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"Anak dengan kondisi penyakit pneumonia yang mengalami gangguan pernapasan jika tidak cepat di tangani dapat menyebabkan kematian atau kecacatan. Pemberian oksigen dan bersihan jalan napas merupakan salah cara yang efektif dan aman untuk mengurangi komplikasi. Tujuan studi kasus ini adalah memberikan gambaran asuhan keperawatan berdasarkan Teori model Konservasi Levine pada anak yang mengalami kecemasan dengan masalah respirasi di ruang gawat darurat. Model Konservasi Levine digambarkan pada 5 kasus pasien anak. Pengkajian di lakukan berdasarkan 4 prinsip yaitu Konservasi individu meliputi konservasi energi, konservasi integritas struktural, konservasi integritas personal, dan konservasi integritas sosial. Trophicognosis, hipotesis dan intervensi dilakukan untuk mencapai adaptasi serta membuat pasien mencapai keutuhan dalam menjalani proses keperawatan di ruang gawat darurat. Model Konservasi Levine di rekomendasikan dalam memberikan asuhan keperawatan pada anak dengan masalah pneumonia. Aplikasi Evidence-Based Nursing Practice (EBNP) menggunakan desain quasi experimental pre-post test in one group dengan melibatkan 68 anak di UGD salah satu rumah sakit rujukan nasional menunjukan bahwa terapi bermain denan mewarnai gambar efektif menurunkan kecemasan anak."

"LSL merupakan populasi kunci HIV yang paling berisiko dibandingkan dengan populasi lainnya. Salah satu strategi penanggulangan HIV/AIDS adalah VCT yang bertujuan untuk meningkatkan penemuan kasus HIV. Diketahui baru 59% LSL yang sudah pernah memanfaatkan VCT di Indonesia. Persepsi individu terhadap HIV/AIDS dan VCT dan faktor modifikasi diketahui dapat mempengaruhi LSL dalam memanfaatkan VCT. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan VCT pada LSL di Bogor tahun 2021. Penelitian ini menggunakan desain cross-sectional dengan purposive sampling. Data dikumpulkan melalui kuesioner yang dibagikan secara daring dengan jumlah responden 108 orang. Pemanfaatan VCT sebagai variabel dependen, sedangkan faktor modifikasi (umur, pendidikan terakhir, pekerjaan, dan pengetahuan), persepsi individu (persepsi kerentanan, persepsi keparahan, persepsi manfaat, dan persepsi hambatan) serta isyarat untuk bertindak sebagai variabel independen. Data dianalisis dengan uji chi-square. Berdasarkan hasil analisis didapatkan hasil proporsi tertinggi pada kelompok LSL yang pernah memanfaatkan VCT sebesar 70,4%, 84,3% berumur £ 30 tahun, 63,0% pendidikan terakhir menengah, 63,9% bekerja, 59,3% memiliki pengetahuan yang rendah, 55,6% memiliki persepsi kerentanan tinggi atau rentan, 51,9% memiliki persepsi keparahan tinggi atau parah, 52,8% memiliki persepsi manfaat tinggi, 60,2% memiliki persepsi hambatan rendah, dan 68,5% memiliki isyarat untuk bertindak tinggi. Terdapat hubungan antara pengetahuan (p=0,034), persepsi manfaat (p=0,001), dan persepsi hambatan (p=0,001) dengan pemanfaatan VCT. Hasil penelitian menyarankan untuk optimalisasi kegiatan penyuluhan terkait HIV/AIDS dan pemanfaatan VCT kepada kelompok LSL oleh petugas kesehatan dan LSM.

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MSM is the key HIV population most at risk compared to other populations. One of the HIV/AIDS prevention strategies is VCT which aims to increase HIV case finding. It is known that only 59% of MSM have used VCT in Indonesia. Modifying factors and individual perceptions of HIV/AIDS and VCT are associated to the utilization of VCT among MSM. This study aims to determine the factors related to the use of VCT in MSM at ​​Bogor in 2021. This study used a cross-sectional design with purposive sampling. Data were collected through questionnaires distributed online with a total of 108 respondents. Utilization of VCT as the dependent variable, while the modifying factors (age, last education, occupation, and knowledge), individual perceptions (perceived vulnerability, perceived severity, perceived benefits, and perceived barriers) and cues to action as independent variables. Based on the results of the analysis, it was found that the highest proportion of MSM groups who had used VCT was 70.4%, 84.3% aged £30 years, 63.0% had secondary education, 63.9% worked, 59.3% had low knowledge, 55.6% had a high perception of susceptibility, 51.9% had a high perception of severity, 52.8% had a high perceived benefit, 60.2% had a low perceived barrier, and 68.5% had a high cue to action. There is a relationship between knowledge (p=0.034), perceived benefits (p=0.001), and perceived barriers (p=0.001) with the use of VCT. The results of the study suggest optimizing counseling activities related to HIV/AIDS and the use of VCT to MSM groups by health workers and NGOs."

