bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH MEDITASI TERHADAP HIPERTENSI PADA LANSIA DI UPTD PUSKESMAS II DINAS KESEHATAN KECAMATAN DENPASAR TIMUR
Authors: Susanti Ni Nyoman 
Published: November 2020

ABSTRAK

Hipertensi adalah masalah yang paling sering terjadi pada kesehatan lansia dan menjadi penyebab utama penyakit kardiovaskular pada lansia. Meditasi digunakan sebagai upaya penangan hipertensi dengan mengontrol kontriksi dan merelaksasi pembuluh darah yang terletak pada pusat vasomotor di medula spinalis serta sebagai latihan relaksasi meditasi yang dapat menurunkan hipertensi. Tujuan penelitian ini untuk mengetahui pengaruh pemberian meditasi terhadap hipertensi pada lansia.
Jenis penelitian pra eksperimental dengan rancangan One group Pre test-posttest Design. Sampel dalam penelitian ini adalah lansia yang menderita hipertensi di UPTD Puskesmas II Dinas Kesehatan Kecamatan Denpasar Timur sebanyak 30 orang dipilih dengan teknik purposive sampling. Alat yang digunakan mengumpulkan data adalah sphygmomanometer dan stetoskop. Data dianalisis menggunakan uji Wilcoxon Sign Rank Test untuk membandingkan hasil Pre test dan posttest.
Tekanan darah lansia sebelum diberikan meditasi sebagaian besar yaitu 25 orang (83,3%) dalam kategori sedang. Tekanan darah lansia setelah diberikan meditasi sebagaian besar yaitu 25 orang (83,3%) dalam kategori ringan. Hasil uji Wilcoxon Sign Rank Test didapatkan nilai p value = 0,001 < 0,05 hasil ini menunjukkan ada pengaruh meditasi terhadap hipertensi pada lansia. Penelitian ini menunjukkan meditasi berpengaruh signifikan terhadap penurunan tekanan darah pada lansia.

Kata Kunci : Meditasi, Hipertensi, Lansia
EFEKTIVITAS WAKTU KETERLAKSANAAN PERAN PERAWAT DI RUMAH SAKIT GIGI DAN MULUT UNIVERSITAS PADJADJARAN BERDASARKAN MATRIX EFEKTIFITAS WAKTU COVEY (2013)
Authors: Nuraeni Hesti , Prihadi Donny Juliandri , Susilaningsih Fransisca Sri , Mediawati Ati Surya 
Published: November 2020

Latar belakang: Berdasarkan telusur dokumen rekam medis pasien (n=20) yang dilakukan pada bulan Januari 2019, pencatatan asuhan keperawatan yang meliputi tindakan pengkajian, diagnosis keperawatan, dan intervensi tidak teridentifikasi dalam dokumentasi rekam medis pasien. Berdasarkan wawancara dengan staf kepegawaian, didapatkan data masih banyak perawat yang sering datang terlambat dan terlihat kurang produktif pada saat jam kerja dengan mengobrol, bermain hp dan tidak berada di tempat.
Tujuan penelitian: Efektivitas Keterlaksanaan Peran Perawat di Rumah Sakit Khusus Gigi dan Mulut. Metode: deskriptif dengan observasi menggunakan metode time and motion study Sampel dalam penelitian ini adalah seluruh aktifitas (dalam menit) yang dilakukan oleh 6 orang perawat selama shift kerja. Hasil : Berdasarkan efektivitas waktu, dinilai tidak efektif karena berada di kuadran IV (Tidak Penting- Tidak Mendesak) sebesar 46%, menurut responden hal tersebut terutama pada saat pasien pre-operasi sehingga tidak banyak kegiatan yang dilakukan,dan waktu shift yang panjang selama 16 jam pada shift sore-malam sehingga lebih banyak aktivitas kegiatan pribadi. Aplikasi hasil :Keterlaksanaan peran perawat di RSGM Unpad secara efektivitas waktu berada di kuadran IV, yang berarti tidak efektif, maka diperlukan penetapan kompetensi perawat klinis agar peran perawat dilaksanakan dengan efektif.
PENGARUH HIPNOSIS DALAM MENGURANGI NYERI SAAT PERAWATAN LUKA DI RS A. WAHAB SJAHRANIE SAMARINDA
Authors: Samsugito Iwan 
Published: November 2020

