1,720,958 research outputs found
PENGARUH BEBAN KERJA, LINGKUNGAN KERJA DAN DISIPLIN KERJATERHADAP KINERJA PEGAWAI (Studi Balai Penelitian dan Pengembangan Pengendalian Penyakit Bersumber Binatang Donggala, Kementerian Kesehatan RI)
Full text linkThe study aims to seek and analysze simultaneous and partial influence of workload, work environment, and discipline on employees’ performance in The Research and Development Center of Animal Diseases Donggala. The sample consists of 40 employees, who selected to be the respondents of this research, based on census sampling technique. The study is causal descriptive, which is analyzed with multiple linear regressions. The results indicate that workload, work environment, and discipline simultaneously influence the performance of employees in The Research and Development center of Animal Diseases, Donggala. Partially, workload and discipline have significant influence on employees’ performance in The Research and Development Center of Animal Diseases, Donggala while work environment has insignificant influence on employees’ performance
TEKANAN DARAH DENGAN KEJADIAN INFARK PASIEN ACUTE CORONARY SYNDROME
No full textABSTRAKAcute coronary syndrome (ACS) merupakan rangkaian gangguan klinis yang disebabkan oleh penyakit akut iskemik jantung. Spektrum klinis ACS adalah Unstable Angina Pectoris(UAP), non-ST elevasi myocardial infarction (NSTEMI), dan ST-elevasi myocardial infarction (STEMI). Proses ACS dapat berlanjut dengan infark transmural atau kematian. Infark transmural terjadi ditandai dengan gambaran Q patologis menetap pada Elektrokardiogram. Tekanan darah tinggi merupakan salah satu faktor risiko ACS. Tekanan darah menjadi menifestasi klinis penting klien Acute coronary syndrome 24 jam pertama rawat inap. Penelitian ini bertujuan untuk mengetahui hubungan tekanan darah dengan kejadian infark transmural pada klien acute coronary syndrome rawat inap. Penelitian ini merupakan penelitian diskriptif kuantitatif dengan desain perspektif studi (cohort). Jumlah sampel adalah 33 orang klien acute coronary syndrome. Teknik pengambilan sampel adalah proporsive sampling dengankriteriainklusi: diagnosa STEMI, NSTEMI, UAP, onset 24 jam, gagal jantung killip I dan II, tidak ada disritmia mengancam, mendapatkan terapi pengobatan standar (satu atau dua anti platelet, nitrat, trombolitik, oksigen). Tempat penelitian Rumah sakit dr Zainoel Abidin Banda Aceh. Variabel independen pada penelitian ini adalah tekanan darah sistole dan diastole, alat ukurnya Sphygmomanometer-manometer air raksa, sedangkan yang menjadi variabel dependennya adalah infark dan tidak infark, alat ukurnya elektrokardiogram. Metode analisa data menggunakan uji statistik regresi logistik. Hasil penelitian bahwa pasien dengan tekanan darah sistole rata-rata tinggi memiliki kejadian infark 7.5 kali lebih besar dari sistole normal. Sementara pasien dengan tekanan diastole rata-rata tinggi memiliki kejadian infark 6.5 kali lebih besar dari tekanan diastole normal. Tekanan darah sistole dan diastole tinggi pada pasien ACS harus dimonitor dan dikontrol oleh perawat secara intensif selama 24 jam pertama untuk mencegah atau mengurangi risiko kejadianinfark.Kata kunci: acute coronary syndrome, infark, tekanan darah sistole dan tekanan darah diastole.ABSTRACTAcute coronary syndrome (ACS) is a set of clinical disturbance caused by heart ischaemic acute disease. clinical spectrum of acute coronary syndrome is unstable angina pectoris, non ST elevation myocardial infarction and ST elevation myocardial infarction. The process of acute coronary syndrome can develop with transmural infarction or death. Transmural infarction is characterized with remain patological Q description on electrocardiogram. High blood pressure is on of risk factors of acute coronary syndrome. Blood pressure is as important clinical manifestation on patient with acute coronary syndrome during the first 24 hours. The research was to identify relationship between blood pressure and transmural infarction occurence on patient with acure coronary syndrome. The research was descriptive quantitative with perspective study (cohort) design. The number of sample was 33 patients with acute coronary syndrome. Sampling technique was proporsive sampling with inclusion criteria i.e. diagnosed with ST elevation myocardial infarction, non ST elevation myocardial infarction, unstable angina pectoris, onset 24 hours, Killip I and II heart failure, non threatening dysrhythmias, obtaining standard treatment therapy (one or two antiplatelets, trombolitik, nitrat, oksigen). The location of the research was in dr. Zainoel Abidin general hospital Banda Aceh. Independent variable in this research were sistole and diastole blood pressure. Meanwhile the dependent variable were infaction and non infarction. Data analyzed method was use a logisticregression test of statistic. The result of the research showed that patients with high average sistole blood pressure had infarct occurence 7,5 times greater than normal sistole. Whilst patients with high average diastole blood pressure had infarct occurence 6,5 times greater than normal sistole. High sistole and diastole blood pressureon patients with acute coronary syndrome must be monitored and controlled intensively by nurses during the first 24 hours to prevent or alleviate infarction risks.Keywords: acute coronary syndrome, infarction, sistole and diastole blood pressur
