bluuebunny/crossref_metadata_2025 huggingface dataset:
PERENCANAAN KEPERAWATAN DAN IMPLEMENTASI DALAM PROSES KEPERAWATAN
Authors: Helga Putri Dwi
Published: September 2020

Keperawatan adalah salah satu profesi pelaku pemberi pelayanan kesehatan, memiliki peranan penting dalam menentukan keberhasilan kesehatan secara keseluruhan. Proses keperawatan merupakan kerangka sistematis yang dilakukan dalam pemberian asuhan keperawatan untuk memenuhi reaksi dan respon individu. Tahap perencanaan adalah suatu proses penyusunan berbagai intervensi keperawatan yang dibutuhkan untuk mencegah, menurunkan atau mengurangi masalah-masalah klien. Implementasi adalah pengelolaan dan perwujudan dari rencana keperawatan yang telah di susun pada tahap perencanaan. Penelitian ini dilakukan untuk mengetahui perencanaan dan implementasi dalam proses keperawatan. Penelitian ini dilakukan dengan metode deskriptif. Dimana dilakukan dengan teknik pengumpulan data atau informasi dengan melakukan analisis, eksplorasi, kajian bebas (literatur review).
PENGAMBILAN KEPUTUSAN DALAM PENCEGAHAN SEKS BEBAS DIKALANGAN REMAJA
Authors: Muharani Aruni
Published: September 2020

Seks bebas adalah hubungan intim yang dilakukan secara leluasa tanpa adanya ikatan suami istri. Banyak faktor yg mempengaruhi seseorang untuk melakukan seks bebas mulai dari faktor keluarga atau lingkungan dan pergaulan. Perilaku seks bebas bisa mengakibatkan metal anak menurun jika dilakukan secara paksa atau yg paling melonjak adalah hamil diluar nikah. Para remaja sering kali terlibat dalam berbagai risiko perilaku seksual yang sangat dapat merugikan kesehatan,social,dan konsekuensi ekonomi. Oleh karena itu orang tua yang notabenenya sebagai pendidik pertama dan palingutama bagi anak dan memiliki peran yang sangat penting dalam memberikan pendidikan karakter anak agar anak tersebut dapat terhindar dan menghindari perilaku seks bebas atau seks pranikah.
Analisis jurnal
Authors: Rahul
Published: September 2020

[Bangsa Yahudi dan Samaria yang terlibat saling mengklaim keturunan Abraham sehingga perseteruan dari latar belakang kepentingan multikultural membawa dampak pada kerukunan kedua bangsa tersebut. Di masa intertestamental situasi pergolakan masih terjadi. Studi sejarah perseteruan yang terjadi dimasa intertestamental juga membawa pesan ketidak rukunan menjadi pemicu semua keturunan yahudi dan samaria untuk terus berada dalam kebencian. Demikian yang terjadi dibangsa Indonesia banyak sentimen sukuisme, agama maupun adat istiadat yang dipertentangkan sehingga kerukunan umat masyarakat majemuk ternodai. Namun belajar dari Yesus yang membawa perubahan mengubah paradigma dan pengajaran untuk saling mengasihi maupun hidup dalam kerukunan.]
"PENTINGNYA PERAN PERAWAT DALAM MENENTUKAN PERUMUSAN DIAGNOSA KEPERAWATAN"
Authors: murzella Shyfa
Published: September 2020

Diagnosis keperawatan adalah penilaian klinis tentang respons manusia terhadap gangguan kesehatan/proses kehidupan, atau kerentanan respons dari seorang individu, keluarga, kelompok, atau komunitas. Perawat mendiagnosis masalah kesehatab, menyatakan resiko, dan kesiapan untuk promosi kesehatan. Diagnosis berfokus masalah tidak boleh dipandang lebih penting dari pada diagnosis risiko. Kadang-kadang diagnosis risiko dapat menjadi diagnosis dengan prioritas tertinggi bagi pasien.Setiap diagnosis keperawatan memiliki label dan definisi yang jelas. Hal ini penting untuk menyatakan bahwa jika hanya memiliki label atau daftar label tidak mencukupi. Sangat pening bahwa perawat mengetahui definisi diagnosis yang paling sering mereka gunakan.Untuk dapat merumuskan diagnosa keperawatan dibutuhkan kemampuan analisis yang tinggi sehingga diperlukan sumber daya manusia yang capable dan mempunyai motivasi kuat untuk maju serta berpandangan maju (futuristic). Pada status pasien yang telah dikaji terlihat bahwa perawat hanya memilihsaja diagnosa keperawatan yang telah disediakan di bagian samping format pengkajian. Hal ini memang lebih memudahkan perawat akan tetapi juga dapat menyebabkan perawat menjadi malas dan kurang inisiatif untuk menganalisa data lalu merumuskan diagnosa keperawatan sendiri apabila ditemukan data yang berbeda. Kondisi demikian juga menimbulkan kualitas pendokumentasian diagnosa keperawatan menjadi monoton.
standart Dan Model Dokumentasi Asuhan Keperawatan
Authors: jannah nurfatul
Published: September 2020

