bluuebunny/crossref_metadata_2025 huggingface dataset:
Konsep Administrasi Pendidikan
Authors: atika nurul
Published: December 2019

Secara umum penelitian ini bertujuan untuk mengetahui dan menganalisis peranan administrasi dalam suatu pendidikan.Penelitian ini menggukan metode studi literatur dengan cara mengumpulkan literatur (bahan-bahan materi) yang bersumber dari buku, jurnal, dan sumber lainnya terkait ilmu tentang Administrasi PendidikanAdministrasi pendidikan adalah segenap proses pengarahan, pengkoordinasian, pengawasan, pelaporan, perencanaan dan pengintegrasian segala sesuatu yang mencakup pada personel, spiritual maupun material yang berhubungan dengan pencapaian tujuan pendidikan secara efektif dan efesien. Tujuan administrasi pendididkan agar terselenggaranya kondisi-kondisi belajar mengajar yang baik. Karena dengan menciptakan kondisi belajar mengajar yang yang baik dan terstruktur dapat mencapai tujuan pendidikan yang hendak dicapai oleh sekolah tersebut untuk kedepannya. Jika tidak ada admnistrasi pendidikan yang terstruktur pada suatu sekolah akan menyulitkan sekolah itu untuk mencapai target dan tujuan sekolah tersebut. Administrasi pendidikan merupakan penent keberhasilan atau kegagalan pendidikan.hal itu karena ruang lingkup administrasi pendidikan mencakup bidang tata usaha sekolah, bidang personalia murid, bidang personalia guru bidang pengawasan (supervisi) dan juga bidang pelaksanaan dan pembinaan kurikulum.
PENERAPAN TAHAP PERENCANAAN OLEH PERAWAT PELAKSANA DI INSTALASI RAWAT INAP
Authors: Husnah Rizky Asmaul
Published: December 2019

Salah satu aspek penting tercapainya mutu pelayanan adalah tersedianya tenaga keperawatan yang sesuai dengan situasi dan kebutuhan. Untuk hal ini dibutuhkan kesiapan yang baik dalam membuat perencanaan asuhan keperawatan. Tujuannya sebagai alat komunikasi antara sesame anggota perawat dan antar tim kesehatan lainnya serta meningkatkan asuhan keperawatan kepada klien.
PERUMUSAN DIAGNOSA KEPERAWATAN DI RUMAH SAKIT
Authors: pratiwi Indri aprilia
Published: December 2019

Latar belakang: Diagnosa keperawatan ditegakkan dalam rangka mengidentifikasi masalah kesehatan klien dan keluarganya serta untuk memberikan arah asuhan keperawatan yang sesuai.Tujuan: Kajian ini dilakukan bertujuan untuk mengetahui tahap dan langkah-langkaj dalam merumuskan diagnosa keperawatan.Metode: Metode kajian ini menggunakan metode penelusuran buku teks, buku referensi, jurnal dan e-book (10 tahun terakhir) dengan sistem literature review yaitu menganalisis, eksplorasi dan kajian bebas dengan menggunakan kata kunci diagnosa keperawatan, asuhan keperawatan dan perawat, yang berfokus pada tahap dan langkah-langkah dalam merumuskan diagnosa keperawatan.Hasil: Hasil dari literature review didapatkan bahwa Diagnosa keperawatan ditetapkan berdasarkan analisis dan interpretasi data yang diperoleh dari pengkajian keperawatan klien. perumusan diagnosa keperawatan terdapat tahap dan langkah-langkah yang harus dipahamin dengan baik dan benar, sehingga hasil yang diberikan memuaskan.Pembahasan: Langkah-langkah dalam menegakkan diagnosis yaitu klasifikasi dan analis data, interpretasi data dan validasi data. Setelah perawat mengelmpokkan, megidentifikasi, dan memvalidasi data-data yang signifikan maka tugas perawat selanjutnya adalah menegakkan diagnosis keperawatan. Diagnosis keperawatan dapat bersifat actual, resiko, potensial, sejahtera, dan syindrom.Penutup: Diagnosa Keperawatan akan menghasilkan hasil yang lebih maksimal apabila perawat paham dengan baik akan tujuan, manfaat, tipe serta langkah dalam merumuskan diagnosa keperawatan.
ADMINISTRASI HUBUNGAN SEKOLAH & MASYARAKAT
Authors: Salsabilafitri Nadya
Published: December 2019

Abstrac— This article is about how the relationship between the school and the community around the school, the purpose of which is to improve the community about the importance of education for the surrounding community so that there is a good cooperative relationship in the community, the method used in this article is descriptive methods and techniques. can be used in the form of writing techniques, oral techniques, and electronics so that between the school and the community can establish good communication.the success of education is not only determined by the educational process in schools and the availability of fasilities and infrastructure,but also is determined by the family and community environment.therefore education is a shared responsibility between yhe government (school),family and community.this means that parents and students have the responsibility to ask for help,and provide assistance in organizing,education in schools.
Konsep Dasar, Proses dan Ruang Lingkup Administrasi Pendidikan
Authors: ANNISA
Published: December 2019

Educational Administration in Teaching Profession is an educational activity to develop capabilities in the field of administration. science, learning theory and skills implemented long-term aim that is for administrative staff, maupu management to develop knowledge that has been learned and practiced at school. The word "administration" comes from Latin which consists of the words ad and ministrare. The word ad has the same meaning as the todalam word in English, which means "to" or "to". And ministrare is the same as the word to serve or to conduct which means "to serve", "help", or direct ". In English to administer also means "to manage", "maintain" (to look after), and "direct". So, the word "administration" can be interpreted as an activity or effort to help, serve, direct, or regulate all activities in achieving a goal.
Administrasi Keuangan
Authors: Iqbal Annisa Nur Umatil
Published: December 2019

