Acupressure on Zusanli (St36) and Taibai (Sp3) in Reducing Nausea for Patients with Dyspepsia at Banyumas Hospital

Background: Nausea is unpleasant sensation behind the throat and epigastrium often causing vomiting. Nausea is a major symptom in patients with dyspepsia. Typical treatments for nausea are antiemetic drugs and non-pharmacological therapy. Acupressure is a massage with finger to give stimulus at a particular point on the surface of the body. Acupressure on hand could reduce nausea in pregnant women. Purpose: The purpose of this research was to evaluate the effect of acupressure in reducing nausea for patients with dyspepsia at Banyumas hospital. Method: This research was quasi-experimental pretest-posttest control group design. The consecutive sampling technique was employed in this research with 30 subjects, 15 subjects in control and 15 subjects in intervention. In the control group received standard antiemetic drug and routine care. The intervention group was treated with acupressure Zusanli (ST 36) and Taibai (SP 3) for 30 minutes for both legs and received antiemetic drugs. Nausea was measured by Numerical Rating scale for Nausea. Data were analyzed with paired samples test and Mann Withney-U. Results: The findings show that acupressure Zusanli (ST 36) and Taibai (SP 3) for 30 minutes significantly reduced nausea in patients with dyspepsia in the intervention group (t=7.91, p=0.00) and between group (z=-2.884, p=0.01)

Modified Pro-Self Pain Control to Increase Activity in Patients with Colorectal Cancer

Background: Barriers to performing activities of daily living are common complaints of patients with cancer. One of the factors causing these barriers is pain. A modified pro-self pain control is a method used to enhance the patients' ability to cope with pain to increase their activity.Purpose: This study aimed to evaluate the modified pro-self pain control to increase activity in patients with colorectal cancer undergoing chemotherapy.Methods: The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self pain control for nine days. The data were collected using the instrument of KATZ index and analyzed using the independent t-test.Results: The result of this study showed that there was a higher increase of activity among the patients in the intervention group than in the control group. Independent t-test showed that there was a significant difference between the intervention group and the control group (p=0.00).Conclusion: The modified pro-self pain control was found more effective to increase the activity in patients with colorectal cancer undergoing chemotherapy than that of the standard hospital intervention

Banjir, Kapankan Berakhir?

The rain in Indonesia ussualy become headline in media. Usually, rain cause of flood. When floods end? Why is the forest devilotery happen? What are the government action to stop this?. In fact, there are big interferences of local government on processing forest problem. Government intervence only conducted by passing PT Perhutani showed by government in managing forest in Madura and Java. Operation legality of PT Perhutani with government regulation No. 53 year 1999 and government regulation No. 14 year 2001, about the change of transformation of public company foresty become Coparthenship company or PT Perhutani (Coparthenship)In this paper, the writer will give recommendation over how important the local government to more active on observation, management, and forest benefit with local regulation about forest protection in that location. With making observation and reins to the program, act and forest from PT Perhutani. Government should give education to society about the important to keep environmental health and leave mental attitude which is not praised like throw waste or rubbish in the river, and give more responsibility to protect the forest to society of forest countryside

Perhitungan Beban Refrigerasi Terhadap Hasil Tangkapan Pada Km. Harapan Sri Jaya Juwana, Pati, Jawa Tengah

Beban refrigerasi pada ruang pembekuan dan ruang palkah  di KM. Harapan Sri Jaya terdiri dari beban produk dan beban non produk. Pada ruang pembekuan, beban kalor yang harus ditanggung berasal dari beban produk, beban infiltrasi dan beban transmisi. Pada ruang palkah beban kalor yang harus ditanggung berasal dari beban infiltrasi, beban transmisi dan beban internal. Beban keseluruhan yang harus ditanggung oleh ruang pembekuan dan ruang palkah adalah penjumlahan dari beban di ruang pembekuan dan ruang palkah. Besarnya beban tersebut adalah 56 kW. Faktor keamanan dalam perhitungan beban kalor adalah sebesar 15% sehingga besarnya beban kalor yang ada di ruang pembekuan dan ruang palkah adalah sebesar  56 kW + ( 15 % x 8,92 kW ) = 56 kW + 8,92 kW = 68.4 kW. Diketahui total beban kalor refrigerasi adalah sebesar 68,4 kW dan daya kompresor yang penulis ketahui pada spesifikasi yaitu 29,84 kW jika 3 kompresor dinyalakan secara bersamaan maka akan menghasilkan daya (29,84 kW x 3 = 89,52 kW).  Dengan demikian dapat diketahui masing – masing kompresor menerima beban kalor sebesar 22,84 kW dimana (68,4 kW : 3 kompresor = 22,84 kW). Maka persentase dari perbandingan beban kalor refrigerasi terhadap daya motor penggerak kompresor adalah 76 %

Pilot Study Efektifitas Media Video Animasi Terhadap Tingkat Depresi Pasien Kanker Serviks Diagnosa Awal

