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"ABSTRACTThe study was conducted to investigate whether the intestinal helminthiasis influence the acute phase response (APR), nutritional status and iron status, and the impact of anthelminthic treatment on the APR and iron status among school children 8 - 11 years old in SD 01 and 02 Papanggo, Tanjung Priok, North Jakarta. The prevalence of helminthiasis among these children was regarding to Ascaris lumbricoides 81.6 %, T richuris Trichiura 88.3 % and mixed infection A.lumbricoides and T : trichiura 70 %. Of 120 children enrolled in this study, 59 children received a single 400 mg dose Albendazole, 61 children received placebo.The design of this study was a cross sectional association study combined with a randomized, doubly-masked, community intervention trial. At the beginning of the study, anthropometric measurements were taken. In addition, stool samples, plasma iron, hemoglobin, C-reactive protein (CRP), White Blood Cell (WBC), Erythrocyte Sedimentation Rate (ESR), Interleukin-1 (IL-I), Interleuldn-6 (IL-6) and Tumor Necrosis Factor (TNF) concentrations were determined prior to the interventions and 10 days after.The children with Z-score of WFA, WFH and FIFA less than -2 were 24,2 %, 6,7 % and 19.2 %, respectively. Of 30 % of the subjects were anemic (Hb <12 g /dl) and 21.6 % had plasma iron levels below normal (male < 59 µg/dl, female < 37µg/dl).CRP,IL-1,IL-6 and TNF showed normal values in both groups before and 10 days after treatment. ESR was significantly increased in both groups 10 days after treatment. Within group increases in WBC count was significant only in the treatment group.Plasma iron concentration was significantly increased in the treatment group (P = < 0.05) whereas it was significantly decreased in the placebo group (P = < 0.05). Increases in hemoglobin level in the treatment group and the decrease in the control group were no statistically significant.This study concluded that the APR were normal during the intestinal helminthiasis and the intensity of infection were not proportional with the APR level, The helminth treatment with single 400 mg dose of Albendazole has not only a significant effect on decreasing worm burden but also a rise in plasma iron."

"Stroke dapat menyebabkan penurunan status fungsional jika pasien tidak menjalani rehabilitasi terutama pada fase sub-akut. Penelitian ini bertujuan mengidentifikasi faktor yang berhubungan dengan penurunan status fungsional pada pasien stroke fase sub-akut. Penelitian kuantitatif ini menggunakan pendekatan cross-sectional. Hasil penelitian menunjukkan bahwa rerata pasien stroke mengalami ketergantungan sedang dalam melakukan aktivitas fungsional. Faktor-faktor yang berhubungan dengan penurunan status fungsional pada pasien stroke fase sub-akut yaitu usia (p=0,042), jenis kelamin (p=0,000), derajat keparahan (p=0,041), lokasi lesi (p=0,000), fatigue (p=0,023), status kognitif (p= 0,023), dan dukungan sosial (p= 0,037). Tipe stroke diketahui tidak berhubungan dengan penurunan status fungsional (p=0,312). Lokasi lesi merupakan faktor yang paling berhubungan dengan penurunan status fungsional (p=0,010). Penelitian ini diharapkan dapat digunakan sebagai dasar pengkajian dalam asuhan keperawatan pasien stroke fase sub-akut dalam rangka mengetahui masalah terkait status fungsional.

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Stroke can cause a decrease in functional status if the patient does not undergo rehabilitation especially in the sub-acute phase. This study aims to identify factors associated with decreased functional status in sub-acute stroke patients. This quantitative research uses a cross-sectional approach. The results of the study show that the average stroke patient has a moderate dependence on performing functional activities. Factors associated with decreased functional status in sub-acute stroke patients were age (p = 0.042), sex (p = 0.000), severity (p = 0.041), location of the lesion (p = 0,000), fatigue ( p = 0.023), cognitive status (p = 0.023), and social support (p = 0.037). Type of stroke was known not to be associated with a decrease in functional status (p = 0.312). The location of the lesion was the factor most associated with a decrease in functional status (p = 0.010). This research is expected to be used as a basis for the assessment of nursing care for sub-acute stroke patients in order to identify problems related to functional status."

