Daftar Nilai Akhir Askep THT dan Wicara D3 Kep Stikes Muhammadiyah Palembang 2010

NO	NAMA	NIM	Abs	Mutu	Lamb
1	Adam	02.08.933	75	3	B
2	Apri	02.08.934	68	3	B
3	Afri	02.08.935	74	3	B
4	Asse	02.08.937	76	3	B
5	Berl	02.08.938	73	3	B
6	Cici	02.08.939	70	3	B
7	Dedi	02.08.940	71	3	B
8	EkaS	02.08.942	75	3	B
9	Elke	02.08.943	69	3	B
10	Elsy	02.08.944	66	2	C
11	Elvi	02.08.945	71	3	B
12	Eriy	02.08.946	69	3	B
13	Febr	02.08.947	68	3	B
14	Fiki	02.08.948	69	3	B
15	Fitr	02.08.949	72	3	B
16	Hida	02.08.950	70	3	B
17	Hair	02.08.951	0	0	E
18	Iras	02.08.952	68	3	B
19	Iren	02.08.953	74	3	B
20	Irma	02.08.954	70	3	B
21	Itai	02.08.955	71	3	B
22	Jess	02.08.957	0	0	E
23	Liah	02.08.958	71	3	B
24	Lian	02.08.959	71	3	B
25	Lutf	02.08.960	71	3	B
26	Mekk	02.08.961	72	3	B
27	Meid	02.08.962	0	0	E
28	Meli	02.08.963	71	3	B
29	Meri	02.08.964	73	3	B
30	Nova	02.08.965	72	3	B
31	Novi	02.08.966	70	3	B
32	Okta	02.08.967	70	3	B
33	Okbr	02.08.968	0	0	E
34	Pomp	02.08.969	71	3	B
35	Riri	02.08.970	73	3	B
36	Risk	02.08.971	70	3	B
37	Resw	02.08.972	67	2	C
38	Rith	02.08.973	73	3	B
39	Riza	02.08.974	72	3	B
40	Roby	02.08.975	76	3	B
41	Sole	02.08.976	0	0	E
42	Susi	02.08.977	68	3	B
43	Sutr	02.08.978	71	3	B
44	Tuti	02.08.979	78	3	B
45	Wida	02.08.980	73	3	B
46	Yesi	02.08.981	72	3	B
47	Yudh	02.08.982	73	3	B
48	Liaa	02.09.002	77	3	B
NO	NAMA	NIM	Abs	Mutu	Lamb
1	Ayue	02.08.983	74	3	B
2	Ayuk	02.08.984	68	3	B
3	Bamb	02.08.985	65	2	C
4	Dian	02.08.986	0	0	E
5	Dwio	02.08.987	69	3	B
6	Ekaa	02.08.988	70	3	B
7	Ekan	02.08.989	69	3	B
8	Eris	02.08.990	70	3	B
9	Erni	02.08.991	71	3	B
10	Erwi	02.08.992	70	3	B
11	Erwi	02.08.993	66	2	C
12	Evaw	02.08.994	72	3	B
13	Febn	02.08.995	71	3	B
14	Febr	02.08.996	68	3	B
15	Hart	02.08.997	74	3	B
16	Hend	02.08.998	71	3	B
17	Inda	02.08.999	0	0	E
18	Ira	02.08.1000	69	3	B
19	Juli	02.08.1001	72	3	B
20	Juli	02.08.1002	0	0	E
21	Juna	02.08.1003	80	4	A
22	Khaz	02.08.1005	65	2	C
23	Kiki	02.08.1006	70	3	B
24	Lesi	02.08.1008	67	2	C
25	Mift	02.08.1009	70	3	B
26	Misr	02.08.1010	68	3	B
27	Muti	02.08.1011	75	3	B
28	Nava	02.08.1012	71	3	B
29	Nina	02.08.1013	73	3	B
30	Pras	02.08.1014	71	3	B
31	Prim	02.08.1015	73	3	B
32	Rahm	02.08.1016	72	3	B
33	Rind	02.08.1017	72	3	B
34	Rioz	02.08.1018	73	3	B
35	Riri	02.08.1019	69	3	B
36	Rona	02.08.1020	68	3	B
37	Rudi	02.08.1021	69	3	B
38	Sept	02.08.1022	70	3	B
39	Seri	02.08.1023	72	3	B
40	Serl	02.08.1024	79	4	A
41	Siti	02.08.1025	71	3	B
42	Widi	02.08.1026	79	4	A
43	Wind	02.08.1027	0	0	E
44	Yanu	02.08.1028	0	0	E
45	Yeni	02.08.1029	70	3	B
46	Yeni	02.08.1030	71	3	B
47	Yuli	02.08.1031	73	3	B
48	Yusn	02.08.1032	77	3	B
49	Daru	02.09.001	69	3	B

