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"Rentang perawatan pasien ortopedi sangat bervariasi mulai dari kasus sederhana hingga kasus yang kompleks, sehingga menuntut perawat untuk berpikir kritis. Berpikir kritis memiliki kaitan dalam proses pengambilan keputusan dan penilaian klinis yang akan menjadi penentu pemberian asuhan keperawatan yang berkualitas, namun beberapa penelitian tentang hubungan berpikir kritis dengan kualitas asuhan keperawatan masih menunjukkan hasil yang tidak konsisten. Penelitian ini bertujuan untuk mengidentifikasi hubungan berpikir kritis perawat dengan kualitas asuhan keperawatan di unit ortopedi. Penelitian ini menggunakan desain survey analitik cross sectional study pada 45 responden perawat yang diukur kecenderungan berpikir kritisnya kemudian kualitas asuhan keperawatan yang dibuat oleh perawat dinilai berdasarkan dokumentasi asuhan keperawatan. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara berpikir kritis perawat dengan kualitas asuhan keperawatan (p=0,017; α 0,05). Perawat yang berpikir kritis berpeluang 6 kali menunjukkan kualitas asuhan keperawatan yang baik. Rekomendasi dari penelitian ini adalah diperlukan adanya penyusunan dan pelaksanaan program pelatihan berpikir kritis bagi perawat untuk meningkatkan kualitas asuhan keperawatan dan diperlukan penelitian lebih lanjut untuk pengembangan instrumun pengukuran berpikir kritis spesifik untuk perawat.

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The range of orthopedic patient care varies widely from simple cases to complex cases, thus requires nurses to think critically. Critical thinking has links in decision making and clinical judgments that will be the determinant of the quality of nursing care, but some research on the relationship of critical thinking with the quality of nursing care still show inconsistent results. This study aimed to identify the relationship of nurses critical thinking with the quality of nursing care on an orthopedic unit.

This study is an analytic cross sectional study in 45 nurses who measured the tendency to think critically and then the quality of nursing care made by nurses assessed based on the documentation of nursing care.

The result showed that there was a significant relationship between nurses critical thinking with the quality of nursing care (p = 0.017; α 0.05). Nurses who think critically chance 6times to showed a good quality of nursing care.

Recomendations from this finding are need to design and perform a critical thinking training for nurses to increase the quality of nursing care, and need to perform further studies to developed an instrument to measure critical thinking spesifically for nurses."

"Latar Belakang: Angka harapan hidup yang meningkat menyebabkan peningkatan populasi usia lanjut termasuk populasi usia lanjut dengan penyakit jantung koroner. Frailty sering ditemukan pada pasien usia lanjut dengan penyakit kardiovaskular dan keberadaan frailty sangat mempengaruhi prognosis penyakit jantung koroner pada pasien usia lanjut termasuk luaran terhadap intervensi revaskularisasi. Percutaneous Coronary Intervention (PCI) adalah salah satu metode revaskularisasi dan belum banyak penelitian yang dilakukan terkait pengaruh frailty terhadap luaran pasien usia lanjut yang menjalani PCI elektif. Tujuan: Penelitian ini dilakukan untuk mendapatkan proporsi frailty, insidensi Major Adverse Cardiovascular Events (MACE) 30 hari dan mengkaji peran frailty terhadap prognosis pasien usia lanjut dengan penyakit jantung koroner yang menjalani PCI elektif. Metode: Secara prospektif dilakukan penilaian terhadap kondisi frailty pasien usia lanjut dengan penyakit jantung koroner yang menjalani PCI elektif di RS Cipto Mangunkusumo dengan menggunakan kriteria Frailty Phenotipe. Pasien kemudian di follow-up selama 30 hari setelah tindakan PCI elektif untuk melihat apakah MACE terjadi atau tidak. Hasil: Terdapat 100 pasien usia lanjut dengan penyakit jantung koroner yang menjalani PCI elektif dari bulan September 2014 - Juni 2015. Usia rata-rata pasien adalah 66.95 tahun (SD = 4.875) dengan pasien terbanyak adalah laki-laki (69%). Sebanyak 61% pasien termasuk ke dalam kelompok frail. MACE terjadi pada 8.19% pasien pada kelompok frail dan 5.12% pada kelompok non-frail. Hubungan frailty terhadap MACE dapat dilihat dari hasil crude Hazard Ratio (HR) 1.6 (IK 95% 0.31-8.24). Pada penelitian ini, kesintasan 30 hari 95% pada kelompok frail, sementara pada kelompok non-frail kesintasan 30 hari adalah sebesar 98%. Kesimpulan: Terdapat peningkatan risiko 1.6 kali untuk terjadinya MACE 30 hari pada subyek usia lanjut frail yang menjalani PCI elektif namun belum bermakna secara statistik.

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Background: The increase in life expectancy caused the increase in elderly population including the population of elderly with Coronary Artery Disease. Frailty is commonly found in elderly patients with cardiovascular disease and frailty had a major influence in determining the prognosis of cardiovascular disease in elderly including the outcome of revascularization intervention. PCI (Percutaneous Coronary Intervention) is one method of revascularization. However, frailty research on the effect on the outcome of elderly patients with coronary artery disease undergoing PCI is still limited.