Cervical cancer is the cancer that most often attacks women after breastcancer throughout the world. Around the world every two minutes or everyhour a woman dies from cervical cancer. Every patient newly diagnosed withcervical cancer needs to know information about cervical cancer that canaffect the patient's psychological changes in the form of depression. Thepurpose of this study was to determine the effectiveness of education withanimation media to reduce the depression level of cervical cancer patientswith early diagnosis. The method of this research is a pilot study(preliminary study) or testing the feasibility of animation video media on thelevel of depression. Respondent samples in the animated video media trialincluded 10 intervention samples and 10 control samples. The results of theanimation video media research are feasible to be used in subsequent studiesin cervical cancer patients with an initial diagnosis of depression. Dataanalysis using the Wilcoxon Sign Rank Test showed that there was asignificant difference in the level of depression before and after being giveneducation using the animation video media in the intervention group with avalue of p = 0.005 while in the control group with a value p = 0.102. Theconclusion of this study is that the animation video media is feasible to beused in subsequent studies and can effectively be given to cervical cancerpatients with an initial diagnosis of depression

PENGARUH PEMBERIAN KURMA TERHADAP PROFIL DARAH PADA PASIEN DEMAM BERDARAH DENGUE GRADE II DI RUMAH SAKIT UMUM DAERAH KABUPATEN SIDOARJO

Latar belakang: Penyakit demam berdarah dengue atau yang disingkat sebagai DBD adalah penyakit infeksi yang disebabkan oleh virus dengue dengan manifestasi klinis demam, nyeri otot dan atau nyeri sendi yang disertai leukopenia, ruam, limfadenopati, trombositopenia dan diatesis hemoragik. Pasien DBD akan mengalami perubahan pada profil darahnya yang meliputi perubahan pada volume, trombosit, hemaktokrit, hemoglobin dan leukosit. Penggunaaan Complementary Alternative Medicine pada aktivitas keperawatan diberikan dalam kolaborasi untuk tindakan terapi nonfarmakologis. Pada kasus demam berdarah dengue perawat bisa menggunakan Complementary Alternative Medicine sebagai bahan alternatif untuk penyembuhan penyakit demam berdarah dengue dengan memberikan kurma (Phoenix dactylifera). Tujuan Penelitian: Mengidentifikasi pengaruh pemberian kurma terhadap profil darah pada pasien demam berdarah dengue grade II di RSUD Sidoarjo. Metode Penelitian: Jenis penelitian adalah quasi-experimental dengan rancangan penelitian pre and post test with control group. Populasi dalam penelitian ini adalah pasien demam berdarah dengue grade II di RSUD Sidoarjo pada bulan Desember 2015 sampai Pebruari tahun 2016. Sampel penelitian diambil dengan teknik simple random sampling sebanyak 27 orang. Satu kelompok diberi intervensi kurma 1,25 gr/KgBB, satu kelompok diberi intervensi kurma 1,87 gr/KgBB dan satu kelompok kontrol tanpa perlakuan. Analisa bivariat yang digunakan untuk menguji perbedaan antar kelompok tidak berpasangan dengan uji Anova dan untuk menguji perbedaan dalam kelompok berpasangan dengan Uji T Test. Hasil Penelitian: Hasil penelitian menunjukkan Pemberian kurma (Phoenix Dactylifera) 1,25 gr/KgBB dan 1,87 gr/KgBB berpengaruh terhadap perubahan kadar profil darah pada pasien demam berdarah dengue grade II. Kesimpulan : Pemberian kurma dosis 1,87 gr/KgBB berpengaruh terhadap profil darah pada pasien demam berdarah dengue grade II. Kata Kunci : Kurma, profil darah, demam berdarah dengue Background : the disease of dengue hemorrhagic fever is an infectious disease caused by dengue virus with the clinical manifestation fever, muscle aches and joint pain that is accompanied by leukopenia, rash, limfadenopati, trombositopenia and diathesis hemorrhagic. The patient will feel the changing to the blood profile. The include changing are volume, trombocite, hematocrite, haemoglobin and leukocyte. The using of complementary alternative medicine in the nursing activity is given in the colaboration for therapeutic action non farmacologist. In the cases of this disease, the nurse can use complementary alternatives medicine as an alternative material to cure this disease by providing dates (Phoenix dactylifera). The aim of the research is : to identifity the effect of giving dates to the blood profile to the patient of dengue hemorrhagic fever grade II in the public hospital sidoarjo. The methods of the research : This type of research is quasi-experimental research design with pre and post test with control group. Population that is used in this research are the patients of dengue hemorrhagic fever grade II in the public hospital sidoarjo at december 2015 until pebruary 2016. Samples were taken by simple random sampling technique as many as 27 people. One group was given the intervention of dates 1.25 gr / KgBW, one group was given the intervention of dates with 1.87 gr / KgBW and a control group without treatment. Bivariate analysis were used to test for differences between groups are not paired with Anova and to examine differences in groups of pairs with T Test Test The result of the research : the result of the research show the given of dates 1,25 gr/KgBW and 1,87 gr/KgBW influence to changing of the blood profile content to the patient dengue hemorrhagic fever grade II Conclusion : The given dates dose of 1.87 g / KgBW effect on the blood profile in patients with dengue hemorrhagic fever grade II. Key word : Dates, blood profile, dengue hemorrhagic feve

