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"Global Status Report on Road Safety 2019 yang dibuat oleh World HealthOrganization (WHO), sebanyak 1,24 juta korban meninggal tiap tahunnya diseluruh dunia akibat kecelakaan lalu lintas. Sedangkan di Indonesia rata-rata 3orang meninggal setiap jam akibat kecelakaan lalu lintas pada tahun 2019.Kecelakaan lalu lintas menyebabkan trauma sehingga produktivitas seseorangdapat menurun selain itu dapat menyebabkan kecacatan sementara hinggapermanen. Fraktur atau sering dikenal dengan patah tulang adalah hilangnyakontinuitas tulang, retak atau patahnya tulang yang semulanya utuh. Dampak yangditimbulkan oleh trauma pada fraktur diantranya terbatasnya aktivitas, karena rasanyeri akibat tregeseknya saraf motorik dan sensorik pada luka fraktur. Salah satutatalaksana dari fraktur adalah tindakan operasi dengan metode Open ReductionExternal Fixation (OREF). Nyeri post operasi pemasangan OREF sangatdirasakan oleh pasien. Nyeri adalah sesuatu hal yang bersifat subjektif. Rasa nyerimenghambat pasien untuk memulai menggerakkan ekstermitas yang cedera.Range Of Motion adalah tindakan keperawatan. ROM dapat menurunkanintensitas nyeri karena memperlancar sirkulasi darah, dan memelihara mobilitaspersendian, mengurangi ketegangan, serta meningkatkan relaksasi (Brunner &Suddarth, 2018).

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Global Status Report on Road Safety 2019 which was made by World Health

Organization (WHO), as many as 1,24 million people die every yearof

worldwide duee to traffic accidents. While in Indonesia an average of 3 people

die every hour due to traffic accident in 2019 pada tahun 2019. The traffic

accident cause the trauma, so that the productivity's someone can decrease. In

addition it can cause temporary to permanent disability. Fractures or often

known as fractures are the loss of continuity of bone, cracks or fractures of

bones that were originally intact. The impact caused by trauma to fractures

includes limited activity, because of the pain caused by the friction of the motor

and sensory nerves in the fracture wound. One of the treatments for fractures is

surgery using the Open Reduction External Fixation (OREF) method. The

patient feels the postoperative pain of OREF installation. Pain is something that

is subjective. Pain prevents the patient start moving the injured extremity.

Range Of Motion is a nursing action. ROM can reduce pain intensity because it

facilitates blood circulation, and maintains joint mobility, reduces tension, and

increases relaxation (Brunner & Suddarth, 2018).

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"ABSTRAKAnalisis Penerapan Range Of Motion Untuk Mengurangi Nyeri Pada Klien Post ORIF Plate And Screw e.c Close Fraktur Tibia Fibula Dextra 1/3 Distal Di Ruang Rawat Bedah RSUPN Dr. Cipto Mangunkusumo Fraktur adalah terputusnya kontinuitas tulang dan terjadi jika tulang dikenai stress yang lebih besar dari yang dapat diabsorbsinya. Salah satu penatalaksanaan yang dilakukan adalah dengan Open Reduction Internal Fixation dimana fragmen tulang yang patah akan di stabilisasi dengan menggunakan pin dan skrup. Saat ini klien memasuki proses penyembuhan tulang dalam fase inflamasi,  dimana dalam proses inflamasi akan muncul permasalahan yang dialami oleh klien paska tindakan ORIF diantaranya yaitu nyeri. Nyeri dapat mengakibatkan masalah pada sistem muskuloskeletal seperti keram otot, berkurangnya fungsi tulang, fatigue dan keterbatasan gerak. Terapi nonfarmakologis yang dapat diberikan kepada klien untuk mengurangi nyeri paska ORIF adalah dengan melakukan Range Of Motion. Manfaat melakukan gerakan Range Of Motion adalah dapat menentukan nilai kemampuan sendi tulang dan otot, memperlancar sirkulasi darah serta dapat memperbaiki tonus otot.  Untuk itu tujuan dari penulisan karya ilmiah ini adalah untuk menganalisis terkait Range Of Motion untuk mengurangi nyeri pada klien post ORIF plate and screw. Setelah mendapatkan implementasi terapi Range Of Motion klien mengalami penurunan skala nyeri.

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ABSTRACTAnalysis of the Application  Range of Motion to Reduce Pain in Post Client ORIF Plate and Screw e.c Close Fracture Tibia Fibula Dextra 1/3 Distal in the Surgical Hospital Dr. Cipto Mangunkusumo A fracture is a break in bone continuity and occurs when the bone is subjected to a stress that is greater than it can absorb. One of the treatments performed is the Open Reduction Internal Fixation in which the broken bone fragments are stabilized using pins and couplers. Currently the client enters the bone healing process in the inflammatory phase, where in the inflammatory process the problems experienced by the client after the ORIF action will arise, including pain. Pain can lead to problems in the musculoskeletal system such as muscle cramps, reduced bone function, fatigue and limited movement. Non-pharmacological therapy that can be given to clients to reduce pain after ORIF is to do Range Of Motion. The benefits of doing Range Of Motion movement are that it can determine the value of the ability of bone and muscle joints, improve blood circulation and can improve muscle tone. For this reason, the purpose of writing this scientific paper is to analyze the related Range Of Motion to reduce pain in post ORIF plate and screw clients. After getting the implementation of Range Of Motion therapy, clients experience a decrease in the pain scale."

