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"Community-Acquired Pneumonia CAP adalah penyakit sistem pernapasan yang menyerang jaringan parenkim paru. Penyakit ini banyak mengancam individu dewasa dengan penurunan sistem imun. Penderita CAP mengalami peningkatan setiap tahunnya akibat peningkatan polusi udara yang berada di wilayah perkotaan, terutama pada kawasan industri. Penderita CAP akan mengalami peningkatan produksi sputum yang berujung pada kesulitan dalam mengeluarkan sputum. Pasien dengan CAP sering mengalami penurunan refleks batuk yang membuat sputum terakumulasi di jalan napas sehingga menyebabkan peningkatan usaha untuk bernapas. Fisioterapi dada merupakan salah satu teknik pembersihan jalan napas pada pasien dengan penurunan refleks batuk. Karya Ilmiah Akhir Ners ini bertujuan untuk menganalisis intervensi fisioterapi dada untuk mengurangi gejala serta mencegah perburukan pada pasien dengan CAP. Metodologi yang digunakan adalah metode studi kasus dan analisa penelitian yang telah ada. Hasil analisa yang didapatkan menunjukkan fisioterapi dada dapat menurunkan usaha napas pasien, pengurangan episode demam, perubahan karakteristik sputum, serta penuruan persentase mortalitas melalui skoring CURB-65.

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Community Acquired Pneumonia CAP is a respiratory disease that attacks the pulmonary parenchymal tissue. This disease threatens many adults with decreased immune system. CAP sufferers are increasing every year due to increasing air pollution in urban areas, especially in industrial areas. CAP sufferers will experience an increase in sputum production that leads to difficulties in removing sputum. Patients with CAP often have decreased cough reflexes that make sputum accumulate in the airway causing increased effort to breathe. Chest physiotherapy is one of the airway cleansing techniques in patients with decreased cough reflexes.

This Final Scientific Work of Ners aims to analyze the interventions of chest physiotherapy to reduce symptoms and prevent worsening of patients with CAP. The methodology used is the case study method and the existing research analysis. The results obtained showed chest physiotherapy can decrease the patient 39 s breathing effort, reduction of febrile episodes, changes in sputum characteristics, as well as the percentage of mortality by scoring CURB 65."

"ABSTRAKThe physiotherapy statistics from the Saraburi Hospital in Thailand show that patients with chronic lower back pain from muscle tearing have a higher tendency toward chronic pain, requiring continuous treatment. Most physiotherapists use radial shockwave therapy (RSWT) or radial pulse therapy to treat patients with chronic muscle tears. The aim of this study was to determine the immediate efficacy of RSWT on patients with lower back pain caused by chronic muscle strain. The purpose of this work is to assess the effectiveness of RSWT in the treatment of chronic back muscle pain. The type of this research is quasi-experimental research study. The location is this study is Physical Therapy Clinic at the Saraburi Hospital in Thailand. The study participants had pain intensities of greater than 5 out of 10. The experimental group (30 patients) received RSWT to the lower back for 10-15 minutes once a week for 6 weeks. The control group (30 patients) received ultrasound (US) treatments to the lower back using the semi-static technique with gel, but without turning the machine on, for 15 minutes once a week for 6 weeks. Both groups were taught to avoid bending and carrying heavy loads, as well as the correct way to lift heavy objects. None of the patients received medications, injections, massages, or acupuncture. The pain levels in both groups at work and at rest were measured using a visual analog scale. The treatment results were evaluated and compared at the 1st, 4th, and 6th treatments. The patient satisfaction was assessed at the 6 treatments as follows: 1 = most, 2 = high, 3 = moderate, 4 = low, and 5 = minimum. The effects on daily life and career performance were measured before the study and at the end as follows: 1 = most, 2 = high, 3 = moderate, 4 = low, 5 = minimum, and 6 = no effect. A statistical analysis was performed on the demographic data as well as on the pain level comparisons. The results of the RSWT and US treatments were measured while the patients were resting and working at 1, 4, and 6 months. Twelve and 18 of the patients were cured, respectively. In the US groups, 6 patients were statistically significantly better at the , , and treatments (but no cures). The post-treatment satisfaction was not significantly different between the RSWT and US groups. Consequently, the use of RSWT to treat chronic muscle strain can reduce pain immediately, and it can cure pain completely in some cases. Therefore, it should be used to treat more patients with chronic muscle strain. It should also be considered for use in chronic pain cases in which the patient does not respond to other conservative treatments."

