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MANAGEMENT OF RHEUMATIC HEART DISEASE IN LOW-TO-MIDDLE-INCOME COUNTRY
No full textRheumatic heart disease (RHD) remains a global health burden. In 2017, approximately 38–40.8
million cases of RHD were observed all around the world. The prevalence of RHD in non-endemic
regions is 3.4 cases per 100,000, whereas in endemic regions, it is higher than 1,000 cases per
100,000. RHD is also responsible for the premature deaths of 0.15/100000 children and an annual
case-fatality rate of 1.5% per year among the global population ages. In Indonesia, eighty-three
out of 15,608 mine workers in Papua suffered from RHD. A cardiac center in Bandung observed
that 108/4,682 (2.3%) of the patients were diagnosed with RHD. Meanwhile, the Cardiovascular
Centre Harapan Kita, Jakarta, a national cardiovascular disease referral hospital in Indonesia,
stated that 40.5% of 7112 valvular cases during 2016–2019 were RHD cases. Definitive
management of RHD with significant mitral valve stenosis consist of percutaneous balloon mitral
valvuloplasty (PBMV) and mitral valve surgery (MVS). The survival analysis of patient with
rheumatic MS after PBMV compared to MVS in Indonesia revealed that those who underwent
PBMV, 1.8% died within 24 months, while 3.5% of those who underwent mitral valve replacement
died within 27 months. The occurrence of rehospitalization did not differ between the two groups,
with acute decompensated heart failure being the leading cause. PBMV is the first choice for
patients with rheumatic heart disease without contraindications because it provides faster relief
compared to mitral valve replacement. In terms of cost, PBMV is more affordable and less
invasive, which is more beneficial for patients with rheumatic heart disease in low- to middleincome countries. Thereafter, a cohort retrospective study was conducted to assess the
improvement of exercise capacity after early phase II cardiac rehabilitation in patients who
undergo rheumatic mitral valve surgery. The study revealed that 6MWD and VO2 peak increased
significantly in these patients after the early phase II CR program (p = 0.001). On the other hand,
the use of ACE inhibitors as anti-fibrotic treatment is now being considered to address the fibrotic
process in rheumatic mitral stenosis valve as a non-intervention management. It has been
demonstrated that ACE inhibitors can break the inflammatory cycle that leads to fibrosis in the
valve. Thus, we developed a research protocol to determine the anti-fibrotic effects of ACEI and
designed an RCT in which patients received ramipril (5 mg) for at least 3 months preoperatively.
Ramipril 5mg could be a breakthrough in the management of rheumatic heart disease, improving
patient outcomes and proving highly beneficial in low- to middle-income countries. In conclusion,
rheumatic heart disease, specifically rheumatic mitral stenosis, is the most common valvular
disorder that occurs and should be comprehensively addressed through primary prevention,
secondary prevention, non-intervention management, intervention management, and
rehabilitation. Each approach is valuable and helpful in providing advancements in the
management of rheumatic mitral stenosis
ASSESSMENT OF PERSONNEL NEEDS FOR INPATIENT NURSES AT RSI A.YANI SURABAYA USING THE WISN METHOD
No full textNursing staff is a priority in providing services to patients. If the number of nurses and patients is not balanced, this will result in workload problems and the lack of staff will result in less than optimal service to patients. In this study, the method used to calculate staffing needs was WISN (Workload Indicators of Staffing Need) for Mekkah inpatient nurses (adult inpatients). The WISN method has five stages: finding available work time, finding work units and human resources categories, making work load standards, making allowance standards, and calculating labor requirements for each work unit. The aim is to analyze the need for nursing staff based on the workload in the Mekkah inpatient unit (adult inpatient unit). The time motion study method is to be able to understand more deeply the phenomena that occur and are felt by the informants through observations and interviews. The results of research on staff requirements using the WISN method were 35 nurses with real conditions of 20 nurses so there was a shortage of 10 nurses
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Nilai prognostik dispersi QT pasca bedah pintas koroner
Get PDFHubungan antara dispersi QT pascabedah pintas arteri koroner dengan kejadian kardiovaskuler telah diteliti akhir-akhir ini oleh Agustinus dkk dari De-partemen Kardiologi dan Kedokteran Vaskuler FKUI di Rumah Sakit Jantung dan Pembuluh Darah Hara-pan Kita secara restropektif dengan kesimpulan yang menarik perhatian untuk diberikan komentar. Bahwa dispersi QT > 60 milidetik pada subyek pasca BPAK telah meningkatkan risiko terjadinya kejadian kar-diovaskular mayor, gagal jantung akut dan sindroma koroner akut non fatal dalam pemantauan selama 1 tahun.
Melihat desain penelitian yang tidak mengikut sertakan dispersi QT pra BPAK, merupakan kes-engajaan penulis agar lebih fokus pada penelitian prognosis pasca BPAK dengan dengan dispersi QT sebagai tolok ukurnya. Telah diketahui sebelumnya peranan BPAK dalam memperbaiki dispersi QT dalam arti memperpendek dispersi QT
Buku Saku Jantung Dasar
No full textDAFTAR ISI :
Penyakit jantung bawaan
Krisis hipertensi di pelayanan primer
Diabetes dan penyakit jantung
Penyakit katup jantung
Aritmia
Gagal jantung akut
Gagal jantung kronis
Penyakit jantung dan manifestasi sistem saraf pusat
Penyakit jantung dan kehamilan
Obat jantung dalam kehamila
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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