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Background: Autonomy is a fundamental ethical principle within the nursing profession. It plays a significant role in patients' decision-making processes when seeking nursing interventions. In the context of hypertensive individuals, autonomy pertains to their capacity to manage and regulate their hypertensive condition. This encompasses the independent decision-making related to medications, lifestyle adjustments, and overall care. Method: The method utilized for this analysis is the Walker & Avant approach (2011). The concept analysis was conducted by consulting literature on autonomy sourced from Google Scholar and Preplexity databases. The search keywords employed were "concept of autonomy" and "hypertension sufferers". Results: The concept analysis followed the 8-step method outlined by Walker and Avant. This systematic approach, which involves identifying the attributes, antecedents, and consequences of autonomy, leads to the development of an operational definition. Autonomy is defined as the capacity of an individual to make decisions independently, without external influence, to manage themselves and take responsibility for the outcomes of those decisions. Conclusion: the results of the analysis it was found that autonomy is very beneficial for hypertension sufferers because a person can make decisions, so that they have self-satisfaction, increased motivation and clear life goals. Autonomy grants nurses the freedom to make clinical decisions based on their professional knowledge and skills. Nurses can determine the best course of action for patients without having to wait for instructions from a doctor, while still being accountable for their decisions and ready to explain their actions within the context of ethics and law.

Background: Cardiovascular disease is still a major global health problem. Hypertension is the most risk factor for the incidence of cardiovascular disease and increases the risk of death. Primary and secondary prevention efforts are needed by increasing patient awareness of identifying risk factors and carrying out preventive management. “Electronic-Tindak lanjut Tensiku”, known as e-TITENKU, is a web and smartphone-based application designed to manage coronary heart disease prevention in patients with hypertension. Purpose: The purpose of this study was to determine the effect of the e-TITENKU intervention model on knowledge of coronary heart disease prevention. Methods: This research design is true experiment pre and post control group design. The sample size is 120 respondents with primary hypertension in Banyumas Regency, Indonesia. The sampling technique used is simple random sampling. The inclusion criteria included respondents with primary hypertension, adults aged 40-65 years, cooperative and willing to be respondents, while the exclusion criteria were respondents experienced complications of other diseases due to hypertension. Results: The results of the study were that the age of the respondents in the intervention group was 64.91 years old, the systolic blood pressure was 169 mmHg and the diastolic blood pressure was 97 mmHg. The characteristics of the respondents in the control group were the mean age of 65.98, the mean systolic blood pressure of 172 mmHg and the diastolic of 93 mmHg. Conclusion: The e-TITENKU intervention model was able to increase the knowledge score of coronary heart disease prevention. This model can be used by nurses in hospital and community services.

This study analyzes the influence of locus of control and supervision channeled to an organization as a whole on organizational commitment and examines and describes the influence of locus of control and supervision on organizational commitment. The instrument uses questionnaires. The sample is determined by proportional stratified random sampling. From 268 teacher samples from 33 public junior high schools in Tangerang Regency, data analysis used structural equation modeling (SEM). The findings show that locus of control and supervision significantly affect organizational commitment, and locus of control significantly affects supervision. These findings prove that the locus of control and supervision of teachers can act as indicators of organizational commitment. The practical implication of this research is to provide knowledge and information for teachers and school management to increase organizational commitment by applying the concepts of locus of control and teacher supervision.

Aging is a natural process characterised by predictable physical and behavioral alterations that all people experience as they progress through their lives. Anxiety and sleep disorders are two issues that plague the elderly. The elderly typically complain about sleeping issues as a result of various chronic diseases. Frequent night awakenings might lead to an increase in the amount of time spent sleeping during the day. The aim of this study was to see how efficient murottal and prayer are at reducing anxiety and sleep problems in the elderly. This study employs an experimental design with a before and post approach, as well as a control group. This study collect 60 samples from elderly people in Pamijen Village. They were split into two groups: 30 elderly in the murottal group and 30 elderly in the prayer group. A questionnaire was used to assess anxiety and sleep pattern disturbances before and after treatment. Simple random sampling was used as the sampling technique. The paired t-test was used to analyse the dataStatistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00, statistical tests of anxiety scores before and after listening to prayer were p = 0.869, and statistical tests of differences in sleep patterns before and after treatment in the murottal and pray groups were p = 0.00. Murottal therapy has been shown to be effective in reducing anxiety and sleep disturbances