"Latar belakang: Karsinoma rektum merupakan salah satu keganasan neoplastik yang banyak terjadi pada bagian rektum dan umumnya terjadi pada negara maju yang terus menerus meningkat setiap tahunnya. Tujuan: menganalisis asuhan keperawatan pasien kanker rektum menggunakan pendekatan teori Peacefull End Of Life (PEOL). Metode: metode yang digunakan pada asuhan keperawatan ini yaitu case study, satu pasien dengan karsinoma rektum. Hasil: nyeri yang dirasakan pasien bersifat kronis dengan skala 5, fase kenyamanan: pasien mengalami keterbatasan dalam mobilisasi. Setelah dilakukan tindakan perawatan selama 7 hari, keluhan nyeri kronis tetap dirasakan pasien karena massa yang ada dibagian rektum tidak dapat dioperasi, namun selain penggunaan terapi opioid berupa Morfin MST 2x10 mg pasien juga diajarkan penggunaan terapi komplementer berupa terapi musik untuk mengurangi rasa nyeri. Kesimpulan: Penggunaan teori Peacefull End Of Life dapat digunakan dalam pengelolaan pasien dalam kondisi paliatif dan terminal yang bertujuan untuk meningkatkan kenyamanan serta mengurangi keluhan yang dirasakan pasien hingga akhir hidupnya.

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Background: Rectal carcinoma is one of the most common neoplastic malignancies that occurs in the rectum and generally occurs in developed countries which continues to increase every year. Objective: to analyze the nursing care of rectal cancer patients using the Peaceful End Of Life (PEOL) theoretical approach. Method: the method used in mental care is a case study, one patient with rectal carcinoma. Results: the pain felt by the patient is chronic with a scale of 5, the comfort phase: the patient experiences limitations in mobilization. After treatment for 7 days, patients still felt complaints of chronic pain because the mass in the rectum could not be operated on, but apart from the use of opioid therapy in the form of Morphine MST 2x10 mg the patient was also taught the use of complementary therapy in the form of music therapy to reduce pain. Conclusion: The use of the Peaceful End Of Life theory can be used in the management of patients in palliative and terminal conditions which aims to increase comfort and reduce complaints felt by patients until the end of their lives"

"This book provides a self-contained introduction to modern set theory and also opens up some more advanced areas of current research in this field. The first part offers an overview of classical set theory wherein the focus lies on the axiom of choice and Ramsey theory. In the second part, the sophisticated technique of forcing, originally developed by Paul Cohen, is explained in great detail. With this technique, one can show that certain statements, like the continuum hypothesis, are neither provable nor disprovable from the axioms of set theory. In the last part, some topics of classical set theory are revisited and further developed in the light of forcing. The notes at the end of each chapter put the results in a historical context, and the numerous related results and the extensive list of references lead the reader to the frontier of research. "

"This volume was produced in conjunction with the Thematic Program in o-Minimal Structures and Real Analytic Geometry, held from January to June of 2009 at the Fields Institute. Five of the six contributions consist of notes from graduate courses associated with the program : Felipe Cano on a new proof of resolution of singularities for planar analytic vector fields ; Chris Miller on o-minimality and Hardy fields ; Jean-Philippe Rolin on the construction of o-minimal structures from quasianalytic classes ; Fernando Sanz on non-oscillatory trajectories of vector fields ; and Patrick Speissegger on pfaffian sets. The sixth contribution, by Antongiulio Fornasiero and Tamara Servi, is an adaptation to the nonstandard setting of A.J. Wilkie's construction of o-minimal structures from infinitely differentiable functions. "

"Praktik residensi keperawatan medikal bedah kekhususan sistim perkemihan merupakan proses yang harus ditempuh untuk menjadi ners spesialis. Praktikan berperan sebagai care provider dalam memberikan asuhan keperawatan profesional dengan pendekatan model adaptasi Roy pada kasus utama gagal ginjal kronik stage V on hemodialisis dengan komplikasi subarachnoid hemoragic dan tiga puluh kasus perkemihan. Praktikan berperan sebagai peneliti dalam menerapkan tindakan keperawatan berbasis bukti ilmiah dengan topik holi Qur rsquo;an untuk menurunkan skore depresi dengan tahap awal skrining depresi. Peran sebagai inovator adalah dengan menerapkan model edukasi self instructional module SIM untuk meningkatkan pengetahuan dan kepatuhan pasien hemodialisis. Hasil praktik residensi adalah teori model adaptasi Roy efektif digunakan dalam memberikan asuhan keperawatan pada sistim perkemihan, holi Qur rsquo;an efektif menurunkan skore depresi dengan skrining awal menggunakan Beck Depression inventory II dan edukasi model SIM efektif meningkatkan pengetahuan dan kepatuhan pasien hemodialisis.