"Stroke dapat menyebabkan penurunan status fungsional jika pasien tidak menjalani rehabilitasi terutama pada fase sub-akut. Penelitian ini bertujuan mengidentifikasi faktor yang berhubungan dengan penurunan status fungsional pada pasien stroke fase sub-akut. Penelitian kuantitatif ini menggunakan pendekatan cross-sectional. Hasil penelitian menunjukkan bahwa rerata pasien stroke mengalami ketergantungan sedang dalam melakukan aktivitas fungsional. Faktor-faktor yang berhubungan dengan penurunan status fungsional pada pasien stroke fase sub-akut yaitu usia (p=0,042), jenis kelamin (p=0,000), derajat keparahan (p=0,041), lokasi lesi (p=0,000), fatigue (p=0,023), status kognitif (p= 0,023), dan dukungan sosial (p= 0,037). Tipe stroke diketahui tidak berhubungan dengan penurunan status fungsional (p=0,312). Lokasi lesi merupakan faktor yang paling berhubungan dengan penurunan status fungsional (p=0,010). Penelitian ini diharapkan dapat digunakan sebagai dasar pengkajian dalam asuhan keperawatan pasien stroke fase sub-akut dalam rangka mengetahui masalah terkait status fungsional.

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Stroke can cause a decrease in functional status if the patient does not undergo rehabilitation especially in the sub-acute phase. This study aims to identify factors associated with decreased functional status in sub-acute stroke patients. This quantitative research uses a cross-sectional approach. The results of the study show that the average stroke patient has a moderate dependence on performing functional activities. Factors associated with decreased functional status in sub-acute stroke patients were age (p = 0.042), sex (p = 0.000), severity (p = 0.041), location of the lesion (p = 0,000), fatigue ( p = 0.023), cognitive status (p = 0.023), and social support (p = 0.037). Type of stroke was known not to be associated with a decrease in functional status (p = 0.312). The location of the lesion was the factor most associated with a decrease in functional status (p = 0.010). This research is expected to be used as a basis for the assessment of nursing care for sub-acute stroke patients in order to identify problems related to functional status."

"ABSTRAKPenyakit Kawasaki PK merupakan penyakit akut febris yang menyerang anak-anak berusia 5 tahun dengan penyebab yang belum diketahui. Pengalaman merawat anak dengan PK masih terbilang langka. Tujuan penelitian ini adalah untuk menggali pengalaman Ibu yang merawat anak dengan PK pada fase akut. Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan fenomenologi. Pemilihan partisipan menggunakan teknik convenience sampling yang melibatkan 15 partisipan melalui wawancara mendalam dengan pertanyaan semi terstruktur. Penelitian ini mengidentifikasi enam tema, yaitu kepastian dalam ketidakpastian, berpacu dengan waktu pengobatan, natur seorang ibu: berjuang demi keselamatan anak, menjalani ketetapan Tuhan, cukup sekali merasakan, dan menumbuhkan kewaspadaan akan PK. Temuan ini selanjutnya memicu semua pihak untuk mulai membangun kewaspadaan akan PK dan bersama-sama mendukung kebijakan strategis untuk memberikan penanganan dan asuhan keperawatan yang holistik tepat pada waktunya.

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ABSTRACTKawasaki Disease KD is an acute febrile disease which attack children under 5 years old with unknown cause. Caring children with KD is still a rare experience. The purpose of this study was to explore mothers rsquo experience of caring children with KD in acute phase, by using a descriptive qualitative method with a phenomenological approach. Convenience sampling was used and 15 participants were involved through semi structured in depth interview technique. The result of the study revealed six main themes certainty in uncertainty, racing against time of treatment, the nature of a mother struggling for the safety of her children, go through God rsquo s will, once is enough, and gaining KD awareness. This findings trigger all parties to gain KD awareness and support KD policies for giving the treatment and the holistic nursing care in time."