Komponen Penilaian: Tugas 10%, UTS 10%, UAS 30%, Praktikum 50%

A Validated Risk Score for in-Hospital Mortality in Patients With Heart Failure from the American Heart Association Get with the Guidelines Program

By: Pamela N. Peterson, MD, MSPH; John S. Rumsfeld, MD, PhD; Li Liang, PhD; Nancy M. Albert, RN, PhD;Adrian F. Hernandez, MD, MHS; Eric D. Peterson, MD, MPH; Gregg C. Fonarow, MD;Frederick A. Masoudi, MD, MSPH

Abstract

Background— Effective risk stratification can inform clinical decision-making. Our objective was to derive and validate a risk score for in-hospital mortality in patients hospitalized with heart failure using American Heart Association Get With the Guidelines–Heart Failure (GWTG-HF) program data.

Methods and Results— A cohort of 39 783 patients admitted January 1, 2005, to June 26, 2007, to 198 hospitals participating in GWTG-HF was divided into derivation (70%, n=27 850) and validation (30%, n=11 933) samples. Multivariable logistic regression identified predictors of in-hospital mortality in the derivation sample from candidate demographic, medical history, and laboratoryvariables collected at admission. In-hospital mortality rate was 2.86% (n=1139). Age, systolic blood pressure, blood urea nitrogen, heart rate, sodium, chronic obstructive pulmonary disease, and nonblack race were predictive of in-hospital mortality. The model had good discrimination in the derivation and validationdatasets (c-index, 0.75 in each). Effect estimates from the entire sample were used to generate a mortality risk score. The predicted probability of in-hospital mortality varied more than 24-fold across deciles (range, 0.4% to 9.7%) and corresponded with observed mortality rates. The model had the same operatingcharacteristics among those with preserved and impaired left ventricular systolic function. The morality risk score can be calculated on the Web-based calculator available with the GWTG-HF data entry tool.

Conclusions— The GWTG-HF risk score uses commonly available clinical variables to predict in-hospital mortality and provides clinicians with a validated tool for risk stratification that is applicable to a broad spectrum of patients with heart failure, including those with preserved left ventricular systolic function.

Key Words: epidemiology • heart failure • mortality • registries • risk factors

Ventricular Pacing Thresholds Following High-Energy Implantable Cardioverter Defibrillator Shocks in Integrated Bipolar Defibrillation Systems

By: Yoshio Yamanouchi, MD, Kei Miyoshi, MD, Sunao Kodama, MD, Yuhei Shiga, MD, Shunichiro Sumi, MD, Hideya Niimura, MD, Hideaki Toujou, MD, and Hidenori Urata, MD

BACKGROUND:

Increased ventricular pacing thresholds have been observed following monophasic implantable cardioverter defibrillator (ICD) shocks.

AIM:

To examine changes following high-energy biphasic shocks delivered by integrated bipolar ICD systems.

METHOD:

Ten episodes of ventricular fibrillation (VF) were induced at 10 min intervals in nine pigs with integrated ICD systems. After 10 s of each episode of VF, a 40 J biphasic shock was delivered, which successfully terminated VF (a total of 10 shocks). The bipolar pacing threshold at the right ventricular apex was measured before each shock and at 1 min intervals after each shock.