Pendokumentasian keperawatan merupakan kegiatan yang harus dilaksanakan oleh perawat. Dokumentasi keperawatan adalah suatu catatan yang dapat dibuktikan atau dapat dijadikan bukti dari segala macam tuntutan, yang berisi data lengkap, nyata dan tercatat bukan hanya tentang tingkat kesakitan dari pasien, tetapi juga jenis/type, kualitas dan kuantitas pelayanan kesehatan dalam memenuhi kebutuhan pasien. Pendokumentasian asuhan keperawatan yang tidak lengkap mengakibatkan mutu Rumah Sakit akan menurun. Dalam asuhan keperawatan agar terbinanya koordinasi yang baik dan dinamis antar tenaga keperawatan serta meningkatkan efisiensi, efektifitas dan menjamin kualitas asuhan keperawatan. Penulisan ini bertujuan untuk mengetahui dan memberi informasi tentang standar dan model pendokumentasian asuhan keperawatan. Penulisan ini menggunakan metode literature review dengan pendekatan jurnal atau artikel, buku dan e-book yang relevan dan akurat serta berfokus standart dan model pendokumentasian asuhan keperawatan. Adapun jurnal atau artikel dan e-book yang digunakan pada literature review adalah jurnal atau artikel dan e-book yang didapatkan dengan menggunakan Google Scholar, dan Jurnal Keperawatan Indonesia.
Quantum gravity, field string, discrete hierarchy
Authors: Kuyukov Vitaly
Published: September 2020

Quantum gravity, field string, discrete hierarchy
Perumusan Diagnosa Keperawatan dalam mencapai Asuhan Keperawatan
Authors: Marbun Natalia Cristianti P
Published: September 2020

Keperawatan adalah suatu bentuk pelayanan profesional merupakan bagian integral dari pelayanan kesehatan bersifat komprehensif terdiri dari bio, psiko, sosial dan spiritual ditujukan kepada individu, keluarga, keluarga kelompok dan masyarakat baik sehat maupun sakit berdasarkan ilmu dan kiat. Lansia baik sebagai individu maupun kelompok merupakan sasaran dari pelayanan keperawatan.Perawat sebagai tenaga kesehatan yang bertugas untuk memenuhi kebutuhan dasar klien secara holistic.Dalam tindakannya, seorang perawat sebelum memberikan asuhan keperawatan harus melakukan metode keperawatan berupa pengkajian, diagnosis keperawatan, intervensi, dan evaluasi. Profesi perawat menggunakan proses keperawatan (nursing process) sebagai kerangka pikir dan kerangka kerja dalam merawat pasien. Diagnosa Keperawatan merupakan keputusan klinik tentang respon individu, keluarga dan masyarakat tentang masalah kesehatan aktual atau potensial, dimana berdasarkan pendidikan dan pengalamannya, perawat secara akuntabilitas dapat mengidentifikasi dan memberikan intervensi secara pasti untuk menjaga, menurunkan, membatasi, mencegah dan merubah status kesehatan klien (Yeni, 2008). Untuk dapat merumuskan diagnosa keperawatan dibutuhkan kemampuan analisis yang tinggi sehingga diperlukan sumber daya manusia yang capable dan mempunyai motivasi kuat untuk maju serta berpandangan maju (futuristic).
On progression in meditation: habit, curiosity, and identity
Authors: Ho Tung Manh
Published: September 2020

I this essay, I reflect on several progressions of meditation: Formal meditation becomes a habit; Mindfulness becomes more of a mode of being; Experiencing the world with a little more empathy, intensity, and tenderness; Clear viewing of what the mind’s doing; More curiosity and serendipity; Identities become less tangible and unnecessary suffering disappears.
Perencanaan asuhan keperawatan pada pengetahuan dan sikap perawat
Authors: ginting Syifa amalia br
Published: September 2020

Caring merupakan tindakan perawat yang menunjukan kasih sayang, empati serta ikhlas dalam merawat pasien. Perilaku caring perawat ini bertujuan untuk memberikan asuhan keperawatan melalui suatu pendekatan yang berorientasi pada kepedulian perawat terhadap klien, dimana perilaku caring perawat ini sesuai dengan tuntutan masyarakat yang mengharapkan pelayanan kesehatan yang baik dan berkualitas. Sehingga jika perilaku caring ini diterapkan dengan baik maka klien akan merasa puas dan akan berdampak pada peningkatan mutu pelayanan keperawatan. Pendidikan termasuk salah satu faktor individu yang mempengaruhi perawat dalam berperilaku caring. Pendidikan sangat penting bagi perawat untuk membangun perilaku caring Selain pendidikan, yang termasuk dalam faktor individu selanjutnya adalah pengetahuan. Pengetahuan merupakan hal yang mendasari perawat dalam mengaplikasikan perilaku caring. Semakin tinggi pengetahuan perawat terhadap caring maka harapannya perawat akan semakin tahu sikap yang seperti apa yang bisa menunjukkan dirinya untuk berperilaku caring terhadap klien. Asumsi ini didasarkan karena perawat yang memiliki tingkat kognitif tentang caring yang baik mempunyai landasan teori yang cukup untuk dirinya dalam mempraktekan caring.
analisis jurna rina
Authors: So'langi' Katrina
Published: September 2020

Penuturan sesepuh Desa dan Kepala Desa Polobogo mengisahkan bahwa ritus Kembang Kuningan bermula dari Ki Soreng yang datang untuk bertapa di bawah pohon yang memiliki bunga berwarna kuning untuk meminta petunjuk (bunga dalam bahasa jawa disebut kembang). Ki Soreng sendiri tidak diketahui secara pasti nama asli keratonnya, tetapi kata soreng itu merupakan singkatan yang memiliki arti “Senopati Perang”. Ketika Ki Soreng meninggal dunia, beliau berpesan untuk dimakamkan di bawah pohon yang bunganya berwarna kuning tersebut, maka tempat itu disebut dalam bahasa jawa
Berfikir Kritis Dalam Menyusun Dokumentasi Keperawatan Sebagai Upaya Memberikan Pelayanan Yang Berkualitas
Authors: Nurzanna Tasya Nabilla
Published: September 2020