Nyeri adalah suatu keadaan respon dari seseorang akibat adanya kerusakan jaringan yang mempengaruhi seseorang dan eksistensinya diketahui bila seseorang pernah mengalaminya. Rangsangan nyeri diterima oleh nosireseptor dan dihantarkan ke otak, pada saat perawatan luka terjadi gesekan atau rangsangan pada nosireseptor sehingga setiap perawat melakukan perawatan luka selalu terjadi nyeri dari intensitas ringan sampai berat. Hipnoterapi adalah suatu metode terapi menggunakan hipnosis, yang membuat pasien merasa rileks dan pikiran bawah sadarnya aktif sehingga mudah menerima sugesti dan mengabaikan respon yang lain.Tujuan penelitian ini untuk mengetahui pengaruh hipnosis dalam mengurangi nyeri saat perawatan luka di RS. A. Wahab Sjahranie Samarinda.
Jenis penilitian yang digunakan dengan metode quasi eksperiment dengan rancangan penelitian satu kelompok prepost-test design without control (the one group pre-post test design). Dengan populasi 16 responden, teknik pengambilan sampel dengan consecutive sampling berdasarkan kreteria penelitian yang ditetapkan. Skala nyeri di ukur dengan dengan menggunakan Skala nyeri numerik rating scale (NRS). Analisa univariat menggunakan prosentase dan nilai rata-rata dan bivariat menggunakan uji wilcoxon.
Hasil analisa data didapatkan nyeri pasien dengan luka setelah operasi sebelum dihipnosis terbanyak adalah nyeri sedang 56,25 %, sedangkan setelah dihipnosis mayoritas nyeri ringan sebanyak 93,75 %. berdasarkan hasil uji wilcoxon didapatkan hasil bahwa terdapat perbedaan skala nyeri pasien setelah operasi sebelum dan sesudah dihipnosis dengan nilai p value 0,000 < a 0,005 .
Terdapat perbedaan yang bermakna nyeri pasien saat perawatan luka sebelum dan sesudah dihipnosis
First year medical student experiences with a clinical skills seminar emphasizing sexual and gender minority population complexity
Authors: Biro Laurence , Song Kaiwen , Nyhof-Young Joyce 
Published: November 2020

Purpose: Patients identifying as sexual and gender minorities (SGMs) face healthcare barriers. This problem is partly due to medical training.1 We evaluated first year medical student experiences during a novel four-hour seminar, in which students answered discussion questions, participated in peer role-plays, and interviewed two standardized patients
Method: A constructivist qualitative design employed audio-recorded and transcribed student focus groups. Using generic content analysis, transcripts were iteratively coded, emergent categories identified, sensitizing concepts applied, and a thematic framework created.
Results: Thirty-five students (71% female) participated in five focus groups. Two themes were developed: SGM bias (faculty, standardized patients [SPs], students, curriculum), and Adaptive Expertise in Clinical Skills (case complexity, learner support, skill development). SPs identifying as SGM brought authenticity and lived experience to their roles. Preceptor variability impacted student learning. Students were concerned when a lack of faculty SGM knowledge accompanied negative biases. Complex SP cases promoted cognitive integration and preparation for clinical work.
Conclusions: These students placed importance on the lived experiences of SGM community members. Persistent prejudices amongst faculty negatively influenced student learning. Complex SP cases can promote student adaptive expertise, but risk unproductive learning failures. The lessons learned have implications for clinical skills teaching, learning about minority populations, and medical and health professions education in general.
Analysis of the Effect of Motivation and Training on the Performance of Nurses in Datu Beru Takengon Public Hospital
Authors: Rezeki Vina , Fitriani Arifah Devi , Muhammad Iman , Lastiur Lucia 
Published: November 2020

