Objective:The main symptom of lung cancer is dyspnea which can lead to depression, anxiety, limited independent activities, and decreased quality of life. The purpose of this study was to identify the effect of airflow stimulation from a hand-held fan as nonpharmacological palliative intervention on dyspnea in patients with lung cancer.Methods:This study used open, randomized, controlled, crossover trial design involved 21 participants. Diaphragmatic breathing technique was used in control arm.Results:Wilcoxon test result showed that airflow stimulation significantly influenced dyspnea scale (P = 0.003) and respiratory rate (RR) (P = 0.008). Combination of airflow stimulation and diaphragmatic breathing can lower both dyspnea scale and RR significantly (P < 0.0001).Conclusions:This combination can be applied on nonhypoxemic dyspneic lung cancer patients.

Pengaruh sistem pengendalian intern berpengaruh positif dan signifikan terhadap kualitas laporan keuangan pemerintah daerah sebesar 83%. Secara parsial, lingkungan pengendalian, penilaian resiko, kegiatan pengendalian, informasi dan komunikasi, dan pemantauan berpengaruh positif terhadap kualitas laporan keuangan pemerintah daerah. Tetapi, hanya lingkungan pengendalian, penilaian resiko, dan informasi dan komunikasi yang berpengaruh signifikan terhadap kualitas laporan keuangan pemerintah daerah

ABSTRAK Pendahuluan: Kemampuan self-care merupakan hal penting dalam meningkatkan kualitas hidup pasien DM. Penelitian bertujuan mengidentifikasi hubungan self-care dengan kualitas hidup pasien DM. Metode: Rancangan penelitian cross sectional, melibatkan 125 anggota PERSADIA cabang Cimahi. Alat ukur self-care adalah Summary of Diabetes  Self-Care Activities (SDSCA), Diabetes Quality Of Life (DQOL) dan Beck Depression Inventory II. Hasil: Hasil penelitian menunjukkan hubungan self-care dengan kualitas hidup menjadi tidak bermakna (p value 0.164) setelah dipengaruhi oleh jenis kelamin (p value 0.006) dan  depresi (p value 0.001). Diskusi: Peningkatan satu satuan self-care, akan meningkatkan kualitas hidup sebesar 6.1% setelah dikontrol oleh jenis kelamin dan depresi. Peningkatan self-care dapat dilakukan melalui pengembangan program edukasi yang terstruktur, meningkatkan kompetensi perawat dalam memberikan asuhan keperawatan pada pasien DM terkait aktivitas self-care, dan melakukan screening depresi terhadap pasien DM. Kata kunci: Self-care, kualitas hidup, DM   ABSTRACT Introduction: The relation between self care and patient’s diabetes mellitus quality of life in Persatuan Diabetes Indonesia    (PERSADIA) in Cimahi. Self care ability is important in improving patient’s quality of life (QOL). Method: Using cross sectional method, this research is designed to identify the relationship between self care and patient’s QOL in PERSADIA Cimahi, West Java. A hundred twenty five PERSADIA members were recruited and examined using Summary of Diabetes  Self-Care Activities (SDSCA),Diabetes Quality Of Life (DQOL) and Beck Depression Inventory II. Result: The results showed no significant correlation between self care activity and QOL (p=0,164) as influenced by gender (p=0,006), depression (p=0,001). Discussion: Increase of one unit self-care was likely to increase 6,1% QOL after controlled by gender and depression. Self care improvement can be performed through developing structured education, improving nurse’s competency in diabetes care and conducting diabetes screening program for DM patients. Key words: Self-care, Quality of Life, Diabetes Mellitus (DM) Full printable version: PDF

This paper reviews the emerging effects of the 2012 decision of the Constitutional Court of Indonesia relating to the customary management of Indonesia's traditional forests. It focuses on the challenge of moving from legal to political and societal recognition of Indigenous peoples’ rights. In its advocacy of customary land rights, Aliansi Masyarakat Adat Nusantara (AMAN) successfully applied to the Constitutional Court for judicial review of the Forest Law 41 1999. It argued the law breached the constitutional rights of its members in permitting the state to permit exploitation and development rights over traditional forest without their consent. The flow‐on effect of allocating such rights included widespread deforestation and land use change without agreement from customary communities that have used and occupied these forests for centuries, thus ignoring traditional customary law that regards these forests as the property of such communities. The paper reflects critically on international experience in the interface between legal recognition of Indigenous peoples’ rights, and their translation into sustainable and meaningful societal transformation.

No abstract