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"Summary: When Breath Becomes Air What makes life worth living in the face of death? What do you do when the future, no longer a ladder toward your goals in life, flattens out into a perpetual present? What does it mean to have a child, to nurture a new life as another fades away? These are some of the questions Kalanithi wrestles with in this profoundly moving, exquisitely observed memoir. Paul Kalanithi died in March 2015, while working on this book, yet his words live on as a guide and a gift to us all. "I began to realize that coming face to face with my own mortality, in a sense, had changed nothing and everything, "he wrote. "Seven words from Samuel Beckett began to repeat in my head: I can't go on. I'll go on.' -- "--Janet Maslin, --USA Today "It's (Kalanithi's) unsentimental approach that makes When Breath Becomes Air ("When Breath Becomes Air From the Hardcover edition"

"Risiko toksisitas jantung dan paru ipsilateral akibat radiasi kanker payudara kiri pasca mastektomi dapat diatasi dengan cara mengurangi volume jantung ketika melakukan perencanaan terapi sehingga jantung akan menerima dosis radiasi rendah. Perencanaan radioterapi untuk 20 pasien kanker payudara kiri pasca mastektomi diberikan dengan dosis preskripsi 5.000 cGy dalam 25 fraksinasi dengan teknik Volumetric Modulated Arc Therapy (VMAT) . Perencanaan dibentuk dari sistem perencanaan (treatment plan system) Monaco dengan perbedaan metode pernapasan untuk setiap 10 pasien. Metode pernapasan Deep Inspiration Breath Hold (DIBH) dan Free Breath (FB) menjadi pembanding studi yang memfokuskan di 95% Planning Treatment Volume (PTV) mencapai ≥ 95% dosis dan Organ at Risks (OAR) seperti jantung, paru ipsilateral, dan payudara kontralateral dalam batas dosis aman. Hasil yang didapatkan berupa nilai Conformity Index (CI) VMAT-DIBH lebih unggul 0,16% dari VMAT-FB dan Homogeneity Index (HI) VMAT-DIBH lebih unggul 0,56% dari VMAT-FB. Parameter dosimetri untuk OAR seperti organ jantung berupa nilai dosis maksimum (VMAT-FB unggul) dan dosis rata-rata (VMAT-DIBH unggul). Nilai dosis rata-rata paru ipsilateral (VMAT-DIBH unggul) dan nilai dosis rata-rata payudara kontralateral (VMAT-FB unggul).

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The risk of heart and ipsilateral lung toxicity due to left breast cancer radiation after mastectomy can be overcome by reducing the heart volume when planning therapy that the heart will receive a low-dose radiation. Radiotherapy planning for 20 postmastectomy breast cancer patients treated to a prescription dose of 5,000 cGy in 25 fractionations using Volumetric Modulated Arc Therapy (VMAT) technique. The plans were generated by using a Monaco treatment plan system (TPS) with different breathing methods for every 10 patients. Deep Inspiration Breath Hold (DIBH) and Free Breath (FB) breathing methods are comparative studies that focus on 95% Planning Treatment Volume (PTV) reaching 95% doses and Organ at Risks (OAR) such as heart, ipsilateral lung, and contralateral breast in safe dose limit. The results obtained in the form of Conformity Index (CI) VMAT-DIBH 0.16% superior to VMAT-FB and Homogeneity Index (HI) VMAT-DIBH 0.56% superior to VMAT-FB. The dosimetry parameters for OAR such as cardiac organs are the maximum dose value (VMAT-FB superior) and the average dose (VMAT-DIBH superior). Mean dose values of the ipsilateral lung (VMAT-DIBH superior) and mean dose values of the contralateral breast (VMAT-FB superior)."

"Balita pneumonia mengalami batuh napas cepat dan bunyi napas ronkhi. Madu memiliki efek antimikroba dan antibodi yang dapat menghambat pertumbuhan agen mikroba penyebab pneumonia. Tujuan penelitian ini untuk mengetahui pengaruh pemberian madu terhadap frekuensi batuk, frekuensi napas dan bunyi napas balita pneumonia. Desain penelitian quasi experimental nonequivalent control group before afier. Jumlah sampel 34 balita dengan teknik consecutive sampling. Analisis data menggunakan Margirnl Homogeni$t, Pair t Test, Mc Nemar, Kolmogorov Smirnov, Fisher Exact, dan Independent t test. Hasil penelitian menemukan adanya perbedaan bermakna frekuensi batuk (p:0,001), frekuensi napas (p:0,0001), dan bunyi napas (p=0,012) antara kelompok kontrol dan kelompok intervensi sesudah pemberian madu. Rekomendasi penelitian adalah perlu menerapkan evidence based nursing practice pemberian madu padabalita pneumonia untuk menurunkan batuk, frekuensi napas, dan bunyi ronkhi.