Nurses who work in emergency room must have more skills, which is implied for every nurse who works in the emergency room to have a good performance. The study aims to analyze the influence of motivation and training on the performance of nurses in the emergency room at Datu Beru Takengon General Hospital in 2018.The design used a quantitative analytic survey. The population were all nurses in the emergency room of Datu Beru Hospital in Takengon by totalling 32 nurses and all were taken as the sample by using total population technique. Data analysis was performed by univariate, bivariate and multivariate analyses.The results showed that out of 15 respondents who had less motivation had a poor performance in the category of less than 9 people (60%) and of the 17 respondents who were motivated, motivation with nurse performance with Chi-Square statistical test obtained p-value =.032 <α .05, which means that there is an influence between training and nurse performance .001 <α .05, which means there is an influence between training and nurse performance.The conclusion is that there is an influence between motivation and training on the performance of nurses in the emergency room. It is recommended that the hospital management pay attention to the performance of the nurses, by giving riward to nurses who have good performance and giving sanctions to nurses who break the rules.
Factors influencing Outcome of Extradural Hematoma in a Tertiary Care Hospital of Dera Ghazi Khan, Pakistan
Authors: Jalal Liaqat , Khan Atta-ur-Rehman , Farooq Muhammad Shaukat , Nouman Muhammad Tahir 
Published: November 2020

Background: The outcome for this neurosurgical problem is still far from set target in many developing countries like Pakistan. Major proportion of cases presenting with EDH in hospital still has poor outcome. This poor outcome of EDH is attributed to many factors including weak health systems of most developing countries. Objective of study was to analyze factors influencing outcome among patients of head injury with an extradural hematoma before surgery admitted in neurosurgery department of Dera Ghazi Khan Medical College, Dera Ghazi Khan.
Materials and Methods: This cross-sectional analytical study was conducted in neurosurgery department of Dera Ghazi Khan Medical College from January 2019 to December 2019 after ethical approval. All the patients with extradural hematoma of either gender admitted in the department during the study duration in which surgery was performed to evacuate extradural hematoma were included in the study. Data was collected by using preformed, pretested questionnaire. A vital signs and Glasgow coma scale record was maintained at thirty minutes interval. Computerized tomography was done in every patient. The EDH volume was calculated by using Peterson and Epperson equation a x b x c x 0.5. Data was entered and analyzed by using SPSS version 22. Chi square test was applied to observe any statistically significant difference between various strata if existed and p value <0.05 was taken as significant.
Results: Total 237 patients with Extradural Hematoma (EDH) were admitted in neurosurgery department during the study period were included in study. More than half 136 (57.4%) patients were more or equal to the age of 18 years. Majority of the patients 218 (91.9%) in the study were male. Major cause of extradural hematoma among patients in this study was road traffic accident 154 (64.9%). The outcome of EDH was found to be significantly (p <0.001) associated with age of patients. More than ninety percent of the patients who were directly admitted to tertiary care hospital has good outcome as compared to 109 (60.2%) patients which were referred and difference in outcome was statistically significant (p<0.001). The volume of EDH is not significantly associated with the outcome (p=0.090). The GSC score of the patients at the time of admission is significantly associated with the outcome (p<0.001). Study findings showed that GCS score of the patients at the time of surgery was also found to be significantly associated with outcome of EDH (p<0.001).
Conclusion: There is a strong association of outcome in extradural hematoma with age, gender and GCS of the patient. In higher GCS the outcome was excellent but in low GCS the outcome was poor.
The first Antechinus reference genome provides a resource for investigating the genetic basis of semelparity and age-related neuropathologies
Authors: Brandies Parice A. , Tang Simon , Johnson Robert S. P. , Hogg Carolyn J. , Belov Katherine 
Published: November 2020