The financial administration is a process of planning and supplying and using money in a company or organization. This is very important to be accountable for the teaching and learning process. Accountability, reporting and inspection, and the role of teachers in the financial administration shall be liable in accordance with the prevailing rules.
Peran Sistem Informasi Manajemen dalam Pengambilan Keputusan Dalam Dunia Pendidikan
Authors: Yuli Desi Ratna
Published: December 2019

Dalam dunia pendidikan sistem informasi manajemen merupakan hal yang tak bisa dipisahkan dalam aktivitas pendidikan. fungsi sistem informasi dalam dunia pendidikan untuk menyediakan informasi secara cepat, tepat dan akurat yang mana di butuhkan oleh pihak yang berkepentingan untuk mengambil keputusan dalam rangka aktiitas pendidikan. Sistem Informasi Manajemen adalah sebuah sistem yang berbasis komputer, yang memadukan antara sumber daya manusia dengan teknologi informasi untuk menyimpan, mengolah dan menggunakan kembali data dalam rangka pengambilan keputusan. ada beberapa unsur dalam pengambilan keputusan yang perlu untuk di pertimbangkan, yakni : 1) Tujuan dari pengambilan keputusan,2) mengidentifikasi alternative-alternatif keputusan yang ada untuk memecahkan masalah 3) factor-faktor yang tidak dapat diketahui sebelumnya, yang memiliki peluang untuk muncul dan 4) Sarana atau alat untuk mengevaluasi atau mengukur hasil dari suatu pengambilan keputusan.
Algoritma Genetika untuk Optimalisasi Klasifikasi Kepuasan Pelayanan e-KTP
Authors: Sugianto Castaka Agus , Apandi Tri Herdiawan
Published: December 2019

Pelayanan publik adalah segala kegiatan pelayanan yang dilaksanakan oleh penyelenggara pelayanan publik sebagai upaya pemenuhan kebutuhan penerima pelayanan, maupun dalam rangka pelaksanaan ketentuan peraturan perundang –undangan. Salah satu pelayanan public yang paling sering dikeluhan adalah E-KTP menurut data sisa perekaman masih banyak yang belum melakukan perekaman data tersebut. Untuk melihat kepuasan mayarakat terhadap pelayanan public perlu dibuatnya klasifikasi keluhanan masyarakat. Keluhan dari masyarakat dikumpulkan dalam bentuk pertanyaan yang telah disebar sebelumnya. Data yang dikumpulkan akan diklasifikasi menggunakan metode Naïve Bayes ditambah dengan optimasi menggunakan Algoritma Genetik. Hasil klasifikasi akan didapat nilai akurasinya. Akurasi akan dibandingkan pengaruh optimasinya. Pengujian akurasi menunjukan Naïve Bayes ditambah optimasi menggunakan Algoritma Genetik dengan pemilihan Roulette Wheel memiliki nilai akurasi yang lebih baik dengan nilai akurasi 85,64% dibandingkan dengan pemilihan skema default dengan nilai akurasi 83.03.
PERANAN PERAWAT DALAM PERENCANAAN ASUHAN KEPERAWATAN ANEMIA
Authors: ikbal riri fauzana
Published: December 2019

latar belakang : asuhan keperawatan merupakan suatu tindakan yang di lakuakan oleh seorang perawat untuk memenuhi kebutuhan pasien . dalam memberikan asuhan keperawatan perawat sangat berperan penting . asuhan keperawatan adalah suatu proses atau rangkaian kegiatan pada praktek keperawatan yang langsung di berikan kepada klien pada berbagai tatan pelayanan kesehatan, dalam pemenuhan KDM , dengan menggunakan metodologi proses keperawatan , berpedoman kepada keperawatan , dilandasi etik dan etika keperawatan , dalam lingkup wewenang serta tanggung jawab keperawatan .dan Anemia adalah kondisi ibu dengan kadar haemoglobin (Hb) dalam darahnya kurang dari 12 gr% (Wiknjosastro, 2002). Tujuan : agar perawat mengetahui peran sebagai seorang perawat dalam merencanakan asuhan keperawatan anemia . metode : yang di gunakan adalah literature review dengan cara menganalisisis , eksploirasi dan kajian bebas pada artikel, jurnal, text book , maupun e-book yang relevan dan berfokus pada peranan perawat dalam perencanaan asuhan keperawtan anemia . hasil : dari literature riview yang dilakukan ada peranan sebagai seorang perawat dalam melakukan perencanaan keperawatan pada pasien anemia. kesimpulan : asuhan keperawatn merupakan suatu proses sebagai seorang perawat dalam memberikan tindakan pelayanan kesehatan . pada pasien anemia mempunyai tindakan asuahan berbeda pula karna asuhan keperawtan anemia ini berfokus kepada hb darah pasien .
Administrasi Tenaga Pendidik dan Kependidikan
Authors: Iqbal Annisa Nur Umatil
Published: December 2019

Dalam dunia pendidikan, administrasi sangat diperlukan bagi kelangsungan proses belajar mengajar. Semua itu tidak lepas dari keaktifan orang-orang yang menguasai administrasi dalam sekolah termasuk peran serta guru.Pada kenyataannya, apabila administrasi tersebut dihandle oleh orang-orang yang kurang terampil, maka administrasi tersebut tentu akan berantakan. Orang yang memegang administrasi adalah orang yang sudah terlatih dalam bidangnya (orang yang sudah mendapat ilmu/ pelatihan). Administrasi tidak hanya dalam hal keuangan saja tetapi juga dalam keteraturan dalam pembukuan. tidak hanya dilakukan dalam waktu tertentu saja tetapi setiap hari secara sistematis. Keberhasilan pendidikan di sekolah harus ditunjang oleh pelayanan administrasi sekolah yang teratur, terarah dan terencana. Di mana dalam pelaksanaannya harus mengikuti arah jaman yang semakin bersaing dan semakin modern. Untuk itu, perlu adanya pembagian tugas ketatausahaan yang jelas dan terprogram di setiap sekolah.
ADMINISTRASI BIDANG LAYANAN KHUSUS
Authors: Salsabilafitri Nadya
Published: December 2019