ANALISIS FRAKSI EJEKSI KLIEN GAGAL JANTUNG PRE DAN POST PENERAPAN MODEL AKTIVITAS DAN LATIHAN INTENSITAS RINGAN
Full text linkABSTRAKTujuan penelitian ini adalah untuk mengidentifikasi pengaruh model aktivitas dan latihan klien gagal jantung terhadap fraksi ejeksi Penelitian ini menggunakan desain eksperimen semu (Quasy Experiment) tanpa kontrol group. Penelitian dilaksanakan di Rumah Sakit Jantung dan pembuluh darah Harapan Kita Jakarta. Populasi sampel adalah klien gagal jantung sebanyak 24 orang, dengan Kriteria inklusi: fraksi ejeksi 40%, tekanan darah sistole 80 120 mmHg, diastole 60 80 mmHg. Klasifikasi fungsionil NYHA: II dan III, mendapat terapi pengobatan gagal jantung Standar (Angiotension Converting enzymes - inhibitor, beta blockers, diuretic, digitalis), tidak ada disritmia yang mengancam kehidupan/bersifat fatal, infark tidak luas dan non elivasi segmen ST, usia 30 70 tahun, mendapat izin dari dokter. Setiap responden di berikan model aktivitas dan latihan selama 6 hari di rumah sakit. Intensitas latihan di ukur dengan skala Borg. Hasil penelitian didapatkan ada perbedaan nilai fraksi ejeksi sebelum dan sesudah intervensi aktivitas dan latihan. Dengan intensitas latihan pada fase akut selama dirumah sakit (inpatient) adalah ringan. Rekomendasi penelitian ini adalah model aktivitas dan latihan klien gagal jantung yang dikembangkan peneliti dapat diimplementasikan untuk memenuhi kebutuhan aktivitas pada fase akut selama di rumah sakit (inpatient). Pengawasan terhadap over aktivitas sangat di butuhkan selama penerapan model pada fase akut.Kata kunci: Gagal jantung, aktivitas dan latihan, dan fraksi EjeksiABTRACTThese research objectives are to identify the effect of activity and exercise model of heart failure client toward ejection fraction. This research used a Quasy Experiment design without control group. Thisresearch was done at National Cardiovascular Center of Harapan Kita, Jakarta. The samples were are heart failure clients, there were 24 people participated in the research who have inclusion criteria: ejection fraction 40%, systolic blood pressure 80 - 120 mmHg, diastolic 60 - 90 mmHg. In addition, the criteria were Functional classification NYHA: II and III, receiving a standard pharmacologic therapy (Angiotension Converting enzyme-inhibitor, beta-blockers, diuretics, digitalis), no fatal dysrhythmia, infarct was not large and non elevation of ST segment, age 30 - 70 years old, had permission from their attending cardiologist. Each respondent was given activity and exercise model during 6 days at the hospital. Exercise intensity is measured by Borg scale of perceived exertion. The research results indicated that there were differences between value of ejection fraction before and after activity and exercise intervention. with a light exercise intensity at acute phase during hospitalization (inpatient). This research recommendations showed that the activity and exercise for heart failure client exercise which were developed by a researcher can be implemented to fulfill an activity requirement during acute phase at hospital (inpatient period). It also suggested close observation during applying the model at this acute phase.Key words: Heart failure, activity and exercise, ejection fractio
KOMPOSISI DAN KEANEKARAGAMAN ARTHROPODA PREDATOR PADA AGROEKOSISTEM PADI
No full textThe research of predatory arthropod species diversity in agro-ecosystem is very important because it affects the function of natural enemies in suppressing pest population. Management of paddy through cultivation method can be part of the conservation of predatory arthropods. This study was conducted to analyze and compare the diversity of predatory arthropod with method cultivation conventional and integrated crop management (ICM) and diversity predatory arthropod based on phase growth paddy from cultivation conventional and ICM. The experiment was conducted in lowland rice agro-ecosystem at two plots with conventional cultivation method and ICM. Sampling of predatory Arthropods was done on the phase growth vegetative and generative paddy using net trap, yellow pan trap, and direct observation in the plants. The results showed that the predatory arthropods found were from Insecta and Arachnida class. The species diversity of predatory arthropod at phase growth of generative was higher than vegetative phase both at the conventional and ICM cultivation. Diversity predatory arthropod on the ICM method was higher compared to conventional. Paddy cultivation method with ICM through the rational use of insecticides can be part of conservation for predatory arthropod species
PENGETAHUAN TERAPI FARMAKOLOGI PASIEN PPOK
