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"ABSTRAK Operasi dekomprasi vaskular mikro telah diterima sebagai tatalaksana definitif pada berbagai keluhan akibat kompresi mekanik pada kompleks neurovaskular. Tindakan eksplorasi fossa posterior diketahui berhubungan dengan komplikasi gangguan fungsi serebellar dan saraf kranial. Diperlukan adanya evaluasi pasca operasi yang mengintegrasikan aspek pemulihan atas keluhan, dan komplikasi terkait tindakan, dalam menilai luaran pasien secara menyeluruh.TujuanMenilai luaran pasca operasi dekompresi vaskular mikro pada penderita sindrom kompresi kompleks neurovaskular yang dikelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2011-Oktober 2015 menggunakan efficacy, complication, total score (ECT score) serta faktor-faktor yang mempengaruhi luaran.MetodePenelitian ini merupakan penelitian historikal prospektif terhadap pasien pasca operasi dekompresi vaskular mikro dengan sindrom kompresi kompleks neurovaskular yang dikelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2011-Oktober 2015. Sebagai pembanding digunakan data luaran menurut publikasi ECT score orisinil. Data penelitian ini diperoleh melalui catatan rekam medis.HasilSejak Januari 2011 sampai dengan Oktober 2015, didapatkan 21 pasien trigeminal neuralgia primer dan 11 pasien hemifasial spasme primer yang dilakukan tindakan microvascular decompression. Sebanyak 15 pasien trigeminal neuralgia telah melalui periode lebih dari satu tahun pasca operasi dengan hasil luaran excellent (T-0) 13 pasien (87%), good (T-1) 1 pasien (6%), fair (T-2) 0 pasien, poor (T3-5) 1 pasien (6%). Sebanyak 11 pasien hemifasial spasme primer telah melalui periode lebih dari satu tahun pasca operasi dengan hasil luaran excellent (T-0) 5 pasien (62,5%), good (T-1) 2 pasien (25%), fair (T-2) 0, poor (T3-5) 1 pasien (12,5%). Penelitian ini memiliki jumlah sampel yang terbatas dan tidak didapatkan faktor yang mempengaruhi luaran KesimpulanSkor ECT terbukti bermanfaat dalam menilai luaran pasien paska MVD di RSCM. Jumlah pasien trigeminal neuralgia primer yang sembuh sempurna tanpa komplikasi (T0) di RSCM didapatkan 13 pasien dari 15 pasien. Jumlah luaran pasien hemifasial spasme primer yang sembuh sempurna tanpa komplikasi (T0) di RSCM didapatkan 5 pasien dari 8 pasien. ABSTRACTOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0).;TitleOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0).;TitleOutcome of Neurovascular Compression Syndrome Based on Efficacy Complication Total Score in FKUI-RSUPNCM, 2011-2015BackgroundMicrovascular decompression has been administered as neurosurgical armamentary as definitive treatment of mechanical compression of neurovascular. Posterior fossa approach also related to post operative cerebellar and cranial nerve dysfunction. An integrated evaluation combining efficacy and complication of surgical exploration is crucial to determine a comprehensive outcome of post surgical patients.PurposeTo evaluate outcome of microvascular decompression surgery in patient diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score) and related factors.MethodA historical prospective study on patients diagnosed with neurovascular compression syndrome managed by Department of Neurosurgery RSUPN Dr. Cipto Mangunkusumo, January 2011-October 2015 based on efficacy, complication, total score (ECT score). The result is compared with the original publication of ECT score outcome. Research data was obtained through medical records.ResultsTwenty one patients diagnosed with trigeminal neuralgia and 11 patients diagnosed with hemifacial spasm were treated by microvascular decompression surgery since January 2011 - October 2015. In trigeminal neuralgia group shown fifteen patients with more than one year post operative period with categorized outcome : 13 patients (87%) excellent (T-0), 1 patient (6%) good (T-1), 0 patient fair (T-2), 1 patient (6%) poor (T3-5). In hemifacial spasm group shown 11 patient with more than one year post operative period with categorized outcome : 5 patient (62,5%) excellent (T-0), 2 patient (25%) good (T-1), 0 patient fair (T-2), 1 patient (12,5%) poor (T3-5). Sample size of research were limited and related to insignificant findings of related factors. ConclusionEfficacy complication total score is efficient in evaluating post microvascular decompression surgery outcome. Trigeminal neuralgia group shown 13 of 15 patients with excellent outcome (T0). Hemifacial spasm group shown 5 of 8 patients with excellent outcome (T0)."

"ABSTRAKPenatalaksanaan klien dengan gangguan jiwa tidak terlepas dari empat peran perawat dalam merawat klien yaitu peran sebagai pelaksana, pendidik, pengelola dan peneIiti. Selain ke empat peran perawat tersebut juga harus didukung dengan kemampuan komunikasi yang terapeutik dari searang perawat. Sehingga dapat mendasari terjadinya perubahan perilaku klien, dan keterIibatan emosional klien dalam menjalankan terapi yang dilakukannya.Berdasarkan hal tersebut di atas maka diperlukan pengetahuan dan kemampuan perawat dalam melakukan asuhan keperawatan secara holistik, khususnya peran perawat dalam terapi somatik dan terapi psikofarmaka yang diberikan pada klien. Pada makalah ini akan dibahas peran perawat dalam terapi somatik (ECT) dan terapi psikofarmaka, khususnya peran perawat sebagai pelaksana dan pendidik."

