development. Augmenting physician counseling about Bright Futures with community-based parenting education may be beneficial for fathers.

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Obesity has become one of this country's most significant nutritional diseases. The prevalence of childhood and adolescent obesity has steadily increased over the past 20 years. The risk of developing health problems increases as the obese child becomes an obese adolescent and adult. The 1997 Youth Risk Behavior Survey reports adolescents participate in behaviors that put them at risk for obesity. The recognition of these unhealthy behaviors among our youth has led to the need for early intervention. The Coodinated School Health Program is a mechanism to address adolescent obesity at the school-age level. This program includes an organized set of policies, procedures, and activities intended to protect and promote the health and well-being of students and staff. The eight components of a Coordinated School Health Program (CSHP) include school health services, a healthy school environment, comprehensive school health education, counseling and guidance, physical education, food service, worksite health promotion, and the integration of school and community. This paper describes integration of prevention and treatment strategies for adolescent obesity for each of the eight components of a CSHP.

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Background: As a country with a tropical climate, Indonesia has the risk to have many disease problems, such as skin disorder or dermatitis. Dermatitis is an either acute, sub-acute, or chronic inflammatory skin disease. One of therapies is using sulfur compound. Purpose: The objective of this program was to improve public awareness of Tulungagung Regency on the importance of health care, to train people preparing soap containing sulfur, and to help the people to empower the economic community through home industry initiation. Methods: This program was done by motivation generating, counseling, advocacy, and education. The activities were performed through counseling about skin diseases, causes, the prevention and treatment of the disease with sulfur soap, demonstration and providing training to the community about sulfur soap. Results: The training on handmade soap preparation was conducted at the Village Hall of Mojosari, Kauman, Tulungagung, on July 28-29th 2019 and was attended by 20 female participants. The socialization programme was carried out by providing technical guidance, visual exposure of materials, packaging training through small groups. Conclusion: This training program of soap containing sulfur preparation attracted public attention to gain the science, knowledge, and skill increase business motivation, knowledge, and community skills as well as motivation generation to apply a simple technology of soap containing sulfur manufacturing.

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This activity is expected to help government performance in providing information on food and cosmetics that are safe to the community, especially mothers, so that the highest degree of public health can be realized. One of them was carried out by the Universitas Muhammadiyah Palangkaraya through the Community Service program. This activity is expected to help government performance in providing information on food and cosmetics that are safe to the community, especially mothers so that the highest degree of public health can be realized. The Aisyiyah Regional Administrators of Palangka Raya work on average outside the home as employees, teachers, private sector, and others. Households as the smallest community base need to get good guidance and primary attention, because national development relies on the success of human development, where the factors that influence one of them is the availability of safe and quality food. The method of implementing activities uses methods of counseling/awareness and education, as well as inspection simulations on Food Additives and cosmetics that do not meet the requirements. The purpose of this activity is to protect the family against Food Additives and cosmetics that do not meet health requirements. The family is the smallest community that plays a major role in determining the decision-making in nutritional intake every day and what cosmetics can be used by their families are housewives, so education and coaching for mothers is absolutely necessary.

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Miftahunnajah Orphanage is a community group that organizes pesantren education for orphans. For that purpose, the orphanage management needs a lot of operational expenses in the organization of education and to fulfill the needs of the students santri. So far, the funds used for operations are mostly dependent on donors from donors. The santri in this orphanage have good potential to be developed in order to be more economically independent and not only rely on donor donations or existing funders. While in the neighborhood around the orphanage many resources that can be raised to be developed in the form of creative industries. One of the existing resources is the existence of scrap wastes from small convection industry in Yogyakarta. Creativity and innovation santri-santri Miftahunnajah orphanage needs to be developed in order to capture the opportunities that exist in the vicinity. The solution to solve the problem of lack of creativity and innovation of the santri at Miftahunnajah Orphanage is to provide guidance for business counseling. Therefore in the activities of Community Service T.A. 2017/2018, the proposer conducted advisory activities to nurture and guide the Orphanage Miftahunnajah in making creative products and innovations from waste patchwork materials that exist in the surrounding environment to be a creative product and can be marketed so as to support the orphanage economy and become the Orphanage economically independent. The steps undertaken in the Community Service activities are as follows: 1) Conducting a survey to find out the condition of Orphanage Miftahunnajah in Wonocatur Banguntapan area, 2) Conducting data of creative industries appropriate for guidance / mentoring, 3) Conducting business assistance in the form of guidance of creating creative and innovative products from waste materials that can be developed at Miftahunnajah Wonocatur Banguntapan orphanage. The result of this community service activity is children at Miftahunnajah Orphanage can make creative and innovative product from waste material of patchwork.