Asuhan keperawatan diberikan atas dasar ketidaktahuan, ketidakmampuan dan ketidakmauan pasien dalam memenuhi kebutuhan dasarnya. Perawat dalam memenuhi secara komprehensif, menggunakan ketrampilan kritis dan profesional sehingga pelayanan yang diberikan bermutu bagi pasien maupun perawat sendiri.
HUBUNGAN PERAN PERAWAT DAN DIAGNOSA KEPERAWATAN
Authors: Siregar Fanisa Nur
Published: September 2020

Diagnosa keperawatan adalah suatu penilaian klinis yang menggambarkan tentang respons yang diberikan oleh individu, keluarga, atau kelompok terhadap masalah kesehatan atau proses kehidupan aktual ataupun potensial sebagai dasar pemilihan intervensi keperawatan secara tepat untuk menjaga status kesehatan klien. Dalam memberikan asuhan keperawatannya, perawat juga bertanggung jawab dalam memberikan diagnosa keperawatan untuk setiap klien. Peran seorang perawat adalah sebagai pemberi asuhan keperawatan, dengan memperhatikan keadaan kebutuhan dasar manusia. Tujuan dari diagnosa keperawatan ini adalah untuk mengidentifikasi masalah adanya respon klien terhadap status kesehatan, untuk mengidentifikasi faktor penyeab masalah dan untuk mengetahui kemampuan klien untuk mencegah atau menyelesaikan masalah.
Pengambilan Keputusan Pasangan Usia Subur ( PUS ) Dalam Penggunaan Alat Kontrasepsi Pada Program Keluarga Berencana ( KB )
Authors: Sinaga Winda Sari
Published: September 2020

Dalam dunia kerja perawat akan sering menjumpai beragam kasus, baik dari kasus yang sederhana sampai kasus yang rumit. Dikarenakan hal itu, perawat dituntut untuk mampu berpikir kritis dan mampu memberi tanggapan dan respon yang cepat. Berpikir kritis merupakan suatu kemampuan yang wajib dimiliki oleh seorang perawat sebagai kompetensi dasar bagi perawat untuk menginterpretasi, menganalisis dan mengevaluasi dalam melakukan tindakan asuhan keperawatan kepada pasien. Berpikir kritis memiliki kaitan yang dekat dengan proses pengambilan keputusan seorang perawat dalam melakukan penilaian klinis yang nantinya akan menjadi penentu tindakan ataupun Asuhan Keperawatan yang akan diberikan Perawat kepada pasien. Pengambilan keputusan merupakan salah satu tindakan dan upaya yang dapat dilakukan perawat untuk memecahkan permasalahan, salah satunya adalah pengambilan keputusan untuk mencegah laju pertumbuhan jumlah penduduk yang tinggi melalui penggunaan alat kontrasepsi dan program Keluarga Berencana ( KB ). Penggunaan alat kontrasepsi dalam program Keluarga Berencana ( KB ) bertujuan agar terkendalinya pertumbuhan penduduk dan diikuti meningkatnya taraf hidup dan kesejahteraan penduduk Indonesia. Pengambilan keputusan penggunaan alat kontrasepsi dalam keluarga merupakan Salah satu hal yang mendukung pelaksanaan program pemerintah dalam mengatasi masalah kependudukan di Indonesia. Oleh sebab itu, pengambilan keputusan yang tepat dalam penggunaan alat kontrasepsi akan membawa pada keberlanjutan program Keluarga Berencana.
PENGAMBILAN KEPUTUSAN PRO LIFE PADA REMAJA DENGAN KEHAMILAN TIDAK DI INGINKAN (KD)
Authors: Halawa Tasya Nia Nuddin , Halawa Tasya Nia Nuddin
Published: September 2020

Masa remaja adalah masa transisi antara masa kanak-kanak dengan dewasa dan relatif belum mencapai tahap kematangan mental dan sosial. Remaja bisa saja mengatakan bahwa seks bebas atau seks pranikah itu aman untuk dilakukan. Namun, bila remaja melihat dan memahami akibat dari perilaku itu,ternyata lebih banyak membawa kerugian. Salah satu resikonya adalah kehamilan di luar nikah. Kehamilan diluar nikah saat ini dikarenakan adanya dorongan seksual pada remaja yang tidak terkontrol membuat remaja berani untuk melakukan kegiatan seks pranikah yang dapat menjadi sumber mala petaka yang dapat menghancurkan masa depan dan cita cita mereka. Seperti keha,ilan diluar nikah yang saat ini marak terjadi di kalangan remaja .Harga diri dan komitmen hubungan pada relasi diadik, serta sikap positif ditengarai menjadi penyebab munculnya perilaku seks pranikah Seks bebas merupakan hubungan yang dilakukan oleh laki-laki dan perempuan tanpa ikatan perkawinan Pacaran remaja meningkat sejalan dengan meningkatnya kejadian pemaksaan perilaku seksual pranikah dalam pacaran, kehamilan diluar nikah dan aborsi.
Pentingnya Mahasiswa Keperawatan Mengetahui Langkah-Langkah Dalam Proses Keperawatan
Authors: Nasution Shofi Auliya Sari
Published: September 2020

Keperawatan adalah proses aksi dan interaksi untuk membantu individu dari berbagai kelompok umur dalam memenuhi kebutuhannya dan menangani status kesehatan mereka pada saat tertentu dalam suatu siklus kehidupan (Dorothea Orem, 1971)Menurut Deswani (2011) Proses Keperawatan adalah suatu metode yang sistematis dan terorganisasi dalam pemberian asuhan keperawatan, yang difokuskan pada reaksi dan respons unik individu pada suatu kelompok atau perorangan terhadap gangguan kesehatan yang dialami, baik actual maupun potensial. Proses keperawatan terdiri atas lima tahap, yaitu : pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Setiap profesi dituntut untuk memberikan pelayanan yang baik dan berkualitas, seperti hal nya di bidang kesehatan. Oleh sebab itu tenaga medis harus dapat memberikan pelayanan sesuai dengan kebutuhan pasien berdasarkan langkah-langkah ataupun proses yang telah ditentukan. Proses keperawatan ini merupakan pegangan atau pedoman bagi perawat dalam memacahkan masalah mengenai pasien serta dapat memberikan kepuasan pelayanan yang sesuai dengan kebutuhan pasien.
Character growth following collective life events: A study on perceived and measured changes in character strengths during the first wave of the COVID-19 pandemic
Authors: Gander Fabian , Wagner Lisa
Published: September 2020