Antechinus are a genus of mouse-like marsupials that exhibit a rare reproductive strategy known as semelparity and also naturally develop age-related neuropathologies similar to those in humans. We provide the first annotated antechinus reference genome for the brown antechinus (Antechinus stuartii). The reference genome is 3.3 Gb in size with a scaffold N50 of 73Mb and 93.3% complete mammalian BUSCOs. Using bioinformatic methods we assign scaffolds to chromosomes and identify 0.78 Mb of Y-chromosome scaffolds. Comparative genomics revealed interesting expansions in the NMRK2 gene and the protocadherin gamma family, which have previously been associated with aging and age-related dementias respectively. Transcriptome data displayed expression of common Alzheimer’s related genes in the antechinus brain and highlight the potential of utilising the antechinus as a future disease model. The valuable genomic resources provided herein will enable future research to explore the genetic basis of semelparity and age-related processes in the antechinus.
Corrosion Behavior of Carbon Steel Piping in Flowing Diluted Seawater
Authors: Fujiwara Kazutoshi , Tani Junichi , Ohta Joji , Fukaya Yuichi , Hirasaki Toshifumi 
Published: November 2020

Countermeasures against the corrosion problems caused by seawater should be sufficiently considered at the spent fuel pool of the Fukushima Daiichi nuclear power plant. In this study, the corrosion behaviors of carbon steel in diluted synthetic seawater and the effect of a corrosion inhibition treatment were evaluated. Although the corrosion rate of the carbon steel in diluted synthetic seawater was high at the beginning of the test, it decreased to below 0.5 mm/y after 500 h. A clear effect of sodium nitrite (NaNO2) on corrosion inhibition was confirmed at a low flowrate, and the corrosion rate decreased to 0.004 mm/y at a flowrate of 3.2 m/s or less. The corrosion inhibition effect of sodium pentaborate (Na2B10O16) was confirmed at velocities ranging from 0.6 m/s to 5.3 m/s. The injection of Na2B10O16 is also effective for preventing the criticality of fuel. The corrosion rate of the carbon steel decreased gradually when the electrical conductivity of the electrolyte was progressively decreased. It was less than 0.1 mm/y when the electrical conductivity was less than 1.0 mS/m. When the electrical conductivity was progressively increased and exceeded 0.4 mS/m, the corrosion rate increased and shallow corrosion spots were produced.
Environmentally Assisted Cracking Behavior of 18Ni 250 Maraging Steel Welds Obtained with and Without Flux in Chloride Media
Authors: Gupta Renu N. , Agrawal Rahul K. , Gore Poorwa , Parmar Uday , Raja V.S. 
Published: November 2020

Gas tungsten arc welding is extensively used in the fabrication of 18Ni 250 maraging steel motor casings. In this work, the role of flux addition on the environmentally assisted cracking (EAC) and electrochemical corrosion behaviors of these welds in their peak-aged condition is presented. Studies were performed in order to bring out the potential influence of long-term exposure of maraging steel welds to neutral 0.1 M NaCl (mildly corrosive) and acidified 0.1 M NaCl (a relatively more corrosive) environments to understand the EAC behavior of the welds. The study showed that both the fluxed and unfluxed weld metals suffered 21% to 23% loss in ductility in neutral 0.1 M NaCl solution from that of obtained in air. The EAC of the welds in the neutral chloride solution was due to anodic dissolution, while in the acidified chloride solution it was found to be predominantly due to hydrogen embrittlement. The effect of flux in refining the weld microstructure was reflected in: (a) preventing intergranular mode of hydrogen embrittlement of the unfluxed welds and transforming the mode to transgranular cracking, (b) lowering a wide scatter in electrochemical corrosion rate, and (c) reducing the selective attack in the interdendritic regions of the unfluxed welds. Such a transition from intergranular to transgranular cracking might affect long-term service behavior of the welds to corrosion and EAC, though it is not reflected in the short-term tests.
Quantitative Analysis Methods of Chloride Deposition on Silver for Atmospheric Corrosion Monitoring in South Korea
Authors: Choi Wonjun , Lee Dooyoul , Bahn Chi Bum 
Published: November 2020

