AbstrakSalah satu cara pemenuhan Minimum Essential Force TNI-AL adalah melalui peningkatan kemampuan Alutsista yang sudah dimiliki. Peningkatan kemampuan tersebut dapat dilakukan dengan melengkapi kapal perang (KRI) dengan PUNA BPPT. Penempatan PUNA BPPT pada kapal perang TNI-AL akan mendukung fungsi operasionalnya, antara lain patroli perbatasan, pengawasan wilayah bahkan hingga pengintaian.Dalam naskah ini akan disajikan kemampuan jangkauan jarak, ketahanan dan ketinggian terbang PUNA BPPT yang relevan dengan pengoperasiannya dari kapal perang. Perhitungan parameter prestasi terbang PUNA BPPT akan dilakukan dengan pengolahan data uji terbang, dokumen perancangan, dan aproksimasi yang terkait.Meskipun PUNA belum mampu menggantikan keseluruhan fungsi helikopter di kapal perang, tapi beberapa fungsi penting tersebut dapat dikerjakan oleh PUNA. PUNA beroperasi dengan konsumsi bahan bakar yang sangat sedikit dan dapat bertolak dan mendarat dengan lebih mudah. Dengan sifat Nir Awak-nya, penggunaan PUNA mengurangi resiko terhadap keselamatan personel yang mengoperasikannya. Hal-hal ini menjadi acuan BPPT dalam mengembangkan PUNA yang dapat beroperasi dari kapal perang. Kata kunci : PUNA KRI, PUNA BPPT, Flying Wing, Flight Range, Flight Endurance
Background: Pleural effusion is a fluid above the normal in the pleural space. Widespread pleural effusions will cause shortness of breath that affects the fulfillment of oxygen demand, so that nursing interventions can be arranged one of them is to set the semifowler position and collaborate in the giving of O2. The purpose of this study was to obtain a picture and experience in providing nursing care significantly for patients with pleural effusion with respiratory disorders. Method: This study uses data analysis method that is comparing the results obtained from two patients with pleural effusions who experienced ineffective breathing disorder and then compared with case study journal or other sources. Result: Based on the results of interviews and observations concluded that with the same diagnosis and performed the same implementation there are differences in outcomes in the intervention group with the control group. Conclusion: Forward in this study is the need to pay attention to accuracy in conducting assessments to maximize data in determining the priority problems that occur in patients and interventions based ONEC (Observation, Nursing Treatment, Education, Collaboration). Keywords: Pleural Effusion; Breath Pattern Not Effective
Background: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood normally, causing disturbed venous return pressure to cause edema. The problem that arises is hypervolemia or intracellular fluid resuscitation to the interstitial that causes edema so that can be arranged nursing intervention one of them is giving diuretic and monitor fluid balance. Describes nursing care performed in Congestive Heart Failure (CHF) patients with hypervolemia. Method: This study uses data analysis method that is conducting the nursing process of two patients Congestive Heart Failure (CHF) who suffered from Hypervolemia disorder and then compared with case study journal as well as other sources. Result: After nursing action in both patients the Hipervolemia problem is equally partially resolved by fluid restriction nursing interventions, and the administration of diuretics. Conclusion: In providing nursing care to patients with Congestive Heart Failure (CHF) should pay attention to fluid restriction and appropriate diuretic administration to reduce edema. Keyword: Congestive Heart Failure (CHF), Hipervolemia, Nursing Care
Usaha jasa makanan dan minuman atau jasaboga adalah usaha yang memberikan prospek yang cerah jika dilakukan dengan benar. Harapan keuntunganpun ada di saat kita memulai usaha ini, banyak sekali bermunculan usaha jasaboga yang ada di Kota Bandar Lampung, baik dari skala rumahan, hingga restoran. Pada Pasal 3 Peraturan Walikota Bandar Lampung No.58 Tahun 2011 tentang tugas fungsi dan tata kerja badan penanaman modal dan perizinan kota Bandar Lampung menjelaskan bahwa Badan Penanaman Modal dan perizinan kota Bandar Lampung mempunyai tugas pokok melaksanakan sebagian urusan pemerintah daerah dalam penyusunan dan pelaksanaan kebijakan daerah dibidang penanaman modal dan pelayanan perizinan berdasarkan asas ekonomi dan tugas pembantuan Permasalahan yang ada dalam penulisan ini adalah bagaimana perizinan usaha jasa boga oleh Badan Penanaman Modal dan Perizinan Kota Bandar Lampung dan Faktor penghambat perizinan usaha jasa boga.