"Tingkat kepercayaan yang cukup rendah pada informasi yang beredar di internet memengaruhi pola aktivitas masyarakat untuk melakukan verifikasi informasi secara langsung. Keberadaan Wikipedia yang memberikan fasilitas penyuntingan informasi oleh komunitas pun masih dirasa kurang menyelesaikan permasalahan tersebut. Portal Referensi XYZ menjembatani permasalahan ini dengan menyediakan informasi yang didukung oleh sumber data departemen Penelitian dan Pengembangan Perusahaan Media XYZ dari tahun 1965. Namun, walaupun terdapat kenaikan jumlah akses yang signifikan setelah diluncurkan, mayoritas lalu lintas akses tersebut berasal dari pengguna baru sehingga ada potensi berkurangnya lalu lintas akses setelah akuisisi pengguna baru menurun. Risiko ini berdampak pada hilangnya potensi Portal Referensi XYZ sebagai sumber pemasukan baru perusahaan. Oleh karena itu, penting bagi pemangku kepentingan terkait mengetahui faktor-faktor yang memengaruhi niat penggunaan kembali Portal Referensi XYZ. Penelitian ini menggunakan model DMIS, TAM, ECT, dan satu variabel terhubung yaitu Subjective Norm serta metode purposive dan convenience sampling untuk mengetahui niat penggunaan kembali Portal Referensi XYZ. Setelah data didapatkan dan dianalisis, diketahui bahwa tiga dari empat asumsi faktor yang memengaruhi niat penggunaan kembali, secara berurutan dari yang paling signifikan, adalah Perceived Usefulness, Satisfaction, dan Subjective Norm. Faktor ke empat, yaitu Attitude, yang diperkirakan memiliki pengaruh signifikan ternyata dibuktikan sebaliknya. Menggunakan hasil analisis yang telah dijabarkan, pemangku kepentingan terkait dapat meningkatkan niat penggunaan kembali Portal Referensi XYZ dengan berfokus pada peningkatan ke tiga faktor yang ditemukan memiliki pengaruh signifikan.

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level of trust towards information circulating on the internet affects individuals’ tendency to verify the information directly. Community edits, such as that provided by Wikipedia, were found ineffective to resolve this problem. Conversely, the XYZ Reference Portal attempts this issue by providing information sourced and supported by XYZ Media Company’s well-established research and development data which dates to 1965. Since the launch of XYZ Reference Portal, most of the traffic are sourced from new users. This carries the risk of declining trend of traffic once the new user acquisition decreases, eliminating the potential of the XYZ Reference Portal as a new source of revenue for the parent company. Thus, this research finds it important to unveil the factors that may lead to customers’ continuance intention towards XYZ Reference Portal. This research uses the DMIS, TAM, ECT model, as well as Subjective Norm as its main theoretical lens.  Data was gathered through purposive and convenience sampling, which then were analyzed quantitatively, using PLS SEM to measure significant factors affecting the Continuance Intention. The outcome shows that three out of four factors measured significantly affect Continuance Intention, sorted from the most significant are Perceived Usefulness, Satisfaction, and Subjective Norm. The fourth factor of Attitude was found insignificant toward Continuance Intention. This research offers practical implications for XYZ Reference Portal by suggesting to prioritize on the three significant factors as they are more likely to improve Continuance Intention."

"Situasi yang menekan dapat dialami oleh siapapun. Individu dapat mengalami stres akibat peristiwa hidup yang besar dan masalah hidup sehari-hari, dan stres yang bersifat kumulatif pada kehidupan seseorang dapat memprediksi hasil buruk pada kesehatan mental. Dalam mengatasi efek negatif dari kesulitan, kedekatan dengan alam dan makna hidup dapat berperan penting dalam membantu individu beradaptasi dan memperoleh hasil yang positif. Penelitian ini bertujuan untuk melihat peran makna hidup serta dimensi-dimensinya yakni accomplished life, exciting life, principled life, purposeful life, dan valued life dalam memediasi hubungan antara kedekatan dengan alam dan resiliensi pada 175 partisipan dengan rentang usia 18–63 tahun (M = 25,00). Analisis data dilakukan dengan menggunakan PROCESS Macro Model 4 dari Hayes. Penulis menemukan bahwa makna hidup secara keseluruhan, maupun dimensi accomplished life, dan dimensi exciting life memediasi secara penuh hubungan antara kedekatan dengan alam dengan resiliensi. Sementara itu, peran mediasi dari dimensi principled life, purposeful life, dan valued life tidak signifikan.

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Anyone can experience stressful situations. Individuals can experience stress from major life events and everyday life problems, and stress that is cumulative in a person's life can predict adverse outcomes for mental health. In overcoming the negative effects of adversity, nature relatedness and the meaning in life can play an important role in helping individuals adapt and achieve positive results. The purpose of the present research is to investigate the role of meaning in life and its dimensions, namely accomplished life, exciting life, principled life, purposeful life, and valued life, in mediating the relationship between nature relatedness and resilience in 175 participants with an age range of 18–63 years (M = 25,00). Data analysis was performed using Process Macro Model 4 from Hayes. This study found that meaning in life in general, along with the accomplished life dimension, and the exciting life dimension fully mediated the relationship between nature relatedness and resilience. Meanwhile, the mediating role of the dimensions of principled life, purposeful life, and valued life was not significant"