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Social attitude is one of the character values that every student must have as a provision in living life in the community to materialize a harmonious and peaceful community condition. The subjects of Islamic Religious education (PAI) have a very strategic role in the cultivation of social attitudes to the students through the development of the PAI hidden curriculum. This research aims to analyze the implementation of the hidden curriculum of Islamic Religious Education (PAI) at State Junior High School 9 Yogyakarta and its implications for the formation of learners ' social attitudes. This type of research used is qualitative descriptive-analytic. The research subject is chosen purposive, which includes the headmaster, vice-principal of student affairs, PAI teacher, guidance and counseling teacher, and learners. Data collection techniques are conducted through interviews, observations, and documentation and then analyzed using the reduction, presentation, conclusion/verification stages. Test the validity of data using the triangulation of resources and techniques. The results concluded that the implementation of the hidden curriculum of PAI in SMP Negeri 9 was realized in the form of implementing the organizational, social, and cultural system. The implementation of the Hidden curriculum of PAI implicates the formation of learners ' social attitudes demonstrated by the respectful attitude of others, not picky in friendship, accustomed to smiles, greetings, and greet everyone, honestly, disciplined, responsible, helping friends in need, and caring for others.

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The obligation to maintain health and hygiene related to menstruation is almost ignored by many people. Many factors that cause it, can be due to ignorance or due to lack of education from schools and parents. Many girls do not have a proper understanding that their menstruation is a normal biological process and they only know it at menarche. Insufficient knowledge about menstruation, menstrual cycle and Menstrual Hygiene Management (MKM) during menstruation can result in problems during menstruation such as dysmenorrhea, pelvic muscle cramps. This community service was carried out at the SMP N 5 Jambi City, with the aim that students could understand how to maintain cleanliness during menstruation. so that adolescents will be free from diseases, especially those related to reproductive health. The service method applied by the community service team is discussion, guidance, and persuasive communication. Held in December 2020-January 2021. After the counseling activities were carried out, all the teenagers who attended understood about treatment during menstruation

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Teenage pregnancy outcomes have become an increasing concern in the United States. Education and support of pregnant teens are critical factors that may determine good or poor pregnancy outcomes. Poor outcomes may include low birth weight, developmental delays, and poor academic performance. Although the number of teenagers experiencing pregnancy and parenting has declined in the U.S., school-based health clinics can be used to provide support and guidance designed to avoid the negative outcomes associated with teenage pregnancy and parenting. By having school-based health clinics, nurse practitioners and school nurses can provide much needed services to pregnant and parenting teens. These services should include educational support, counseling, and community resources. This inquiry provides a metasynthesis of the literature and will review, examine, and summarize the literature relating to the effect of school-based clinics on teenage pregnancy and parenting outcomes.

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The existing tradition of marriage under age (Merariq Kodeq), this research aims to understand the consciousness of the national law, which prevails in the middle of the community with the existence of the marriage laws related to the age of marriage. This study used a qualitative approach to know the factors causing, the form of offense, impact, and effort of government in marriage underage in the Parampuan village Lombok Barat regency. The study results are as follows. Factors affect the Merariq Kodeq among the others because of the low financial of a family, factors of low public education, personal factors influenced by environment intercommunication, factors parental concern to the intercommunication of his son, cultural factors that still adopted the community. Abuses that are not in accordance with the provisions of the constitution based on Indonesian law system marriage, which the age of children in doing marriage, the validity of marriage did not participate noted in the office of religious affairs—the rights of the child and teenage as the young generation. The impact of that occurs as a result of Merariq Kodeq is premature pregnancy, dropping out of school, domestic violence, divorce, psychological trauma as well as vulnerable to marriage in below the hands. The government commitment to socializing in the village, guidance, the documentary movie about the dangers of marriage on the below age, and the information center for counseling sex education for teenagers.