The condition of plant communities is closely related to various factors contained in an area such as edaphic, climatic and biological factors. The composition of the planted area is strongly influenced by the composition of plant species, dominant species, density and state of canopy closure. Plants that grow in hilly areas with relatively high and evenly distributed rainfall throughout the year. In South Kalimantan this species grows around people's residences and plantation areas. Sugar palm plantations (Arenga pinnata Merr.) have a fairly humid environmental condition and at the top of the garden will be very rich in various types of undergrowth so it is very interesting to make an inventory of both species and diversity. By using vegetation analysis that makes several sample plots with a size of 1m x 1m in a large plot of 10m x 10m so that they can represent the research location. Observing all types of undergrowth and documenting each type so that its diversity index and dominant nature can be known. The results showed that the number of P species in question was 17 species from 11 families, with several dominant species such as Litu (L. scandens), Cambai (P. baccatum Blume), Magatseh (P. polyneura) and (P. pubinerve) as well as the Diversity index value (H’) of 3.39.

This study aims to: Produce teaching materials in the form of microbiology e-books based on research results on the isolation of styrofoam degrading soil bacteria. Testing the effect of using e-books on improving students' science process skills. The e-book preparation method refers to the Lee and Owens development model and is implemented in learning with the PBL model in the experimental and control groups. The results showed that: e-book material feasibility, e-book teaching materials and e-book practicality with very valid criteria. E-books are proven effective in improving students' science process skills with high criteria, so e-books are suitable for use as teaching materials to support learning. Can be used to solve problems that may be encountered in everyday life.

Introduction: Surgery is an experience that can cause anxiety, which, if not treated well, will cause some side effects. One of the forms of non-pharmacological therapy is hypnotherapy and yoga combination therapy. This study aimed to determine the effect of hypnotherapy and yoga combination therapy on anxiety scores in elective preoperative patients. Methods:This study used a quasi-experimental pretest and posttest with control group design. This study involved 17 respondents in the intervention group and 17 respondents in the control group. The sampling technique used consecutive sampling. Data collection used the instruments of The Amsterdam Preoperative Anxiety and Information Scale (APAIS). The statistical test used was the Mann-Whitney test. Results: The average age of respondents was 36.65 years old. In a majority, they were junior high school graduates who worked as employee. The major type of operation was tumor excision. The average anxiety scores before treatment in the intervention group were 14.71 (moderate anxiety) and decreased after being given hypnotherapy and yoga combination therapy to 9.47 (mild anxiety). The average anxiety scores before treatment in the control group were 15.71 (moderate anxiety) and decreased after deep breathing therapy to 13.76 (moderate anxiety). The difference test in anxiety scores of the intervention and control groups obtained p-value 0.015. Conclusion:Hypnotherapy and yoga combination therapy can reduce anxiety scores in elective preoperative patients.

Modeling the interaction between prey and predator plays an important role in maintaining the balance of the ecological system. In this paper, a discrete-time mathematical model is constructed via a forward Euler scheme, and then studied the dynamics of the model analytically and numerically. The analytical results show that the model has two fixed points, namely the origin and the interior points. The possible dynamical behaviors are shown analytically and demonstrated numerically using some phase portraits. We show numerically that the model has limit-cycles on its interior. This guarantees that there exists a condition where both prey and predator maintain their existence periodically.

Introduction: Gout arthritis is a systemic disease caused by deposition of monosodium urate crystals in the joints, causing pain. Pain management may include complementary therapy such as combination therapy of a warm ginger stew compress and Ki. 3 point acupressure to reduce pain. This research aimed to examine the effect of combination therapy of a warm ginger stew compress and Ki. 3 point acupressure on the pain level of gout arthritis patients. Methods: The research design for this study is a quasi-experiment pre-test and post-test, with a control group design for 30 respondents. The respondents were assigned to an experimental group with combination therapy of a warm ginger stew compress and Ki. 3 point acupressure for about 30 minutes, and a control group with a warm ginger stew compress for about 15 minutes. Each group consisted of 15 people. The data was analysed using a paired t-test, independent t-test, and Mann Whitney test. Results: The Mann Whitney test showed an average decrease of pain level in the experimental group of 1,7333 and the control group of 1,0667 so, there were differences in the decreased of pain level before and after intervention between the two groups with p-value=0.013. Conclusion: Combination therapy of a warm ginger stew compress and Ki. 3 point acupressure were effective in decreasing the pain level of gout arthritis patients in Puskesmas 1 Purwokerto Timur. This therapy can be used for the gout arthritis patient to reduce pain level.