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Children underfive with pneumonia hove cough, rapid breathing ond breath sounds ronchi. Honey has antimicrobial fficts and antibodies that can inhibit the growth of microbes thst cause pneumonia agents. This study aims to determine the ffict of honey on the frequency of cough, respiratory rate and breath sounds on ihildren under five with pneumonia. Quasi-experimental research design nonequivalent control group before after. Ihe sample number consist of 34 children with a consecutive sampling technique. Data analysis used Marginal HomogeniQt, Pair t Test, Mc Nemar, Kolmogorov Smirnov, Fisher Exact ond Independent t test.

Results of the study showed significant differences in the frequency of cough (p : 0.001), respiratory rate (p : a.0001), and breath sounds (p : 0.012) between the control and the intervention group. Recommendntions research is need to implement evidence-based nursing practice giving honey to the children under five with pneumonia to reduce cough, respiratory rate, and breath sounds ronchi "

"Salah satu kemungkinan penelitian karya sastra dalam kajian psikologi adalah studi tipe-tipe hukum psikologi yang diterapkan pada karya sastra. Dalam "Breath of Scandal", fenomena psikologi mewarnai jalan ceritanya."

"Latar Belakang: Infeksi Helicobacter pylori merupakan infeksi kronis bakterial yang berhubungan dengan penyakit gastroduodenal. Berdasarkan konsensus Bangkok, pemeriksaan diagnostik infeksi H.pylori hendaknya dilakukan pada semua pasien dispepsia kronis. Urea breath test (UBT) merupakan pemeriksaan referens non-invasif dengan biaya cukup mahal. Rapid test antigen feses merupakan pemeriksaan yang praktis dengan biaya lebih terjangkau. Penelitian ini bertujuan mengevaluasi peran diagnostik rapid test antigen H.pylori dalam feses terhadap UBT pada pasien dispepsia. Metode: Penelitian ini merupakan uji potong lintang terhadap pasien dispepsia di RSUPN Cipto Mangunkusumo selama bulan Agustus-Oktober 2018. Sebanyak 70 subjek diambil secara consecutive sampling dan dilakukan pemeriksaan rapid test SD Bioline H.pylori Ag^® dan Urea [¹³C] Breath Test Kit-Heliforce^®. Hasil: Rerata usia subjek penelitian adalah 46,2 ± 14,23 tahun (18-70 tahun) dan terdapat 17,14% subjek positif terinfeksi H.pylori berdasarkan hasil UBT. Sensitivitas, spesifisitas, nilai prediksi positif, dan nilai prediksi negatif rapid test secara berurutan adalah 41,67%, 100%, 100%, dan 89,23%. Simpulan: Rapid test antigen H.pylori dalam feses memiliki sensitvitas yang kurang baik tetapi memiliki spesifisitas, NPP, dan NPN yang cukup baik; praktis digunakan; dan harganya jauh lebih terjangkau sehingga masih dapat dipertimbangkan untuk digunakan pada daerah dengan keterbatasan ekonomi dan fasilitas.

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Background: Helicobacter pylori infection is a chronic bacterial infection associated with gastroduodenal diseases. Based on the Bangkok consensus, a diagnostic test of H.pylori infection should be carried out in all patients with chronic dyspepsia. Urea breath test (UBT) is a non-invasive reference test with a fairly expensive cost. Stool antigen rapid test is a practical test with a more affordable cost. We aimed to evaluate the diagnostic role of the H.pylori stool antigen rapid test against UBT in dyspeptic patients.

Methods: This was a cross-sectional study of dyspeptic patients at RSUPN Cipto Mangunkusumo during August-October 2018. A total of 70 subjects were taken by consecutive sampling method and tested with rapid test SD Bioline H.pylori Ag^® and Urea [¹³C] Breath Test Kit-Heliforce^®.

Results: The mean age of the subjects was 46.2 ± 14.23 years (18-70 years) and there were 17.14% subjects positively infected with H.pylori based on UBT results. Sensitivity, specificity, positive predictive value, and negative predictive value of the rapid test were 41.67%, 100%, 100%, and 89.23% respectively.

Conclusion: Helicobacter pylori stool antigen rapid test had poor sensitivity but had a good specificity, PPV, and NPV; practical use; and more affordable price so that it could still be considered to be used in areas with economic and facilities limitations."