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RESUMENEn este artículo se plantea la competencia profesional del Orientador Laboral entendida como el dominio de conocimientos, actitudes, habilidades y su saber hacer como consecuencia de la formación adquirida. El estudio que se presenta es el resultado de una investigación efectuada con un colectivo de 81 Orientadores Profesionales que ejercen en la Comunidad Autónoma de Galicia y que trata de los objetivos siguientes: 1º. Describir el perfil personal y profesional de los Orientadores Laborales. 2º. Diagnosticar las competencias orientadoras que realizan en su práctica profesional, las que deberían efectuar y la preparación en ellas. 3º. Explorar las dimensiones correspondientes a las competencias orientadoras. Como metodología investigadora se aplicó la técnica Delphi con un grupo de doce orientadores expertos y un cuestionario de competencias a valorar por el colectivo de 81 profesionales de la Orientación Laboral. Como conclusiones principales del trabajo destacan las competencias profesionales de Asesoramiento, Orientación y Diagnóstico en el grupo estudiado. El perfil predominante del Orientador descrito corresponde a una persona joven, de sexo femenino, con reducida experiencia profesional en general y orientadora específicamente, titulación académica de Licenciatura en Pedagogía, acceso laboral mediante contratación temporal y que ejerce en una Oficina Pública de Empleo.ABSTRACTIn this article the profesional competence of the Laboral Counsellor is debated understood as the power of knowledge, attitudes, skills and knowhow as a consecuence of the achieved training. The study that is shown is the result of a investigation made with a team of 81 Profesional Counsellors that practise in the Galician Autonomous Community and that is about the following aims: 1º. To describe the personal and professional profile of the Laboral Counsellors. 2º. To diagnose the counselling competences that make in their professional practice, the ones that they should make and the preparation in them. 3º. To explore the dimensions that are related to guidance competences. As a n investigating methodology the Delphi technique was worked with a group of twelve expert Counsellors and a questionnaire of competences to be valued by the team of 81 Professionals in the Laboral Guidance. As the main conclusions of the work the professional competences of Advising, Guidance and Diagnosis in the studied group. The main profile of the Counsellor that is described corresponds to a young person, female, with little professional experience in general and specifically counselling, with an academic degree in Pedagogy, labour access through temporal hiring and that practise in an Employment Public Office.

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Coaching students is part of the management of students which requires madrasas to not just take notes - record the administration of students. Coaching students can be actualized by the existence of activities that accommodate all the needs of students in the field of self-potential development and increase their knowledge. Madrasas need to provide guidance to students through activities that are deemed necessary. It is necessary in the sense of providing benefits for students, for madrassas and the community. The study in this paper is to determine the coaching and life skills services of students at MAN Purbalingga.The results of this study are 1) MAN Purbalingga seeks to establish itself as a research madrasa, through research-based activities carried out by MAN Purbalingga students and / or teachers; 2) Coaching students in MAN Purbalingga is carried out through various activities not only to accommodate talents and interests but also in order to grow and develop life skills of students both academic, personal, social and vocational; 3) the activities of fostering students in MAN Purbalingga consist of guidance on character of noble and religious character, guidance on subjects and the Olympics, guidance on institution management, education and training in journalism and research, as well as through intracuricular and extracurricular activities; 4) Services provided to students include: library, canteen, school health unit, guidance and counseling, vehicle parking, worship facilities and other learning support facilities.

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Reproductive health and adolescent understanding of the dangers of free sex and sexually transmitted diseases in Indonesia is still low, this can be seen from the many cases of pregnancy outside of marriage, dating violence and abortion with high-risk drugs. Adolescent's understanding of reproductive health is a provision for adolescents to behave in a healthy and responsible manner. Not all adolescents have received sufficient and correct information about reproductive health. Street children are a group of children who are on the side of the road or on the road, who carry out activities in the hope of earning money for life. Knowledge and attitudes towards personal hygiene of reproductive organs are also poor in terms of research results. Therefore they need to be given counseling, guidance and support, so that healthy growth and development can occur so that one day these teenagers will become healthy adults physically, spiritually and socially through the formation of health cadres. This community service is carried out on street teenagers in the Community Caring for Children (KOPA) Medan Maimun. Medan city. The methods used in this activity are: 1. Health education with material on adolescent reproductive health, the dangers of free sex behavior and sexually transmitted diseases; 2. Cadre training; 3. Assistance of cadres in conducting counseling to peers (peer group). 4. Evaluation of the success of the program: post-test for outreach cadres and youth participants. The data analysis used was univariate. The number of respondents 25 people. The results showed that the majority of the Padang ethnic group (76%), junior high school education (54%), father and mother still (father 80% and mother 92%), education of 80% high school parents. The results of the questionnaire on knowledge were still there (44%) street children had not answered questions about the symptoms of HIV/AIDS. Symptoms of HIV/AIDS include fever, night sweats, continuous diarrhea, fatigue, and persistent coughing and weight loss. They also have not all answered correctly on the question of gangrene is a type of sexually transmitted infection (24%), mode of transmission of sexually transmitted diseases (20%); and HIV/AIDS can cause death (20%). This is because young children have never received this information either at school or from their parents. Researchers suggest that the KOPA manager should actively cooperate with the nearest PUSKESMAS to provide information about the dangers of free sex and sexually transmitted diseases.