The teaching and learning process requires various facilities that are not directly used in the classroom.The facilities referred to include school libraries,school health businesses and school laboratories etc.the teacher plays an important role in the administration of this spesial service area to help students in the learning process.
Kepemimpinan Pendidikan
Authors: ANNISA
Published: December 2019

The purpose of writing this article is to contribute thoughts on the new paradigm of vocational education leadership. The concept of collaborative leadership is needed to increase the effectiveness, efficiency, and synergy in the implementation of the education world partnership with the business and industry world in improving the quality of graduates. There are a number of understandings, benefits, ways to implement There are a number of benefits and principles of partnership. There are a number of conditions for realizing collaborative leadership. The application of collaborative leadership can be done practically in various ways. The method chosen depends on the leader, followers, situation and condition of vocational education. There are a number, strengths, weaknesses, pressures, obstacles, and ambiguities of collaborative leadership.
FAKTOR, DAMPAK, RESIKO SISWA PUTUS SEKOLAH DAN SOLUSINYA
Authors: Darmawan Dadang
Published: December 2019

Putus sekolah bukan merupakan salah satu permasalahan pendidikan yang tak pernah berakhir. Masalah ini telah berakar dan sulit untuk dipecahkan penyebabnya, tidak hanya karena kondisi ekonomi, tetapi ada juga yang disebabkan oleh kekacauan dalam keluarga, dan lain-lain.
HUBUNGAN MOTIVASI PERAWAT DENGAN DOKUMENTASI PELAKSANAAN PENGKAJIAN DALAM PROSES KEPERAWATAN
Authors: Lubis Ade sulistya
Published: December 2019

Latar belakang: Proses pengkajian merupakan tahap awal dari proses keperawatan yang dilakukan secara sistematis dengan mengumpulkan data individu secara komperhensif terkait aspek biologis, psikologis, sosial, maupun spiritual. Tujuan: Pembandingan jurnal ini adalah untuk mengetahui hubungan motivasi perawat dengan pelaksanaan pengkajian dalam proses keperawatan. Metode: Jurnal ini menggunakan metode tersearch dan analisis dari berbagai sumber seperti buku teks, buku referensi jurnal dan e-book, dan juga membandingkan beberapa jurnal yang berhubungan motivasi perawat dengan dokumentasi pelaksanaan pengkajian dalam proses keperawatan. Hasil: penulisan jurnal ini diketahui hubungan motivasi perawat dengan dokumentasi pelaksanaan pengkajian dalam proses keperawatan bahwa keduanya saling berhubungan dengan pelaksanaan pengkajian dalam proses keperawatan.Kesimpulan: Berdasarkan hasil pembandingan dari beberapa jurnal terbukti bahwa motivasi perawat mempunyai hubungan yang signifikan dengan pelaksanaan pendokumentasian asuhan keperawatan sama dengan pelaksanaan pengkajian dalam proses keperawatan
EVALUASI PENGGUNAAN OBAT PADA PASIEN STROKE
Authors: Husnah Rizky Asmaul
Published: December 2019

Evalusi adalah proses penilaian pencapaian tujuan serta pengkajian ulang rencanakeperawatan. Evaluasi adalah kegiatan intelektual untuk melengkapi proseskeperawatan yang menandakan seberapa jauh diagnosa keperawatan, rencanatindakan pelaksanaannya sudah berhasil dicapai.Evaluasi merupakan tahap terakhir dari proses keperawatan. Melihat kemampuan klien dalam mencapai kesehatan. Sehingga respon klien dapat dievaluasi oleh perawat.
Administrasi Sarana dan Prasarana
Authors: Iqbal Annisa Nur Umatil
Published: December 2019

Administration of educational facilities and infrastructure is very supportive for the achievement of the objectives of education. The teaching and learning process will be more successful if adequate educational facilities and infrastructure. For that education facilities and infrastructure must always be complete. The government always strives to continuously supplement educational facilities and infrastructure for all levels and levels of education.the availability of adequate facilities an infrastructure of good quality, is needed by every organization everywhere in carrying out its activities to achieve the expected goals. Without the facilities and infrastructure, it is impossible to achieve the objectives.
Administrasi Keuangan
Authors: ANNISA
Published: December 2019

Financial administration is a management process that involves all activities related to finance, making financial reports and achieving goals for the common good. Financial administration is considered very important, because it can improve and maintain company continuity. In addition, that is another reason why the author takes the theme of the process of managing financial administration, because the Trac Astra Rent A Car company is a company that emphasizes its business processes in the administration with more emphasis on the process of managing trade receivables and accounts payable.
ADMINISTRASI KETATAUSAHAAN SEKOLAH
Authors: Salsabilafitri Nadya
Published: December 2019

This article is The importance of the various administrative tasks above shows that the vital role of TU employees in schools despite the fact of performance school administration staff is still low. There are several indicators shows that the quality and performance of school administrative staff is still low, namely: first, there are still many school administration staff who do not or do not have the ability, expertise or expertisedequate to do their tasks (which is compulsory let alone which circumcision) with good and satisfying performance.
Karir dalam dunia pendidikan
Authors: wati Rini hamdani
Published: December 2019

Di dalam dunia pendidikan karir sangat dibutuhkan oleh karena itu pentingnya belajar manajemen agar kita tahu bagaimana jenjang kita kedepannya
Vocabulary Analogy: Interactive Instructional to Enhance Vocabulary Knowledge
Authors: Fajrianor Fajrianor
Published: December 2019