Background: Cardiac surgery can elicit both physical and psychological responses. Prayer, exercise therapy, education, hypnosis, and music are expected to be able to overcome pain, anxiety, and immobilization in the cardiac surgery. This study was to create a smartphone-based peri-operative nursing intervention model that was able to reduce pain, anxiety, and increase early mobilization cardiac surgery patients. Design and Methods: This study consisted of three stages. The first stage was research and development, the second was true experimental design, and the third was cross sectional design. The samples size was 86 respondents. The intervention models for the treatment group comprised of a smartphone-based therapy of prayer, education, exercise, hypnosis, and music. The control group was given standard hospital intervention according to the clinical pathway. Results: The majority of respondents were adults, male, high school graduate in the treatment group and bachelor graduate in the control group, CABG type of surgery, and having pain history. The intervention had a significant effect on reducing pain scale and anxiety level as well as increasing early mobilization (p

The rate of death and illnesses on premature babies is mostly respiratory distress syndrome (RDS). Desaturated-period frequently occurs on premature babies with RDS. One intervention to prevent it is a quarter turn from prone position. The research design was pre-experimental study with one group pre- and post-test design. This study involved 20 respondents that were selected with consecutive sampling technique. The setting of the research was in Perinatology ward at Prof. Dr. Margono Soekarjo. The oxygen saturation was examined before and after 2 hours of intervention. Data was then analyzed with Wilcoxon test. The results showed that median value of SpO2 before quarter turn from prone position was 94%, and its value after two hours of intervention was 96.5%. It was found that there was a significant effect in giving quarter turn from prone position to oxygen saturation on premature babies with RDS. Quarter turn from prone position was able to increase oxygen saturation on premature babies with RDS and is possible to be implemented in perinatology room.

Hypertension can lead to the heart disease, kidney, and stroke if the blood pressure is not controlled. Various complementary therapies are developed to reduce pain due to high blood pressure. Humor therapy can cause a relaxation response and reduce a headache. The purpose of this research was to identify the impact of humor therapy to reduce headache caused by hypertension. This research used a quasi-experimental design of pre and post control group design. The number of samples was 40 people with primary hypertension in Mersi village Purwokerto. The sampling technique used was purposive sampling. Numeric rating scale was applied to measure the pain scale. The difference of pain scale before and after the intervention was tested using Mann Whitney test. Statistical analysis result showed that humor therapy has a significant impact to reduce headache due to hypertension (p value = 0.000). Humor therapy is able to reduce headache due to hypertension significantly..

Ecological literacy (Eco literacy) along with creative thinking skills can be utilised to overcome environmental problems to achieve environmental sustainability. This research analyses the correlation between ecological literacy and students' creative thinking skills of environmental problems. The research method is quantitative with a correlational study. The research respondents include 281 pupils of Grade 11 MIPA (Science) from three areas in Indonesia: Jakarta, Sumatera, and Gorontalo. Data collection consists of a write test and an opinion-seeking questionnaire. Ecological literacy analysis consists of caring, practical competence, and knowledge dimensions. Creative thinking skills are analysed through fluency, originality, flexibility, and elaboration dimensions. The results indicate that ecological literacy and creative thinking skills levels in grade 11 MIPA in a medium category. Female students have a higher average score in ecological literacy and creative thinking skills than in male students. The research finds a positive relationship between ecological literacy and creative thinking skills.

