Pengaruh Pemberian Air Kelapa Muda Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi Di Banjar Pisang Desa Taro Kabupaten Gianyar

Hypertension or high blood pressure is a disease characterized by increasing blood pressure above the normal limit with systolic is more than 140 mmHg and diastolic is over 90 mmHg. Unhealthy lifestyle like consuming higher salinity food, junk food, food containing cholesterol, and lack of physical activities can increase the number of hypertension case. Many things can be done to lower high blood pressure such as by applying non-pharmacological therapy, one of them is by granting young coconut water, it has some contents like sugar, vitamin C, protein, calcium, potassium, and magnesium. High content of potassium in young coconut water can lower blood pressure of the hypertension patients. This study aimed at knowing the influence of granting young coconut water for lowering blood pressure of hypertension patients. This study used pre experimental design with one group pretest and posttest design with the number of sample was 72 respondents using purposive sampling. The data was analyzed using Wilcoxon test to compare pretest and posttest result. The result of this study showed that there was a significant influence between the average of pre and post after granting young coconut water and z value was 5,729 and z table with a = 1,96 meant that z value was higher than z table therefore it could be concluded that there was an influence of granting young coconut water for lowering high blood pressure of hypertension patients in Banjar Pisang Taro village Gianyar regency. &nbsp

Rapidly growing left atrial myxoma: a case report

<p>Abstract</p> <p>Introduction</p> <p>Left atrial myxomas are rare benign tumors of the heart. They vary widely in size, and very little is known about their growth rate. The reported growth rates of left atrial myxomas from several published case reports appears to vary from no growth, to between 1.3 to 6.9 mm/month in diameter within patients with established myxoma who have not undergone surgery.</p> <p>Case presentation</p> <p>We present the case of a rapidly growing pedunculated left atrial myxoma in a 62-year-old asymptomatic Caucasian woman found incidentally during routine transthoracic echocardiography. Our patient was attending her annual valve clinic assessment for moderate aortic regurgitation, and her two previous consecutive transthoracic echocardiography scans performed 12 and 24 months prior to this appointment had demonstrated a clear left atrium and aortic regurgitation of moderate severity.</p> <p>Conclusions</p> <p>To the best of our knowledge, our case is the first to provide images of absence and presence of myxoma from transthoracic echocardiography scans taken a year apart, with estimated growth rate of 2.2 mm/month. Rapidly growing myxoma may be mistaken for thrombus, and may require urgent surgical excision to reduce the risk of associated complications such as thrombo-embolic events, sudden cardiac death and removal of a possibly malignant tumor. The potential for rapid growth should be considered if there is a plan to delay surgery. Furthermore, it would be pertinent to consider annual echocardiography in patients presenting with clinical features suggestive of cardiac myxoma such as constitutional symptoms, as these tumors may be rapid growing and may only become apparent on subsequent echocardiography.</p

Codes and Supersymmetry in One Dimension

Adinkras are diagrams that describe many useful supermultiplets in D=1 dimensions. We show that the topology of the Adinkra is uniquely determined by a doubly even code. Conversely, every doubly even code produces a possible topology of an Adinkra. A computation of doubly even codes results in an enumeration of these Adinkra topologies up to N=28, and for minimal supermultiplets, up to N=32.Comment: 48 pages, a new version that combines arXiv:0811.3410 and parts of arXiv:0806.0050, for submission for publicatio

Effective Symmetries of the Minimal Supermultiplet of N = 8 Extended Worldline Supersymmetry

A minimal representation of the N = 8 extended worldline supersymmetry, known as the `ultra-multiplet', is closely related to a family of supermultiplets with the same, E(8) chromotopology. We catalogue their effective symmetries and find a Spin(4) x Z(2) subgroup common to them all, which explains the particular basis used in the original construction. We specify a constrained superfield representation of the supermultiplets in the ultra-multiplet family, and show that such a superfield representation in fact exists for all adinkraic supermultiplets. We also exhibit the correspondences between these supermultiplets, their Adinkras and the E(8) root lattice bases. Finally, we construct quadratic Lagrangians that provide the standard kinetic terms and afford a mixing of an even number of such supermultiplets controlled by a coupling to an external 2-form of fluxes.Comment: 13 Figure

Indirect and direct energy gaps in the Kondo semiconductor YbB12

Optical conductivity [$\sigma(\omega)$] of the Kondo semiconductor YbB$_{12}$ has been measured over wide ranges of temperature ($T$=8$-$690 K) and photon energy ($\hbar \omega \geq$ 1.3 meV). The $\sigma(\omega)$ data reveal the entire crossover of YbB$_{12}$ from a metallic electronic structure at high $T$ into a semiconducting one at low $T$. Associated with the gap development in $\sigma(\omega)$, a clear onset is newly found at $\hbar\omega$=15 meV for $T \leq$ 20 K. The onset energy is identified as the gap width of YbB$_{12}$ appearing in $\sigma(\omega)$. This gap in \sigma(\omega)$is interpreted as the indirect gap, which has been predicted in the band model of Kondo semiconductor. On the other hand, the strong mid-infrared (mIR) peak observed in$\sigma(\omega)$ is interpreted as arising from the direct gap. The absorption coefficient around the onset and the mIR peak indeed show characteristic energy dependences expected for indirect and direct optical transitions in conventional semiconductors.Comment: 4 pages, 3 figures, submitted to J. Phys. Soc. Jp

Building a Sales Network for Small Businesses in East Java Province, Indonesia

Local and global economic activities which are increasingly supported by the development of increasingly advanced information technology will certainly have a good impact on the development of a local economy that is with the livelihood and development of micro and small business activities in a region or country. Such conditions must be well anticipated by all small businesses to take advantage of these technological advancements for future business development. There are many critical factors for the success of a business actor in carrying out his business mission, but with technological advancements, the gap to utilize technology properly is the key to success in itself, bearing in mind that the world is now in an all-digital communication order. Increasingly being able to adopt advanced technology, will certainly bring its own success for business people. This research was conducted on a group of small businesses in Indonesia who began to pioneer their businesses by utilizing information technology in cooperating with business partners and customers in order to enter the global market