PATTERN OF COMPLEMENTARY THERAPY USED BY PATIENTS IN DIABETES CARE REGIMENT

Background: Diabetes is chronic health problem which couldnt be cured. Use of medical therapy in a long term need huge budget and increase risk of adverse effect. Complementary/ alternative medicine CAM) is a choice for patient in diabetes care management beside conventional medical therapy. Some of CAM were’nt have enough evidence based support respect to its benefit and adverse effect. Objective: Aim of the study was to explore pattern of use of CAM by diabetic patient. Methods: The study used qualitative descriptive phenomenology method and data collected by in-depth interview. Participants were 4 diabetic patient and 2 of diabetic patient family member who used CAM. Result: Diabetes patients perceive complementary therapy as an effort to manage disease, complement to other diabetes care regiments, and substitutes or complements of medical drugs therapy. Reasons of use of complementary therapy were low cost, practical, and effective therapeutic impact. CAMs used by diabetes patient were herbs, animal, supplement diet, pray, and massage. Sources of information of CAM were families, friends, and traditional healer. Herbs ingredients were boiled, applied with hot water, made like a coffee, or cooked like salads/ vedgetables. Impact of complementary therapy used faced by diabetic patient were both beneficial and detrimental. Discussion: Study findings congruent with other studies. Diabetes patient manage CAM administration by themself and no consultation with health professionals that may harmfull for them eventhough they only experience minor side effect. Its need further study to find conclusive CAM effectivity and safety. Conclutions: The study findings consist of diabetes patient perception about CAM, reasons of CAM uses, how to uses CAM, and impact felt after CAM uses. Use of complementary therapy need to be consulted with health professionals to help diabetic patient consider its adverse effects and beneficials. Keywords : Diabetes, Complementary/ Alternative Medicine (CAM

THE STUDENTS’ SATISFACTION ON GETTING CLINICAL TEACHING DURING CLINICAL PRACTICE

Background: Clinical practice was one of the important parts in nursing student’s educational process. It gave a lot of experience to the student about truly learning. Clinical practice was one of function that should be available in professional practitioner, especially in service area like nursing. Clinical instructor participation on clinical teaching influenced student clinical performance. Purposes: The purpose of this research is to explore the satisfaction of nursing students in having clinical teaching during clinical practice process. Method: This research was a kind of qualitative research design with phenomenological approach and undergraduate bachelor degree nursing students as informant. The number of informant was 6 students. The research conducted on May 2011, by focus group discussion (FGD) method. The informants were taken by purposive sampling. Result: The research showed that clinical teaching process had a lot of benefits in giving direction and guidance to the students during practice. Characteristic of the guide, time and intensity of teaching influenced clinical teaching during practice. The students felt satisfy about clinical teaching process they got during nursing clinical practice. Conclusion: There is still need introspection activity between clinical instructor and students in order to make close, honest and open relationship. Clinical instructor selection is a need, to get a good character of instructor. Increasing amount of outside town clinical instructor consider to intensify clinical teaching. Keywords: Students Satisfaction, Clinical Teaching, Clinical Practic

RESTRAINT TO SCHIZOPHRENIC FAMILY MEMBER AT HOME:FAMILY EXPERIENCE IN KENDAL DISTRICT CENTRAL JAVA

Background: Schizophrenic is functional psychological disorder with main disruption on thinking process and disharmony. Schizophrenic patients often suffer deprivation by their family. Objective: This study aimed to identify in-depth description of family’s experience in restraint of schizophrenic patients treated at home in Kendal District Central Java. Method: This research used descriptive phenomenological design and in-depth interview as data collection method. Participants involved in this study were family member of schizophrenic patients that are being restrained and selected by purposive sampling. Data that has been collected was in the form of recorded interviews and field notes and analyzed by Collaizi technique. Results: Themes identified from this study are chronic sorrow; 2) effective social interaction; 3) enhanced spiritual well-being; 4) decisional conflict; 5) health seeking behaviours; and 6) economic burden. Conclusion: The results showed similarities on family experience starting from chronic sorrow, effective social interaction; enhanced spiritual well-being; decisional conflict; health seeking behaviours; and economic burden. The care providers have to improve the family coping mechanism to be adaptive by a counseling of the problem. Keywords: Schizophrenic, family, restrai

THE EFFECT OF DZIKIR CONCERNING TO PAIN LEVEL AFTER SURGICAL OPERATION REDUCTION INTERNAL FIXATION (ORIF)