Vocabulary analogy is a valuable strategy which enriches students’ vocabulary mastery in order to recognize and understand the words or message of a text or passage. Instructional material for reading comprehension in this book specially designed for helping students’ to understand the process of recognizing word and constructing meaning of the text. Illustrations stimulate students’ interest; vocabulary strategies upscale students’ memory and understanding of analogy concepts.
PROSES & TEKNIK SUPERVISI PENDIDIKAN
Authors: Hasanah Nurul
Published: December 2019

supervision covers the implementation activities and techniques used in supervision. in the implementation of supervision activities starting from planning. so, with the planning the activities carried out can run systematically and in order. and also with the planning will make it easier to deal with problems that occur in implementation activities.
Administrasi HUSEMAS
Authors: ANNISA
Published: December 2019

Implementation of Public Relations or Public Relations is the entire implementation and application of the role of public relations in an organization / agency / company that has been planned, and organized with the aim of creating and maintaining mutual understanding and connecting between companies and their communities. These objectives can be applied through various programs / programs that benefit companies and the public in supporting them with information openness. This research aims to study and describe the Public Relations Implementation of the PSDA Office to foster good relations with external publics such as the press, agreements, and others. information. In a good relationship made by the Public Relations Department of the PSDA to reporters in the disclosure of information through the form of activities of forming personal contacts, press releases, and contingency plans. The good relations of PSDA Public Relations with Cross-Chancellors in information disclosure are coordinating activities, inviting the Governor, providing assistance, and holding social activities. The good relations of PSDA Public Relations with Universities in information disclosure are through apprenticeship / job training / street vendors, as well as holding World Water Day seminars.
GAMBARAN MOTIVASI DAN TINDAKAN DALAM PROSES KEPERAWATAN DI RUMAH SAKIT
Authors: setiyawati weni
Published: December 2019

Rumah sakit sebagai tempat pelayanan kesehatan modern adalah suatu organisasi yang sangat komplek yang didalamnya sangat padat modal, padat teknologi, padat karya, padatprofesi, padat sistem, dan padat mutu serta padat resiko sehingga tidak mengejutkan bila kejadian tidak diinginkan (adverse event) akan sering terjadi dan akan berakibat terjadinya injuri atau kematian pada pasien.Penelitian ini bertujuan untuk melihat gambaran pengetahuan dan motivasi perawat terhadap penerapan program patient safety di instalasi rawat inap.jenis penelitian ini adalah penelitian deskritifdanpopulasi adalah semuaperawat yang bekerja di instalasi rawat inap khususnya ruanganperawatan interna, perawatan anakdanperawatanbedah,Sampel adalah semua perawat dengan menggunakan metode total sampling.Hasil penelitian menunjukan pengetahuan perawat di instalasi rawat inap pada ruang perawatan anak RS umumnya baik .ruang perawatan interna umumnya baikruang perawatan bedah umumnya baik dan Motivasi perawat pada ruang perawatan anak umunya sedang ruang Interna umumnya Tinggi ruang perawatan Bedah umumnya Tinggi. Penelitian ini di sarankan untuk Memotivasi perawat merupakan salah satu cara agar rumah sakit dapat memperoleh mutu yang baik.sehingga harus menjadi kewajiban bagi pihak RS untuk terus memotivasi perawatnya dalam melaksanakan asuhan keperawatan bagi pasien yang berlandaskan pada prinsip patient safety.KATA KUNCI: Motivasi Perawat, Rumah Sakit
Administrasi Kurikulum
Authors: Iqbal Annisa Nur Umatil
Published: December 2019

Curriculum development requires a strong foundation and is based on the results of deep thought and research. In addition, evaluation or assessment in the curriculum is useful to determine the level of achievement of the curriculum. Based on this we can know that the role of the curriculum in formal education in schools is very important and has a major influence in determining the achievement of educational goals. In the process, the teacher acts as a technical implementer, such as implementers, adapters, developers, and researchers.
Administrasi Peserta Didik
Authors: Iqbal Annisa Nur Umatil
Published: December 2019

Administration is a process carried out by a personel (group) within an organization to achieve the goals of the organization. While student / students mean people who are studying (studying in school). Therefore,, it can be summed up concisely that student administration is a the process carried out by a person (group) in an effort to manage students / students to achieve educational goals.
Peran SIstem Informasi Manajemen dalam Dunia Pendidikan
Authors: Halimahturrafiah Nur
Published: December 2019

Peran penting informasi dalam dunia pendidikan khususnya proses manajemen menjadikan sikap perorangan, kelompok, dan semua bentuk organisasi diharuskan dalam pengambilan keputusan secara tepat dan cepat sehingga efektif dan efisien. Khususnya dalam pemanfaatan sistem informasi manajemen dalambidang pendidikan harus dengan adanya kompetensi yang baik dalam pengelolaan administrasi akademik, administrasi pelaporan, administrasi kepe gawaian dan berbagai bidang lain yang membutuhkan penggunaan sistem informasi manajemen.
PENGKAJIAN KEPERAWATAN PASIEN
Authors: Sitanggang Rahmatia
Published: December 2019

