Hasil Pencarian  ::  Simpan CSV :: Kembali

"Genesis – in the beginning deals with the origin and diversity of Life and early biological evolution and discusses the question of where (hot or cold sources) and when the beginning of Life took place. Among the sections are chapters dealing with prebiotic chemical processes and considering self-replication of polymers in mineral habitats. One chapter is dedicated to the photobiological regime on early Earth and the emergence of Life. This volume covers the role of symmetry, information and order (homochrial biomolecules) in the beginning of Life. The models of protocells and the genetic code with gene transfer are important topics in this volume. Three chapters discuss the panspermia hypothesis (to answer “are we from outer space?”). Other chapters cover the astrobiological aspects of life in the Universe in extraterrestrial planets of the solar system and deal with cometary hydrosphere (and its connection to earth). Conclude with the history and frontiers of Astrobiogy."

"Starburst regions in nearby and distant galaxies have a profound impact on our understanding of the early universe. This new, substantially updated and extended edition of Norbert Schulz’s unique book "From Dust to Stars" describes complex physical processes involved in the creation and early evolution of stars. It illustrates how these processes reveal themselves from radio wavelengths to high energy X-rays and gamma–rays, with special reference towards high energy signatures. Several sections devoted to key analysis techniques demonstrate how modern research in this field is pursued and new chapters are introduced on massive star formation, proto-planetary disks and observations of young exoplanets. Recent advances and contemporary research on the theory of star formation are explained, as are new observations, specifically from the three great observatories of the Spitzer Space Telescope, the Hubble Space Telescope and the Chandra X-Ray Observatory which all now operate at the same time and make high resolution space based observing in its prime. As indicated by the new title two new chapters have been included on proto-planetary disks and young exoplanets. Many more colour images illustrate attractive old and new topics that have evolved in recent years. "

"Penelitian ini bertujuan untuk menilai efektivitas early warning score terhadap kejadian henti jantung pasien di instalasi rawat inap rumah sakit tingkat IV TNI AD dr.Bratanata Jambi Tahun 2019. Penelitian dilaksanakan di bulan Desember 2018 sampai April 2019 di instalasi rawat inap dengan pendekatan kualitatif dengan metode studi kasus. Teknik untuk memperoleh data adalah dengan wawancara mendalam, telaah dokumen, dan observasi langsung. Hasil penelitian menunjukkan adanya kejadian yang tidak diharapkan berupa kejadian henti jantung mengarahkan kepada penerapan early warning score yang belum optimal. Ketidakpatuhan terhadap pengisian, pengkajian, dan pengaktifan protokol early warning score di lapangan antara lain dipengaruhi oleh maldistribusi perawat, beban kerja perawat yang tidak sesuai dengan kompetesinya, pengetahuan perawat, dan komunikasi antara perawat dengan dokter. Hambatan penerapan EWS di lapangan antara lain ketidaksesuaian jumlah perawat berbanding dengan pasien, beban kerja perawat di luar pelayanan kesehatan, dan kurangnya pengetahuan dari staf mengenai penurunan kondisi klinis pasien. Hal ini bermuara kepada standar operasional prosedur yang belum lengkap dan penyusunan pola ketenagaan yang masih belum efektif dan efisien, juga monitoring-evaluasi dan pelatihan berkesinambungan yang belum berjalan dengan baik sehingga implementasi early warning score tidak optimal. Rekruitmen pegawai sesuai dengan kompetensi dan profesionalitas, pembuatan kebijakan yang menggabungkan pola kebijakan top-down dan bottom-up, pengaturan ulang penempatan sumber daya perawat, pendidikan dan pelatihan berkelanjutan merupakan upaya yang dapat meningkatkan keberhasilan implementasi early warning score.

---

This study aims to assess the effectiveness of the application of early warning score on patients cardiac arrest events in the inpatient at installation level IV Army Hospital Dr.Bratanata Jambi in 2019. The study was conducted in December 2018 to April 2019 in inpatient installations with a qualitative approach with a case study method. The technique for obtaining data is through in-depth interviews, document review, and direct observation. The results of the study show that the occurrence of adverse events such as cardiac arrests lead to an unoptimal implementation of an early warning score. Nurses noncompliance in filling, assessing and activating early warning score protocol in the field is influenced by nurses maldistribution, nurses workloads that are not in accordance with their competencies, nurses knowledge, and communication between nurses and doctors. Barriers to the application of EWS in the field include the mismatch of the number of nurses compared to patients, the workload of nurses outside of health services, and the lack of knowledge from staff regarding the decline in the patients clinical condition. This leads to incomplete operational standard procedures and the formulation of work patterns that are still ineffective and inefficient, as well as ongoing evaluations and training that have not run well so that the implementation of an early warning score is not optimal. Employee recruitment in accordance with competence and professionalism, policy making that combines topdown and bottom-up policy patterns, rearranging the placement of nurse resources, continuing education and training is an effort that can increase the success of the implementation of an early warning score."