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Surgical-medical nursing residency practice on the specificity of urinary system is a process which must be taken to become a nursing specialist. During the residency practice, the student played several roles. As a care provider, the student delivered professional nursing actions with Roy adaptation model theory on the main case of chronic renal failure stage V on haemodialysis with subarachnoid haemorrhagic complication and thirty urinary cases. As a researcher, the student applied scientific evidence-based nursing actions with holy Qur'an to decrease depression score. Depression screening was conducted as the initial stage. And as an innovator, the student applied self-instructional module SIM to improve haemodialysis patients knowledge and obedience. The results of the residency practice were Roy Adaption model was effective to deliver nursing care on urinary system, holy Qur rsquo;an was successful to decrease depression score with Beck Depression inventory II used in the initial screening , and SIM was also effective to improve haemodialysis patients rsquo; knowledge and obedience."

"ABSTRAKBanyaknya permasalahan yang ditimbulkan akibat gangguan muskuloskeletal maka diperlukan peran Ners spesialis keperawatan muskuloskeletal untuk memberikan asuhankeperawatan profesional dan advance berdasarkan kebutuhan pasien. Tujuan penulisanKarya Ilmiah Akhir ini adalah menganalisis kegiatan praktik Ners Spesialis Keperawatan Medikal Bedah berdasarkan standar kompetensi spesialis keperawatan medikal bedah kekhususan sistem muskuloskeletal. Ners Spesialis dalam melakukan asuhan keperawatan pada pasien dengan gangguan muskuloskeletal menggunakan pendekatan teori Model Adaptasi Roy baik pada kasus kelolaan utama maupun resume. Penerapan Evidence Based Nursing (EBN) melalui intervensi latihan isometrik pada pasien pasca operasi fraktur ektremitas bawah, efektif menurunkan nyeri dan meningkatkan kekuatan otot. Proyek inovasi berupa pengembangan Enhanced Recovery after Surgery (ERAS) for orthopaedic untuk mempercepat proses pemulihan pasien operasi hip. Pemberian asuhan keperawatan pada pasien dengan gangguan muskuloskeletal menggunakan pendekatan teori Model Adaptasi Roy dapat membantu pasien untuk beradaptasi terhadap penyakitnya. Intervensi latihan isometrik jika dikombinasikan dengan terapi non farmakologis yang lain seperti nafas dalam berpotensi bisa memberikan efek yang lebih baik terhadap penurunan nyeri.

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ABSTRACTThe number of problems caused by musculoskeletal disorders requires the role of nursespecialist musculoskeletal nursing to provide professional and advanced nursing care based on patient needs. The purpose of writing this final scientific paper is to analyzethe practical activities of nurse specialist medical surgical nursing based on the competency standards of medical surgical nursing specialists, specifically the musculoskeletal system. Nurse specialists in conducting nursing care in patients withmusculoskeletal disorders use the Roy Adaptation Model theory approach both in thecase of main and resume managed. The application of Evidence Based Nursing (EBN)through isometric exercise intervention in patients with lower extremity fracture surgery, effectively reduces pain and increases muscle strength. The innovation project was in the form of developing Enhanced Recovery after Surgery (ERAS) for orthopedics to accelerate the recovery process for hip surgery patients. Giving nursing care to patients with musculoskeletal disorders using the Roy Adaptation Model theory approach can help patients adapt to the disease. An isometric exercise intervention if combined with other non-pharmacological therapies such as deep breathing has the potential to have a better effect on reducing pain."

"Penggunaan pinjaman fintech yang meningkat signifikan membuktikan kuatnya peran non-bank dalam memberikan inovasi pelayanan pembayaran dan fasilitas dana tunai secara online. Beberapa akademisi telah mempelajari mekanisme pengaruh niat seseorang dalam menggunakan fintech, namun belum banyak yang spesifik meneliti fokus pada satu jenis fintech yaitu pinjaman fintech. Penelitian ini bertujuan untuk memeriksa hubungan struktural antara perceived ease of use, perceived usefulness, brand image, government support, user innovativeness, perceived risk, trust, subjective norm, perceived behavioral control, attitude dan intention to use pinjaman fintech di Indonesia. Penelitian ini berdasarkan, Technology Acceptance Model (TAM), dan Theory of Planned Behavior (TPB). Sejumlah 377 responden non pengguna pinjaman fintech dan pengguna bank terkumpul untuk menguji penelitian yang menggunakan Structural Equation Modeling. Hasilnya memberikan 11 dari 17 hipotesis usulan yang dapat digunakan dalam manajemen dan memberikan alternatif bagi perusahaan jasa keuangan.

