Pelaksanaan Kepatuhan Discharge Planning Pasien Gagal Ginjal Post Hemodialisa Terhadap Nilai Hemoglobin Di RSUD Dr. H. Chasan Boesoirie Ternate

Abstract : Background: Chronic kidney disease is an irreversible, progressive disorder whose symptoms appear gradually. CKD is also a health problem that often occurs in society, the prognosis is poor, the costs are high, and many patients cannot receive a kidney transplant so they have to undergo hemodialysis and experience changes in blood components and electrolytes due to dialysis (Abdulla, JE, et al, 2020) .Discharge planning is obtained from the interaction process when professional nursing, patients and families collaborate to provide and organize the continuity of nursing needed by patients. Planning must be centered on patient problems, namely prevention, therapeutic, rehabilitative, as well as actual routine nursing until the patient is at home (Nursalam, 2015).Apart from remembering that one of the functions of the kidneys is to produce the hormone erythropoietin which is useful in the formation of red blood cells, which is directly related to hemoglobin levels, and considering the role of hemoglobin as a transporter of oxygen throughout the body's tissues, it is deemed necessary to carry out research related to hemoglobin in patients. kidney failure.Method: quantitative with a quasi-experimental approach with a one group Pratest Posttest design and the design used is a time seriesResults: Statistically there was no significant change in the mean value of hemoglobin levels before and after the chart planning intervention as indicated by the p value = 0.309 (p > 0.05)

Mechanical, antibacterial and bond strength properties of nano-titanium-enriched glass ionomer cement

The use of nanoparticles (NPs) has become a significant area of research in Dentistry. Objective The aim of this study was to investigate the physical, antibacterial activity and bond strength properties of conventional base, core build and restorative of glass ionomer cement (GIC) compared to GIC supplemented with titanium dioxide (TiO2) nanopowder at 3% and 5% (w/w). Material and Methods Vickers microhardness was estimated with diamond indenter. Compressive and flexural strengths were analyzed in a universal testing machine. Specimens were bonded to enamel and dentine, and tested for shear bond strength in a universal testing machine. Specimens were incubated with S. mutans suspension for evaluating antibacterial activity. Surface analysis of restorative conventional and modified GIC was performed with SEM and EDS. The analyses were carried out with Kolmogorov-Smirnov, ANOVA (post-hoc), Tukey test, Kruskal-Wallis, and Mann Whitney. Results Conventional GIC and GIC modified with TiO2 nanopowder for the base/liner cement and core build showed no differences for mechanical, antibacterial, and shear bond properties (p>0.05). In contrast, the supplementation of TiO2 NPs to restorative GIC significantly improved Vickers microhardness (p<0.05), flexural and compressive strength (p<0.05), and antibacterial activity (p<0.001), without interfering with adhesion to enamel and dentin. Conclusion GIC supplemented with TiO2 NPs (FX-II) is a promising material for restoration because of its potential antibacterial activity and durable restoration to withstand the mastication force

Uji Efektivitas Ekstrak Etanol Daun Kamboja Putih (Plumeria acuminata) Terhadap Bakteri Pseudomonas aeruginosa Secara IN VITRO

Pseudomonas aeruginosa adalah bakteri batang Gram negatif yang merupakan salah satu penyebab terbanyak infeksi nosokomial di dunia. Tingginya resistensi Pseudomonas aeruginosa terhadap berbagai antimikroba mendasari perlunya dieksplorasi substansi lain sebagai kandidat alternatif terapi, salah satunya adalah tanaman kamboja putih. Daun kamboja putih mengandung unsur bioaktif seperti flavonoid, tanin dan saponin yang telah diketahui memiliki efek antimikroba. Tujuan penelitian ini adalah untuk mengetahui efek antimikroba ekstrak etanol daun kamboja putih terhadap bakteri Pseudomonas aeruginosa secara in vitro. Penelitian ini menggunakan desain eksperimental dengan sampel ekstrak etanol daun kamboja putih. Metode uji antibakteri yang digunakan adalah metode sumuran dengan melihat zona hambat pertumbuhan bakteri di sekitar sumuran. Hasil penelitian ini memperlihatkan adanya zona bening pada konsentrasi ekstrak 60%, 70%, 80%, 90%, dan 100% dari pertumbuhan Pseudomonas aeruginosa dengan rata-rata zona hambat 7.63 mm; 8.45 mm; 9.28 mm; 10.39 mm, dan 11.47mm. Hasil uji one-way ANOVA menunjukkan perbedaan signifikan masingmasing konsentrasi ekstrak terhadap diameter zona hambat Pseudomonas aeruginosa (p<0,05). Pada uji Post Hoc, menunjukkan terdapat perbedaan yang signifikan atara perlakuan pemberian kontrol positif dengan perlakuan pemberian ektrak dengan konsentrasi 70%, 80%, 90%, dan 100%. Penelitian ini menunjukkan bahwa bahwa ekstrak etanol daun kamboja putih mempunyai efek sebagai antibakteri terhadap bakteri Pseudomonas aeruginosa secara in vitro dengan metode difusi sumuran

Canalisation Issue du tronçon sud (nord sud) du mur de soutainement du portique sud, temple de Bêl (Palmyre Syrie)

Mission archéologique française à Palmyre. 1923. Gélatine (24x36

Chapiteau extrait du mur L, trouvé dans la fondation à l'ouest du temple de Bêl, temple de Bêl (Palmyre, Syrie)

Mission archéologique française à Palmyre. 1923. Gélatine (9x14

Utilization of electronic information resources by academic staff at Makerere University

The study investigated the utilization of Electronic Information resources by the academic staff of Makerere University in Uganda. It examined the academic staff awareness of the resources available, the types of resources provided by the Makerere University Library, the factors affecting resource utilization. The study was both qualitative and quantitative employing both questionnaire, interview and content analysis methods. Findings reveal that the University Library provides electronic information resources and that most academic staff are aware of their availability, but do not utilize them. Furthermore a number of factors affect electronic information resources' utilization. Concludes that despite a number of problems that inhibit utilization of e-resources, a limited number of academic staff actually use electronic information resources. Recommends enhancement of Information and Communication Technology Network or Bandwidth, provision of adequate Information and Communication Technologies, decentralization of service provision and increased marketing strategies. University of Dar es Salaam Library Journal Vol.6(1) 2004: 18-2