"Kemoterapi menjadi pilihan pengobatan yang paling efektif dalam mengobati kanker payudara. Efek samping yang dialami hampir semua pasien kemoterapi adalah mual muntah. Teknik guided imagery merupakan salah satu dari banyak terapi komplementer yang dapat mengatasi mual muntah akibat kemoterapi pada pasien kanker payudara. Teknik guided imagery dapat dilakukan pada saat sedang kemoterapi. Penelitian ini bertujuan untuk mengetahui efektifitas teknik guided imagery sebelum dan saat sedang kemoterapi dalam mengatasi mual muntah pada pasien kanker payudara. Desain penelitian ini menggunakan quasi experimental two group pretest posttest design. Penelitian ini menggunakan dua kelompok, yaitu kelompok sebelum kemoterapi dan kelompok saat sedang kemoterapi yang akan diobservasi sebelum dan sesudah intervensi. Hasil penelitian ini didapatkan bahwa ada pengaruh yang signifikan pada penurunan mual muntah pada kelompok sebelum kemoterapi setelah diberikan intervensi guided imageri ( p value = 0,000 ;α<0,05) dan pengaruh yang signifikan pada kelompok saat sedang kemoterapi setelah diberikan intervensi guided imagery (p value = 0,000 ; α<0,05). Dari hasil penelitian yang di dapat pada kedua kelompok kemudian dilakukan analisis untuk melihat perbedaan skor mual muntah post intevensi guided imagery sehingga didapatkan hasil bahwa tidak terdapat perbedaan yang signifikan perubahan mual muntah setelah diberikan intervensi guided imagery pada kelompok sebelum kemoterapi dan kelompok saat sedang kemoterapi (p value = 0,814;α<0,05). Bedasarkan hasil dari penelitian ini dapat disimpulkan bahwa guided imagery yang dilakukan saat sedang kemoterapi, berpengaruh signifikan dalam menurunan mual muntah akibat kemoterapi pada pasien kanker payudara

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Chemotherapy is the most effective treatment option in treating breast cancer. The side effect experienced by almost all chemotherapy patients is nausea and vomiting. Guided imagery technique is one of many complementary therapies that can overcome nausea and vomiting due to chemotherapy in breast cancer patients. This study aims to determine the effectiveness of guided imagery before and while chemotherapy in treating nausea and vomiting in breast cancer patients. The design of this study used a quasi-experimental two group pretest posttest design. This study used two groups, namely the group before chemotherapy and the group during chemotherapy to be observed before and after the intervention. The results of this study found that there was a significant effect on reducing nausea and vomiting in the group before chemotherapy after being given guided imagery intervention (p value = 0.000 ; <0.05) and a significant effect in the group while undergoing chemotherapy after being given guided imagery intervention (p value = 0.000 ; <0.05). From the results of the study obtained in both groups, an analysis was carried out to see the difference in the post-guided imagery intervention post-intervention nausea and vomiting so that it was found that there was no significant difference in changes in nausea and vomiting after being given guided imagery intervention in the group before chemotherapy and the group while undergoing chemotherapy (p value = 0.814;α<0.05). Based on the results of this study, it can be concluded that guided imagery, which was carried out while undergoing chemotherapy, had a significant effect in reducing nausea and vomiting due to chemotherapy in breast cancer patients."

"This comprehensive, fully revised and expanded 2nd Edition of Clinical Botanical Medicine provides clinicians with updated practical information on a broad range of diseases and conditions for which botanical medicine is effective. Special attention is given to toxicity and drug-herb interactions to ensure that the clinician is fully informed about the safety and efficacy of each botanical. Clinical Botanical Medicine, 2nd Edition discusses the interactions between the human body, pharmaceutical drugs, and plants and explores the multifaceted nature of botanical medicine. The book is comprised of revised and updated articles published over the years in Alternative and Complementary Therapies which illustrate the depth and complexity of botanical medicine's role in healing, and demonstrate how our western science-based understanding of herbs can benefit from acknowledging an approach that treats herbs as a whole, living part of healing."

"Agriculture in Indonesia is still an important sector in the economy, while for several outer provinces it constitutes the most important economic activity. However, there exists a wide discrepant in agricultural development between in particular Java/Ball and the eastern part of Indonesia. This is the very central issue which the author intents to capture the attention of policy makers in the field of agricultural development. The most advanced region for agricultural cultivation is highly concentrated on the island of Java, while in many parts of eastern Indonesia agricultural cultivation is still underdeveloped in terms of number of plant varieties, product quality and productivity. And these backward farmers belong to the poor group in the population. This wide discrepant in agricultural development is being demonstrated through a number of tables and personal observations by the author. Soil condition, climate and inputs do of course determine the volume, quality and kind of output, but know-how about agricultural technologies is no less important, and this is lacking in the Eastern regions. Unfortunately, thus far the central as well as the local governments do not put much attention to regional agricultural development. Therefore the government should change this attitude or rather its negligence about the problem, because through education in agricultural technologies and extension services the farmers in the outer regions could improve their agricultural technical know-how, contribute to regional development and hence their income."

"Presents an introduction to the art, science, and practice of physical therapy. This book provides a foundation upon which to build a career in the challenging yet rewarding field of physical therapy. It provides the conceptual framework necessary to understand every aspect of physical therapy and eventually perform physical therapy intervention. "