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Telerehabilitation refers to the delivery of rehabilitation services via information and communication technologies. Clinically, this term encompasses a range of rehabilitation and habilitation services that include assessment, monitoring, prevention, intervention, supervision, education, consultation, and counseling. Telerehabilitation has the capacity to provide service across the lifespan and across a continuum of care. Just as the services and providers of telerehabilitation are broad, so are the points of service, which may include health care settings, clinics, homes, schools, or community-based worksites. This document was developed collaboratively by members of the Telerehabilitation SIG of the American Telemedicine Association, with input and guidance from other practitioners in the field, strategic stakeholders, and ATA staff. Its purpose is to inform and assist practitioners in providing effective and safe services that are based on client needs, current empirical evidence, and available technologies. Telerehabilitation professionals, in conjunction with professional associations and other organizations are encouraged to use this document as a template for developing discipline-specific standards, guidelines, and practice requirements.

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Background: Adherence, specifically to noninsulin diabetes medications, statins, and renin-angiotensin system antagonists (i.e. angiotensin-converting-enzyme inhibitors (ACEi), angiotensin II receptor blockers (ARBs), and aliskiren), is a measure tracked by the Centers for Medicare and Medicaid Services (CMS) to give Medicare Part D plans a star rating; pharmacies are impacted by these star ratings. The pharmacy is given a performance score based on the measure. Some pharmacies use a performance information management platform (PIMP) that allows pharmacies to better understand performance information to impact patient care. Objectives: (1) To evaluate if a monthly adherence monitoring and education service impacts the percentage of patients adherent determined by pharmacy performance scores; (2) To determine patient satisfaction with the service in a large community pharmacy chain. Methods: A six-month prospective interventional pilot study including patients with a proportion of days covered (PDC) of less than 80% for oral diabetes or renin-angiotensin system antagonists (RASA) medications was conducted in two pharmacies of a large community pharmacy chain in Southwest Virginia. Using pharmacy internal data analytics and PIMP data, the percentage of patients who are adherent to oral diabetes or RASA medications was determined including the baseline PDC for each patient. At the start of the study, the standard of care in this large community chain pharmacy was to address adherence, follow-up in one month and every three months thereafter. In this study, pharmacists provided monthly telephonic adherence monitoring and education for a six-month period. Each session was scripted for medication adherence history, education and data collection. The pharmacist provided guidance and counseling based on how the patient answered the questions. Pharmacists gathered information about adherence patterns and behaviors using a 14 item Likert-scale and multiple choice-based questionnaire during the first session. After completion of the final adherence monitoring and education session, pharmacists gathered patient satisfaction information using an eight item Likert-scale questionnaire. At the end of the six-month period, using PIMP data, the percentage of patients adherent to oral diabetes or RASA medications was determined based on pharmacy performance scores. The data was analyzed using uni-variate and bi-variate statistics to determine if there was a difference in pharmacy performance scores from the pre-study analysis. The adherence patterns and behaviors, as well as patient satisfaction with the program was evaluated to determine factors influencing nonadherence. Results: A total of 55 patients were identified in two pharmacies, ten of which were excluded or declined involvement, leaving 45 enrolled in the adherence monitoring and education service. Of the 45 enrolled patients, ten completed the adherence patterns and behaviors questionnaire. About half of the patients were men (50.95%) with an average age of 71.17 years and taking an average of 6.55 prescription medications. All patients had Medicare Part D insurance and majority had a yearly income of less than $40,000. The average baseline PDC was 68.92. In pharmacy 1, the average performance score for oral diabetes medications trended down and the average performance score for hypertension medications trended up over the study period. In pharmacy 2, the average performance score for oral diabetes medications trended up and the average performance score in hypertension medications trended up over the study period. The adherence patterns and behaviors questionnaire revealed the majority of patients rarely forgot to take medications or run out of medications. Additionally, cost of medications did not seem to impact adherence and majority of patients knew the names and indications of their medications. Only one patient completed the patient satisfaction survey. Conclusions: An adherence monitoring and education service had mixed results in improving patient adherence and pharmacy performance scores. Only one patient completed the satisfaction survey, thus no conclusions can be made regarding patient satisfaction of the program. More research needs to be done regarding telephonic adherence programs. Article type: Original Research