Full text linkPenyakit Paru Obstruktif Kronis (PPOK) adalah gangguan pernapasan bersifat progresif dan irreversible. Penting bagi pasien memiliki pengetahuan akan terapi farmakologi PPOK untuk mengelola penyakitnya agar tetap stabil dan mencegah kecepatan perburukan fungsi paru guna dapat menjalani aktifitas sehari-harinya. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan pasien terhadap terapi farmakologi PPOK. Jenis penelitian deskriptif dengan desain cross sectional study. Sample penelitian 53 pasien PPOK di poliklinik paru Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Sample ditetapkan dengan purposive sampling dengan kriteria inklusi adalah pasien rawat jalan. Alat pengumpulan data adalah kuisioner yang mengikuti standar Bristol COPD Knowledge Quitionaire (BCKQ) tentang terapi obat-obatan dalam bentuk skala Guttman yang terdiri dari 20 pertanyaan. Hasil penelitian bahwa tingkat pengetahuan tentang terapi farmakologi PPOK 41,5% rendah. Pengetahuan jenis obat 26.4% rendah dan sangat rendah, pengetahuan cara penggunaan obat 32.1% cukup tinggi, penegathuan waktu penggunaan obat 37.7% rendah, pengetahuan dosis dan efek samping obat 35,8% rendah, Rekomendasi. Perlu pendidikan kesehatan tentang farmakologi melalui discharge planning efektif kepada pasien PPOK. Dibutuhkan diagnosa keperawatan defisit pengetahuan farmakologi sebagai dasar intervensi pembelajaran pada pasien PPOK dan dievaluasi secara berkala saat pasien dirawat dan waktu pemulangan pasien dari Rumah sakit. Perlu penelitian tentang media pembelajaran yang tepat tentang farmakologi pada pasien PPOK
KOLESTEROL TOTAL DAN KLASIFIKASI KLINIS NEW YORK HEART ASSOCIATION III DAN IV PASIEN GAGAL JANTUNG KONGESTIF
Full text linkABSTRAKPasien gagal jantung kongestif yang tidak patuh dengan diet memiliki peluang 8.81 kali lebih besar melakukan kunjungan rawat inap ulang dibandingkan dengan klien yang patuh pada diet. Diet tinggi lemak dan rendah serat menjadi penyebab tingginya kolesterol serum. Klinis gagal jantung kongestif diklasifikasikan berdasarkan klinis New York Heart Association (NYHA) yang ditetapkan sesuai dengan tingkat aktifitas fisik yang menimbulkan gejala gagal jantung meliputi Klas I, II, III dan IV. Tujuan penelitian adalah untuk melihat hubungan antara klasifikasi kolesterol total dengan klasifikasi klinis New York Heart Association (NYHA) III dan IV. Jenis rancangan penelitian adalah deskriptif korelatif dengan pendekatan cross sectional study. Sample penelitian 49 pasien gagal jantung kongestif saat masuk dan rawat inap di rumah sakit umum daerah dr Zainoel Abidin Banda Aceh. Sample ditetapkan dengan tehnik proporsive sampling. kriteria inklusi ialah: kadar kolesterol belum diterapi, gagal jantung tidak dengan kehamilan. Analisa data menggunakan uji statistik Chi-square. Hasil penelitian ini didapatkan hubungan yang signifikan antara klasifikasi kolesterol total dengan klasifikasi klinis New York Heart Association III dan IV (p-value 0.007). Direkomendasikan kepada pasien gagal jantung agar mengontrol kolesterol total tidak meningkat untuk mencegah meningkatnya klasifikasi klinis keparahan gagal jantung kongestif.Kata kunci: Gagal Jantung Kongestif, Kolesterol Total, Kelas Nyha III Dan IV.ABSTRACTCongestive heart failure patient who were disobedient to diet had an 8.81 times higher chance of doing re-visits than those who were obedient to diet. High-fat and low-fiber diets are the cause of high serum cholesterol. Clinical congestive heart failure is classified according to clinical New York Heart Association (NYHA) defined according to the level of physical activity that causes symptoms of heart failure into Class I, II, III and IV. The aim of the study was to examine the relationship between the classification of total cholesterol and the clinical classification of the New York Heart Association (NYHA) III and IV. Type of research design is descriptive correlative with cross sectional study approach. The samples of this study are 49 patients with congestive heart failure at admission and hospitalized in General Hospital dr Zainoel Abidin in Banda Aceh. The sample is determined by using proportional sampling technique. The inclusion criteria are: cholesterol level have not been treated, heart failure with non-pregnancy condition. Analyzed data was using Chi-square statistical test. The results of this study found that a significant relationship between the classification of total cholesterol with clinical classification of New York Heart Association III and IV (p-value 0.007). Recommended to patients with heart failure to control their total cholesterol does not increase to prevent the increased clinical classification of the severity of congestive heart failure.Keywords:Congestive heart failure, total cholesterol, classification NYHA III and IV
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe 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
Full text link“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
Full text linkWe 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
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