Pengkajian adalah tahap awal dari proses keperawatan dan merupakan suatu proses pengumpulan data yang sistematis dari berbagai sumber untuk mengevaluasi dan mengidentifikasi status kesehatan klien. Tahap pengkajian merupakan dasar utama dalam memberikan asuhan keperawatan sesuai dengan kebutuhan individu (klien). Tujuan dari pengkajian adalah untuk menyusun data dasar (database) mengenai kebutuhan, masalah kesehatan, dan respons klien terhadap masalah. Sebagai tambahan, data harus menunjukkan pengalaman yang berhubungan, praktik kesehatan, tujuan, nilai, dan harapan terhadap sistem pelayanan kesehatan. Metode yang digunakan adalah metode kualitatif dimana maksudnya dengan cara mengumpulkan sebanyak-banyaknya data untuk dianalisis. Yaitu dengan Literature review ini dengan menganalisis yang berfokus pada pengkajian keperawatan pasien. Adapun tinjauan literatur yang digunakan seperti buku teks, buku referensi, jurnal, dan google scholar. Dengan kata kunci Pengkajian keperawatan, Pengumpulan Data, Pengkajian Keperawatan Pasien. Dan literature yang digunakan adalah 14 literatur yang diterbitkan 10 tahun terakhir.
Administrasi Pendidik dan Tenaga Kependidikan (PTK)
Authors: ANNISA
Published: December 2019

Educators and education personnel are one of the National Education Standards which require special attention from the government and the community. An important view of educators is as follows. (1) Teachers who are expected to be present; (2) The teacher's duty as a vocation; (3) Democratic teachers; (4) Professional teachers; (5) Improving teacher quality. Regarding education personnel, enlightenment is needed, enlightenment can be implemented through a human resource approach, which includes: (1) competence, (2) certification, (3) qualifications, (4) recruitment and selection, (5) career development, ( 6) performance appraisals, (7) rewards and protections, and (8) dismissals. Furthermore, this paper also highlights educators and education personnel in terms of the POLEKSOSBUD.
PENERAPAN IMPLEMENTASI ASUHAN KEPERAWATAN OLEH PERAWAT PELAKSANA DI RUMAH SAKIT
Authors: pratiwi Indri aprilia
Published: December 2019

Indonesia adalah banyaknya perawat yang belum melakukan asuhan keperawatan sesuai dengan standarTujuan: Untuk mengentahui Penerapan Asuhan Keperawatan Oleh Perawat Peaksana di Rumah Sakit dan Mengetahui Tahapan tindakan Keperawatan dan Bagaimana Pelaksanaannya di Rumah Sakit.Metode: Metode kajian ini menggunakan metode penelusuran buku teks, buku referensi, jurnal dan e-book (10 tahun terakhir) dengan sistem literature review yaitu menganalisis, eksplorasi dan kajian bebas dengan menggunakan kata kunci Asuhan Keperawatan, Perawat Pelaksana dan Tahapan implementasi Asuhan Keperawatan, yang berfokus pada Penerapan Asuhan Keperawatan Oleh Perawat Pelaksana Di Rumah Sakit.Hasil: Dari beberapa Literature Review didapatkan bahwa penerapan asuhan keperawatan dikatakan baik apabila perawat sudah melaksanakan tahap-tahap dalam memberikan asuhan keperawatan kepada pasien yaitu: tahap pengkajian keperwatan, tahap diagnosa keperawatan, tahap perencanaan keperawatan, tahap implementasi keperawatan, dan tahap evaluasi keperawatan.Pembahasan: Tahap Pengkajian, diagnosa, perencanaan,implementasi dan evaluasi merupakan tahapa asuhan keperawatan yang hris dilaksanakan dengan baik sesuai urutan prosedur SOP yang telah ditentukan.Penutup: Implementasi adalah pengelolaan dan perwujudan dari rencana keperawatan yang telah disusun pada tahap perencanaan. Implementasi merupakan inisiatif dari rencana tindakan untuk mencapai tujuan yang spesifik.
PENTINGNYA PENGKAJIAN DALAM PROSES KEPERAWATAN
Authors: ikbal riri fauzana
Published: December 2019

Latar belakang : pengkjian keperawatan merupakan hal yang wajib dan harus di lakukan dalam melakukan tindakan di rumah sakit . pengkajia keperawatan adalah suatu tahap dasar yang dilakukan perawat untuk mengumpulkan seluruh informasi dan data data pasien . supaya bisa mengidentifikasi masalah masalah, kebutuhan kesehatan dan keperawatan klien, baik fisik, mental , sosial bahka lingkungan . dalam suatu pengkajian harus di lakukan secara akurat dan sesuai dengan informasi yang disampaikan oleh pasien tanpa merekayasa nya . karna pengkajian ini dilakukan untuk melakukan tindakan – tindakakn asuhan keperawatan selanjutnya . Tujuan : tujuan dari penulisan jurnal ini adalah agar perawat dapat memahami dan mengetahui pentingnya pengkajian dalam dalam proses keperawatan karna itu merupakan penentuan tindakan apa yang selanjutnya di lakukan dalam pemberian asuhan keperawatan. Metode : yang di gunakan adalah literature review dengan cara menganalisisis , eksploirasi dan kajian bebas pada artikel, jurnal, text book , maupun e-book yang relevan dan berfokus pada pengakian dan proses keperawatan. . Hasil : dari literature review yang di dapatkan bahwa banayk dari perawat yang kurang mempedulikan tenetang pengkajian keperawatan. Kesimpulan : dari research berbagai sumber di tarik kesimpulan bahwa pengkajian dalam keperawatn ini sangat penting karna merupakan landasan dasar dalam menentukan tindakan apa selanjtnya yang akan dilakuakan untuk memenuhi asuahan keperawatan
FAKTOR-FAKTOR YANG MENGHAMBAT PROSES PENGKAJIAN DALAM KEPERAWATAN
Authors: Husnah Rizky Asmaul
Published: December 2019

Pengkajian keperawatan adalah pengumpulan data secara subjektif dan objektif untuk mengetahui situasi kondisi terkini orang-orang yang kita layani. Seorang perawat harus memiliki wawasan yang luas sehingga pengkajian tersebut dapat dilaksanakan dengan baik dan benar sesuai SOP.
DIAGNOSA KEPERAWATAN PADA PASIEN LANSIA DENGAN GANGGUAN ELIMINASI URIN
Authors: Harefa Dibetriyana
Published: December 2019