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This study aims to evaluate the design, installation, process, and products of the inclusive education program implementation in a Salatiga Public Middle School. This type of research is program evaluation with a discrepancy evaluation model. Information sources in this study are the Principal, Local Content Teacher, Counseling Guidance Teacher who also acts as Special Facilitators Teacher (GPK). Data collection technique include interviews, observation and document study. Data analysis technique include data collection, data reduction, data presentation, and conclusion drawing. Data validation through technical and source triangulation. The results: (1) the design evaluation showed the general curriculum and assessment plans have not been modified, educators do not yet have adequate competence, facilities and infrastructure do not yet support the needs of special needs student (ABK); (2) the installation evaluation showed there is no entrance test, the learning design and assessment have not considered the existence of ABK, funding is taken from BOS funds and support from some ABK parents; (3) the process evaluation showed the ABK have difficulty following learning, the support from the community and agencies has not been maximized; and (4) the product evaluation showed that student learning outcomes, namely the assessment of student ID cards are still equated with normal students. Based on the results of the evaluation, the researchers gave the following recommendations: 1) Teachers and GPK collaborated in developing curriculum and competencies, 2) Principals and teachers collaborated in designing models and technical instructions to handle ABK, as well as increasing collaboration with several agencies, and 3) The education office needs to pay attention to the implementation of inclusive education programs and provide assistance in the form of costs, training, seminars, and fulfillment of facilities and infrastructure.

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Taiwan offers affordable access to health care through the National Health Insurance (NHI) Program, but this increases the risk of waste of medications and pollution caused by improper disposal. This research aimed to: (1) understand methods of disposal of unused medications, and public awareness of related issues, (2) understand the sources and types of unused medications and reasons for their disposal, and (3) propose improvements to current disposal practices. Data on practices and perspectives on the disposal of medications were collected from members of the public using a questionnaire, and subjected to chi-square analysis of demographic variables. The survey found that many respondents disposed of medications inappropriately, but most believed the government should establish a return system. The majority of discarded medications came from hospitals, and were most frequently discarded because patients had forgotten to take them. Based on these findings, the study proposes that receiving stations be established across Taiwan for the safe and environmentally friendly disposal of unused medications, along with a system of monthly checks and compensation for pharmacists’ costs. The study also suggests that pharmacists strengthen medication guidance, spend more time on medication counseling, better understand the reasons for medication waste, and offer health education and advice to physicians and the public.

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105 Background: Oncologists often embrace the concept of having discussions with patients regarding end-of-life care. Still, challenges remain with initiating these discussions early in the metastatic setting so that the full ACP process can be satisfied. A framework and infrastructure are needed to systematically initiate and promote the ACP process at a time when metastatic disease is identified and patients are better able to make thoughtful decisions regarding their future care. Methodology is needed for documenting and updating the ACP process within the patient’s health record. Methods: During a 15 month period, 32 independent sites of service within a nationwide community oncology network implemented an electronic health record (EHR)-based program for initiating ACP conversations with patients having a metastatic cancer diagnosis. Patients were identified for program engagement based on clinical criteria populated within the EHR. Identified patients received a brief introduction to ACP by the physician or other clinician and were encouraged to meet with a trained ACP Counselor to engage the full process. ACP Counselors provided guidance to the patient to discover and share personal values and goals for care. Values for care were documented within the EHR. Counselors provided appropriate patient education regarding code status and state-specific advance directives. At end-of-life, practices included hospice and death details within the EHR. Results: For metastatic patients (n = 29,389), ACP counseling was provided for 1,034 individuals (4%). Code status was visible in 3648 health records (12%) and patient values were included for 376 patients (1%). 2,206 patients (8%) transitioned to hospice care during the 14-month period. EHR-based infrastructure allowed for ongoing ACP visibility by the healthcare team. Conclusions: Use of an EHR-based ACP process demonstrates promising outcomes for realizing meaningful delivery of ACP. Essential components are patient identification early in the metastatic trajectory, assessment of patient values for care, thorough patient education regarding code status and advance directive documents, and full visibility of the ACP process within the health record.

