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"Penelitian analisis kadar merkuri dalam rambut dengan gangguan fungsi sistem saraf pusat bagi pekerja pertambangan emas, dilakukan untuk dapat memberikan referensi terkait dampak penggunaan merkuri dan penanggulangannya bagi kesehatan masyarakat. Penelitian ini menggunakan metode cross sectional dengan menganalisis data sekunder dari Kementerian Kesehatan terhadap 119 sampel. Hasil pengukuran kadar merkuri dalam rambut pekerja, didapatkan 77,9% berada diatas normal, angka Nilai Indeks Pajanan Biologi yang dipersyarakatkan ≤ 3μg/g (ACGIH, 2005). Analisis kadar merkuri dalam rambut dengan gangguan fungsi sistem saraf pusat, secara perhitungan statistik menunjukan tidak ada hubungan signifikan, namun pekerja dengan kadar merkuri tinggi berisiko 3,12 kali,CI 95% (0,67 - 14,36) terhadap gangguan fungsi sistem saraf pusat. Analisis berbagai faktor konfounding, yaitu: Lama paparan, konsumsi sayur-buah, konsumsi ikan, penggunaan pestisida dan atau insektisida dan kebiasaan merokok, berdasarkan perhitungan statistik, hanya penggunaan pestisida secara konstan mempunyai hubungan diantara keduanya dan berisiko 3,97 kali, CI 95% (1,51 - 10,43) terhadap gangguan fungsi sistem saraf pusat. Hasil analisis multivariat, didapatkan responden dengan kadar merkuri dalam rambut tinggi, mempunyai risiko 2,82 kali lebih besar dengan CI 95% (0,595-13,379) untuk mengalami gangguan fungsi sistem saraf pusat setelah dikontrol variabel penggunaan pestisida. Pencegahan dan pengendalian dampak kesehatan akibat penggunaan merkuri perlu melibatkan berbagai pihak baik pemerintah, swasta dan masyarakat, melalui program eliminasi, subtitusi, pengendalian teknis dan administrasi.

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Research into the analysis of mercury levels in hair with impaired central nervous system function for gold mining workers, was conducted to provide a reference to the impact of mercury use and its prevention for public health. The method in this research use cross sectional design. This research used secondary data from Ministry of Health, with 119 miners as samples.

The results of the measurement of mercury in the hair of workers, obtained 77.9% above normal, Biology Exposure Index value ≤ 3μg / g (ACGIH, 2005). Analysis of mercury levels in the hair with impaired function of the central nervous system, the statistical calculation showed no significant relationship, but workers with high mercury levels risked 3.12 times, 95% CI (0.67 - 14.36) against impaired functioning of the nervous system center. Analysis of various confounding factors, namely: Length of exposure, consumption of fruits, fish consumption, pesticide and or insecticide use and smoking habits, based on statistical calculations, only the use of pesticides has a constant relationship between them and 3.97 times risk, 95% (1.51 - 10.43) against impaired functioning of the central nervous system.

The result of multivariate analysis, obtained by respondent with high mercury in hair, had 2.82 times greater risk with 95% CI (0,595-13,379) for impaired function of central nervous system after controlled variable of pesticide usage. Prevention and control of health impacts due to the use of mercury should involve various parties, government, private and public, through elimination, substitution, technical and administrative control programs."

"Praktek residensi keperawatan pada sistem neurologi dituntut mampu memberikan asuhan keperawatan secara komperhensif, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Pemberi asuhan keperawatan dilakukan dengan menggunakan pendekatan model adaptasi Roy pada pasien stroke hemoragik dan 30 pasien lainnya dengan berbagai gangguan system neurologi. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologi. Penerapan EBN Pelvis Stability Training (PST) pada lima pasien stroke menunjukkan keefektifan dalam  meningkatkan kontrol pergerakan, kekuatan otot panggul, kecepatan berjalan, dan ADL melalui kestabilan keseimbangan panggul pada pasien stroke. Program inovasi keperawatan berupa penerapan program pencegahan kejadian jatuh pada pasien neurologi di rawat inap.