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The significant increase in the use of lending fintech proves the strong role of non-banks in providing innovative online payment services and funding facilities. Many scholars have studied the factors affect intention to using fintech, but not many have specifically examined one of type of fintech is lending fintech. The aims of study is to examine the structural relationship between perceived ease of use, perceived usefulness, brand image, government support, user innovativeness, perceived risk, trust, subjective norm, perceived behavioral control, attitude and intentions to use fintech lending in Indonesia. This research is based on Technology Acceptance Model (TAM), and Theory of Planned Behavior (TPB). Totally 377 bank customers who have not used fintech lending were collected for research using Structural Equation Modeling. The results provide that eleven from seventeen proposed hypotheses for management provide alternatives for financial services companies."

"Isu degradasi lingkungan telah menjadi isu utama beberapa tahun terakhir, sebagai akibat tidak terkendalinya emisi polutan yang berbahaya melalui berbagai macam aktivitas. Sektor transportasi terutama kendaraan bermotor berkontribusi dalam tingginya emisi karbon. Diperlukan solusi alternatif untuk menguranginya dampak negatif terhadap lingkungan yaitu salah satunya beralih pada penggunaan kendaraan listrik. Penelitian ini mengkombinasikan Technology Acceptance Model (TAM) dan Theory of Planned Behavior (TPB) yang bertujuan untuk memberikan gambaran mengenai faktor yang mempengaruhi intensi pembelian mobil listrik di Indonesia. Analisis Partial Least Square (PLS) diterapkan untuk menguji hubungan antara konstruksi yang diusulkan menggunakan data yang dikumpulkan dari 410 responden melalui survei online. Hasil penelitian menunjukkan bahwa attitude, subjective norm, price value, dan infrastructure barrier berpengaruh secara positif dan signifikan pada intensi pembelian mobil listrik. Sementara perceived usefulness, environmental concern, environmental self image, infrastructure barrier, dan personal moral norm tidak berpengaruh signifikan terhadap intensi pembelian mobil listrik dan perceived risk berdampak negatif pada intensi pembelian mobil listrik.

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The environmental degradation has been the major issue in recent years due to the uncontrolled emissions of harmful pollutants through various activities. The transportation sector, especially motor vehicles, contributes to high carbon emissions. Alternative solutions are needed to reduce the negative impact on the environment, one of which is switching to the use of electric vehicles. This study combines the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB) aiming to provide an overview of the factors that influence the intention of purchasing electric cars in Indonesia. Partial Least Square (PLS) analysis was applied to test the relationship between proposed constructions using data collected from 410 respondents through an online survey. The results show that attitude, subjective norm, price value, and infrastructure barrier positively affect the purchase intention of electric cars. Meanwhile, perceived usefulness, environmental concern, environmental self-image, infrastructure barrier, personal moral norms do not have a significant effect on the intention to purchase electric cars and perceived risk has a negative impact on the purchase intention of electric cars."

"Praktek residensi keperawatan medikal bedah pada sistem muskuloskeletal bertujuan untuk mengaplikasikan peran perawat sebagai pemberi asuhan, pendidik, pengelola, peneliti dan agen pembaharu. Perawat spesialis sebagai pemberi asuhan dengan melakukan pengeloaan pasien yang menjadi kasus utama dan resume. Kasus utama diberikan pada pasien dengan multiple fraktur dengan pendekatan teori model Virginia Henderson. Perawat spesialis sebagai peneliti dengan menerapkan Evidence-Based Nursing Practice dalam melakukan tindakan keperawatan. Penerapan terapi musik menjadi salah satu pilihan tindakan keperawatan yang berbasis bukti untuk mengurangi kecemasan pada pasien rawat inap ortopedi. Sedangkan perawat spesialis sebagai agen pembaharu dilakukan dengan menerapkan program Enhanced Recovery After Surgery pada pasien dengan Total Hip Replacement. Rangkaian kegiatan yang dilakukan dalam prakteik residensi bertujuan untuk meningkatkan kualitas pelayanan asuhan keperawatan yang holistik.

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Clinical practice of Medical-Surgery Nursing residency in orthopaedic nursing aims to apply the role of nurses as patient care providers, educators, manager, researchers and reform agents. Nurse specialists as providers of care by conducting patient management which is the main case and resume. The main case was given to patients with multiple fractures with Virginia Hendersons model theory approach. Nursing specialists as researchers by applying Evidence Based Nursing Practice in caryying out nursing actions. The application of the music therapy is one of the choices of evidence based nursing actions to reduce anxiety in erthopaedic inpatients. Nurse specialists as reform agents are carried out by implementing enhanced recovery after surgery programs in patients with Total Hip Replacement. The series of activities carried our in the residency practice aims to improve the quality of holistic nursing care services."