Did the COVID-19 pandemic promote character growth? Studies using sequential samples suggest that collective life events can result in character growth, but their conclusions have been questioned. This study used three approaches to examine character growth during the first wave of the pandemic: perceived changes in oneself and in a close other, and a longitudinal analysis of changes. Additionally, we tested whether character strengths assessed before the pandemic predicted specific instances of growth, that is, engagement in volunteering and compliance with regulations during the pandemic.German-speaking participants (N = 366, 76.5% female, mean age: 45.33 years) who had completed an assessment of character strengths before the pandemic reported on perceived changes in character strengths, engagement in volunteering, and compliance with regulations. A subsample also completed a second assessment of character strengths. The results showed that (a) participants reported perceived changes for most character strengths in both themselves and close others, while (b) longitudinal increases were only observed for humility and prudence. Pre-crisis character strengths predicted (c) engagement in volunteering and (d) compliance with regulations.We conclude that actual character growth was smaller than the perceived changes but that the character strengths did predict relevant behaviors related to the COVID-19 pandemic.
Editor's Note Vol.2
Authors: Board Editorial
Published: September 2020

No abstract available.
The Demand for Money in Nepal: An Analysis Using Vector Error Correction Model
Authors: Neupane Deepak
Published: September 2020

This paper examines the demand for money in Nepal. Accordingly, time series techniques such as Unit Root Test, Co-integration test approach were conducted considering the annual data from 1975 to 2019. The results of the unit root test indicate that the variables are stationary at the first order difference. Moreover, the co-integration test state that there is co-integration among the real broad money supply, real GDP at producer price, inflation and the interest rate, after taking the logs of real broad money supply, real GDP and interest rate and taking the first difference of all the considered variables, which makes the series normal and stationary respectively. Besides the results of the CUSUM test indicate the stability of the model. The results of the VECM show that there exists the long-run causality of the determinants on the money demand function whereas, out of the considered variables, none has the short-run causality on the money demand function. Moreover, ordinary least square method was also conducted to compute the coefficient of parameters which showed that though only one, real GDP, out of three, was found to be significant, the model was found to be good fit with the value of R-squared 0.9933 stating that the 99.33 percent variation in the dependent variable is explained by the explanatory variables.
Performance of Multiple Borrowing Clients in Gandaki Province of Nepal
Authors: Dhungana Bharat Ram , Chapagain Ramkrishna
Published: September 2020

The multiple borrowing problems are more common in microfinance institutions in Nepal. The study aims to evaluate the performance of multiple borrowing clients in Gandaki province of Nepal with reference to Muktinath Bikas Bank Limited (MBBL). The performance of multiple borrowing clients, in terms of women empowerment, consumption expenditure, capital expenditure, micro-enterprises creation, saving, investment, and profit, has been examined with the help of descriptive and inferential statistics. The study has been confined to five districts of Gandaki province and the data have been collected from MBBL clients who are involved in microfinance intervention at least from the last five or more years. The performance of most of the observed clients was empowered by microfinance activities but no significant difference in terms of changes in the livelihood parameters. Although microfinance programmes empower clients, the results of the investment, saving, micro-enterprises creation, capital and consumption expenditure, and income generation of clients are not convincing. The regulatory authority should identify the problems of multiple borrowing whether the financing from microfinance institutions is just for their profit or for productive application of loan. The socio-economic performance of clients is connected with the effective monitoring of clients made by microfinance institutions whether the loan has been properly utilized or not.
The Precipitation Trend in Baglung District: A Statistical Analysis
Authors: Baral Madhab Prasad
Published: September 2020

The climate pattern of Nepal is uncertain regarding the precipitation but the extreme events such as floods and drought are increasing. Due to an increase in uncertain precipitation, the extreme rainfall and its intensity are also increased. Baglung District elevated from 650m to 4300m has a diverse climatic zone from upper tropical to alpine, almost similar to the whole Nepal. The data were taken from the Department of Hydrology and Meteorology from 1970 to 2018 (on monthly basis) are used for analyzing the precipitation trends in Baglung District based on five stations by taking the secondary data. To analyze the data, Mann- Kendall, and Sen’s Slope are used to find trend and magnitude. SPSS and R softwere are used to draw graph and other statistical calculations. The analysis shows that there is a positive trend in precipitation in the Baglung district. This is contradictory to national trends of precipitation, which is slightly negative. The maximum value of precipitation is 271.892mm in 1998, followed by 263.070mm in 2000, and the minimum value is 27.217mm in 1973, followed by 86.10 mm in 1972. There is a wide variation in average monthly rainfall in different stations ranging from 158.326mm (Baglung station) to 235.828mm (Rangkhani station) with standard deviations 199.342mm and 310.196mm respectively. The analysis indicates that the trend of precipitation is slightly positive but insignificant which shows that the intensity of rainfall is increased, but the number of rainy days is decreased. Similarly, the results indicate that the average rainfall in Baglung (190.400mm) is higher than the national level (150mm app.).
Pancreatogenic Splenic Pseudocysts: Pathogenesis, Diagnosis and Treatment
Authors: Yulia Aleksandrovna Stepanova , Yulia Aleksandrovna Stepanova , Dmitry Ionkin , Alimurzaeva M.Z. , Zhavoronkova O.I. , Gavrilov Ya.Ya. , Olifir A.A.
Published: September 2020

