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OBJECTIVE Symptoms of borderline personality disorder (BPD) may reflect distinct breakdowns in the integration of posterior and frontal brain networks. We used a high temporal resolution measure (40-Hz gamma phase synchrony) of brain activity to examine the connectivity of brain function in BPD. METHODS Unmedicated patients with BPD (n = 15) and age-and sex-matched healthy control subjects (n = 15) undertook a task requiring discrimination of salient from background tones. In response to salient stimuli, the magnitude and latency of peak gamma phase synchrony for early (0-150 ms post stimulus) and late (250-500 ms post stimulus) phases were calculated for frontal and posterior regions and for left and right hemispheres. We recorded skin conductance responses (SCRs) and reaction time (RT) simultaneously to examine the contribution of arousal and performance. RESULTS Compared with controls, patients with BPD had a significant delay in early posterior gamma synchrony and a reduction in...

Ketidakseimbangan elektrolit berhubungan dengan peningkatan mortalitas dan morbiditas pasien kritis. Penelitian ini bertujuan untuk melihat gambaran status elektrolit pasien yang dirawat di ICU. Desain penelitian adalah studi restrospektif dengan jumlah responden 105 orang dengan teknik pengambilan sampel purposive sampling. Penelitian ini menggunakan lembar observasi. Analisa yang digunakan adalah analisa univariat. Hasil penelitian menunjukan mayoritas responden berusia dewasa akhir (45-59 tahun) berjumlah 40 orang (38,1%), jenis kelamin responden laki-laki sebanyak 55 orang (52,4%), diagnosis medis mayoritas bedah umum sebanyak 55 orang (52,4%), tidak menggunakan ventilator sebanyak 82 orang (78,1%), rata-rata lama dirawat di ICU berkisar 3,5 hari (median= 3,00). Hasil penelitian menjelaskan bahwa kadar natrium pasien <48 jam yang mengalami hiponatremia sebanyak 20 orang (19,0%), yang mengalami hipernatremia sebanyak 6 orang (5,7%). Kadar kalium pasien <48 jam yang mengalam...

Asuhan keperawatan primer dikembangkan untuk mengurangi fragmentasi perawatan pasien, dan meningkatkan status profesional keperawatan. Penelitian ini mengidentifikasi faktor yang berkontribusi terhadap belum optimalnya pelaksanaan metode keperawatan primer. Penelitian deskriptif analisis dengan menggunakan Fishbone Analysis. Sampel diambil secara purposive sample pada salah satu instalasi di rumah sakit anak dan bunda di Jakarta. Data dikumpulkan melalui wawancara, observasi, penyebaran kuesioner, dan data sekunder (telusur dokumentasi). Penelitian ini menganalisis lima komponen yang berkontribusi terhadap belum optimalnya metode asuhan keperawatan primer yaitu Man, Methode, Managemen, Materials, dan Machine. Hasil analisis menunjukkan masih kurangnya pemahaman/tingkat pengetahuan staf keperawatan tentang metode keperawatan primer. Kualifikasi pendidikan formal dan kompetensi staf keperawatan yang belum sesuai. Peran dan fungsi manajemen yang belum optimal, dan pengembangan teknolog...

In recent years, banking industry has witnessed extreme competition along with numerous opportunities and threats. In such completion, those banks can win that acquire more market share with the lowest costs. It requires formulating and executing proper marketing strategies. Relationship marketing approach is an effective strategy in keeping the competitive situation and success of organizations. The main purpose of present paper is to study the impacts of relationship marketing aspects on banks’ customer satisfaction. It tests six hypotheses. Noteworthy, present study is a causal research in terms of its method and nature while it is a survey in terms of execution and an applied one in terms of purpose. It uses structural equation modeling to study the relations between model components. Its population consists of the customers of Qom banks in 2011. To meet research aims, 300 questionnaires were distributed among the customers of Qom banks of which 270 ones were analyzed. Except than the impact by relationships and empathy on customer satisfaction, other hypotheses are supported. The results indicate that using relationship marketing strategy in banks leads into customers’ satisfaction and gratification.

