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"ABSTRAKKetidakberdayaan dapat terjadi pada individu yang menderita gagal jantung akibat tanda gejala yang dirasakan, dan menjadi permasalahan psikososial yang berpengaruh pada fungsi fisik individu dengan gagal jantung. Karya ilmiah akhir ners ini memaparkan asuhan keperawatan psikososial ketidakberdayaan selama empat hari pada pasien dengan gagal jantung di Ruang Antasena RS dr H Marzoeki Mahdi Bogor. Implementasi keperawatan yang dilakukan berupa menggali perasaan, melatih berpikir positif, mengidentifikasi aspek positif diri yang masih dapat dilakukan sesuai kemampuan, dan memilih target realistis yang dapat dicapai. Karya ilmiah ini menunjukkan bahwa intervensi keperawatan ketidakberdayaan yang optimal melibatkan keluarga menunjukkan penerimaan terhadap penyakit pada pasien dan menumbuhkan rasa berdaya, sehingga klien mampu menumbuhkan harapan diri dan tujuan realistis dalam hidupnya. Oleh karena itu, hubungan timbal balik antara fungsi fisik dan psikososial pasien gagal jantung perlu menjadi perhatian yang menjadi dasar pemberian asuhan keperawatan yang holistik

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ABSTRACTPowerlessness may occur in heart failure patient due to its symptoms, and may become psychosocial problem affect the physical function. This work describes psychosocial nursing care plan of powerlessness given to heart failure patient in Antasena Room Dr H Marzoeki Mahdi Hospital Bogor for four days. The nursing implementation are include letting the patient to express her feelings, building positive thinking, identifying positive aspects of herself according to her physical ability, and choosing the realistic goals. This scientific work demonstrates that optimal nursing intervention of powerlessness involving the family show acceptance of the disease in the patient and foster a sense of empowerment, so that the client is able to foster self expectations and realistic goals in his life. Therefore, the interrelationships between physical and psychosocial aspect of the heart failure patient should be noted as the basis of holistic care nursing"

"The aim of this study was to investigate the effect of ant (hypertensive agents with different degrees of renal excretion lisinopril (L) eliminated in the kidney and fosinopril (F), only 50% of which is eliminated through the kidney on renal function in hypertension patients with mild to moderate renal failure.Materials and methods: Patients were divided into two groups. The first group was given F 10 mg/day and the second group was given L 10 mg/day. Groups were divided randomly, and drugs were given for 6 weeks each night at 8.00p.m. The hypertension status of each subject was determined from systolic blood pressureJ140 mmHg or diastolic blood pressure -f 90 mg/dl. Subjects were both male and female, with an age range of 18- 65 years old.Results: The results from the creatinine examination of the 10 mgF group was (3.06 ±0.97) mg/dl after drug use, which showed no decrease in renal function. The difference was insignificant (p=0.17). The 10 mgL group the creatinine level was (3.22 ±0.17), where as in the 10 mg L group the creatinine level was (3.22 ± 0.75) mg/dl before the use of the drug and (4.11 ± 2.14) mg/dl after the use of the drug respectively. There was no worsening of the renal function, which did not differ significantly (p=0.11). There was a significant difference (p < 0.05) in the creatinine level of the 10 mg F and 10 mg L groups. The serum creatinine level before and after treatment did show any significant changes at. 6 week. However, the serum creatinine profile over 6 week was more significant in the F group than in the L groups."

"The management of failure case resulting form mummification treatment Signs of successful treatment folloewing mummification are the absence of clinical complaints, the formation of secondary cement, and no periapical pathosis present. Treatment about amputation the infected pulp, which has been devitalized in the pulp chamber and leaving the necrotic pulp tissues in root canal is no longer in accordance with treatment tenet now a day. The remaining necrotic tissues is a focus of infection capable of disturbing biologic healing of tissues. Three cases of root canal treatment following pulp mummification which has been done causes complaints from discomfort to severe pain and the infections spread to periapical tissue in 2, 10, and 22 years afterwards. The results of the treatment are good and periapical radiolucency shawing signs of diminution and disappearance. Evaluation on each case was done in 3 months, 6 months and 2 years after the root canal treatment."

"Di dalam sebuah kendaraan terdapat beberapa komponen penunjang yang berfungsi untuk menggerakan kendaraan tersebut atau biasa disebut sebagai drive train, diantaranya adalah komponen engine, kompen transmisi, dan komponen gardan. Dimana dari masing-masing komponen tersebut memiliki kendala dan cara penyelesaian yang berbeda.Ketika ditemukan problem pada mekanisme tersebut, maka supaya solusi yang diberikan dapat komprehensif diperlukan salah satu metode untuk menentukan akan masalah yang menyebabkan problem itu terjadi yaitu dengan menggunakan metode failure tree analysis (FTA). Dalam hal ini, penulis mengambil tema yaitu terkait analisa kerusakan pada mekanisme gardan dengan menggunakan metode Failure tree analysis (FTA).Dari hasil pengecekan dilapangan potensi kerusakan yang terjadi pada garadan ini merujuk ke bebera kondisi diataranya adalah pengaruh operational yang dilakukan oleh driver, dimana dimungkinkan ketika unit dioperasionalkan secara terus menerus kondisi viscositas oli menjadi turun, akibatnya kualitas oli berkurang dan menjadi encer, pada kondisi ini oli sebagai pelumas tidak dapat melakukan fungsi pelumasan secara maksimal sehingga ketika pada titik tertentu myebabkan gardan pada kendaraan tersebut menjadi rusak.

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In a vehicle there are several supporting components that function to move the vehicle or commonly referred to as a drive train, including engine components, transmission components, and axle components. Where each of these components has different constraints and solutions.

When a problem is found in the mechanism, so that the solution provided can be comprehensive, one method is needed to determine the problem that causes the problem to occur, namely by using the Failure tree analysis (FTA) method. In this case, the author takes the theme, which is related to the analysis of damage to the axle mechanism using the Failure tree analysis (FTA) method.

From the results of field checks, the potential damage that occurs to the axle refers to several conditions, including the operational influence carried out by the driver, which is possible when the unit is operated continuously, the oil viscosity condition decreases, as a result the quality of the oil decreases and becomes runny, in this condition the oil as a lubricant, it cannot perform its lubrication function optimally so that at a certain point it causes the axle of the vehicle to be damaged.

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