Background: Pancreatogenic splenic pseudocysts are a relatively rare condition. Intra-splenic localization
is of the splenic pseudocysts is dangerous because of the possibility of massive haemorrhage and organ
rupture.
Aim: To analyse our experience in the diagnosis and treatment of pancreatogenic pseudocysts of the spleen.
Materials and Methods: The analysis of the short and long-term results of treatment of the 34 patients with
pancreatogenic splenic pseudocysts (extrapancreatic localization) (1985-2019) was performed. In the study,
the majority of male patients - 88.2%, the age of patients was 45 ± 7 years.
Results: Percutaneous drainage under US-control was performed in 11 (32.4%) patients, distal pancreatic
resection with splenectomy was performed in 23 (67.6%) in the cases of pancreatic tail calcific pancreatitis.
In all cases of percutaneous treatment, a high level of amylase was found in the fluid from pseudocysts.
Bacteriological confirmation of the growth of any bacteria in the content was not obligatory. Suppuration
of the fluid of the pseudocyst was observed in 85.3% of the cases.
Conclusion: Pancreatogenic pseudocysts of the spleen are one of the complications of destructive
pancreatitis. They can remain undiagnosed for a long time, become infected and aggravate the course of the
disease. They are often the cause of the development of sepsis and peritonitis due to the rupture of the organ
capsule and bleeding into the abdominal cavity. The use of percutaneous minimally invasive methods of
treatment for intra-organ pancreatogenic pseudocysts makes it possible to improve the results of treatment
in this group of patients, and also, in the optimal case, be the final method of treatment.
A comparitive study between tranexamic acid and epsilon-amino-caproic acid in reducing post-operative bleeding in patients undergoing on pump cabg surgeries.
Authors: Mishra Satish
Published: September 2020

The amount of strain that cardiac surgery exerts on blood bank services is an example that emphasises the need for multimodel blood conservation stratergy. The most common factor which is being attibutable to increased bleeding after cardiac surgery is hyperfibrinolysis. Thererfore the use of antifibrinolytics during high risk cardiac surgery becomes inevitable. Commonly used antifibrinolytic include Tranexamic Acid(TA) and Epsilon-amino-caproic acid (EACA) .The aim of our study was to compare the effectiveness of both TA and EACA in reducing post surgical bleeding in on-pump CABG surgeries and to asses the post operative complications associated with its use.Material and Methods After obtaining informed written consent,approval of ethics and research commitee patients who were scheduled for on-pump CABG were included in the study.Patients were divided into two groups randomly by using a comupter generated randomized block design namely group TA(n=40) and group EACA (n=40). TA group received tranaxamic acid at a dose of 10mg/kg IV over 20 min at the time of induction then 1-2 mg/kg in CPB prime followed by 1 mg /kg/hr infusion during surgery. Group EACA received EACA in a dose of 100mg/kg/IV over 20 min at he time of induction then 5-10mg/kg in CPB prime followed by 10mg/kg/hr infusion during surgery . Pateints were assessed for blood loss and were monitored for fibrinogen level and D- dimer levels, Re-exploration and post operative complications. Result Primary outcomes like bleeding at 4hrs, there was no significant difference between the groups but when total bleeding at 24 hrs was compared there was a significantly lesser bleed in group TA group compared to group EACA (P=0.0022).The requirement of PRBC in group TA was for 3 patients,where as in EACA group 4 patients required PRBC (P>0.05).There was no significant difference in the rate of post operative complications between the groups.(P>0.05) .Conclusion from our study we concluded that both TA & EACA effectively inhibits fibrinolysis during on pump CABG surgery and thus results in decreased post operative bleeding.When compared between the two, TA was slightly better with respect to post operative bleeding at 24hrs.Our study also re emphesized the fact that neither of the drug led to any additional risk of post operative thrombotic complications.
Analysis of the Costs and Clinical Outcomes of a Minimally Invasive Cardiac Surgery Program in a Colombian Teaching Hospital
Authors: Dueñas Giovanny
Published: September 2020

Background: The aim of this study was to describe the experience with minimally invasive cardiovascular surgery (MICS) by evaluating the costs and clinical outcomes in a university hospital in Bogotá, Colombia. As a comparison, a series of patients submitted to open heart surgery (OHS) was used. Methods: Through a retrospective analysis of clinical records, from January 2014 to September 2018, data from 56 patients submitted to either MICS or OHS were collected. A comparison between these two types of approaches evaluating relevant clinical outcomes and demographic differences was performed. Direct costs for each hospitalization were analyzed and discriminated by categories. Costs are presented in 2018 US dollars (USD). Results: Thirty-four patients were included in the MICS group, with ages ranging from 17 to 63 years; 22 patients were included in the OHS group, with ages from one to 74. The mean length of stay was 6.9 days (SD 3.4) in the MICS group and 10.3 (SD 6.5) in the OHS (p = 0.046). The average cost for MICS was $8 345 ± 2 522 and for OHS was $9 422 ± 3 090 (p=0.08). Higher costs in procedures in MICS where compensated by lower costs in hospital stay, laboratory tests, medications and transfusions. Conclusion: MICS can be performed safely in a middle-income country like Colombia, at a fraction of the costs incurred in developed countries, while improving hospital bed turnover rate.
Spinal cord injury in the United States Army Special Forces
Authors: Kessler Remi A. , Bhammar Ansh , Lakomkin Nikita , Shrivastava Raj K. , Rasouli Jonathan J. , Steinberger Jeremy , Bederson Joshua , Hadjipanayis Constantinos G. , Benzil Deborah L.
Published: September 2020

OBJECTIVE

Spinal cord injury (SCI) is an area of key interest in military medicine but has not been studied among the US Army Special Forces (SF), the most elite group of US soldiers. SF soldiers make up a disproportionate 60% of all Special Operations casualties. The objective of this study was to better understand SCI incidence in the SF, its mechanisms of acquisition, and potential areas for intervention by addressing key issues pertaining to protective equipment and body armor use.