Hipertensi merupakan permasalahan kesehatan yang paling sering dijumpai diberbagai diberbagai negara, termasuk Indonesia. Hipertensi merupakan pemicu berbagai kerusakan organ di dalam tubuh seperti jantung, otak, dan ginjal. Kondisi stress menimbulkan efek yang merugikan karena memperberat hipertensi itu sendiri. Perubahan tanda vital (nadi dan pernafasan) merupakan respon fisiologis terhadap kondisi stress tersebut. Tujuan penelitian adalah untuk mengidentifikasi pengaruh mandi uap terhadap respon fisiologis stress pada penderita hipertensi. Desain penelitian adalah quasi eksperimen dengan pendekatan pre and post tes one group without control design. Jumlah responden yang dilibatkan dalam penelitian ini sebanyak 44 orang yang diambil secara random. Hasil uji statistik menunjukan adanya perbedaan yang signifikan antara rerata frekuensi pernafasan sebelum dan sesudah perlakuan (nilai p =0,000). Demikian pula dengan rerata frekuensi denyut nadi permenit, sebelum dan sesudah perlakuan menunjukan perbedaan yang bermakna (nilai p = 0,000). Rerata frekuensi pernafasan dan nadi setelah perlakuan menunjukan kenaikan yang signifikan dibandingkan dengan sebelum perlakuan. Dengan demikian dapat simpulkan bahwa terdapat pengaruh yang bermakna terapi mandi uap dalam meningkatkan respon fisiologis stress.

The learning achievement is an aspect that must be considered by the student, because it can affect career planning. Seeing this, the students are expected to have a maximum learning achievement. Reality is still a lot of students who have grades below a minimum completeness criteria (KKM). This study aims to determine the relationship between learning achievement in the career planning class XI student of SMAN 2 Bantul Academic Year 2014/2015. This research is a correlation, the variables of this study is twofold learning achievement variable (X) and career planning variable (Y). The population in this study is a class XI student of SMAN 2 Bantul Academic Year 2014/2015. The sample in this study a class XI student with the number of 37 students, pengembilan sample by random (random sampling). The collection of data on achievement variable learn to use data documentation, that the data value of report cards, and on career planning variables using a questionnaire. This validity test analysis using product moment formula, the analysis of the reliability test using Cronbach alpha formula, while data analysis using product moment formula. The results of this analysis demonstrate the value of the analysis of the correlation coefficient (r) between the variables of learning achievement of students with career planning amounted to 0.597 and p value 0.0000. Value of the determinant (r2) of 35.7%, so this shows that learning achievement contributes a positive and significant impact on student career planning, it can thus be concluded that: there is a positive and significant relationship between achievement of learning with career planning in class XI SMAN 2 Bantul Academic Year 2014/2015.

La myasthénie est une pathologie auto-immune acquise rare à l'origine de la déficience de la transmission neuro-musculaire dont la forme juvénile se manifeste souvent par une atteinte oculaire exclusive. Nous rapportons deux cas de myasthénie juvénile oculaire (MJO) au sein d'une même fratrie. il s'agit de deux fillettes XA et XB respectivement âgées de 11 et 9 ans d'origine malienne résidant au Togo, issues d'un mariage consanguin de 1er degré, amenées en consultation d'ophtalmologie, pour une baisse progressive de l'acuité visuelle (AV). XA avait aux deux yeux, une AV à 8/10 et XB, une AV de 3/10 améliorée au trou sténopéïque à 7/10 en faveur d'une amétropie. XA présentait un ptosis bilatéral qui remontait à l'âge de 2 ans avec une action du releveur de la paupière supérieure (RPS) à 7 mm et XB, un ptosis bilatéral remontant à l'âge de 3 ans avec une action du RPS nulle. Pour les deux, le test au glaçon était franchement positif, le signe de Cogan présent avec une parésie oculo motrice sans diplopie. Le dosage des auto- anticorps anti récepteurs de l'acéthylcholine était normal. Le diagnostic de MJO associée à une amétropie a été évoqué. Une correction optique de l'amétropie par des lunettes et un traitement spécifique par la pyridostigmine avait été instaurée mais les patientes ont été perdues de vue. la myasthénie auto-immune avec des manifestations ophtalmologiques inaugurales est rare mais possible chez l'enfant en Afrique subsaharienne où des études sont nécessaires pour y déterminer les éventuelles particularités de la maladie.

Edited by Alaa Tartir, Tariq Dana, and Timothy Seidel Palgrave Macmillan, 2021, 335 pages, $124.56, ISBN: 9783030686420 Since the Oslo Agreement of 1993, most scholarly investigations have grouped the West [...]