Abstract: Competence, Clinical Practice KMB-DM I. The purpose of this study was to determine theachievement of nursing clinical practice KMB-DM I in DIV Nursing Program students Surakarta HealthPolytechnic in clinical learning. This study was conducted to provide an objective explanation in orderto achievement of competence of nursing clinical practice I KMB-DM in the clinic learning DIV NursingStudent Health Polytechnic Surakarta at a certain time, then this kind of research is descriptive withcrosectional approach. Subjects in this study were students continue DIV Nursing Diploma programtotaling 46 students. The results of this study indicate that the achievement of competence in clinicalnursing practice KMB-DM I of the 46 students who meet the competency targets a total of 39 people(85%) and who do not meet the target competencies 7 people (15%). Students who did not meet thetarget achievement of competence in nursing clinical practice KMB-DM I solution is to look for DMpatients with or without complications brought to the laboratory and each student assess, formulate adiagnosis, planning of nursing, nursing action and evaluate the results of nursing actions in thesepatients.
Abstract : Level Of Ability Of Nurses, ECG Interpretation. American Heart Association (AHA) in 2011, recorded more then 1.000.000 people have heart attacks every year, half died from the heart attack and in Europe figures reach 20,000-40,000 CHD patients than 1,000,000 population. In Indonesia in 2002 with acute myocardial infarction disease is the first cause of death with a mortality rate of 220,000 (14%). The purpose of this study to determine the level of ability to interpret ECG nurse in RSUD dr. Soeratno Gemolong Sragen. This research is an experimental approach to Pre-Test-Post Test Group design. through research hypothesis testing. The study population was a nurse amounted to 50 respondents divided into two groups. 30 respondents as the treatment group and 20 respondents as the control group. Statistical tests on the group in pairs using the nonparametric Wilcoxon test and unpaired pad groups using the Mann-Whitney test. Based on the results of the Wilcoxon test can be concluded that the 30 respondents who do the training interpretation of ECG by means of training and training using the modules can be drawn the conclusion that the majority of nurses had good knowledge in terms of ability to interpret ECG with p valueÂ 0.001, which means there are significant differences between before and after doing the training. While the results of the Mann-Whitney test the difference between training and training in how to use the module p value 0.001, which means there is a significant difference training by way of training and training in how to use the module.Â Keywords: Level of ability of nurses, ECG Interpretation
Abstract: Early Mobilization, Respiration, Acute Myocardial Infarction. Myocard Â Infarction is the death of myocard cells caused by prolonged lack of oxygen. American Heart Association (AHA) 2011, recorded over 1.000.000 people have heart attacks every year. Program of early mobilization (EM) is currently developed by nurses (as part of a component in cardiac rehabilitation hospitals), which can improve physical health. The Objective of research is Proving the influence of early mobilization on changes in vital signs in patients with acute Myocard infarction. This study uses Experimental reseach design with Randomized Pre-test-Post-test Control Group Design.Â Sample of this study is IMA patients were 90 respondents who had normal haemodynamic, consisted of 45 respondents provided an early mobilization as the intervention and 45 respondents as a control group were random selected. Data were analyzed by univariate frequency distribution table, while the bivariate data using, Wilcoxon and independent samples t-test. Research procedures performed by observing respiration before and after intervention. Â Early mobilization influence the change in respiration. In the group of pairsÂ p-valueÂ 0,01 temperature, where as the unpaired group after treatment p-value of respiration 0,05Â Early mobilization of acute myocard infarctionin patients with normal haemodinamic, changes respiration Â remained normal haemodinamic although there is a difference between pre-test and post-test
