1,628 research outputs found
Pengetahuan dan praktis jururawat semasa mentafsir kesakitan angina di wad perubatan
Objektif
Mengetahui pengetahuan asas jururawat berkaitan kesakitan dada dan praktis
jururawat semasa menerima aduan kesakitan dada dari klien di wad perubatan.
Faktor ini disebabkan jururawat memainkan peranan panting dalam penaksiran dan
pengurusan semasa menerima aduan kesakitan dada daripada klien sebelum
kesakitan tersebut dilaporkan kepada Pegawai Perubatan. Kajian ini telah dijalankan
diwad Perubatan 7 Selatan, 7 Utara dan 8 Selatan.
Kaedah Kajian
Kajian yang dijalankan berbentuk soalan dimana jururawat dan Ketua Jururawat di
wad Perubatan seramai 50 orang diberikan soalan berdasarkan pengetahuan dan
praktis semasa menerima aduan kesakitan dada dari klien.
Keputusan Kajian
Keputusan kajian mengenai pengetahuan berkaitan kesakitan dada dan angina
daripada 50 sampel didapati 70-90% responden memberi jawapan yang betul
manakala 64-76°/o daripada responden melakukan tindakan yang betul semasa
menerima aduan kesakitan dada dan angina. Walau bagaimanapun tiada hubungan
statitik yang significant diantara pengetahuan dan praktis responden. Keputusan
juga menunjukkan bahawa tindakan dan praktis jururawat semasa aduan sakit dadadan angina tidak m empunyai keseragaman yang tepat pad a setiap tindakan dan
praktis yang diamalkan oleh mereka.
Cadangan
Jururawat diberi pengetahuan dan maklumat tambahan mengenai kesakitan angina
dan cara mentafsir kesakitan angina mengikut carta khas yang diserangam ke
seluruh wad perubatan. Bagi jururawat yang berminat menyambung pendidikan
pihak pengurusan seharusnya mengalu-alukan hal tersebut kerana hasil kajian
menunjukkan jururawat yang mempunyai kursus pas basik iaitu Diploma
pengkhususan dan Rawatan Koronori lebih berpengetahuan semasa menilai dan
mentafsir kesakitan angina di kalangan klien.
Kesimpulan
Berdasarkan kepada keputusan kajian, menunjukkan bahawa sememangnya
jururawat tidak mempunyai ketidakseragaman dalam mentafsir dan melakukan
praktis semasa menerima aduan kesakitan dada dari klien. Majoriti jururawat
melakukan tindakan hanya berdasarkan amalan tanpa pengetahuan
A robust, scanning quantum system for nanoscale sensing and imaging
Controllable atomic-scale quantum systems hold great potential as sensitive
tools for nanoscale imaging and metrology. Possible applications range from
nanoscale electric and magnetic field sensing to single photon microscopy,
quantum information processing, and bioimaging. At the heart of such schemes is
the ability to scan and accurately position a robust sensor within a few
nanometers of a sample of interest, while preserving the sensor's quantum
coherence and readout fidelity. These combined requirements remain a challenge
for all existing approaches that rely on direct grafting of individual solid
state quantum systems or single molecules onto scanning-probe tips. Here, we
demonstrate the fabrication and room temperature operation of a robust and
isolated atomic-scale quantum sensor for scanning probe microscopy.
Specifically, we employ a high-purity, single-crystalline diamond nanopillar
probe containing a single Nitrogen-Vacancy (NV) color center. We illustrate the
versatility and performance of our scanning NV sensor by conducting
quantitative nanoscale magnetic field imaging and near-field single-photon
fluorescence quenching microscopy. In both cases, we obtain imaging resolution
in the range of 20 nm and sensitivity unprecedented in scanning quantum probe
microscopy
Stellar Coronal and Wind Models: Impact on Exoplanets
Surface magnetism is believed to be the main driver of coronal heating and
stellar wind acceleration. Coronae are believed to be formed by plasma confined
in closed magnetic coronal loops of the stars, with winds mainly originating in
open magnetic field line regions. In this Chapter, we review some basic
properties of stellar coronae and winds and present some existing models. In
the last part of this Chapter, we discuss the effects of coronal winds on
exoplanets.Comment: Chapter published in the "Handbook of Exoplanets", Editors in Chief:
Juan Antonio Belmonte and Hans Deeg, Section Editor: Nuccio Lanza. Springer
Reference Work
Depression and sickness behavior are Janus-faced responses to shared inflammatory pathways