Pola eliminasi urine merupakan salah satu perubahan fisik yang akan dialami oleh usia lanjut, salah satunya dalam proses berkemih, seperti merasakan keluarnya urin dalam bentuk beberapa tetes pada saat sedang batuk, jogging atau berlari. Bahkan ada juga yang mengalami kesulitan menahan urin sehingga keluar sesaat sebelum berkemih. Semua gejala ini disebut dengan inkontinensia urin. Fungsi kandung kemih normal memerlukan aktivitas yang terintegrasi antara sistim saraf otonomi dan somatik. ensio urine merupakan suatu kedaruratan yang harus mendapatkan tindakan dan pertolongan secara segera, karena retensi urin total yang berlangsung beberapa hari dapat menyebabkan urosepsis yang berakhir dengan kematian. Tujuan dari jurnal ini adalah untuk mengetahui perubahan eliminasi urine pada lansia. Hasil analisis data menunjukkan bahwa sebanyak 30 (48,3%) lansia mengalami perubahan eliminasi urine dan sisanya 13 lansia (20,9%) tidak mengalami perubahan eliminasi urine, sehingga peran keluarga sangat di perlukan. Keluarga agar dapat mengoptimalkan dukungan dalam perawatan lansia dengan perubahan eliminasi.
The Support Interval
Authors: Wagenmakers Eric-Jan , Gronau Quentin Frederik , Dablander Fabian , Etz Alexander
Published: December 2019

A frequentist confidence interval can be constructed by inverting a hypothesis test, such that the interval contains only parameter values that would not have been rejected by the test. We show how a similar definition can be employed to construct a Bayesian support interval. Consistent with Carnap’s theory of corroboration, the support interval contains only parameter values that receive at least some minimum amount of support from the data. The support interval is not subject to Lindley's paradox and provides an evidence-based perspective on inference that differs from the belief-based perspective that forms the basis of the standard Bayesian credible interval.
Developmental changes in infants’ and children’s attention to faces and salient regions vary across and within video stimuli
Authors: Franchak John Michael , Kadooka Kellan
Published: December 2019

Visual attention in complex, dynamic scenes is attracted to locations that contain socially-relevant features, such as faces, and to areas that are visually salient. Previous work suggests that there is a global shift over development such that observers increasingly attend to faces with age. However, no prior work has tested whether this shift is truly global, that is, consistent across and within stimuli despite variations in content. To test the global shift hypothesis, we recorded eye movements of 89 children (6 months to 10 years) and adults while they viewed seven video clips. We measured the extent to which each participant attended to faces and to salient areas for each video. There was no evidence of global age-related changes in attention: Neither feature showed consistent increases or decreases with age. Moreover, windowed analyses within each stimulus video revealed moment-to-moment variations in the relation between age and each visual feature. For some time windows, adults looked more often at both feature types compared to infants and children. However, for other time windows the pattern was reversed—younger participants looked more at faces and salient locations. Lack of consistent directional effects provides strong evidence against the global shift hypothesis. We suggest an alternative explanation: Over development, observers increasingly prioritize when and where to look by learning to track which features are relevant within a scene. Implications for the development of visual attention and children’s understanding of screen-based media are discussed.
A Framework for jurisprudence in Islamic Finance and banking
Authors: Keltoum Benlaharche , Nabila Nouaouria , Eddine Zegour Djamel , Djamel Meslati
Published: December 2019

A framework for jurisprudence in Islamic Finance and Banking conceived, to help Mufti (jurisprudent) in the process of retrieving and generating Fatawa, to link Imam with expert mufti from all distances, share the right fatwa, satisfy the huge number of queries asked daily to expert Mufti. In order to achieve all these goals, Case Based reasoning (CBR) approach was adopted. It is one of the most popular paradigm used in the legal systems. The Islamic Finance Application Ontology (IFAO) has been built by reusing and adapting the constructed (IFBO) Islamic Finance and Banking reference Ontology and integrated to the CBR framework to ensure a more accurate similarity measurement. This ontology provides a domain vocabulary and permits the determination of degree of likeness between two classes or objects(semantic similarity).
Nasopharyngeal muscle patch for the management of internal carotid artery injury in endoscopic endonasal surgery
Authors: Wang Wei-Hsin , Lieber Stefan , Lan Ming-Ying , Wang Eric W. , Fernandez-Miranda Juan C. , Snyderman Carl H. , Gardner Paul A.
Published: December 2019

OBJECTIVE

Injury to the internal carotid artery (ICA) is the most critical complication of endoscopic endonasal skull base surgery. Packing with a crushed muscle graft at the injury site has been an effective management technique to control bleeding without ICA sacrifice. Obtaining the muscle graft has typically required access to another surgical site, however. To address this concern, the authors investigated the application of an endonasally harvested longus capitis muscle patch for the management of ICA injury.

METHODS

One colored silicone-injected anatomical specimen was dissected to replicate the surgical access to the nasopharynx and the stepwise dissection of the longus capitis muscle in the nasopharynx. Two representative cases were selected to illustrate the application of the longus capitis muscle patch and the relevance of clinical considerations.

RESULTS

A suitable muscle graft from the longus capitis muscle could be easily and quickly harvested during endoscopic endonasal skull base surgery. In the illustrative cases, the longus capitis muscle patch was successfully used for secondary prevention of pseudoaneurysm formation following primary bleeding control on the site of ICA injury.