Abstract: Functional Capacity Of Nurses And Midwives, Hospital Preparedness For Emergency And Disaster. Indonesia is a country that lies between two major continents and two great oceans. In addition Indonesian territory lies on the line ring of fire that led to a natural phenomenon caused many disasters. Nurses and midwives are the functional element which has a very big role in the hospital. There are some facilities that disaster preparedness is not owned by the hospital as well as the absence of a forum specifically set up and implement management Hospital For Emergency And Disaster Preparedness in an integrated manner. The purpose of this study was to determine the functional capacity of nurses and midwives Hospital of Surakarta in the development of hospital programs for emergency and disaster preparedness. This research is a descriptive study that seeks to explain the preparedness of nurses and midwives in implementing menagemen Hospital For Emergency And Disaster Preparedness integrally artery mean pressure with cross sectional approach through research hypothesis testing. The population was nurses and midwives were 30 samples using descriptive statistical tests. Based on the results of research and discussion, we can conclude that from the results of a study of 30 respondents can be drawn the conclusion that the majority of nurses and midwives have a good knowledge in emergency preparedness. Of the 14 components of the contribution of nurses and midwives obtained several components that felt still less that of the formation of clusters and disaster preparedness team Suggestion. put forward in this study is terehadap education and training of nurses and midwives to improve management capacity in disaster preparedness
Abstrack: Snake Bite, Incision And Without Incision, Decreasing Speed Of Wound Swelling. Snake bite has different effects, ranging from a simple wound up to life-threatening and even can lead to death. The principle of first aid for snake bite is to avoid the spread of snake poison and to prevent the infection in the bitten part. In the past, the snake bite was treated by using incision while some sources recently stated that the snake bite is not necessary treated by using incision. This study aims to determine The differences between snake bite wound treatment with incision and without incision toward the decreasing speed of wound swelling at RSUD Pacitan. The study design used non-experimental research method : a comparative with retrospective or historical documentary approach. The samples were taken by using total sampling technique. The sum of the samples was 88 documents. They were taken from medical record documents. The statistic test used Chi square with significant value 0.05. The result of the study showed that there were differences between snake bite wound treatment with incision and without incision toward the decreasing speed of wound swelling at RSUD Pacitan in 2009 â 2011.
Abstract : Knowledge, Ventilator Associated Pneumonia (VAP). The use of mechanical ventilators often cause problems, such as lung infections, like pneumonia. The fact of the Center for Disesase Control (CDC), namely the prevention of Hospital Acquire Pneumonia (HAP) that most of the procedures to prevent VAP conducted by nurses. Nurses should have knowledge of how prevention of VAP. Where knowledge is influenced by several factors, including internal and external factors. The purpose of this study was to determine the factors associated with nurseâs knowledge on the prevention of Ventilator Associated Pneumonia (VAP) in ICU of RSUD Dr. Moewardi Surakarta. The study was descriptive correlational with cross sectional approach. The results of this research indicate that there is no relationship between education with the knowledge of nurses on the preventing of VAP evidenced by the r value of -0.036 count is smaller than r table 0.4005. There was no relationship between years of service with the knowledge of nurses on the preventing of VAP evidenced by the r value of 0.026 count is smaller than r table 0.4005. There was no relationship between training with the knowledge of nurses on the preventing of VAP evidenced by the r value of -0.312 count is smaller than r table 0.4005. There was no relationship between education, years of service, and training with the knowledge of nurses on the preventing of VAP.Keywords : Knowledge, Ventilator Associated Pneumonia (VAP)