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"ABSTRACTThe lipid metabolism in a group of Indonesian womeen using oral contraceptive Microgynon 30 ED ( 0,15 dnorgestrel + 0,03 mg ethyl estradiol ) and Noriday ( I mg norethindron + 0,05 mg meet ranOl ) was monitored in 12 months. Triglycerides, Cholesterol and Total Upide were mea sired in the fastiing state from women taking the above oral contraceptives Blood pressure and body weight were also measureda Total lipids in serum were determined by the method of ZoUtor and Kirsch.(39)4 Serum trig rcerides were determined by the methodof Wablefold (32) and Cholesterol was dstGaed by Watson's fl1et4Dd(3) After 12 months,, sigulficant increase in Triglycerides aad eignitLcant decrease in Cholesterol were noted with the IiCZ'OflOft 30 010 The Noriday group showed siiif1cant increase in Tn g1'cedes and Total lipids There in no hypertension and an increase of 1,3 kg for those oral antracep tive users,"

"Asuhan keperawatan pada pasien kanker yang dilakukan pada praktik klinik lanjut keperawatan medikal bedah adalah pada pasien kanker payudara yang mendapatkan kemoterapi dengan penerapan peaceful end of life theory di Rumah Sakit Kanker Dharmais Jakarta Selain itu asuhan keperawatan juga dilakukan dalam bentuk resume keperawatan Dari pengelolaan asuhan tersebut ditemukan bahwa peaceful end of life teori dapat di terapkan pada pasien kanker yang memasuki tahap paliatif Sedangkan diagnosa keperawatan yang paling sering muncul adalah nyeri kronis dan kecemasan Pada praktik klinik ini terdapat juga penerapan evidence based practice EBN tentang penggunaan oral cryotherapy untuk mengurangi oral mukositis pada pasien yang mendapatkan kemoterapi 5 flourourasil 5 fu menemukan hasil bahwa oral cryotherapy mampu mengurangi kejadian oral mukositis Selanjutnya untuk memenuhi peran perawat sebagai innovator maka dilakukan evaluasi dan ujicoba pengembangan format pengkajian keperawatan Kata kunci kanker kemoterapi oral mukositis.

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Nursing care to cancer patients conducted in advanced clinical practice medical surgical nursing was the breast cancer patients who received chemotherapy with the application peaceful end of life theory at Dharmais Cancer Hospital in Jakarta Nursing care was also done in the form of resume nursing From the nursing care was found that the peaceful end of life theory can be applied in cancer patients in the palliative stage While the nursing diagnosis that mostly found was chronic pain and anxiousness In this clinical practice there was also the application of evidence based practice EBN on the use of oral cryotherapy to reduce oral mucositis to patients who receiving chemotherapy flourourasil 5 5 fu And it was found that oral cryotherapy can reduce the oral mucositis Furthermore to fulfill nurse rsquo s role as an innovator there were evaluation and experimentation of nursing assessment formats development Keywords Cancer Chemotheraphy oral mucositis"