Modifikasi Pro Self Pain Control untuk Menurunkan Nyeri dan Meningkatkan Kemampuan Aktivitas Pada Pasien Kanker Kolorektal yang Menjalani Kemoterapi

Cancer pain is an unpleasant experience as a result of tissue damage due to cancer and side effects of chemotherapy. One of impacts of pain is a disturbance of activity. The obstacles encountered in the implementation of pain management include the lack of knowledge and ability of the patients to cope with pain independently. A modification of pro-self pain control is an alternative method used to improve the ability of patients to cope with pain independently so that their activity can be increased. This study aimed to evaluate the relationship between the pain and activity and prove that the modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. The present study employed an experimental design. Patients with colorectal cancer undergoing chemotherapy were randomly assigned to the intervention group (n=24) and the control group (n=24). The patients in the control group were given a standard hospital intervention, while the patients in the intervention group were given the modified pro-self control pain for 9 days. The data were collected by using the instrument of Numeric Rating Scale (NRS) and KATZ index and analyzed by using the Pearson correlation, paired t-test dan independent t-test. The results of correlation test showed the p-value of <0.001 and r= -0.58. The comparisson test show that in the intervention group, the mean of pain decreased from 4.71±1.27 to 1.80±1.12 (p <0.001), whereas in the control group, the pain decreased from 4.33±1.09 to 3.33±1.16 (p <0.001). The activity in the intervention group increased from 4.29±1.30 to 5.17±0.72 (p <0.001), while in the control group, it increased from 4.62±1.06 to 4.92±1.05 (p=0.05). The results of the mean difference between the two groups also found the p-value of <0.001 for the pain, and p of <0.001 for the activity. The study concluded that there was a relationship between the pain and activity. The modified pro-self pain control could decrease the pain and increase the activity in patients with colorectal cancer undergoing chemotherapy. Keywords: pain, activity, modified pro-self pain control, colorectal cance

Intelligent Monitoring System on Prediction of Building Damage Index using Neural-Network

An earthquake potentially destroys a tall building. The building damage can be indexed by FEMA into three categories namely immediate occupancy (IO), life safety (LS), and collapse prevention (CP). To determine the damage index, the building model has been simulated into structure analysis software. Acceleration data has been analyzed using non linear method in structure analysis program. The earthquake load is time history at surface, PGA=0105g. This work proposes an intelligent monitoring system utilizing artificial neural network to predict the building damage index. The system also provides an alert system and notification to inform the status of the damage. Data learning is trained on ANN utilizing feed forward and back propagation algorithm. The alert system is designed to be able to activate the alarm sound, view the alert bar or text, and send notification via email to the security or management. The system is tested using sample data represented in three conditions involving IO, LS, and CP. The results show that the proposed intelligent monitoring system could provide prediction of up to 92% rate of accuracy and activate the alert. Implementation of the system in building monitoring would allow for rapid, intelligent and accurate prediction of the building damage index due to earthquake

Pengaruh pH dan Lama Waktu Kontak Arang Ampas Tebu yang Diaktivasi H3PO4 dan CaCl2 serta Kombinasi H3PO4 dan CaCl2 untuk Menurunkan Ion Logam Ca2+ dan Mg2+ pada Limbah Industri Kosmetik X

Penelitian ini bertujuan untuk membandingkan kemampuan arang ampas tebu yang diaktivasi H3PO4, CaCl2 serta kombinasi H3PO4 dan CaCl2 dalam menurunkan ion logam Ca2+ dan Mg2+ pada variasi pH dan waktu kontak yang selanjutnya diaplikasikan dalam limbah kosmetik X. Pembuatan arang ampas tebu dilakukan dengan tiga tahapan yaitu dehidrasi, karbonasi, dan aktivasi secara kimia. Rendemen yang diperoleh sebesar 5,48%. Hasil uji karakteristik arang ampas tebu yang diaktivasi H3PO4, CaCl2 serta kombinasi H3PO4 dan CaCl2 secara berturut-turut adalah kadar air sebesar 5,76; 7,13; dan 6,75%; kadar abu sebesar 2,96; 4,75; dan 3,62%; SEM dengan diameter 8-9, 6-7, dan 3-6 µm dan FTIR dengan gugus yang terdeteksi -OH, C=O, P=O; -OH, C=O; -OH, C=O, C-H. Variasi pH yang digunakan pada penelitian adalah pH 7, 8, 9, dan 10 dengan waktu kontak 5, 10 dan 20 menit. Hasil uji optimasi pH dan lama waktu kontak, terpilih aktivator H3PO4 dengan persentase penurunan paling tinggi terjadi pada pH 10 waktu ke 20 menit untuk Ca2+ dan pH 10 waktu ke 10 menit untuk Mg2+. Hasil efisiensi penurunan ion logam Ca2+ dan Mg2+ pada limbah industri kosmetik X sebesar 99,82% dan 96,94%