The chloride deposition rate is one of critical factors affecting the atmospheric corrosion of metals, which can be monitored by exposing Ag specimens and analyzing their surfaces using various ways. Although a coulometric reduction method can provide an absolute chloride deposition rate, new and alternative methods can be pursued, i.e., methods using typical surface analysis tools (scanning electron microscopy-energy dispersive x-ray spectroscopy [SEM-EDS], x-ray diffraction [XRD], and x-ray photoelectron spectroscopy [XPS]). As the surface analysis tools can only provide relative values, a correlation between the coulometric reduction and surface analyses should be developed. To develop the correlation between them, Ag specimens were prepared by exposing them to the atmosphere at 12 locations in South Korea for one year. Surface analysis of retrieved Ag specimens yielded correlations for the chloride deposition rates between the coulometric reduction method and typical surface analysis tools. Each correlation showed a fairly linear relationship, especially ones obtained from SEM-EDS and XPS. The developed correlations can be used when estimating the chloride deposition rate by using surface analysis tools as an alternative to the coulometric reduction method.
Interactie tussen EU-instellingen: het Europees Parlement, de Raad en het wetgevingsbeleid van de Europese Commissie
Authors: van Golen T.J.A. 
Published: November 2020

Interactie tussen EU-instellingen: het Europees Parlement, de Raad en het wetgevingsbeleid van de Europese Commissie
Met het verschijnen van de Better Regulation Agenda in 2015 presenteert de Europese Commissie één samenhangend wetgevingsbeleid, dat voorheen versnipperd was over verschillende domeinen en documenten. In het nieuwe beleidsdocument wordt bovendien de nadruk gelegd op het feit dat wetgevingstrajecten niet lineair zijn, maar juist cyclisch verlopen. Hierdoor is de koppeling tussen impact assessments vooraf en wetsevaluaties achteraf nog belangrijker geworden. In dit artikel wordt bezien wat de stand van zaken is van dit wetgevingsbeleid, met de nadruk op de koppeling van de beleidsinstrumenten. Specifieke aandacht is er voor de samenwerking tussen de drie EU-instellingen op dit gebied.
Leren van evaluaties
Authors: van Schagen E.A.G. 
Published: November 2020

Leren van evaluaties: de fitness check van het Europees consumentenrecht
De ervaringen met de fitness check van het Europees consumentenrecht laten zien hoe de richtlijnen voor fitness checks in de Richtsnoeren voor Betere Regelgeving in de praktijk worden gebracht. Een fitness check beoogt, onder meer, om consistentie en coherentie te verbeteren, en zou informatie moeten verzamelen over de gezamenlijke impact van maatregelen. Hoewel de Nederlandse wetgever niet heeft aangegeven fitness checks te willen invoeren, zijn de ervaringen met de fitness check van het consumentenrecht toch interessant voor de Nederlandse wetgever. In dit artikel wordt ingegaan op wat kan worden geleerd van de ervaringen met de fitness check van het Europees consumentenrecht.
Inclusief inhoud?
Authors: van den Brink A. 
Published: November 2020

Inclusief inhoud? ‘Beter Wetgeven’ in de EU voorbij het wetgevingsproces: is er ook aandacht voor inhoudelijke kwaliteit?
Centraal in het Beter Wetgeven-beleid van de EU staat de verbetering van de kwaliteit van wetgevingsprocessen. Is er daarnaast aanleiding om de kwaliteit van de inhoud van Europese wetgeving te verbeteren? Beter Wetgeven omvat ook nu al inhoudelijke elementen. Via het evenredigheidsbeginsel worden bijvoorbeeld lidstatelijke belangen beschermd. Andere elementen, zoals de keuze voor de rechtshandeling en de keuze om regelgevende bevoegdheden aan de Commissie of de Raad te delegeren, zijn veel minder systematisch uitgewerkt. Dat geldt ook voor de wijze waarop grondrechten in de EU-wetgeving tot uitdrukking komen.
Innovatie en betere regelgeving
Authors: Ranchordas S.H. 
Published: November 2020