RESULTS:

The mean pacing threshold was 0.029±0.059 μJ before the first shock and gradually increased to 0.14±0.10 μJ after the 10th shock.

CONCLUSION:

It may be necessary to pace at a high-voltage output following biphasic shocks delivered by integrated bipolar ICD systems.

Keywords: High-energy ICD shock, Pacing threshold

Sumber: Exp Clin Cardiol. 2009, 14 (1): 3-5

Hospital-Based Emergency Nursing in Rural Settings

By: Jennifer F. Brown

ABSTRACT

In 2006, the Institute of Medicine (IOM) released a series of reports that highlighted the urgent need for improvements in the nation’s emergency health services. This news has provided new energy to a growing body of research about the development and imple­mentation of best practices in emergency care. Despite evidence of geographical dis­parities in health services, relatively little attention has been focused on rural emergency services to identify environmental differences. The purpose of this chapter is to sum­marize the contributions of nursing research to the rural emergency services literature. The research resembles a so-called shotgun effect as the exploratory and interventional studies cover a wide range of topics without consistency or justification. Emergency nursing research has been conducted primarily in urban settings, with small samples and insufficient methodological rigor. This chapter will discuss the limitations of the research and set forth an agenda of critical topics that need to be explored related to emergency nursing in rural settings.

Keywords: rural emergency nursing; disaster nursing; nursing research

Sumber: Annual Review of Nursing Research, Volume, 2008

Alcohol, burn injury, and the intestine

By: Mashkoor A Choudhry & Irshad H Chaudry

Abstract

A significant number of burn and other traumatic injuries are reported to occur under the influence of alcohol (EtOH) intoxication. Despite this overwhelming association between EtOH intoxication and injury, relatively little attention has been paid to determining the role of EtOH in post-injury pathogenesis. This article reviews studies which have evaluated the impact of EtOH on post-burn intestinal immunity and barrier functions. The findings from these studies suggest that while a smaller burn injury by itself may not have an adverse effect on host defense, when combined with prior EtOH intoxication it may become detrimental. Experimental data from our laboratory further supports the notion that EtOH intoxication before burn injury suppresses intestinal immune defense, impairs gut barrier functions, and increases bacterial growth. This results in increased bacterial translocation which may contribute to post injury pathogenesis. Altogether, the studies reviewed in this article suggest that EtOH intoxication at the time of injury is a risk factor, and therefore blood EtOH should be checked in burn/trauma patients at the time of hospital admission.

Keywords: Inflammation, tissue damage, trauma

Selengkapnya dapat dibaca pada [Sumber]: Journal Emerging Trauma Shock. 2008 Jul–Dec; 1(2): 81–87.

Perawatan Diabetes di Pedesaan Amerika

Diabetes Care Among Rural Americans

By: Sharon Williams Utz

ABSTRACT

The prevalence of diabetes in the United States is higher among those living in rural/ nonmetropolitan statistical areas than in urban centers. Managing this complex chronic illness is complicated by factors such as limited access to care, low socioeconomic status, aging, and membership in a racial or ethnic minority group. A review of the literature was conducted focusing on research about rural Americans with diabetes by searching databases of CINAHL, PubMed, and MEDLINE, and selecting articles in English that were published between 2000 and 2007. Search terms included: nursing, research, rural, rural nursing, rural health services/programs, and diabetes care. Additional search strategies included journal hand searching and networking. Twenty-six research reports were found and included qualitative and quantitative methods and program evaluations. All regions of the United States were represented except the Northwest. The vast ma­jority of research reports were of descriptive studies (n = 16), with program evaluation reports (n = 7) and studies testing an intervention (n = 3) also represented. The quality of each study is examined and summarized.

Keywords: diabetes care; rural; nursing; research

Sumber: Annual Riview of Nursing Research, Volume 26, 2008