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ObjectivesGlobally, there is emerging evidence on the use of community health workers and volunteers in low-income and middle-income settings for the management of non-communicable diseases (NCDs), provision of out-of-clinic screening, linkage with health services, promotion of adherence, and counselling on lifestyle and dietary changes. Little guidance exists on the role of this workforce in supporting NCD care for refugees who lack access to continuous care in their host country. The goals of this work were to evaluate the current roles of community health volunteers (CHVs) in the management of diabetes and hypertension (HTN) among Syrian refugees and to suggest improvements to the current primary care model using community health strategies.Setting and participantsA participatory, multistakeholder causal loop analysis workshop with representatives from the Ministry of Health of Jordan, non-governmental organisations, United Nations agencies, CHVs and refugee patients was conducted in June 2019 in Amman, Jordan.Primary outcomeThis causal loop analysis workshop was used to collaboratively develop a causal loop diagram and CHV strategies designed to improve the health of Syrian refugees with diabetes and HTN living in Jordan.ResultsDuring the causal loop analysis workshop, participants collaboratively identified and mapped how CHVs might improve care among diagnosed patients. Possibilities identified included the following: providing psychosocial support and foundational education on their conditions, strengthening self-management of complications (eg, foot checks), and monitoring patients for adherence to medications and collection of basic health monitoring data. Elderly refugees with restricted mobility and/or uncontrolled disease were identified as a key population where CHVs could provide home-based blood glucose and blood pressure measurement and targeted health education to provide more precise monitoring.ConclusionsCHV programmes were cited as a key strategy to implement secondary prevention of morbidity and mortality among Syrian refugees, particularly those at high risk of decompensation.

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The Kangkung village in Bandar Lampung is a village where most of the people earn a living as fishermen, so many women in the family have to go down to help the family's economy by going straight to helping the activities of catching marine products. The targets and objectives to be achieved in Community Service Activities (PKM) are giving direction to women from fishing families in the Kangkung village in order to develop their abilities and partitions in improving the family's economy. The method used in this Community Service (PKM) activity is to provide counseling and discussion in the context of socializing Providing guidance to women from fishing families in the kangkung village in order to develop their abilities and partitions in improving the family economy. With this extension, it is expected that women from fishing families in kangkung village will be able to develop their capabilities and participation in improving the family's economy. Through this training women in fishing villages are expected to realize that development and its results should be enjoyed by all levels of society both men and women ". Especially in the aspects of gender women and men should get access to manf, participation and evaluation of the results of development equally and fair.The word Kunct: Extension, Women, Education, Economy

Abstract:

Opening of C.E.P.P.D (Center for Emotional, Personal and Professional Development). Almost every child in the world joins school and as per policy and procedures school staff/teachers develop their educational level but emotional health is not in focus at all; therefore child raised up with many severe negative and self-defeating behaviors; they understand others but others not understand them and that's the beginning all problems start from here…. The Center will provide state of the art guidelines/guidance (one stop solutions) supporting facilities starting from schooling onward throughout entire life for people belongs to all walks of life. In these centers anyone can go and will come out with clear head and in hand solutions, team of professionals shall provide guidance and support to everyone for healthy and balanced life by all means and will also develop alumni networking for permanent intact and fund raising on continuous basis from all over the world. C.E.P.P.D will play central and synergizing role between all sectors (for instance, schools, colleges, universities, counseling, vocational, community, hospitals, NGOs, mental and emotional health centers, child up-bringing, parenting, career counseling, soft skills training's; likewise list is on.... along with financial assistance from Govt. and semi-government sectors, will share implementation details as needed/at the time of symposium/brain storming sessions. These centers will become surely The turning point center in city than progress in next cities; likewise in country than at global level and yes together positively we can set landmark by mainly utilizing the medium of education and guidance.Disclosure of interestThe author has not supplied his declaration of competing interest.

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Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.