CONCLUSIONS

Nasopharyngeal harvest of a longus capitis muscle graft is a safe and practical method to manage ICA injury during endoscopic endonasal surgery.
Intratumoral spatial heterogeneity of BTK kinomic activity dictates distinct therapeutic response within a single glioblastoma tumor
Authors: Ibrahim Ahmed N. , Yamashita Daisuke , Anderson Joshua C. , Abdelrashid Moaaz , Alwakeal Amr , Estevez-Ordonez Dagoberto , Komarova Svetlana , Markert James M. , Goidts Violaine , Willey Christopher D. , Nakano Ichiro
Published: December 2019

OBJECTIVE

Despite significant recent efforts applied toward the development of efficacious therapies for glioblastoma (GBM) through exploration of GBM’s genome and transcriptome, curative therapeutic strategies remain highly elusive. As such, novel and effective therapeutics are urgently required. In this study, the authors sought to explore the kinomic landscape of GBM from a previously underutilized approach (i.e., spatial heterogeneity), followed by validation of Bruton’s tyrosine kinase (BTK) targeting according to this stepwise kinomic-based novel approach.

METHODS

Twelve GBM tumor samples were obtained and characterized histopathologically from 2 patients with GBM. PamStation peptide-array analysis of these tissues was performed to measure the kinomic activity of each sample. The Ivy GBM database was then utilized to determine the intratumoral spatial localization of BTK activity by investigating the expression of BTK-related transcription factors (TFs) within tumors. Genetic inhibition of BTK family members through lentiviral short hairpin RNA (shRNA) knockdown was performed to determine their function in the core-like and edge-like GBM neurosphere models. Finally, the small-molecule inhibitor of BTK, ONO/GS-4059, which is currently under clinical investigation in nonbrain cancers, was applied for pharmacological inhibition of regionally specified newly established GBM edge and core neurosphere models.

RESULTS

Kinomic investigation identified two major subclusters of GBM tissues from both patients exhibiting distinct profiles of kinase activity. Comparatively, in these spatially defined subgroups, BTK was the centric kinase differentially expressed. According to the Ivy GBM database, BTK-related TFs were highly expressed in the tumor core, but not in edge counterparts. Short hairpin RNA–mediated gene silencing of BTK in previously established edge- and core-like GBM neurospheres demonstrated increased apoptotic activity with predominance of the sub-G1 phase of core-like neurospheres compared to edge-like neurospheres. Lastly, pharmacological inhibition of BTK by ONO/GS-4059 resulted in growth inhibition of regionally derived GBM core cells and, to a lesser extent, their edge counterparts.

CONCLUSIONS

This study identifies significant heterogeneity in kinase activity both within and across distinct GBM tumors. The study findings indicate that BTK activity is elevated in the classically therapy-resistant GBM tumor core. Given these findings, targeting GBM’s resistant core through BTK may potentially provide therapeutic benefit for patients with GBM.
Giant intracranial aneurysms: natural history and 1-year case fatality after endovascular or surgical treatment
Authors: Dengler Julius , Rüfenacht Daniel , Meyer Bernhard , Rohde Veit , Endres Matthias , Lenga Pavlina , Uttinger Konstantin , Rücker Viktoria , Wostrack Maria , Kursumovic Adisa , Hong Bujung , Mielke Dorothee , Schmidt Nils Ole , Burkhardt Jan-Karl , Bijlenga Philippe , Boccardi Edoardo , Cognard Christophe , Heuschmann Peter U. , Vajkoczy Peter , _ _
Published: December 2019

OBJECTIVE

Clinical evidence on giant intracranial aneurysms (GIAs), intracranial aneurysms with a diameter of at least 25 mm, is limited. The authors aimed to investigate the natural history, case fatality, and treatment outcomes of ruptured and unruptured GIAs.

METHODS

In this international observational registry study, patients with a ruptured or unruptured GIA received conservative management (CM), surgical management (SM), or endovascular management (EM). The authors investigated rupture rates and case fatality.

RESULTS

The retrospective cohort comprised 219 patients with GIAs (21.9% ruptured GIAs and 78.1% unruptured GIAs) whose index hospitalization occurred between January 2006 and November 2016. The index hospitalization in the prospective cohort (362 patients with GIAs [17.1% ruptured and 82.9% unruptured]) occurred between December 2008 and February 2017. In the retrospective cohort, the risk ratio for death at a mean follow-up of 4.8 years (SD 2.2 years) after CM, compared with EM and SM, was 1.63 (95% CI 1.23–2.16) in ruptured GIAs and 3.96 (95% CI 2.57–6.11) in unruptured GIAs. In the prospective cohort, the 1-year case fatality in ruptured GIAs/unruptured GIAs was 100%/22.0% during CM, 36.0%/3.0% after SM, and 39.0%/12.0% after EM. Corresponding 1-year rupture rates in unruptured GIAs were 25.0% during CM, 1.2% after SM, and 2.5% after EM. In unruptured GIAs, the HR for death within the 1st year in patients with posterior circulation GIAs was 6.7 (95% CI 1.5–30.4, p < 0.01), with patients with a GIA at the supraclinoid internal carotid artery as reference. Different sizes of unruptured GIAs were not associated with 1-year case fatality.

CONCLUSIONS

Rupture rates for unruptured GIAs were high, and the natural history and treatment outcomes for ruptured GIAs were poor. Patients undergoing SM or EM showed lower case fatality and rupture rates than those undergoing CM. This difference in outcome may in part be influenced by patients in the CM group having been found poor candidates for SM or EM.

Clinical trial registration no.: NCT02066493 (clinicaltrials.gov)
Gender disparities in academic rank achievement in neurosurgery: a critical assessment
Authors: Dossani Rimal H. , Terrell Danielle , Kosty Jennifer A. , Ross Robert C. , Demand Audrey , Wild Elizabeth , Peterson Racheal , Ngwenya Laura B. , Benzil Deborah L. , Notarianni Christina
Published: December 2019

OBJECTIVE

The objective of this study was to evaluate whether there are disparities in academic rank and promotion between men and women neurosurgeons.