METHODS

An electronic survey questionnaire was formulated with the close collaboration of US board-certified neurosurgeons from the Mount Sinai Hospital and Cleveland Clinic Departments of Neurosurgery, retired military personnel of the SF, and operational staff of the Green Beret Foundation. The survey was sent to approximately 6000 SF soldiers to understand SCI diagnosis and its associations with various health and military variables.

RESULTS

The response rate was 8.2%. Among the 492 respondents, 94 (19.1%) self-reported an SCI diagnosis. An airborne operation was the most commonly attributed cause (54.8%). Moreover, 87.1% of SF soldiers reported wearing headgear at the time of injury, but only 36.6% reported wearing body armor, even though body armor use has significantly increased in post-9/11 SF soldiers compared with that in their pre-9/11 counterparts. SCI was significantly associated with traumatic brain injury, arthritis, low sperm count, low testosterone, erectile dysfunction, tinnitus, hyperacusis, sleep apnea, posttraumatic stress disorder, major depressive disorder, and generalized anxiety disorder. Only 16.5% of SF soldiers diagnosed with SCI had been rescued via medical evacuation (medevac) for treatment.

CONCLUSIONS

A high number of SF soldiers self-reported an SCI diagnosis. Airborne operations landings were the leading cause of SCI, which coincided with warfare tactics employed during the Persian Gulf War, Operation Iraqi Freedom, and other conflicts. A majority of SCIs occurred while wearing headgear and no body armor, suggesting the need for improvements in protective equipment use and design. The low rate of medevac rescue for these injuries may suggest that medical rescue was not attainable at the time or that certain SCIs were deemed minor at the time of injury.
PENGARUH PENGETAHUAN KEUANGAN DAN KEPRIBADIAN TERHADAP PERILAKU MA NAJEMEN KEUANGAN (STUDI PADA RUMAH TANGGA DI NAGARI PERSIAPAN ANAM KOTO UTARA KECAMATAN KINALI KABUPATEN PASAMAN BARAT)
Authors: Mardahleni Mardahleni
Published: September 2020

Manjemen keuangan keluarga perlu dilakukan sebab orang pada dasarnya memiliki ketidak pastian yaitu ketakutan akan masa depan kehidupan finansial, karena pada hakekatnya hidup adalah ketidakpastian dan tidak ada seorangpun yang mampu untuk mencegah kecelakaan. Penelitian ini bertujuan untuk mengetahui (1) pengaruh Pengetahuan Keuangan terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat,(2) pengaruh Kepribadian terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat. (3) pengaruh Pengetahuan Keuangan dan Kepribadian secara simultan terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat. Penelitian ini termasuk kedalam penelitian kausal asosiatif. Sampel penelitian ini adalah seluruh Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat sebanyak 73 KK.Teknik penentuan sampel dalam penelitian ini adalah purposive sampling. Teknik pengumpulan data menggunakan kuesioner. Hasil penelitian menunjukkan bahwa (1) terdapat pengaruh signifikan antara Pengetahuan Keuangan terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat. (2) Tidak terdapat pengaruh signifikan antara kepribadian terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat. (3) terdapat pengaruh signifikan antara Pengetahuan Keuangan dan kepribadian terhadap Perilaku Manajemen Keuangan pada Rumah Tangga masyarakat dinagari anam koto utara kecamatan kinali kabupaten pasaman Barat. Kata Kunci: Pengetahuan Keuangan, Kepribadian, Perilaku Manajemen Keuangan
PENGARUH KESELAMATAN DAN KESEHATAN KERJA DAN LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN PT LAUTAN LESTARI SHIPYARD
Authors: June Siong , Siagian Mauli
Published: September 2020

Sumber daya manusia yang penting bagi perusahaan adalah karyawan karena karyawan merupakan pelaksana utama kegiatan operasional suatu perusahaan. Maka dari itu, diharapkan perusahaan mampu mengelola sumber daya manusianya sebaik mungkin supaya tujuan perusahaan bisa tercapai secara maksimal berdasarkan apa yang telah ditentukan. Tujuan penelitian ini ialah untuk mengetahui pengaruh keselamatan dan kesehatan kerja dan lingkungan kerja terhadap kinerja karyawan. Sampel yang digunakan berjumlah 137 yang merupakan populasi karyawan lapangan yang kerja di PT Lautan Lestari Shipyard di kota Batam. Metode analisis yang diterapkan merupakan analisis regresi linier berganda dengan alat bantu yaitu menggunakan program bernama SPSS, versi 25. Berdasarkan hasil uji koefisien determinasi menunjukkan bahwa keselamatan dan kesehatan kerja dan lingkungan kerja memiliki pengaruh terhadap kinerja karyawan sebesar 52,3%. Hasil penelitian uji t juga menunjukkan bahwa keselamatan dan kesehatan kerja dan lingkungan kerja secara parsial berpengaruh signifikan terhadap kinerja karyawan, serta hasil uji F yang menunjukkan bahwa keselamatan dan kesehatan kerja dan lingkungan kerja berpengaruh signifikan secara simultan terhadap kinerja karyawan. Kata Kunci: Keselamatan dan kesehatan kerja, lingkungan kerja, kinerja karyawan
STRATEGIES OF READING SKILLS FOR ENGLISH LANGUAGE CLASS
Authors: Pratiwi Etty
Published: September 2020