"The aim of this study was to determine individual orangutan home ranges and core areas and identify overlapping areas among individuals. The research was conducted over 34 months, at Cabang Panti Research Station, Gunung Palung National Park, West Kalimantan. Observations were conducted by focal animal sampling, were taken 30 minutes points during focal follows. Data results show that the average daily journey length of a female orangutan at Cabang Panti was 762 meters and the average length of a male was 748 meters. Based on Kernel analysis, it was determined that a female orangutan home range area occupies 33,6% of the research area on average, roughly quivalent to a male's home range, which occupies 36,9% of the research area. Meanwhile, the average female orangutan core area was 36 ha and average male core area was 43 ha. Among female orangutans, Beth was the adult female who had the largest overlap area with the male ranges, wheareas Codet (a flanged male) and Zorro (an unflanged male) had the largest overlap areas with the female ranges."

"ABSTRAKThis research was conducted to examine signaling hypothesis and trading range hypothesis for companies splitting their stock in Jakarta Stock Exchange for the period of2000- 2003. Two statistical analysis were used in this research, parametric statistic i.e. independent t test, paired t test, and the non parametric statistic i.e. Whitney U test. Normality and equality of variance were done to determine which analysis to be used. Sample size of ihis research consists of 28 companies which split their stocks and 60 companies which do not split their stocks. Samplewas chosen by simple random sampling. The result of this research shows that thereis a signaling on profit growth differences in the year 2001, and there is no signalingon yearly profit increase over 4 years before stock splits. On the other hand, thereis a trading rmlge on market stock price in the year 2000 and 2003; this was alsoshown by trading volume stock."

"Masyarakat perkotaan memiliki gaya hidup yang kurang sehat, mulai dari padatnya daerah tempat tinggal, pola makan yang kurang baik, kebiasaan beraktivitas yang buruk, ditambah semakin meningkatnya populasi lanjut usia yang merupakan kelompok populasi rentan. Semakin meningkatnya kelompok lansia di daerah perkotaan, maka kesempatan lansia untuk menderita penyakit kronik juga semakin meningkat, salah satu nya adalah prevalensi penyakit sendi di Indonesia, yang salah satu jenisnya adalah penyakit gout arthritis. Beberapa karakteristik masyarakat perkotaan yang telah disebutkan merupakan salah satu dari banyak faktor yang dapat menyebabkan masalah gout arthritis pada lansia. Karya ilmiah ini dibuat untuk mengetahui efektifitas dari latihan fisik berupa rentang pergerakan sendi terhadap penurunan kadar asam urat. Setelah dilakukan intervensi keperawatan selama empat minggu, klien menunjukkan penurunan kadar asam urat sebanyak 1.6 mg/dL dari 8.1 mg/dL menjadi 6.5 mg/dL. Penerapan intervensi dapat lebih efektif jika waktu intervensi lebih lama dan dukungan keluarga terhadap klien adekuat.

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Urban communities have an unhealthy lifestyle, such as the density of living areas, poor diet, poor activity habits, thus the increasing elderly population which is a vulnerable population group. The increasing number of elderly people in urban areas makes opportunity for the elderly to suffer from chronic diseases also increases, which is the prevalence of gout arthritis. Some characteristics of urban communities that have been mentioned can cause gout problems in elderly. This scientific work was made to determine the effectiveness of physical exercise (ergonomic gymnastics and the range of motion) to decrease uric acid levels. Writer had done the nursing intervention for four weeks and the client showed a decrease in uric acid levels of 1.6 mg / dL from 8.1 mg / dL to 6.5 mg / dL. The greatest result can be obtained if the time of intervention is longer and the client has an adequate family support"

"Kehidupan masyarakat perkotaan yang semakin modern tanpa sengaja telah mengubah gaya hidup masyarakat, termasuk kebutuhan pangannya. Perubahan gaya makan yang dikonsumsi mengakibatkan masalah gout arthritis yang menyebabkan hambatan mobilitas fisik pada lansia. Tujuan penulisan karya ilmiah akhir ini yaitu menggambarkan asuhan keperawatan pada keluarga lansia dengan hambatan mobilitas fisik. Intervensi unggulan yang dilakukan adalah latihan range of motion (ROM) pada lansia. Intervensi ini dilakukan selama 2 minggu. Hasil evaluasi menunjukkan bahwa intervensi unggulan yang dilakukan dapat meningkatkan fleksibilitas sendi, kekuatan otot, dan meningkatkan mobilitas klien. Latihan ROM disarankan untuk digunakan perawat untuk membantu lansia meningkatkakan fleksibilitas sendi dan kekuatan otot sehingga dapat meningkatkan mobilitas fisik di pelayanan keperawatan keluarga.