Aim: To get the proportion of frailty and 30 days Major Adverse Cardiovascular Events (MACE) incidence, and to review impact of frailty in elderly patients with coronary heart disease who underwent elective PCI.

Method: The frailty condition of the elderly patients with coronary artery disease that underwent elective PCI in Cipto Mangunkusumo Hospital was assessed with the Frailty Phenotype criteria. After the patients underwent the elective PCI, they were followed for 30 days to see whether MACE occurred or not.

Result: There are 100 elderly patients with coronary artery disease that underwent elective PCI from September, 2014 until June, 2015. The mean age of patients is 66.95 ± 4.875 years and 69% of the patients were males. Frail was present in 61% of the patients. MACE were occurred in 8.19% of frail patients and 5.12% were occurred in non-frail patients. The correlation between frailty and MACE could be seen in the result of crude HR 1.6 (CI 95% 0.31-8.24). In this research, the 30 days survival rate is 95% in frail patients and 98% in non-frail patients.

Conclusion: There is a 1.6 fold increased risk of 30 days MACE in elderly frail patients that underwent elective PCI but it is not statistically significant."

"Tingginya angka masyarakat perkotaan di Indonesia menimbulkan permasalahan kesehatan berupa tuberkulosis paru. Bakteri Mycobacterium tuberculosis yang ada di paru dapat menyerang ke meningen dan parenkim otak sehingga menyebabkan tuberkulosis meningitis. Penurunan atau kerusakan fungsi tubuh telah dilaporkan sebagai akibat dari sistem saraf pusat penderita yang terlibat. Disabilitas yang terjadi dapat mengakibatkan penurunan kualitas hidup penderita terganggu dan mengarah pada masalah psikososial gangguan citra tubuh akibat hilangnya fungsi, bentuk dan struktur tubuh. Karya ilmiah ini melaporkan analisis masalah dan intervensi keperawatan psikososial gangguan citra tubuh pada klien dengan tuberkulosis meningitis. Evaluasi hasil akhir menunjukkan adanya penurunan tanda dan gejala gangguan citra tubuh serta hasil klinis yang lebih baik. Pengembangan dan implementasi asuhan keperawatan psikososial gangguan citra tubuh perlu diterapkan di ruang rawat umum, khususnya pada klien dengan masalah kesehatan perkotaan tuberkulosis meningitis.

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The high number and one of them person's lung can tuberculous meningitis. The decrease and damage in functions have been reported as the result of the affected central nervous system. This will eventually lead to decreasing the person's quality of life and resulting in physical and psychosocial problems such as body image disturbance due to loss of form, function, and structure of the body. This paper reports the analysis of problems and psychosocial nursing interventions of body image disturbance in person with tuberculosis meningitis.

The final results showed a decrease in signs and symptoms of body image disturbance and better clinical outcomes. The psychosocial nursing care plan for body image disturbance needs to be applied in the general ward, particularly for the clients with urban health problems tuberculosis meningitis."

"Penelitian ini mengkaji pengaruh ketidakpastian global yang direpresentasikan oleh World Uncertainty Index (WUI) terhadap kinerja pasar saham di enam negara Asia berkembang, yaitu China, Indonesia, Thailand, Vietnam, Malaysia, dan Filipina, selama periode 2008 hingga 2023. Dengan menggunakan fixed-effect panel threshold model, penelitian ini mengidentifikasi hubungan non-linear antara ketidakpastian dan indeks pasar saham, di mana ketidakpastian memberikan pengaruh positif pada pengembalian saham ketika berada di bawah tingkat ambang batas yang telah ditentukan. Pada ketidakpastian yang meningkat dari 0-0.08087, investor menginterpretasikan risiko sebagai peluang, sehingga meningkatkan valuasi pasar. Bahkan ketika ketidakpastian meningkat melebihi ambang batas, kinerja pasar tetap meningkat tetapi dengan laju yang lebih lambat dibandingkan saat berada di bawah ambang batas. Temuan ini menantang asumsi bahwa ketidakpastian selalu merugikan kinerja pasar dan sebaliknya menyoroti efeknya yang bergantung pada intensitasnya. Studi ini juga menyoroti peran faktor makroekonomi, seperti produksi industri, inflasi, pengangguran, dan interest rate spreads dalam membentuk hasil tersebut. Uji robustness juga mengonfirmasi validitas hasil, menawarkan wawasan praktis bagi investor, manajer perusahaan, dan pembuat kebijakan untuk menghadapi ketidakpastian global secara efektif.