AbstractÂ The researchers had found that learning reading strategies is a key element in developing student comprehension. However, many teachers lack a solid foundation for teaching these reading comprehension strategies. Therefore, teachers need to be prepared on how to design effective reading comprehension strategies and how to teach these strategies to their students. Therefore this study aims to study the effective reading strategies in order to improve reading skills in language classes. The study is an action research applied to a number of 15 students in an intermediate level integrated skills course. The main question of the study is â€œWould reading strategies help my studentsâ€™ reading comprehension studies?â€. The result od the study indicate that the students had an improvement to a great extend have been tutored about the reading strategies.Â Keyword: reading strategies, predicting, visualizing, inferring, making connections, questioning, action research
TEACHING WRITING A NARRATIVE PARAGRAPH BY USING NOTE-TAKING TECHNIQUE
Authors: Kusnita Eni
Published: September 2020

Abstract: The main problem of this research was â€œis it effective to teach narrative paragraph in writing by using Note-taking technique to the eighth grade students of the state junior high School 33 of Palembang?â€. Therefore, the objective of this research was to find out whether or not it was effective to teach writing narrative paragraph by using Note-taking technique to the eighth grade students of the state Junior High school 33 of Palembang. Â The method used in this research was pre-experimental method that is one group pre-test post-test method. The population of this research was all of the eighth grade students of the state Junior High school 33 of Palembang. The sample of this research consisted of 37 students. In this research there were two variables, they were independent variable and dependent variable. The independent variable of this research was note-taking and dependent variable was the studentsâ€™ writing achievement. In collecting the data, the written test was giving twice; pre-test and post-test. The data were analyzed by using matched t-test. Â Based on the result of the data analysis, the result of the research showed that the studentsâ€™ average score in the pretest was 63.58 in which the lowest score was 50 attained by two students and the highest score was 70 reached by two students. Then the studentsâ€™ average score in the posttest was 72.08 where the lowest score 60 achieved by one student and the highest score was 80 achieved by five students. By using the studentsâ€™ score it was found that the result of the calculation of the matched t-test was 8.854, this score was higher than t-table that was 1.684 and the critical value at 5% of the significant level in one-tailed testing with df= 36. It means that null hyporesearch (Ho) was rejected and alternative hyporesearch (Ha) was accepted since the result of t-obtained was higher that t-table. In other words, the teaching writing narrative paragraph by using note-taking technique to the eighth grade students of the state Junior high School 33 of Palembang was effective.
REDEFINING PROJECT BASED LEARNING IN ENGLISH CLASS
Authors: Jaya Aswadi , Hermansyah Hermansyah , Rosmiyati Evi
Published: September 2020

This study used the experimental method with quasi experimental design, specifically, non-equivalent control group design. There were two groups, namely, experimental group in which it was given treatment by using PBL and control group in which it was given no treatment. For collecting the data, both groups were given speaking test and self-confidence questionnaire. For speaking, the data were collected using speaking test which was evaluated by two raters using analytic rubric consisting of five elements, namely accent, grammar, vocabulary, fluency and comprehension. Meanwhile, studentsâ€™ self-confidence was evaluated using a ready-made-self-confidence questionnaire which measured (1) language use anxiety, (2) causal attribution, (3) perceived L2 competence, and (4) self-efficacy. Both data were analyzed by using t-test to see the difference in means (1) between pre- and post-test of studentsâ€™ speaking achievements and of their self-confidence, and (2) of post-test of speaking achievements and of their self-confidence between the first and the second group. Regression analysis was also given to see the contribution of PBL to the variables in questions. The results showed that (1) there was a significant difference both in speaking achievement (t=8.828, p<.000) and self-confidence (t=7.968,p<.000) of the experimental group after being taught using PBL, (2) there was also a significant difference between experimental and control groups both in speaking ability (t=2.307, p<.027) and self-confidence (t=3.595, p<.001) , (3) the contribution of PBL to the studentsâ€™ speaking achievement was 99.7%Â  and to self-confidence was 92.7%. In conclusion, PBL could be considered as an effective method in teaching speaking and in increasing studentsâ€™ self-confidence.Â Â Â Â Â
IMPROVING STUDENTSâ€™ READING COMPREHENSION BY USING GUESSING MEANING FROM CONTEXT
Authors: Pratiwi Etty , Kartikasari Dewi
Published: September 2020

The researchers had found that learning reading are (1) investigating whether there was a significant difference of studentsâ€™ reading comprehension achievement before and after being taught by using Guessing Meaning from Context strategy, (2) findingout in terms of strategies for Guessing Meaning from Context which strategies produced better achievement by the students.The researchers carried out quantitative study with one group Pre-test Post-test Design, involving one class as experimental class. The instrument in this research was reading test. The data analysis showed there was a significant difference on studentsâ€™ reading comprehension achievement after being taught by using Guessing Meaning from Context strategy. Then, surrounding words, pictures, experience, and imagination as the strategiesincreased the most than the otherstrategies. Hypothesis test showed that the significance value (2- tailed) was 0.000 (p<0.05). It could be concluded that null-hypothesis was rejected. So, the result of the research inferred Guessing Meaning from Context to be able to improve the studentsâ€™ reading comprehension in all aspects.Â Keywords: guessing meaning from context, improving, reading skill.Â
"MY BUNCEE" : A WEB-BASED PRESENTATION TOOL TO IMPROVE ET-12 STUDENTSâ€™ MOTIVATION,ENGAGEMENT, AND ACHIEVEMENT
Authors: Luspa Diana
Published: September 2020

