Hubungan Kecerdasan Emosi dengan Resiliensi Penyintas Banjir

Paska terjadinya bencana, penyintas mengalami beberapa fase bencana yang dapat mengarah pada masalah psikologis akibat peristiwa traumatik. Kemampuan resiliensi yang dihasilkan berdasarkan kecerdasan emosi penyintas diperlukan dalam fase pemulihan bencana. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik dan kecerdasan emosi dengan resiliensi pada penyintas banjir. Penelitian deskriptif analitik ini dilakukan di Desa Cemara Kulon dengan stratified random sampling pada 122 penyintas bencana banjir Indramayu dengan menggunakan instrumen Schutte Self-Report Emotional Intelligence Test dan Connor-Davidson Resilience Scale. Hasil analisis menunjukkan terdapat hubungan antara pendidikan (p= 0,033) dan kecerdasan emosi (p= 0,000) dengan resiliensi. Penyintas dengan ke-cerdasan emosi tinggi memiliki peluang lebih besar untuk beresiliensi dengan baik. Oleh karena itu asuhan keperawatan jiwa dengan mengacu pada kecerdasan emosi penyintas diharapkan dapat membuat penyintas dalam kondisi yang resilien di fase pemulihan bencana. Kesegeraan asuhan keperawatan jiwa dan edukasi kesehatan jiwa paska bencana juga diharapkan dapat menurunkan angka kejadian dampak psikologis paska bencana. Kata kunci: banjir, Indramayu, kecerdasan emosi, penyintas, resiliensi The Relationship of Emotional Intelligence and Resilience of the Flood Survivor\u27s. Post-occurrence of disaster makes survivors experienced several phases of disaster that could lead to mental health problems because as a result of traumatic event. Resilience with the role of emotional intelligence is needed in post-disaster recovery phase. This study aims to determine the relationship between the characteristics of the flood survivors and their emotional intelligence with resilience. Analytic descriptive study was conducted in Cemara Kulon with stratified random sampling on 122 flood Indramayu survivors. The instruments used in this study were Schutte Self-Report Emotional Intelligence Test and Connor-Davidson Resilience Scale. The result showed there were bound relationship between education (p= 0.033) and emotional intelligence (p= 0.000) with resilience. Survivors with high emotional intelligence have greater opportunities to resilience well. Therefore the mental health nursing care shall refer to the survivors\u27 emotional intelligence so that survivors will be resilient in the recovery phase of disaster. The urgency of mental health nursing care and education on post-disaster is expected to reduce the incidence of post-disaster psychological impact

Hubungan lama Pemakaian komputer terhadap Visus pada Siswa SMKN 2 Surakarta Jurusan Teknik Informatika

Latar Belakang: Saat ini komputer telah menjadi kebutuhan pokok masyarakat khususnya dikalangan remaja. Hal ini terbukti dari hasil penelitian terbaru mencatat pengguna internet di Indonesia yang berasal dari kalangan anak-anak dan remaja diprediksi mencapai 30 juta. Pada pengguna komputer, sebagian besar darinya menghabiskan waktu berjam-jam menatap layar komputer, dalam waktu yang cukup lama, tanpa mengistrahatkan mata. Dimana penggunaan komputer dalam waktu yang cukup lama tanpa istrahat menyebabkan kelelahan pada mata dan risiko terjadinya stres yang berulang pada otot-otot mata yang bisa berlanjut pada penurunan fungsi otot-otot mata sehingga berefek pada gangguan penglihatan/penurunan visus. Metode Penelitian: Penelitian ini bersifat analitik observasional dengan menggunakan design cross sectional yang dilaksanakan pada November 2014 dengan subyek penelitian Siswa kelas X, XI, dan XII SMKN 2 Surakarta. Pengambilan sampel dilakukan secara purposive sampling. Teknik pengambilan data menggunakan wawancara. Diperoleh data sebanyak 65 subjek penelitian dan analisis data menggunakan uji Spearman correlation, kemudian diolah dengan Statistical Product And Service Solution (SPSS) 20.00 for Windows. Hasil Penelitian: Penelitian ini menunjukkan tidak ada hubungan yang bermakna antara lama pemakaian komputer terhadap visus pada siswa SMKN 2 Surakarta, dimana nilai p = 0.80 ( > 0.05) (lama dan visus kanan) dan p = 0.59 ( > 0.05) (lama dan visus kiri). Simpulan Penelitian: Penelitian ini dapat disimpulkan bahwa tidak terdapat hubungan antara lama pemakaian komputer terhadap visus pada siswa SMKN 2 Surakarta. Kata Kunci: Komputer, Visus, SMKN 2 Surakarta Jurusan Teknik Informatik