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This study examines the influence of global uncertainty, represented by the World Uncertainty Index (WUI), on stock market performance in six emerging Asian Countries which are China, Indonesia, Thailand, Vietnam, Malaysia, and the Philippines over the period of 2008 to 2023. Using a fixed-effect panelthreshold model, the research identifies a non-linear relationship between uncertainty and stock market indices, where uncertainty exerts a positive influence on stock returns below the identified threshold level. When uncertainties rise from 0 to 0.08087, investors interpret increase in uncertainties as opportunities, leading to increase market valuations. Even as uncertainty rises beyond the threshold, the market performance increase but at a slower rate compare to below the threshold. These findings challenge the assumption that uncertainty uniformly harms market performance and instead highlights its effects depending on its intensity. The study also use the role of macroeconomic factors, such as industrial production, inflation, unemployment and interest rate spreads, in shaping these outcomes. Robustness checks also confirm the validity of the results, offering actionable insights for investors, corporate managers, and policymakers to navigate global uncertainty effectively."

"Penelitian ini mengkaji pengaruh ketidakpastian global yang direpresentasikan oleh World Uncertainty Index (WUI) terhadap kinerja pasar saham di enam negara Asia berkembang, yaitu China, Indonesia, Thailand, Vietnam, Malaysia, dan Filipina, selama periode 2008 hingga 2023. Dengan menggunakan fixed-effect panel threshold model, penelitian ini mengidentifikasi hubungan non-linear antara ketidakpastian dan indeks pasar saham, di mana ketidakpastian memberikan pengaruh positif pada pengembalian saham ketika berada di bawah tingkat ambang batas yang telah ditentukan. Pada ketidakpastian yang meningkat dari 0-0.08087, investor menginterpretasikan risiko sebagai peluang, sehingga meningkatkan valuasi pasar. Bahkan ketika ketidakpastian meningkat melebihi ambang batas, kinerja pasar tetap meningkat tetapi dengan laju yang lebih lambat dibandingkan saat berada di bawah ambang batas. Temuan ini menantang asumsi bahwa ketidakpastian selalu merugikan kinerja pasar dan sebaliknya menyoroti efeknya yang bergantung pada intensitasnya. Studi ini juga menyoroti peran faktor makroekonomi, seperti produksi industri, inflasi, pengangguran, dan interest rate spreads dalam membentuk hasil tersebut. Uji robustness juga mengonfirmasi validitas hasil, menawarkan wawasan praktis bagi investor, manajer perusahaan, dan pembuat kebijakan untuk menghadapi ketidakpastian global secara efektif.

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This study examines the influence of global uncertainty, represented by the World Uncertainty Index (WUI), on stock market performance in six emerging Asian Countries which are China, Indonesia, Thailand, Vietnam, Malaysia, and the Philippines over the period of 2008 to 2023. Using a fixed-effect panelthreshold model, the research identifies a non-linear relationship between uncertainty and stock market indices, where uncertainty exerts a positive influence on stock returns below the identified threshold level. When uncertainties rise from 0 to 0.08087, investors interpret increase in uncertainties as opportunities, leading to increase market valuations. Even as uncertainty rises beyond the threshold, the market performance increase but at a slower rate compare to below the threshold. These findings challenge the assumption that uncertainty uniformly harms market performance and instead highlights its effects depending on its intensity. The study also use the role of macroeconomic factors, such as industrial production, inflation, unemployment and interest rate spreads, in shaping these outcomes. Robustness checks also confirm the validity of the results, offering actionable insights for investors, corporate managers, and policymakers to navigate global uncertainty effectively."

"This book provides insight on the concept of social value and social return on investment (SROI) - or measures to evaluate the social outcomes from interventions, beyond simply jobs and income. It offers a new and holistic perspective on the values generated from environmental stewardship and forest governance, and focuses on the methods, approaches and outcomes for understanding social value and SROI. The book offers new directions in social value and SROI, including cultural and spiritual outcomes, gender equity, and health and well-being, and provides pathways for implementing interventions and measuring social impact. It includes state of the art approaches from diverse and interdisciplinary experts drawn from academia and professional practice, including the voices and perspectives of Indigenous Peoples and local communities involved in programs, with a focus on environmental stewardship. Social value and SROI are increasingly used to assess outcomes from conservation and thisbook broadens the conversation on the impact and business case for these interventions. The book offers practical guidance to readers in pursuing social value and those seeking to measure it."

"This book reports on the state of the art in physical ergonomics and addresses the design of products, processes, services, and work systems to ensure they are productive, safe, and enjoyable for people to use. The human body’s responses to physical and physiological work demands, strain injuries from repetition, vibration, force, and posture are the most common types of issues examined, along with their design implications. The book explores a wide range of topics in physical ergonomics, including the consequences of repetitive motion, materials handling, workplace safety, the usability of portable devices, design, working postures, and the work environment.Mastering physical ergonomics and safety engineering concepts is fundamental to creating products and systems that people can safely and conveniently use, as well as avoiding stresses and minimizing the risk of accidents. Based on the AHFE 2018 Conference on Physical Ergonomics and Human Factors, held on July 21–25, 2018, in Orlando, Florida, USA, this book provides readers with a comprehensive perspective on the current challenges in physical ergonomics, which is a critical aspect in the design of any human-centered technological system, and for factors influencing human performance."