The Comet Series of textbooks for the Intermediate levels of LB LIAâ€™s English for Teens Program is prepared to suit the needs of students between thirteen and fifteen years of age. Despite this psychological breakthrough stage, students of ET-12 encountered some problems in understanding the value of the task to them, especially when they did the presentation task. It was found that they were less motivated and engaged to do it, and it influenced their achievement. In line with the principles behind the course , motivation and confidence, fun but more serious and insightful tasks are definitely things that the students need in order that the objectives of the teaching and learning are successfully achieved. To address the issues, Buncee application,Â  a web-based presentation tool,was used to improve these studentsâ€™ motivation and engagement. Â How â€œBunceeâ€ helpedthe students to achieve the goal was Â conducted in eight meetings. The process was recorded using observation, journal, and questionaires and the data was analyzed by using SPSS.Â  The results showed that the Buncee was as an effective tool to improve studentsâ€™ motivation and engagement. Gen Z is accustomed to personalize everything by choosing what they want (and just as important, what the donâ€™t want). These attitudes will inevitably influence education. Therefore,teachers need to adapt their pedagogical approaches.Keywords: Buncee, Motivation, Engagement, Achievement
STRUCTURAL STUDY OF PEPACCUR ORAL LITERATURE LAMPUNG PEPADUN COMMUNITIES IN THE PROCESSION OF TAKING CUSTOM DEGREE
Authors: Ratnaningsih Dewi
Published: September 2020

Pepaccur is a type of Lampung poetry which contains advice or message in the customary degree ceremony. In this research, data was collected from several regions belonging to the Lampung Abung community, such as Kotabumi Ilir, Blambangan Pagar, Surakarta, Bumi Agung, and Mulang Maya. The problem that will be examined in this study is about the structure contained in Pepaccur. The purpose and benefits of this study are (1) to determine the Pepaccur structure in the Pepadun community in the procession of taking traditional titles; (2) to revitalize Pepaccur Lampung Pepadun people. Descriptive method through qualitative approach is the method used in this study. Data collection techniques used in this study are (1) observation, (2) recording, and (3) interview. Data analysis techniques are carried out by identifying the Pepaccur structure. Based on ethnographic studies that are used as a foothold in this study the Pepaccur structure consists of a framework, diction, sound, tone, and class. (1) Pepaccur framework. Of the 6 Pepaccur text samples, there is only one Pepaccur text that does not have an opening stanza, ie in Pepaccur II text. In addition, the Pepaccur II text is also a text in the form of stories to bind Lampung women. (2) Pepaccur's diction. Based on the results of the analysis, the diction used by people who are Pepaccur is a diction related to marriage. (3) Pepaccur sounds. the sound found in Pepaccur text analysis is a sound pattern abc / abc, ab / ab, aa / aa, a / a. (4) Pepaccur tones. The tone in Pepaccur's text is advising. (5) figurative language. The figurative language found in the Pepaccur text includes; allegory, metaphor, and simile.Keyword: Pepaccur, Lampung Poetry, Language Structure
Working with Adolescents to Understand Bullying and Self–Exclusion from School
Authors: Dadswell Anna , O’Brien Niamh
Published: September 2020

Self-exclusion from school is a significant issue in the UK and increasingly associated with bullying. However, there is little research into this relationship and the experiences and support needs of adolescents who experience bullying leading to self-exclusion are unknown. Using participatory methodology, we worked with adolescents who had self-excluded from school and the staff supporting them, to identify key issues on experiences and support needs and design the research approach which was carried into a second phase of research involving four focus group discussions with other self-excluded adolescents. Fifteen adolescents were involved in total (11 female, 4 male, aged 13– 16). Data was analysed thematically and findings suggest anxiety underpins self-exclusion due to bullying, which was shaped by friendship dynamics, issues around seeking support, and institutional factors in schools. This led to gradual withdrawal from school, and eventually self-exclusion. These shared experiences, knowledge, and insight go beyond the current literature, thus providing a strong rationale for involving adolescents in future research.
Novel Hybrid Acetylcholinesterase Inhibitors Induce Differentiation and Neuritogenesis in Neuronal Cells in vitro Through Activation of the AKT Pathway
Authors: Moreira Natália Chermont dos Santos , Lima Jéssica Ellen Barbosa de Freitas , Chierrito Talita Perez Cantuaria , Carvalho Ivone , Sakamoto-Hojo Elza Tiemi
Published: September 2020

Background: Alzheimer’s disease (AD) is characterized by a progressive loss of episodic memory associated with amyloid-β peptide aggregation and the abnormal phosphorylation of the tau protein, leading to the loss of cholinergic function. Acetylcholinesterase (AChE) inhibitors are the main class of drugs used in AD therapy. Objective: The aim of the current study was to evaluate the potential of two tacrine-donepezil hybrid molecules (TA8Amino and TAHB3), which are AChE inhibitors, to induce neurodifferentiation and neuritogenesis in SH-SY5Y cells. Methods: The experiments were carried out to characterize neurodifferentiation, cellular changes related to responses to oxidative stress and pathways of cell survival in response to drug treatments. Results: The results indicated that the compounds did not present cytotoxic effects in SH-SY5Y or HepG2 cells. TA8Amino and TAHB3 induced neurodifferentiation and neuritogenesis in SH-SY5Y cells. These cells showed increased levels of intracellular and mitochondrial reactive oxygen species; the induction of oxidative stress was also demonstrated by an increase in SOD1 expression in TA8Amino and TAHB3-treated cells. Cells treated with the compounds showed an increase in PTEN(Ser380/Thr382/383) and AKT(Ser473) expression, suggesting the involvement of the AKT pathway. Conclusion: Our results demonstrated that TA8Amino and TAHB3 present advantages as potential drugs for AD therapy and that they are capable of inducing neurodifferentiation and neuritogenesis.