Pengaruh Waktu Pembentukan dan Kestabilan Hidrindantin Serta Konsentrasi Ninhidrin pada Pembuatan Tes Kit Sianida

Cyanide is a compound which has a potential to harm human health even causes to death. The existing methods for cyanide analysis can\u27t be done by all societies because they require certain expertise, expensive, and time consuming. Alternative method in the form of a test kit has been developed for cyanide determination by the formation of a blue hydrindantin in the presence of ninhydrin. The performance of test kit were optimized towards the time of formation and stability hydrindantin as well as the concentration of ninhydrin. Optimization was done by measuring the absorbance using Spectronic-20 at maximum wavelength of 590 nm under alkaline condition (pH 12). The blue hydrindantin was formed spontaneously and stable for 0-30 minutes. After 30 minutes, color of hydrindantin was faded. Thus, 5 minutes was chosen as optimum time suits to measure cyanide using this test kit. Ninhydrin concentration studied was 0.5-3.5 % (w/v), and performed optimum absorbance of hydrindantin at 1.0 %. Under the optimum time and ninhydrin of concentration, the cyanide test kit standard color can be used to determine cyanide at the concentration range of 0.5-6.0 ppm because the color of hydrindantin at concentration range of cyanide 7.0-10.0 ppm was indistinguishable

Relaksasi Otot Progresif Menurunkan Stres Keluarga yang Merawat Pasien Gangguan Jiwa

Gangguan jiwa merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat, baik didunia maupun di Indonesia. Jumlah gangguan jiwa di kabupaten Kendal meningkat sehingga meningkatnya stres pada keluarga. Penelitian bertujuan untuk menilai efektifitas relaksasi otot progresif dalam menurunkan stres keluarga yang merawat pasien gangguan jiwa. Desain penilitian quasi eksperiment pre-post test with control group dengan 96 sampel secara purposive sampling, 48 kelompok intervensi dan 48 kelompok kontrol. Hasil penelitian relaksasi otot progresif sangat efektif menurunkan stres keluarga yang merawat pasien gangguan jiwa dibanding kelompok yang tidak mendapatkan perlakuan (p= 0,001). Rekomendasi penelitian relaksasi otot progresif diberikan pada keluarga pasien gangguan jiwa untuk mengatasi stres keluarga dalam merawat pasien gangguan jiwa

Refractory and super-refractory status epilepticus in adults: a 9-year cohort study.

While status epilepticus (SE) persisting after two antiseizure agents is called refractory (RSE), super-refractory status epilepticus (SRSE) defines SE continuing after general anaesthesia. Its prevalence and related clinical profiles have received limited attention, and most studies were restricted to intensive care facilities. We therefore aimed at describing RSE and SRSE frequencies and identifying associated clinical variables. Between 2006 and 2015, consecutive adult SE episodes were prospectively recorded in a registry. Occurrence of RSE and SRSE and their relationship to clinical variables of interest, including outcome, were analysed. Of 804 SE episodes, 268 (33.3%) were RSE and 33 (4%) SRSE. Coma induction for SE treatment occurred in 79 (9.8%) episodes. Severe consciousness impairment (OR 1.67; 95% CI 1.24-2.46; P = 0.001), increasing age (OR 1.01, 95% CI 1.01-1.02), and lack of remote symptomatic SE aetiology (OR 0.48; 95% CI 0.32-0.72) were independently associated with RSE, while severe consciousness impairment (OR 4.26; 95% CI 1.44-12.60) and younger age (OR 0.96; 95% CI 0.95-0.99) correlated with SRSE; however, most SRSE episodes were not predicted by these variables. Mortality was 15.5% overall, higher in RSE (24.5%) and SRSE (37.9%) than in non-refractory SE (9.8%) (P < 0.001). Super-refractory status epilepticus appears clearly less prevalent in this cohort than previously reported, probably as it is not restricted to intensive care unit. SRSE emerges in younger patients with marked consciousness impairment, pointing to the underlying severe clinical background, but these variables do not predict most SRSE developments. There is currently a knowledge gap for prediction of SRSE occurrence that needs to be filled

Illusory predictors: Generalizability of findings in cocaine treatment retention research.

Treatment retention is of paramount importance in cocaine treatment research as treatment completion rates are often 50% or less. Failure to retain cocaine patients in treatment has both significant research and clinical implications. In this paper we qualitatively and quantitatively demonstrate the inconsistency found across analyses of retention predictors in order to highlight the problem. First, a qualitative review of the published literature was undertaken to identify the frequency of predictors studied and their relations to treatment retention. Second, an empirical demonstration of predictor stability was conducted by testing a common set of variables across three similar 12-week cocaine clinical trials conducted by the same investigators in the same research clinic within a five-year period. Results of the literature review indicated inconsistently selected variables of convenience, widely varying statistical procedures, and discrepant findings of significance. Further, quantitative analyses resulted in discrepancies in variables identified as significant predictors of retention among the three studies. Potential sources of heterogeneity affecting the consistency of findings across studies and recommendations to improve the validity and generalizability of predictor findings in future studies are proposed

Informed consent in critically ill adults participating to a randomized trial.