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Nursing residency practice in the neurology system is demanded to be able to provide comprehensive nursing care, implementation of Evidence Based Nursing (EBN) and be able to act as an innovator in the treatment room. Nursing care was performed using Roy's adaptation model approach in hemorrhagic stroke patients and 30 other patients with various neurological system disorders. Maladaptive behavior is the most common mode of physiological adaptation. The implementation of EBN Pelvis Stability Training (PST) in five stroke patients showed effectiveness in increasing movement control, pelvic muscle strength, walking speed, and ADL through stability in pelvic balance in stroke patients. The nursing innovation program is in the form of a fall prevention program in neurology patients hospitalized."

"Perawat spesialis neurosains berperan dalam praktik keperawatan sebagai pemberi asuhan keperawatan lanjut pada sistem neurologi, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Peran dilakukan dengan pemberian asuhan keperawatan menggunakan Model Konsep Adaptasi Roy pada pasien dengan tumor otak khususnya pada tumor sellar region dan 30 kasus lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaptif paling banyak ditemui pada mode adaptasi fisiologi penurunan kapasitas adaptif intrakranial. Intervensi keperawatan manajemen peningkatan tekanan intraknial dan pemantauan status neurologis. Penerapan Evidence Based Nursing dilakukan dengan menerapkan 4AT sebagai screening delirium pada pasien stroke akut. Program inovasi keperawatan berupa manajemen ERAS pasca operasi craniotomy. Model Adaptasi Roy telah berpengaruh besar terhadap profesi keperawatan. Model ini adalah salah satu model yang sering digunakan dalam memandu penelitian, pendidikan dan praktik keperawatan.

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Neuroscience specialist nurses play a role in nursing practice as providers of advanced nursing care in the neurological system, Implement Evidence Based Nursing (EBN) and are able to act as innovators in the treatment room. The role is carried out by providing nursing care using Roy's Adaptation Model in patients with brain tumors, especially in the tumor cellar region and 30 other cases with various nervous system disorders. The most maladaptive behavior is the physiological adaptation mode of decreased intracranial adaptive capacity. Nursing intervention management of increased intracnial pressure and monitoring of neurological status. The application of Evidence Based Nursing is carried out by applying 4AT as a delirium screening in acute stroke patients. Nursing innovation program in the form of ERAS management after craniotomy surgery. Roy's Adaptation Model has had a major influence on the nursing profession. This model is one that is often used in guiding nursing research, education and practice."

"Praktek klinik lanjut selama praktek residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan cedera kepala dan 30 pasien lainnya dengan berbagai gangguan sistem persarafan. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologi, yaitu ketidakefektifan perfusi jaringan cerebral. Intervensi keperawatan berupa manajemen edema cerebral ditujukkan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan cerebral. Penerapan EBN skrinning tool Trunk Impairment Scale. Program inovasi keperawatan berupa edukasi terhadap perawat dalam manajemen pasien pasca craniotomy dengan protokol ERAS.

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Advanced clinical practice during the nursing residency practice in the neurological system is intended to be able to provide nursing care, implement Evidence Based Nursing (EBN) and be able to act as an innovator in the treatment room. The role of nursing caregivers was carried out using Roy's adaptation model in patients with head injuries and 30 other patients with various nervous system disorders. The most maladaptive behavior is physiological adaptation mode, namely ineffective cerebral tissue perfusion. Nursing intervention in the form of cerebral edema management is intended to improve patient adaptation in increasing cerebral tissue perfusion. Application of the EBN screening tool Trunk Impairment Scale. Nursing innovation program in the form of education to nurses in post-craniotomy patient management with the ERAS protocol."

"Praktek klinik lanjut selama praktek residensi keperawatan pada system neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidence Based Nursing (EBN) serta mampu berperan sebagai innovator dan edukator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan model adaptasi Roy pada pasien dengan cedera kepala dan 30 pasien lainnyadengan berbagai gangguan sistem neurologi atau persarafan. Perilaku maladaptive paling banyak adalah mode adaptasi fisiologi, yaitu ketidakefektifan perfusi jaringan cerebral. Intervensi keperawatan berupa manajemen edema cerebral ditujukkan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan ceredral. Penerapan EBN Repetitive Facilitative Exercise (RFE) pada empat pasien stroke fase subakut menunjukkan keefektifan dalam meningkatkan fungsi motorik ekstremitas atas pasien stroke. Program inovasi keperawatan berupa penerapan program pencegahan kejadian jatuh pada pasien neurologi di rawat inap.