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The life of urban communities that is more and more modern has accidentally changed people's lifestyles, including their food needs. Changes in the style of food consumed have resulted in the problem of gout arthritis which causes immobility physical in the elderly. The purpose of writing this final scientific paper is to describe nursing care in elderly families with immobility physical. A feature-type intervention is the Range of Motion (ROM) exercises for the elderly. This intervention was carried out for 2 weeks. The results of the evaluation showed that the intervention can improve joint flexibility, muscle strength, and increase client mobility. ROM exercises are recommended for the use of nurses to help elderly improve the flexibility of joints and muscle strength so that it can increase physical mobility in family nursing service.

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"Bus Rapid Transit telah banyak diterapkan di Indonesia, salah satunya adalah Trans Jogja. Seiring dengan pertumbuhan kendaraan yang tinggi per tahunnya, hal ini berdampak pada penurunan kinerja lalu lintas yang juga mempengaruhi keandalan Trans Jogja. Salah satu opsi untuk meningkatkan keandalan Trans Jogja adalah dengan menerapkan Transit Signal Priority. Namun, dalam penerapannya, perlu diperhatikan dampak yang akan terjadi pada pengendara lalu lintas lainnya. Untuk mengetahui dampak tersebut, simulasi dengan menggunakan software VISSIM akan menguji beberapa skenario dengan mengubah volume lalu lintas pada setiap persimpangan dan ruas jalan. Dengan mengetahui volume lalu lintas yang optimal, kita dapat membuat skenario yang membuat TSP lebih optimal, yang bertujuan untuk meningkatkan keandalan bus dan mengurangi dampak yang diterima oleh pengguna jalan lainnya.

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Bus Rapid Transit has been widely implemented in Indonesia, one of which is Trans Jogja. Along with the high growth of vehicles per year, it impacts reducing traffic performance, which also affects the reliability of Trans Jogja. One option to improve the reliability of Trans Jogja is to implement Transit Signal Priority. However, in its application, it is necessary to consider the impact that will occur on other traffic drivers. To determine the impact, a simulation using VISSIM software will test several scenarios by changing the traffic volume of each intersection and road section. By knowing the optimal traffic volume, we can create scenarios that make the TSP more optimal, aiming to increase bus reliability and reduce the impact received by other road users."

"Pasien COVID-19 derajat berat sangat bergantung pada terapi oksigen yang diberikan. Pasien COVID-19 yang dirawat di ICU menggunakan High Flow Nasal Canula (HFNC), Non Invasive Ventilation (NIV), atau Ventilator Mekanik sebagai alat bantu pemberian terapi oksigen. Penggunaan alat bantu terapi oksigen tersebut menyebabkan pasien mengalami tirah baring lebih dari 7 hari sehingga berpotensi terjadinya kelemahan otot pada pasien yang mengalami tirah baring lama. Untuk mencegah dan mengatasi kelemahan otot yang dialami pasien, perlu dilakukan intervensi keperawatan latihan Range of Motion (ROM) secara rutin. Studi kasus ini akan menggambarkan penerapan ROM untuk meningkatkan kekuatan otot pasien COVID-19 derajat berat dengan tirah baring lama di ruang ICU Non Ventilator RSUI Depok, pasien laki-laki usia 53 tahun dengan kelemahan otot ekstremitas bawah diberikan intervensi Range of Motion selama 2 kali sehari selama 6 hari dengan durasi 15-20 menit. Hasil evaluasi menunjukkan bahwa kekuatan otot mengalami peningkatan pada ekstremitas bawah yang semula skor kekuatan otot 5444/5444 menjadi 5555/5555. Kesimpulan: latihan Range of Motion efektif dalam meningkatkan kekuatan otot pasien COVID-19 dengan tirah baring lama.

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Patients with severe COVID-19 are depend on oxygen therapy. High Flow Nasal Canula (HFNC), Non Intensive Ventilator (NIV), and Mechanical Ventilator are devices to deliver oxygen therapy. Application of oxygen therapy devices causes the patient have to be bed rest for more than 7 days so there is potential risk muscle weakness in patients. Range of Motion exercise maintains patient’s muscle strength. This case report will describe application of Range of Motion exercise to improve muscle strength of severe COVID-19 patient in ICU non ventilator RSUI Depok, a 53-years-old male patients with severe COVID-19 with muscle weakness in his lower extremity received Range of Motion exercise twice a day for 6 days with 15-20 minutes duration each exercise. The results showed there is an improvement of lower extremity muscle strength from 5444/5444 to 5555/5555. Conclusion: Range of Motion exercise can improve muscle strength of severe COVID-19 patients with bed rest."