It is of considerable translational importance whether depression is a form or a consequence of sickness behavior. Sickness behavior is a behavioral complex induced by infections and immune trauma and mediated by pro-inflammatory cytokines. It is an adaptive response that enhances recovery by conserving energy to combat acute inflammation. There are considerable phenomenological similarities between sickness behavior and depression, for example, behavioral inhibition, anorexia and weight loss, and melancholic (anhedonia), physio-somatic (fatigue, hyperalgesia, malaise), anxiety and neurocognitive symptoms. In clinical depression, however, a transition occurs to sensitization of immuno-inflammatory pathways, progressive damage by oxidative and nitrosative stress to lipids, proteins, and DNA, and autoimmune responses directed against self-epitopes. The latter mechanisms are the substrate of a neuroprogressive process, whereby multiple depressive episodes cause neural tissue damage and consequent functional and cognitive sequelae. Thus, shared immuno-inflammatory pathways underpin the physiology of sickness behavior and the pathophysiology of clinical depression explaining their partially overlapping phenomenology. Inflammation may provoke a Janus-faced response with a good, acute side, generating protective inflammation through sickness behavior and a bad, chronic side, for example, clinical depression, a lifelong disorder with positive feedback loops between (neuro)inflammation and (neuro)degenerative processes following less well defined triggers
Control of Neural Daughter Cell Proliferation by Multi-level Notch/Su(H)/E(spl)-HLH Signaling
The Notch pathway controls proliferation during development and in adulthood, and is frequently affected in many disorders. However, the genetic sensitivity and multi-layered transcriptional properties of the Notch pathway has made its molecular decoding challenging. Here, we address the complexity of Notch signaling with respect to proliferation, using the developing Drosophila CNS as model. We find that a Notch/Su(H)/E(spl)-HLH cascade specifically controls daughter, but not progenitor proliferation. Additionally, we find that different E(spl)-HLH genes are required in different neuroblast lineages. The Notch/Su(H)/E(spl)-HLH cascade alters daughter proliferation by regulating four key cell cycle factors: Cyclin E, String/Cdc25, E2f and Dacapo (mammalian p21CIP1/p27KIP1/p57Kip2). ChIP and DamID analysis of Su(H) and E(spl)-HLH indicates direct transcriptional regulation of the cell cycle genes, and of the Notch pathway itself. These results point to a multi-level signaling model and may help shed light on the dichotomous proliferative role of Notch signaling in many other systems
Measurement of the Relative Branching Fraction of to Charged and Neutral B-Meson Pairs
We analyze 9.7 x 10^6 B\bar{B}$ pairs recorded with the CLEO detector to
determine the production ratio of charged to neutral B-meson pairs produced at
the Y(4S) resonance. We measure the rates for B^0 -> J/psi K^{(*)0} and B^+ ->
J/psi K^{(*)+} decays and use the world-average B-meson lifetime ratio to
extract the relative widths f+-/f00 = Gamma(Y(4S) -> B+B-)/Gamma(Y(4S) ->
B0\bar{B0}) = = 1.04 +/- 0.07(stat) +/- 0.04(syst). With the assumption that
f+- + f00 = 1, we obtain f00 = 0.49 +/- 0.02(stat) +/- 0.01(syst) and f+- =
0.51 +/- 0.02(stat) +/- 0.01(syst). This production ratio and its uncertainty
apply to all exclusive B-meson branching fractions measured at the Y(4S)
resonance.Comment: 11 pages postscript, also available through
http://w4.lns.cornell.edu/public/CLN
First Observation of the Decays and B^{0}\to D^{*-}p\bar{n}$
We report the first observation of exclusive decays of the type B to D^* N
anti-N X, where N is a nucleon. Using a sample of 9.7 times 10^{6} B-Bbar pairs
collected with the CLEO detector operating at the Cornell Electron Storage
Ring, we measure the branching fractions B(B^0 \to D^{*-} proton antiproton
\pi^+) = ({6.5}^{+1.3}_{-1.2} +- 1.0) \times 10^{-4} and B(B^0 \to D^{*-}
proton antineutron) = ({14.5}^{+3.4}_{-3.0} +- 2.7) times 10^{-4}. Antineutrons
are identified by their annihilation in the CsI electromagnetic calorimeter.Comment: 9 pages postscript, also available through
http://w4.lns.cornell.edu/public/CLN
Study of the Decays B0 --> D(*)+D(*)-
The decays B0 --> D*+D*-, B0 --> D*+D- and B0 --> D+D- are studied in 9.7
million Y(4S) --> BBbar decays accumulated with the CLEO detector. We determine
Br(B0 --> D*+D*-) = (9.9+4.2-3.3+-1.2)e-4 and limit Br(B0 --> D*+D-) < 6.3e-4
and Br(B0 --> D+D-) < 9.4e-4 at 90% confidence level (CL). We also perform the
first angular analysis of the B0 --> D*+D*- decay and determine that the
CP-even fraction of the final state is greater than 0.11 at 90% CL. Future
measurements of the time dependence of these decays may be useful for the
investigation of CP violation in neutral B meson decays.Comment: 21 pages, 5 figures, submitted to Phys. Rev.
- …