ABSTRACT Background: Surgical operation of ORIF affect painful which disturb the patient’s comfortable. Dzikir have psychological benefit psichologis which affect comfortable and spiritual feelings focused to Allah, so could give a relaxation effect to percepts pain. Objective: The objectives of this thesis is to find out the effect of dzikir concerning to pain level felt after surgical operation of ORIF in RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Methods: This thesis was done by true eksperimen by applying randomized control group pre-test post-test design method. The number of sample was 44 respondents were obtained by consecutive sampling based on inclusion and exclusion criteria and classified using a simple random sampling to 22 experimental group and 22 control group. Results: The average pain level of the respondents on experimental group after surgical operation of ORIF before gave dzikir was 5.18 and the pain level after dzikir was 4.05. The average pain level pretest of the respondents on control group was 4,82 and pain level of posttest was 4,77. The result of pain level before and after gave dzikir to the experiment groups shows that the significance points 0.001 and 0.317 in the control group. Conclusion: The decrease of pain level in the experimental group were given analgesic therapy and dhikr greater than the control group who were given analgesic therapy. This thesis could be used as reference and consideration for nurse to apply dzikir as a complementary therapy to diminish the pain level to the post-surgical operation patient’s of ORIF. Keyword: Dzikr, Pain, Pasca ORI

KAJIAN BENTUK DAN MAKNA TATA RIAS TARI REYOG TULUNGAGUNG

Abstrak Reyog Tulungagung merupakan tarian khas dari tulungagung yang saat ini menjadi salah satu ikon di kabupaten Tulungagung, tarian ini berfungsi untuk tarian selamat datang dimana menyambut tamu penting di Tulungagung. Penelitian ini bertujuan untuk mengetahui: (1) Bentuk dan makna tata rias wajah serta penataan rambut (2) Bentuk dan makna busana (3) Bentuk dan makna aksesoris tari Reyog Tulungagung. Metode penelitian menggunakan pendekatan deskriptif kualitatif. Teknik pengumpulan data yaitu wawancara dan studi dokumentasi. Hasil penelitian tata rias tari Reyog Tulungagung adalah: (1) Bedak yang di gunakan menyesuaikan warna kulit penari, eyeshadow yang digunakan warna coklat, merah dan yang hitam berarti kekuatan. Alis dibentuk mendatar berwarna hitam agar terlihat tegas serta lipstick berwarna merah. Penataan rambut penari hanya di urai karena untuk membuat penari lebih gagah seperti seorang prajurit. (2) busana penari meliputi baju berwarna putih, jarik berwarna merah dengan motif bunga khas daerah Tulungagung yang melambangkan kegembiraan, sampur gendong untuk membawa dhodhog/kendang, celana berwarna hitam, stagen dan kaos kaki putih. (3) Aksesoris yang dipakai penari meliputi iket, iker/guling, sumping, klat bahu, sempyok, deker, kalung, sabuk, uncal, boro-boro samir, keris, gongseng, binggel dan yang paling utama yakni dhodhog/kendang. Ciri khas aksesorisnya yaitu iket yang berbentuk tanduk kerbau dan iker/guling berwarna merah putih dengan burung garuda dimana keduanya merupakan simbol negara Indonesia. Tata rias dan busana tarian ini selaras dengan gerakan tari Reyog Tulungagung. Kata Kunci: Bentuk, Makna, Tata Rias, Tari Reyog Tulungagun

Veril Palutta Pala Reveals the Social Misfortunes

Social problems are the problems that occur in human life. Witnesses are pointing out the life problems of individual people and the different thoughts of the human mind. In today's times, there are various types of superstitions found in a few people. That is, this novel highlights the superstition that if a woman is married and her husband dies, then the women in her house should not go ahead of them when they go outside for work or for a good cause. A Government recruiting officer should behave honestly. For example, the road safety officer should follow the road rules and treat everyone equally. But in this novel, it is pointed out that the officer pays respect to the higher people and takes bribes from the common people. The witnesses have said that there are only two categories in this world namely male and female. However, inequality can still be seen in various places. This novel highlights that this brutality is not an exception in government office. The idea that some of the friends are true and some of them use friendship for necessity is featured in this novel. It is a Tamil tradition to welcome enemies with pleasure to our home. The novel is narrated by Saravanan's mother Mutthammal. This article is intended to highlight the problems found in this novel

3D geometry and architecture of a normal fault zone in poorly lithified sediments: A trench study on a strand of the Baza Fault, central Betic Cordillera, south Spain

Successive excavation of 13 trenches of different orientations reveals the complexity of a normal fault zone in Pliocene-Pleistocene unconsolidated sediments on a strand of the Baza Fault, central Betic Cordillera, south Spain. These trenches and the excavation floor are interpreted and integrated to reconstruct the 3D geometry and internal architecture of the fault zone. The structure consists of two main fault strands: an eastern one with a few hundred metres throw and a western one with at least 15 m throw. These strands interact and gradually merge to the south, bounding a main deformation zone narrowing from ∼7 to 1 m along strike. Fault-bounded rock bodies, clay and sand smears, and clay injections define the structure. These features are highly variable in 3D. In the northern part of the outcrop, deformation is localized around the main strands, brittle in the west and more ductile to the east. As the strands and their fault zones increasingly interact, fault throw, rock deformation and maturity of the structure increase. Mechanical stratigraphy also controls the style of deformation. A realistic representation of this 4D picture of fault deformation is critical for modelling fluid flow in shallow to possibly deep, faulted sedimentary reservoirs.This research was founded by research group VIGROB053 (University of Alicante)