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Aims/Objectives. This study assessed the adherence to iron and folic acid supplementation and the associated factors among pregnant women attending antenatal care at Bwindi Community Hospital, in Western Uganda. Methods. This was a cross-sectional study that used an interviewer-administered questionnaire and reviewed medical records. Binary and multivariable logistic regression analyses were used to identify factors associated with iron and folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value < 0.05 were used to assess for statistical significance. Results. We enrolled 438 pregnant women aged 16 to 41years. Participants’ mean age (±standard deviation (SD)) was 25.9 (±3.17) years. The self-reported adherence to iron and folic acid supplementation (consumed ≥4 tablets a week or 20 tablets in a month daily without missing the prescribed dosage) was 22.37% ( N = 98 ). Among the adherent pregnant women, the reported reasons (and their respective proportionality) for adherence were getting advice and counseling from the healthcare worker about the good effects of iron and folic acid supplementation ( N = 34 , 34.69%) and knowledge about the health benefits of iron and folic acid supplementation such as preventing anemia ( N = 16 , 16.33%), among others. On the other hand, the reported reasons (and their respective proportionality) for iron and folic acid nonadherence were forgetfulness ( N = 158 , 46.47%), taking too many pills ( N = 7 , 2.06%), not knowing the usefulness of iron and folic acid supplementation ( N = 29 , 8.53%), fear of the side effects of the medication ( N = 119 , 35.00%), and not getting the supplement from the hospital ( N = 27 , 7.94%). Bivariable and multivariable logistic regression analyses indicated that pregnant women who were primigravida ( adjusted odds ratio AOR = 4.5 ), who have parity of 2 or 3 ( AOR = 3.4 ), who perceived importance of iron and folic acid supplementation to prevent anemia ( AOR = 2.9 ), and who considered it important to take iron and folic acid supplementation ( AOR = 2.9 ) showed a statistically significant association with adherence to iron and folic acid supplementation. Moreover, pregnant women who perceived the risk of not taking iron and folic acid supplementation ( AOR = 5.2 ), those who received sufficient health education regarding the goals of iron and folic acid supplementation as well as the dangers of not taking the supplements ( AOR = 4.4 ) and adequate counseling, and those who obtained an explanation of the effects of iron and folic acid ( AOR = 4.8 ) showed a significant association with adherence to iron and folic acid supplementation. Conclusion. This study found a low adherence of iron and folic acid supplementation and was associated with obstetric and client- and health system-related characteristics. To this end, there is a need for individualized strategies targeting such factors and intensifying health education, guidance, and counseling to optimize adherence to iron and folic acid supplementation.

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The COVID-19 pandemic has caused many social problems for the community, including students. Students who are teenagers must adapt to the online learning system. Adolescents experience anxiety in the form of academic pressure, anxiety that they cannot follow online learning well, the task load is felt to be piling up, online learning is not effective because there is no direct interaction with lecturers, and so on. This quantitative descriptive study was designed to identify anxiety in students of the Diploma III Midwifery Study Program and Midwifery Study Program Undergraduate Program and Midwifery Professional Education Program STIKes MERCUBAKTIJAYA Padang. A modified questionnaire from the Hamilton Anxiety Rating Scale (HARS) form was distributed in google form to 138 Midwifery students. Data were analyzed using SPSS. The results showed that almost half of the respondents (42%) were 19 years old, almost half (47.8%) were in semester 2 or level 1. More than half (53.6) of students lived in boarding houses, with adequate internet network conditions by 61.6%. More than half (59.4%) of students stated that they were quite capable of doing assignments with computers and 63.7% stated that online learning was not effective. More than half of the respondents (54.3%) had a moderate level of anxiety in dealing with online learning during the COVID-19 pandemic. This anxiety can be reduced by providing various counseling services such as individual counseling services, guidance and group counseling. Universities must be able to facilitate this with teleconsultation services with academic advisors and psychologists if needed if student anxiety adversely affects learning outcomes and causes disturbances to students' mental health.

