European Journal of Molecular & Clinical Medicine

This study aims to present the development result of the trauma focused – cognitive behavior therapy (TF-CBT) website and to test the percentages of agreement of the content, software interaction and technical aspects of TC-CBT website known as internet TF-CBT (iTF-CBT). The iTF-CBT module consists of five modules, namely i. Psycho Education; ii. TF-CBT; iii. Exposure Therapy; iv. Cognitive Therapy; and v. Anxiety Management. All of these modules are supported by 12 activities. Besides, this study is divided into two phases: i. Module development phase; and ii. iTF-CBT testing phase. The first phase involved data collection by conducting interviews with the experts as well as literature review. The second phase involved getting the percentages of agreement for the development of iTF-CBT among 42 trainee counsellors of the Sultan Idris Education University (UPSI). Results of this study indicate that the mean of percentages of the agreement between content, software interaction and technical aspects in the final test of iTC-CBT are high between 93 to 100 percents. These findings show that TF-CBT modules are applicable in the training to enhance efficiency of trauma and mental health counselling. As a result, this study has further expanded the theory and practices of counselling in the context of mental health particularly in Post Traumatic Stress Disorder (PTSD) and trauma.

Background-Acknowledgement of instrumental action of fetal hemoglobin(HbF)
in improving the clinical condition of sickle cell disease (SCD) patients, began around 7
decades back, by Janet Watson who found that infants with SCD had lesser symptoms and
their deoxygenated RBCs did not sickle or deform as aggressively as their mothers having
sickle cell trait. She proposed high HbF levels in infant blood as compared to mothers for
the observations of her study. Reduced incidence of crisis like vaso-occlusive, haemolytic,
aplastic, megaloblastic, infectious and others have been found with higher HbF levels.
With this backdrop the present study is being undertaken to know the reciprocity between
HbF levels and the state of crisis in sickle cell. The study is expected to fill the missing link
between “Why a few patients with HbS with haemoglobin pattern of SS suffer less from
crisis than that of others with a similar haemoglobin pattern of SS”
Objectives:
• To know HbF levels in pateints with SCD with Hb (SS) pattern
• To draw the comparisons between HbF levels in SCD with Hb(SS) pattern in
subjects 1. With sickle cell crisis and 2. Without sickle cell crisis
• To find out cut-off level of Hb F at its protective effect against the crisis in SCD
Methodology
• Study design - Observational and analytical study
• Sample size - Total of 30 Patients of sickle cell Disease (Hb SS)
• Study duration - 1 year
Expected Results: Incidence of Crisis in HbSS patients are expected to have a inverse
relationship with HbF levels. A cut-off level of HbF above which episodes of crisis are
lower can be expected to be found. Conclusion: Conclusions will be drawn from results
obtained and an attempt to establish a cut-off HbF value which renders a protective action
against crisis in SCD will be made.

Covid-19 pandemic greatly affected the growth of creative economy of West Bandung. Many creative economy workers had to stay at home for a while since they had nothing to do, and many creative economy players eventually went bankrupt since they could not run their businesses during the pandemic. The condition encouraged FEKRAF KBB, as the official organization that accommodates all creative economy players of West Bandung, to give a hand in dealing with and getting through the crisis during the pandemic. This study sought to reveal what crisis communication management that was employed by FEKRAF KBB in dealing with Covid-19 pandemic and how it was applied. Qualitative method with case study approach were used for resolving research questions. Observation, interview, focus group discussion, and literature review were employed to collect data. This study’s informants were the committee of FEKRAF KBB, the West Bandung Tourism and Culture Office, the representatives of creative economy players, the media and other stakeholders. The results showed that FEKRAF KBB correctly applied all principles and stages of crisis communication and utilized various communication channels relevant to the conditions of the crisis they faced. Crisis preparedness, initial respond, corrective and reaction, and evaluation were the stages of crisis communication they employed, andthe media they used were limited to on-line and social media. In regard to its implementation, FEKRAF KBB applied nearly all principles of crisis communication as follows: creating a communication team, engaging media, collecting facts, disclosing information, being one sound, and employing many communication channels.