SLEEP QUALITY AMONG ELDERLY IN NURSING HOME AND COMMUNITY-DWELLING: A COMPARATIVE STUDY

Background: Changes occur along with advancing age, including needs and patterns of sleep. Sleep becomes an important basic needs related to well being in the elderly. Sleep satisfaction marked by good sleep quality. Objective: The purpose of this study was compare elderly sleep quality in institutional and community dwelling. Methods: Study conducted in Harapan Asri Nursing Home and RW V Kelurahan Pedalangan Semarang from 5 till 17 May 2014. A total of 110 elderly in nursing home (n=37) and community dwelling (n=73) capable of participating in data collection and free from cognitive deficits or functional impairment were found. The Indonesian version of Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality. Poor sleep quality defined by global PSQI score above 5. Descriptive statistics and Mann-Whitney test were used for data analysis. Results: Most participants in nursing home were poor sleeper (81.1%), while less than a half of participants in community were poor sleeper (45.2%). This study found there are differences elderly sleep quality in nursing home and elderly who living with families in community. (Sig= 0.001, p value < 0.05) Conclusion: This study showed good sleep quality in elderly living with family in community higher than in nursing home. The nurse may able to give an intervention and collaborate with family or other social support to improve sleep quality in elderly. Keyword: sleep quality, nursing home, community

BENTUK DAN FUNGSI TARI SILAMPARI KAYANGAN TINGGI DI LUBUKLINGGAU SUMATRA SELATAN

Penelitian ini berjudul “Bentuk dan Fungsi Tari Silampari Kayangan Tinggi Di Kota Lubuklinggau Sumatra Selatan”, diciptakan oleh Darwis tahun 2003. Penelitian ini mengkaji Tari Silampari Kayangan Tinggi dari aspek bentuk dan fungsi. Hal menarik pada tari ini adalah pembawa tepaknya bukan penari melainkan Bujang Dere Kota Lubuklinggau, tari ini juga selalu dipentaskan pada acara-acara resmi Kota Lubuklinggau yang ditampilkan pada pembukaan acara untuk menyambut tamu kehormatan. Menggunakan teori bentuk oleh Suzanne K. Langer yang dideskripsikan menggunakan konsep dari Y. Sumandiyo Hadi serta teori fungsi oleh Jazuli. Penelitian ini merupakan jenis penelitian kualitatif dengan pendekatan intersubjektif yang menekankan pada observasi di lapangan dengan menjaring informasi dan digambarkan secara fakta. Bentuk TariSilampariKayanganTinggijugamerupakan pengembangan dari TariSilampari yang merupakan akar dari tari sambut yang ada di Kota Lubuklinggau dan Kabupaten Musi Rawas. Bentuk koreografi Tari Silampari Kayangan Tinggi sebagai wujud produk karya seni yang menggunakan ragam gerak tari persembahan dengan karakter putri (keanggunan seorang peri). Gerak tari yang dilakukan penari adalah representasi estetis dari sosok peri yang tergambarkan. Dengan elemen-elemen pendukung yang tampak pada gerak, pola lantai, rias dan busana menggunakan mahkota linggau dan tapung.Tari ini merupakan tari penyambutan tamu yang ditarikan oleh perempuan berjumlah empat sampai sepuluh orang penari dan dua orang pembawa tepak yaitu Bujang Dere (Putra Putri Kota Lubuklinggau). Hasil penelitian ini menunjukkan bahwa Tari Silampari Kayangan Tinggi sebagai wujud penghormatan kepada tamu kehormatan yang berkunjung ke Lubuklinggau. Terlihat pada unsur-unsur ragam gerak penari yang banyak melakukan gerak sembah dan didukung oleh properti tepak yang berisi sekapur sirih untuk dipersembahkan kepada tamu kehormatan. Kata Kunci : Bentuk, Fungsi, Tari Silampari Kayangan Tinggi

Deformation History of the Pasayten Fault Zone, North Cascades, Washington and British Columbia

The Pasayten fault extends ~250 km from Washington to British Columbia (BC), roughly following the controversial, paleomagnetically defined “Baja BC” boundary. This study investigated the deformation history of the Pasayten fault zone through mapping contacts, measuring orientations of foliations, lineations, and folds, and examining kinematic indicators in the northern segment in BC and in the southern projection of the fault in Washington. In the northern area, the ~110-105 Ma Pasayten fault separates the Jurassic-Cretaceous Methow basin from the Middle Jurassic to mid-Cretaceous Eagle Plutonic Complex and Permian Eastgate-Whipsaw metamorphic belt to the northeast. Structural orientations and kinematic indicators in outcrops and thin sections demonstrate ductile sinistral movement of the fault with a small component of reverse or normal slip. Any dextral slip was brittle. The southern area is on strike with the projection of the fault where the Cretaceous Okanogan Range batholith intrudes undated Leecher Metamorphics. Based upon the lack of offset contacts and foliations which strike discordant to the projection of the fault, the Pasayten fault does not continue south of its previously mapped termination; its slip was likely transferred to the Cretaceous Red Shirt and Methow River thrusts. Therefore, the Pasayten fault is not a major structure responsible for postulated dextral transport of the Baja BC hypothesis