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We’ve all seen the numbers—In 2016, the Institute of International Education (2020) reported a 3% decrease in first-time enrollment of international students in the United States, amounting to nearly 10,000 students. This initial dip, a first since the Institute for International Education began collecting data in 2005, has continued in both 2017 and 2018 (see Table 1). Some in the field have attributed the trend to an increase in the price of education, heightened global competitiveness, and a decrease in sponsored scholarships from key markets. However, many have also pointed to the U.S. political climate following the election of President Donald Trump (Glum, 2017; Rose-Redwood & Rose-Redwood, 2017; Saul, 2018; Smith, 2017). While some international educators have called the impact of Trump immigration policies on international college students trivial, other institutions have noted concerns over the experiences of international students (Deruy, 2017; Pottie-Sherman, 2018). In response to the 2016 election, a number of institutions quickly reacted with messages of support to their international community. Universities across the nation leapt to action. Most notably, the #YouAreWelcomeHere campaign swept the nation, with more than 380 institutions of higher education participating (NAFSA, 2020). With its “America First'” vision, the Trump administration has focused its efforts in three main areas of immigration: border security, interior enforcement, and employment (The White House, 2018). The President has encountered setbacks in achieving some of his goals, but many proposed changes in immigration law have succeeded (Pierce, 2019). Among his most recent actions are presidential proclamations that suspend certain employment-based visas to preserve domestic jobs and support the U.S. economic recovery amid the Coronavirus pandemic. In order to pursue its aggressive immigration agenda, the administration has crafted and adopted a powerful narrative for the American public that has been distributed through digital and news media. It can be argued that this narrative, employed as a tool for supporting policy change, has had an impact on the feelings of safety, security, and belongingness for many people, including international students and scholars in the United States. The Narrative Policy Framework (Shanahan et al., 2018) argues that stories are integral in shaping the entire policy cycle, from agenda setting through implementation. It acknowledges a narrative’s four main structural elements: setting, characters, plot, and the moral of the story. Beyond its structure, the Narrative Policy Framework also suggests that policy actors may utilize strategies to move their audiences in one direction or another, serving as a powerful catalyst for change (Shanahan et al., 2018). Burgeoning literature in the field of international student services hints at this connection between an increasingly unwelcoming environment for international students and their growing feelings of insecurity (Bartram, 2018; Mathies & Weimer, 2018; Rose-Redwood & Rose-Redwood, 2017). International student support offices across the world may vary in organizational structure and the range of services they provide, but all share the responsibility of assisting international students in their educational and cultural transition to campus (Ammigan & Perez-Encinas, 2018; Briggs & Ammigan, 2017). As international educators, it is our responsibility to reach across disciplines for tools that help us better understand and serve our communities. While some of us have institutional responsibilities to administer regulatory compliance with shifting immigration policies and procedures, we must also acknowledge that the support model for our students may need to be recalibrated so we can directly address the potential impact of other environmental factors, including political narratives. Below, we offer a few recommendations for administrators and support staff to consider as they bolster support for their international community. Incidentally, these propositions might also be relevant to many non-U.S. institutions that are addressing similar situations and issues on their respective campuses internationally. Provide access to accurate immigration advising. Amid confusion and varying perspectives on changing immigration policies, it is important for designated university officials to remain accessible to students and scholars who seek timely and factual guidance on their visa status and employment options as per official government regulations. Establish an open forum for addressing concerns. Some students, despite struggling to understand the effects of a changing political climate, may experience social withdrawal and hesitate to come forward. Institutions must consider creating a safe and supportive space for dialogue. This also includes regularly assessing the needs and challenges of their students. Partner with service offices, academic units, and student organizations on campus to develop collaborative resources that can help address the overwhelming fears and anxieties among international students and scholars, and ensure their wellbeing and academic success. Develop initiatives with local government and community organizations to create a welcoming home and friendly setting for international visitors. International student support offices can play a leadership role in developing supportive networks and connections with the wider community. Implement culturally sensitive orientation programs and early interventions that support international students during times of high stress to help them with their academic, social, and cultural adjustment to campus. As university administrators and staff recognize the impact of political narratives on the wellbeing of our international communities, it is critical that we remain proactive in providing support services that are intentional and inclusive in nature. Such initiatives not only enhance the student experience but can help advance diversity and internationalization efforts across the institution.

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IntroductionPhysical Medicine and Rehabilitation is a goal oriented and patient centered specialty which focuses on functional restoration and quality of life of persons with disability. The patterns of injuries among survivors of recent disasters have, range from mild (single limb fracture) to catastrophic (spinal cord injury, amputation, traumatic brain injury). Historically physiatrists have not participated the acute disaster management phase or in the emergent post disaster rehabilitation planning. This task is usually relegated to the trauma, orthopedic and general surgeons.MethodologyAuthors had firsthand experience in the acute and emergent care and rehabilitation of trauma patients after Pakistan, China and Haiti earthquakes. An electronic literature search (English, 1965–2010, Key words: trauma, rehabilitation, disability, spinal cord injury, amputation, disaster, nerve injury) was carried out. Experience sharing through committees, online forum, and communications were conducted with physiatry colleagues internationally.ResultsIn these three recent earthquakes, Physiatrists provided direct patient care, including guidance in the evacuation of survivors with pre-existing disabilities, transport of persons with spinal trauma, treatment of wounds, fractures, pain, spinal trauma patients and persons with amputations. Physiatrists devised appropriate plans for conservative management of fractures. Education of local staff and coordination of rehabilitation was initiated. Monitoring, prevention and treatment of secondary complications including prolonged immobility, pressure ulcers, chronic pain, urinary, bowel and respiratory dysfunction was performed. Physiatrists helped in patient counseling and family education.ConclusionPhysiatrists by virtue of their training and skills are in a better position to manage the disabilities, including direction of rehabilitation and community integration, prevention of complications, and education and training of health workers and teams. Timely rehabilitation interventions for Spinal cord injuries and lower limb amputations following the Pakistan, China and Haiti earthquakes resulted in reduction in morbidity and mortality among those with catastrophic injuries.