Kepemimpinan transformasional merupakan gaya kepemimpinan melakukan perubahan untuk mencapai performa lebih baik. Tujuan penelitian ini mengetahui bagaimana kepala PAUD meningkatkan mutu pendidik. Metode menggunakan pendekatan kualitiatif dengan jenis studi kasus. Teknik pengumpulan data observasi, wawancara, dan dokumentasi. analisis yakni data, reduksi penyajian penarikan kesimpulan. Hasil me...

Individuals with autism spectrum disorder (ASD) are often viewed as asexual or hyposexual. Caregivers of children ASD coordinating multiple home services and report that educating them about sexuality is a low not priority. Consequences can be dire for any individual naïve personal boundaries, ranging from victimization abuse to being potentially prosecuted sexual offender. Without sex educatio...

INTRODUCTION One aspect of clinical integration involves case managers' tools and particularly the individualized service plan. METHODS We examined individualized service plan content and use in the PRISMA experiment. We analyzed 50 charts, and conducted and recorded interviews regarding individualized service plan use with all the case managers concerned (n=13). RESULTS Delays between star...

Myasthenia gravis is an autoimmune neuromuscular disorder characterized by fluctuating weakness and skeletal muscle fatigue. Clinical signs and symptoms may vary considerably according to the age at presentation, patterns of autoantibodies and associated thymic abnormalities, so that therapeutic options are highly individualized. Facial and oropharyngeal muscle weakness is common at disease ons...

The prevalence of diabetes is increasing due to aging of the population and increasing obesity. In the developed world, there is an epidemiologic shift from diabetes being a disease of middle age to being a disease of older people due to increased life expectancy. In old age, diabetes is associated with high comorbidity burden and increased prevalence of geriatric syndromes in addition to the t...

concerning each of these aspects was imperative throughout the progress of World War II and the mechanisms of dispersing current information regarding personal health measures were effective only insofar as they became highly individualized. The military experiences in provision of adequate clothing and in maintaining optimum nutritional status, based on careful physiological observation, are e...

Successful treatment of patients with critical limb ischemia (CLI), hinges on the adequacy of revascularization. However, CLI is associated with a severe burden of systemic atherosclerosis, and patients often suffer from multiple cardiovascular comorbidities. Therefore, CLI patients in general represent a cohort at increased risk for procedural complications and adverse events. Although endovas...

Vulvovaginal atrophy (VVA) is a chronic disorder that commonly occurs in postmenopausal women, whose symptoms are recognized among the most frequent and bothersome symptoms associated with menopause. The principal therapeutic goal in managing VVA is to relieve symptoms as well as to restore the vaginal environment to a healthy state. However, despite its high prevalence and negative impact on q...

Hypertension is one of the most important comorbidities of diabetes, contributing significantly to death and disability and leads to macrovascular and microvascular complications. When assessing the medical priorities for patients with diabetes, treating hypertension should be a primary consideration. Practical approaches to hypertension in diabetes, including individualized targets are discuss...

The use of anticoagulants and antiplatelet agents has largely increased. Diagnostic lumbar puncture in patients taking these drugs represents a challenge considering the opposing risks of bleeding and thrombotic complications. To date there are no controlled trials, specific guidelines, nor clear recommendations in this area. In the present review we make some recommendations about lumbar punct...