The 2014 update of the Swiss law on research increases patients' protection; it adds specific requirements for emergency situations, implying an active search for patients' wishes regarding research participation; the possibility of consent waivers is not clearly stated. We explored its practical impact in a RCT on critically ill adults. We considered prospectively collected consents of a multicenter trial addressing the impact of continuous EEG on survival. We assessed the proportions of consents obtained strictly according to the law, of specific waivers for this study obtained from the IRB (early death; relatives' unavailability despite repeated attempts), and the yield of retrieving statements on willingness to research participation. We compared the proportion of consent refusals with those of recent trials in similar environments, and estimated the potential impact on study results. Of 402 recruited patients, six had double inclusions, one died before intervention, and 27 (6.7%, alive on long-term) were excluded following consent refusal or withdrawal, leaving 368 analyzable patients. Specific waivers allowed inclusion of 134 (36.4%) patients, while informed consents were obtained for all others. A statement of willingness to research participation was found in only 14.1%. In recent trials, consent refusal oscillated between 0%-23%, according to different waiver policies. Consent waivers should be specifically foreseen to prevent losing a potentially relevant proportion of patients reaching endpoints, and ensure results generalizability. The yield of looking for willingness to research participation seems low; this questions its current usefulness and calls for a public awareness campaign

Test Kit untuk Analisis Sianida dalam Ketela Pohon Berdasarkan Pembentukan Hidrindantin

Cyanide is a highly toxic substance, which causes high number of poisoning by cyanide in a variety of foodstuffs; therefore the availability of test kits as fast and easy tool for analyzing cyanide is extremely demanded. The proposed cyanide test kit is developed based on the reaction of cyanide and nynhidrine to form a blue hydrindantin under strong basic solution. Cyanide test kit was optimized toward the λ maximum, pH, stability time of complex and concentration of nynhidrine. Optimization of maximum λ was done by measuring absorbance using visible spectrophotometer at range λ 560-620 nm. Optimization of pH was done by conditioning hydrindantine complex using NaOH solution to obtain pH of 9-14. Optimization of stability time of complex was done by monitoring complex under time range 0-120 minutes. The optimization of ninhydrin concentration was performed by varying the concentration of ninhydrin in range 0.5 to 3.5%. The results showed that the optimum conditions were: λ 590 nm, pH 12, the stability time of complex of 30 minutes, and concentration of ninhydrin of 1%. Test kit can determine cyanide at the range 1-10 ppm. test kit has been validated and applied for measuring cyanide in cassava with reliable results

Pontine stroke presenting as isolated facial nerve palsy mimicking Bell's palsy: a case report

<p>Abstract</p> <p>Introduction</p> <p>Isolated facial nerve palsy usually manifests as Bell's palsy. Lacunar infarct involving the lower pons is a rare cause of solitary infranuclear facial paralysis. The present unusual case is one in which the patient appeared to have Bell's palsy but turned out to have a pontine infarct.</p> <p>Case presentation</p> <p>A 47-year-old Asian Indian man with a medical history of hypertension presented to our institution with nausea, vomiting, generalized weakness, facial droop, and slurred speech of 14 hours' duration. His physical examination revealed that he was conscious, lethargic, and had mildly slurred speech. His blood pressure was 216/142 mmHg. His neurologic examination showed that he had loss of left-sided forehead creases, inability to close his left eye, left facial muscle weakness, rightward deviation of the angle of the mouth on smiling, and loss of the left nasolabial fold. Afferent corneal reflexes were present bilaterally. MRI of the head was initially read as negative for acute stroke. Bell's palsy appeared less likely because of the acuity of his presentation, encephalopathy-like imaging, and hypertension. The MRI was re-evaluated with a neurologist's assistance, which revealed a tiny 4 mm infarct involving the left dorsal aspect of the pons. The final diagnosis was isolated facial nerve palsy due to lacunar infarct of dorsal pons and hypertensive encephalopathy.</p> <p>Conclusion</p> <p>The facial nerve has a predominant motor component which supplies all muscles concerned with unilateral facial expression. Anatomic knowledge is crucial for clinical localization. Bell's palsy accounts for around 72% of facial palsies. Other causes such as tumors and pontine infarcts can also present as facial palsy. Isolated dorsal infarct presenting as isolated facial palsy is very rare. Our case emphasizes that isolated facial palsy should not always be attributed to Bell's palsy. It can be a presentation of a rare dorsal pontine infarct as observed in our patient.</p