1,720,959 research outputs found
Pursuing the Need for Physical Activity in Recurrent CVA Patients During Hospitalization: A Case Report
Get PDFCerebrovascular accident (CVA) is a neurological deficit condition caused by an acute focal injury of the central nervous system by cerebral infarction or intracerebral hemorrhage. CVA patients who do not reduce risk factors after the first attack have an 8.7 times higher risk of CVA recurrence. The effect of a recurrent CVA is six times greater than the risk of a first CVA in the general population of the same age and sex, and nearly half of them remain alive but are physically disabled. This case report illustrates the process of recurrent CVA and disability experienced by a 69-year-old Malay woman, a patient at a private hospital in West Kalimantan. The nursing strategy of two post-CVA physical rehabilitation exercise programs for patients during hospitalization will be explained according to the stages in nursing theory.
Abstrak
Mengejar Kebutuhan Aktivitas Fisik Pasien CVA Berulang Selama Hospitalisasi: Laporan Kasus. Cerebrovaskuler Accident (CVA) adalah kondisi defisit neurologis karena cedera akut pada sistem saraf pusat disebabkan infark serebral atau perdarahan intraserebral. Pasien CVA yang tidak menurunkan faktor risikonya secara optimal setelah serangan pertama memiliki risiko CVA berulang sebesar 8,7 kali lebih tinggi. Efek dari CVA berulang adalah 6 kali lebih besar dari episode CVA pertama pada populasi umum, dengan usia dan jenis kelamin yang sama, hampir setengah dari mereka tetap hidup tetapi mengalami cacat secara fisik. Laporan kasus ini menggambarkan penyakit CVA berulang dan kecacatan yang dialami seorang wanita Melayu berusia 69 tahun, seorang pasien di Rumah Sakit Swasta, Kalimantan Barat. Strategi keperawatan untuk dua program latihan rehabilitasi fisik pasca-CVA bagi pasien selama hospitalisasi akan dijelaskan sesuai dengan tahapan pada teori keperawatan.
Kata Kunci: aktivitas fisik, CVA berulang, hospitalisas
Nursing Care for Dengue Fever Patient in the Critical Phase, at a Hospital in West Jakarta
No full textDengue Haemorrhagic Fever is a disease caused by the dengue virus due to the bite of the Aedes aegypti mosquito. Patients will go through 3 phases of this disease: fever, critical, and recovery. A complication that often occurs in the critical phase is dengue shock syndrome. This case report aimed to provide an overview of nursing care for patients in the critical phase of dengue hemorrhagic fever at a private hospital in West Jakarta. Care was provided by Diploma III nursing students for 4 days using a nursing process approach that includes assessment, diagnosis, planning, implementation, and evaluation. Data was collected using interview techniques, observation, and physical and diagnostic examinations. The assessment showed that the patient was in a grade II critical phase, characterized by the appearance of petechiae on both superior extremities without a tourniquet test. The nursing problems raised were the risk of hypovolemia, the risk of bleeding, acute pain, and nausea. The interventions provided focus on preventing bleeding and fluid management. The implementation includes providing appropriate fluid resuscitation, monitoring blood hematology laboratories, and encouraging patients to rest in bed to reduce the risk of other bleeding. On the fourth day of treatment, three nursing problems were solved: the risk of bleeding, acute pain and nausea. The nursing problem that was partially resolved is the risk of hypovolemia. In conclusion, in dengue hemorrhagic patients in the critical phase, nurses need to pay primary attention to the possibility of hypovolemia even though it is not necessarily an actual problem
Skrining Kesehatan Siswa SMK “X” di Wilayah Jakarta Selatan dengan Penilaian Status Gizi
No full textMasalah kesehatan yang terjadi pada remaja salah satunya adalah penurunan kualitas hidup akibat dari remaja yang kurang melakukan aktivitas fisik, sehingga muncul masalah kesehatan, yaitu terjadi gangguan mental, terjadinya berbagai penyakit infeksi akibat dari pola hidup remaja yang berisiko, seperti merokok dan mulai mengenal alcoholisme akibat dari pergaulan bebas. Tujuan dari kegiatan yaitu teridentifikasi status gizi remaja SMK ”X” di wilayah Jakarta Selatan. Kegiatan dilaksanakan melalui tiga tahapan. Tahapan pertama persiapan, melakukan studi pendahuluan dan perizinan. Tahapan kedua, pelaksanaan skrining kesehatan melalui pemeriksaan status gizi dengan pengukuran berat badan dan tinggi badan, serta perhitungan IMT. Ketiga, evaluasi dan tindak lanjut kegiatan. Hasil yang didapatkan, yaitu siswa yang bersedia mengikuti skrining kesehatan berjumlah 103 siswa. Terbagi dalam tiga ruang kelas sesuai jurusan. Karakteristik siswa mayoritas berjenis kelamin perempuan (73%). Hasil perhitungan status gizi, sebagian besar memiliki status gizi normal 67 %, status gizi lebih 17%, status gizi kurang 13% dan obesitas 3% (n=103). Pola hidup sehat perlu ditingkatkan dan dimotivasi dengan edukasi kesehatan dan pemeriksaan kesehatan secara rutin dan berkala, guna mencegah terjadinya masalah kesehatan pada remaja
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
BRIDGING THE NURSING CARE GAP: BUILDING QUALITY NURSING SERVICES FOR GAYS WITH HIV/AIDS THROUGH STANDARDIZATION, ENHANCEMENT OF NURSES' COMPETENCE, AND PATIENT PARTICIPATION
No full textNursing care is a crucial aspect in addressing health issues, including Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS), especially within the gay population. A lack of knowledge regarding nursing care for this population can hinder the reduction of HIV/AIDS cases. There is a need for HIV/AIDS nursing care standards that are not only comprehensive but also sensitive to the specific perceptions and needs of gay patients. Negative perceptions of nursing care can affect the quality of care and patient involvement in managing their health. Therefore, this study aims to explore these perceptions. This study employed a qualitative descriptive design to gain a deep understanding of the perceptions of gay patients with HIV/AIDS towards nursing care. Data was collected through in-depth interviews with 14 participants selected purposively. The interviews were designed to explore the participants' views, experiences, and expectations regarding the nursing services they received. The collected data was analyzed using thematic analysis, allowing the researchers to identify and categorize the main themes from the gathered information. Two main themes were identified during this study: The desired professional nursing services for gay individuals with HIV/AIDS and the limitations of nurses in involving gay clients with HIV/AIDS in the nursing care planning process. Consistent and standardized nursing care services, as well as enhancing nurses' skills and abilities through mentoring and training, are the expectations of gay individuals with HIV/AIDS towards professional nursing care. A heavy workload is a limitation faced by nurses in providing optimal nursing care to gay individuals with HIV/AIDS
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
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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