Innovatie en betere regelgeving
Het innovatiebeginsel is tegenwoordig onderdeel van de geïntegreerde aanpak van de Europese Commissie voor betere regelgeving. Het innovatiebeginsel waarborgt dat bij de ontwikkeling van beleid en wetgeving de gevolgen voor innovatie volledig worden beoordeeld. De impact van nieuwe regels op innovatie wordt ook in Nederland geanalyseerd in het IAK en in het kader van de mkb-toets. Toch blijft de betekenis van het innovatiebeginsel ondoorgrondelijk. De literatuur is tevens terughoudend ten opzichte van de invoering van innovatie als een rechtsbeginsel. Dit artikel geeft aan de hand van interdisciplinaire literatuur een genuanceerd beeld van innovatievriendelijke regelgeving en het innovatiebeginsel. Het gaat in op de juiste interpretatie van het innovatiebeginsel en hoe dit principe kan bijdragen aan het realiseren van betere regelgeving.
Delegatie onder het vereiste van goedkeuring bij wet
Authors: Borman T.C. 
Published: November 2020

Delegatie onder het vereiste van goedkeuring bij wet
Delegatie onder het vereiste van goedkeuring bij wet betekent dat de formele wetgever regelgevende bevoegdheid delegeert (aan de regering of een minister), maar dat er vervolgens een wetsvoorstel moet komen om de algemene maatregel van bestuur of ministeriële regeling ‘goed te keuren’. In deze bijdrage wordt de historie van deze figuur belicht en wordt aan de hand van casuïstiek ingegaan op de bedoeling en de toepassing ervan. Het is een zeldzame figuur, waar de wetgevingspraktijk niet altijd goed raad mee weet. De modelbepaling in de Aanwijzingen voor de regelgeving roept enkele vragen op. Een conclusie is verder dat de goedkeuring maar beter niet kan worden gecombineerd met andere onderwerpen.
Analysis of the Human Plasma Proteome Using Multi‐Nanoparticle Protein Corona for Detection of Alzheimer's Disease
Authors: Corbo Claudia , Li Andrew A. , Poustchi Hossein , Lee Gha Young , Stacks Sabrina , Molinaro Roberto , Ma Philip , Platt Theo , Behzadi Shahed , Langer Robert , Farias Vivek , Farokhzad Omid C. 
Published: November 2020

AbstractAs the population affected by Alzheimer's disease (AD) grows, so does the need for a noninvasive and accurate diagnostic tool. Current research reveals that AD pathogenesis begins as early as decades before clinical symptoms. The unique properties of nanoparticles (NPs) may be exploited to develop noninvasive diagnostics for early detection of AD. After exposure of NPs to biological fluids, the NP surface is altered by an unbiased but selective and reproducible adsorption of biomolecules commonly referred to as the biomolecular corona or protein corona (PC). The discovery that the plasma proteome may be differentially altered during health and disease leads to the concept of disease‐specific PCs. Herein, the disease‐specific PCs formed around NPs in a multi‐NPs platform are employed to successfully identify subtle changes in plasma protein patterns and detect AD (>92% specificity and ≈100% sensitivity). Similar discrimination power is achieved using banked plasma samples from a cohort of patients several years prior to their diagnosis with AD. With the nanoplatform's analytic ability to analyze pathological proteomic changes into a disease‐specific identifier, this promising, noninvasive technology with implications for early detection and intervention could benefit not only patients with AD but other diseases as well.