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Advanced clinical practice during nursing residency practice in the neurology system is intended to be able to provide nursing care, implement Evidence Based Nursing (EBN) and be able to act as innovators and educators in the treatment room. The role of the nursing care provider was carried out using Roy's adaptation model in patients with head injuries and 30 other patients with various neurological or neurological system disorders. Maladaptive behavior is the most common mode of physiological adaptation, which is the ineffectiveness of cerebral tissue perfusion. Nursing interventions in the form of cerebral edema management are aimed at increasing patient adaptation in enhancing ceredral tissue perfusion. The application of EBN Repetitive Facilitative Exercise (RFE) in four stroke patients in the subacute phase showed effectiveness in improving motor function of the upper limb of stroke patients. The nursing innovation program is in the form of a fall prevention program in neurology patients hospitalized."

"Praktik klinik lanjut selama praktek residensi keperawatan pada sistem neurologi dimaksudkan untuk mampu memberikan asuhan keperawatan, menerapkan Evidance Based Nursing (EBN) serta mampu berperan sebagai innovator di ruang perawatan. Peran pemberi asuhan keperawatan dilakukan dengan menggunakan mode adaptasi Roy pada pasien dengan Guilain Bare Syndrome dan 30 pasien lainnya dengan berbagai gangguan sistem persyarafan. Perilaku maladaptive paling banyak adalah model adaptasi fisiologis, yaitu penurunan kapasitas adaptif intracranial. Intervensi keperawatan berupa manajemen peningkatan tekanan intracranial. Penerapan EBN latihan core stability pada keseimbangan duduk pada pasien stroke menunjukkan pasien dapat memeprtahankan keseimbangan duduk. Program inovasi keperawatan berupa penerapan manajemen ERAS pada pasien pasca kraniotomi diruang ICU, HCU dan rawat inap.

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Advance clinical practice during the nursing residency practice in the neurological system is intended to be able to provide nursing care, implement Evidance Based Nursing (EBN) and able to act as an innovator in the treatment room. The role of nursing caregiver was perfomed using Roy’s adaption mode in patients with Guillain-Barre Syndrome and 30 other patients with various nervous system disorders. The most maladaptive behavior is a physiological adaption model, namely a decrease in intracranial adaptive capacity. Nursing intervention in the form of management of increased intracranial pressure. The application of EBN core stability exercises to sitting balance in stroke patients shows the patient can maintain a sitting balance. Nursing innovation program in the form of application of ERAS management to post-craniotomy patients in ICU,HCU and inpatient rooms."

"Program spesialis keperawatan medikal bedah khususnya neurologi dimaksudkan untuk menjadikan seorang perawat spesialis neurosains yang berperan dalam pemberi asuhan keperawatan lanjut, melakukan pembuktian ilmiah, dan agen pembaharu. Asuhan keperwatan yang dilaksanakan pada kasus stroke hemoragik dan 30 pasien dengan gangguan neurologis menggunakan pendekatan Model adaptasi Roy. Perilaku maladaptif yang paling sering ditemui pada mode adaptasi fisiologis adalah ketidakefektfan perfusi serebral. Intervensi keperawatan yaitu monitor tekanan intrakranial bertujuan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan cerebral. Penerapan EBN tentang penilaian kualitas tidur pada pasien stroke menggunakan Pittsburgh Sleep Quality Index. Tiga puluh pasien menunjukkan bahwa sebagian besar paien mengalami kualitas tidur buruk. Program inovasi keperawatan berupa penerapan perawatan pasca craniotomy di ruang NCCU, HCU dan rawat inap bedah saraf.

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The medical surgical nursing specialist program, especially neurology, is intended to become a neuroscience specialist nurse who plays a role in providing advanced nursing care, conducting scientific evidence, and a reforming agent. Nursing care was carried out in cases of hemorrhagic stroke and 30 patients with neurological disorders using the Roy adaptation model approach. The most common maladaptive behavior in physiological adaptation modes is cerebral perfusion ineffectiveness. Nursing intervention, namely intracranial pressure monitor, aims to improve patient adaptation in increasing cerebral tissue perfusion. The application of the EBN on sleep disturbance screening in stroke patients using the Pittsburgh Sleep Quality Index. Thirty patients indicated that most patients experienced poor quality sleep. Nursing innovation program in the form of post craniotomy care application in the NCCU, HCU and neurosurgery inpatients."