METHODS

The profiles of faculty members from 50 academic neurosurgery programs were reviewed to identify years in practice, number of PubMed-indexed publications, Doctor of Philosophy (PhD) attainment, and academic rank. The number of publications at each academic rank was compared between men and women after controlling for years in practice by using a negative binomial regression model. The relationship between gender and each academic rank was also determined after controlling for clustering at the institutional level, years in practice, and number of publications.

RESULTS

Of 841 faculty members identified, 761 (90%) were men (p = 0.0001). Women represented 12% of the assistant and associate professors but only 4% of the full professors. Men and women did not differ in terms of the percentage holding a PhD, years in practice, or number of publications at any academic rank. After controlling for years in practice and clustering at the facility level, the authors found that men were twice as likely as women to be named full professor (OR 2.2, 95% CI 1.09–4.44, p = 0.03). However, when institution, years in practice, PhD attainment, h-index, and number of publications were considered, men and women were equally likely to attain full professorship (OR 0.9, 95% CI 0.42–1.93).

CONCLUSIONS

Data analysis of the top neurosurgery programs suggests that although there are fewer women than men holding positions in academic neurosurgery, faculty rank attainment does not seem to be influenced by gender.
Comparison between optical coherence tomography imaging and histological sections of peripheral nerves
Authors: Carolus Anne E. , Möller Jens , Hofmann Martin R. , van de Nes Johannes A. P. , Welp Hubert , Schmieder Kirsten , Brenke Christopher
Published: December 2019

OBJECTIVE

Optical coherence tomography (OCT) is an imaging technique that uses the light-backscattering properties of different tissue types to generate an image. In an earlier feasibility study the authors showed that it can be applied to visualize human peripheral nerves. As a follow-up, this paper focuses on the interpretation of the images obtained.

METHODS

Ten different short peripheral nerve specimens were retained following surgery. In a first step they were examined by OCT during, or directly after, surgery. In a second step the nerve specimens were subjected to histological examination. Various steps of image processing were applied to the OCT raw data acquired. The improved OCT images were compared with the sections stained by H & E. The authors assigned the structures in the images to the various nerve components including perineurium, fascicles, and intrafascicular microstructures.

RESULTS

The results show that OCT is able to resolve the myelinated axons. A weighted averaging filter helps in identifying the borders of structural features and reduces artifacts at the same time. Tissue-remodeling processes due to injury (perineural fibrosis or neuroma) led to more homogeneous light backscattering. Anterograde axonal degeneration due to sharp injury led to a loss of visible axons and to an increase of light-backscattering tissue as well. However, the depth of light penetration is too small to allow generation of a complete picture of the nerve.

CONCLUSIONS

OCT is the first in vivo imaging technique that is able to resolve a nerve’s structures down to the level of myelinated axons. It can yield information about focal and segmental pathologies.
Charles H. Frazier’s craniopharyngioma treatment: the pivotal role of the transfrontal approach
Authors: Prieto Ruth , Pascual José María , Barrios Laura
Published: December 2019

Charles H. Frazier (1870–1936), one of the pioneers of neurosurgery in the US, is known worldwide for devising surgical procedures to relieve trigeminal neuralgia and intractable pain. Less well-known are his substantial contributions to understanding and treating pituitary and parahypophyseal lesions. Along with Bernard Alpers, he defined Rathke’s cleft tumors as a different pathological entity from adenomas and hypophyseal stalk tumors (craniopharyngiomas [CPs]). The surgical challenge posed by CPs piqued Frazier’s interest in these lesions, although he never published a complete account of his CP series. An examination of the Charles Frazier papers at the College of Physicians of Philadelphia allowed the authors to identify 54 CPs that he had treated during his career. In the early 1910s, Frazier developed the subfrontal approach, which would become the primary surgical route to access these lesions, providing better control of the adjacent vital neurovascular structures than the transsphenoidal route hitherto used. Nevertheless, strong adhesions between CPs and the third ventricle floor, the major reason underlying Frazier’s disappointing results, moved him to advocate incomplete tumor removal followed by radiotherapy to reduce both the risk of hypothalamic injury and CP recurrence. This conservative strategy remains a judicious treatment for CPs to this day.
Bioadhesives in neurosurgery: a review
Authors: Qiu Liming , Qi See Angela An , Steele Terry W. J. , Kam King Nicolas Kon
Published: December 2019

OBJECTIVE

Neurosurgery presents unique surgical challenges arising from delicate neural structures, limited accessibility, and the risk of CSF leakage that can lead to CNS infections. Sutures and staples may have limited applicability in the complex anatomical constraints of cranial and spinal surgeries, especially in trauma settings when time is of the essence. Surgical bioadhesives are emerging as attractive alternatives because they avoid traumatic application methods, provide a stress-distributed fixation, and provide good cosmesis and outcomes. This article presents the history of the development of surgical bioadhesives, and is also a review of current applications of commercial surgical bioadhesives within neurosurgical procedures and the unmet clinical needs that should be addressed in bioadhesives technologies.

METHODS

A PubMed literature search was performed using the terms “(glue OR bioadhesive OR fibrin OR tisseel OR evicel OR tachosil OR cyanoacrylate OR duraseal OR bioglue) AND (neurosurgery OR spine OR spinal OR dural OR microvascular decompression OR transsphenoidal OR endovascular).” Of 2433 records screened, 168 studies were identified that described the use of bioadhesives in neurosurgical procedures.

RESULTS

The greatest number of studies describing the use of bioadhesives in neurosurgery were identified for endovascular embolization, followed by dural closure and transsphenoidal surgeries. Other common areas of application were for microvascular decompression, skin closure, peripheral nerve repair, and other novel uses. Numerous case reports were also identified describing complications associated with bioadhesive use.

CONCLUSIONS

Despite the paucity of approved indications, surgical bioadhesive use in neurosurgical procedures is prevalent. However, current bioadhesives still each have their own limitations and research is intense in the development of novel solutions.