Comparison of Career Decision Difficulties Between Nursing Freshmen and Interns

Career selection is one of the most important decisions an individual makes in his life. High career expectation could result in career decision difficulties. This study aimed to compare and analyze the career decision difficulties between nursing freshmen and interns. This cross-sectional study involved 110 and 66 nursing freshmen and interns respectively (n=176) in two private nursing colleges. Career decision difficulties questionnaire was used in data collection. Descriptive statistic and independent sample t test were used in data analysis (α<.05). Results showed that most respondents experienced moderate difficulties in both groups. Overall, there was no significant difference of career decision difficulty found between groups (p=.057), but indecisiveness, dysfunctional myths, lack of knowledge about the process of career decision making, lack of information, lack of information about occupations, lack of information about ways of obtaining additional information, and internal conflicts were significantly different between groups (all p<α). Career decision difficulties occur similarly both in nursing freshmen and interns

The Best Predictor of Anxiety, Stress, and Depression Among Institutionalized Elderly

Anxiety, stress, and depression are the three most common negative emotional constructs found in the elderly. Evidences available worldwide about how psychological problem could be resulted in mental disorder, and there is significant difference in the context of living in the nursing home and in community setting. This study aimed to determine the best predictor of anxiety, stress, and depression in elderly living in the nursing home, useful for future modification and intervention development. This cross-sectional study involved 145 elderly in a private nursing home in Surabaya, Indonesia. HARS, SPST-20, and GDS were used in data collection. Linear regression and one way ANOVA tests were used in data analysis (α<0.05). Results showed that mostly in old individuals, mild anxiety and stress, and undepressed state were found. Sensory problems and concentration difficulties were the best predictor of anxiety and stress respectively, which were accounted for 61.2% and 65.6% variances of anxiety and stress in nursing home residents respectively. Spirits, life energy, happiness, and feeling wonderful to be alive could not predict depression significantly. Feeling inferior to others is the best predictor of depression, which was accounted for 25.9% variance of depression in this population. Low self-esteem leads to depression in nursing home residents

Predictors of Post Prandial Glucose Level in Diabetic Elderly

Post prandial glucose (PPG) level describes the speed of glucose absorption after 2 hours of macronutrient consumption. By knowing this, we could get the big picture of insulin regulation function and macronutrient metabolism in our body. In elderly, age-related slower glucose metabolism leads to diabetes mellitus (DM) in older age. This study aimed to analyze the predictors of PPG level in diabetics elderly which consist of functional status, self-care activity, sleep quality, and stress level. Cross-sectional study design was applied in this study. There were 45 diabetic elderly participated by filling in study instruments. Pearson and Spearman Rank correlation test were used in data analysis (α<.05). Results showed that most respondents were female elderly, 60-74 years old, had DM for 1-5 years with no family history, and only 33.33% respondents reported regular consumption of oral anti diabetes (OAD). Hypertension was found to be frequent comorbidity. Statistical analysis results showed that functional status, self-care activity, sleep quality, and stress level were not significantly correlated with PPG level in diabetic elderly (all p>α), therefore these variables could not be PPG level predictors. Other factors may play a more important role in predicting PPG level in diabetic elderly

Power Density Spectra of Gamma-Ray Bursts in the Internal Shock Model

We simulate Gamma-Ray Bursts arising from internal shocks in relativistic winds, calculate their power density spectrum (PDS), and identify the factors to which the PDS is most sensitive: the wind ejection features, which determine the wind dynamics and its optical thickness, and the energy release parameters, which give the pulse 50-300 keV radiative efficiency. For certain combinations of ejection features and wind parameters the resulting PDS exhibits the features observed in real bursts. We found that the upper limit on the efficiency of conversion of wind kinetic energy into 50-300 keV photons is $\sim$ 1%. Winds with a modulated Lorentz factor distribution of the ejecta yield PDSs in accord with current observations and have efficiencies closer to $10^{-3}$, while winds with a random, uniform Lorentz factor ejection must be optically thick to the short duration pulses to produce correct PDSs, and have an overall efficiency around $10^{-4}$.Comment: 6 pages, 4 figures, Latex, submitted to The Astrophysical Journal (05/04/99

Pengoptimalan Hasil Belajar Mahasiswa Pada Perkuliahan Auditing II Dengan Memanfaatkan Bahan Ajar Multimedia

Pengembangan metode pengajaran auditing adalah pembuatan bahan ajar multimedia. Hasil menunjukkan bahwa mahasiswa jurusan akuntansi memiliki persepsi awal mengenai pengetahuan auditing yang baik dan mengalami peningkatan rata-rata hasil belajar. Selain itu juga terjadi kenaikan keaktivan mahasiswa setelah adanya penerapan model pendekatan bahan ajar multimedia pada mata kuliah auditing II. Penelitian ini juga menggunakan Uji Wilcoxon Rank Test dan hasil menunjukkan bahwa nilai tes sebelum adanya tindakan dan setelah adanya tindakan relatif berbeda. Hal ini berarti model pendekatan penalaran dan sistem pada mata kuliah auditing efektif dalam meningkatkan prestasi belajar

Analisis Faktor Penyebab Tidak Optimalnya Terminal Bandar Raya Payung Sekaki di Kota Pekan Baru

Terminal Bandar Raya Payung Sekaki merupakan terminal terbesar dan terlengkap di Indonesia dengan jangkauan pelayanan ke seluruh wilayah Pulau Sumatera dan beberapa kota di Pulau Jawa yang terletak di Kota Pekanbaru, Provinsi Riau tidak berfungsi secara optimal. Untuk melihat faktor penyebab tidak optimalnya fungsi Terminal Bandar Raya Payung Sekaki dari beberapa aspek, maka analisis data dilakukan melalui beberapa pendekatan. Dari keseluruhan analisis tersebut diatas, diperoleh kesimpulan bahwa jika dilihat dari perencanaan Terminal Bandar Raya Payung Sekaki sesuai dengan rencana jangka panjang Kota Pekanbaru, pemilihan lokasi dinilai tepat karena sesuai dengan jaringan jalan menuju dan keluar Kota Pekanbaru. Sedangkan jika dilihat dari gambaran yang diperoleh dari hasil wawancara, penyebaran kuisioner, perhitungan traffic counting dan pengamatan langsung dilapangan yang menggambarkan persepsi masyarakat dan keadaan dilapangan, maka diperoleh kesimpulan bahwa faktor penyebab tidak optimalnya fungsi terminal adalah banyaknya pelanggaran-pelanggaran yang dilakuakan oleh pengemudi bus sehingga tumbuh terminal-terminal bayangan disekitar Terminal Bandar Raya Payung Sekaki akibat kurangnya peran dan kerjasama aparat pemerintahan dalam menegakkan peraturan. Dari hasil analisis kebijakan diperoleh temuan studi berupa adanya penyimpangan yang dilakukan oleh pemerintah sebagai pemberi izin berdirinya pool-pool bus AKAP (Antar Kota Antar Propinsi)/AKDP(Antar Kota Dalam Propinsi) disekitar Terminal Bandar Raya Payung Sekaki yang berubah fungsi menjadi terminal-terminal bayangan