Kota Semarang jumlah Angka Kematian Ibu (AKI) sebanyak 88,3 per 100.000 Kelahiran Hidup (KH) di tahun 2017. Penyebab kasus AKI yaitu adanya keterlambatan dalam deteksi kehamilan dan pelaksanaan ANC belum sesuai standar. Kualitas pelayanan yang baik dilakukan oleh tenaga kesehatan pastinya akan meningkatkan kepuasan masyarakat. Tujuan penelitian ini untuk mengetahui standar pelayanan ANC 10 T terhadap kepuasan ibu hamil di Puskesmas Tlogosari Kulon Kota Semarang. Jenis penelitian ini merupakan observasional analitik dengan pendekatan cross sectional . Pengambilan sampel dilaksanakan dengan menggunakan accidental sampling didapatkan sebanyak 55 ibu hamil TM III. Metode analisis data menggunakan uji descriptive stastictics frequencies dan uji chi-square . Hasil penelitian didapatkan bahwa standar pelayanan ANC 10 T sebagian besar dilakukan secara lengkap sesuai standar 10 T yaitu 43 ibu hamil (78,2 %). Kepuasan ibu hamil pada waktu melakukan pemeriksaan ANC sebagian besar ibu hamil mer...

Outrigger braced structures has efficient structural form consist of a central core, comprising braced frames with
horizontal cantilever ”outrigger” trusses or girders connecting the core to the outer column. When the structure is loaded
horizontally, vertical plane rotation of the core is restrained by the outriggers through tension in windward column and
compression in leeward column. The effective structural depth of the building is greatly increased, thus augmenting the lateral
stiffness of the building and reducing the lateral deflections and moments in core. In effect, the outriggers join the columns to the
core to make the structure behave as a partly composite cantilever. By providing eccentrically braced system in outrigger frame by
varying the size of links and analyzing it. Push over analysis is carried out by varying the link size using computer programs, Sap
2007 to understand their seismic performance. The ductile behavior of eccentrically braced frame is highly desirable for structures
subjected to strong ground motion. Maximum stiffness, strength, ductility and energy dissipation capacity are provided by
eccentrically braced frame. Studies were conducted on the use of outrigger frame for the high steel building subjected to
earthquake load. Braces are designed not to buckle, regardless of the severity of lateral loading on the frame. Thus eccentrically
braced frame ensures safety against collapse.

Laboratoire I3M � Université du Sud Toulon- Var � BP 20132 � FRANCE-83957 La Garde Cedex The administration includes various actors at various degrees, each one with its own structure, level, and mission. This representation is first of all, the result of a historical process which was built progressively through the society evolution, with its coincidences and whose assembly produced a whole of structures which are superimposed and intermingle. Therefore, we will focus on the representation of the mutual relations of the political administrations that are offering on line contents. Through that, we will consider a macroscopic vision of these interrelationships, and in the same move, we will try to represent an embryo of the administration network pattern. We start by considering the point of view that a system can be partly defined by the means of the interconnections that maintain connected the elements which constitute it.

Ketidakseimbangan elektrolit berhubungan dengan peningkatan mortalitas dan morbiditas pasien kritis. Penelitian ini bertujuan untuk melihat gambaran status elektrolit pasien yang dirawat di ICU. Desain penelitian adalah studi restrospektif dengan jumlah responden 105 orang dengan teknik pengambilan sampel purposive sampling. Penelitian ini menggunakan lembar observasi. Analisa yang digunakan adalah analisa univariat. Hasil penelitian menunjukan mayoritas responden berusia dewasa akhir (45-59 tahun) berjumlah 40 orang (38,1%), jenis kelamin responden laki-laki sebanyak 55 orang (52,4%), diagnosis medis mayoritas bedah umum sebanyak 55 orang (52,4%), tidak menggunakan ventilator sebanyak 82 orang (78,1%), rata-rata lama dirawat di ICU berkisar 3,5 hari (median= 3,00). Hasil penelitian menjelaskan bahwa kadar natrium pasien <48 jam yang mengalami hiponatremia sebanyak 20 orang (19,0%), yang mengalami hipernatremia sebanyak 6 orang (5,7%). Kadar kalium pasien <48 jam yang mengalam...

We construct graph-valued analogues of the Kuperberg sl(3) and G2 invariants for virtual knots. The restriction of the sl(3) or G2 invariants for classical knots coincides with the usual Homflypt sl(3) invariant and G2 invariants. For virtual knots and graphs these invariants provide new graphical information that allows one to prove minimality theorems and to construct new invariants for free knots (unoriented and unlabeled Gauss codes taken up to abstract Reidemeister moves). A novel feature of this approach is that some knots are of sufficient complexity that they evaluate themselves in the sense that the invariant is the knot itself seen as a combinatorial structure. The paper generalizes these structures to virtual braids and discusses the relationship with the original Penrose bracket for graph colorings.

Kota Semarang jumlah Angka Kematian Ibu (AKI) sebanyak 88,3 per 100.000 Kelahiran Hidup (KH) di tahun 2017. Penyebab kasus AKI yaitu adanya keterlambatan dalam deteksi kehamilan dan pelaksanaan ANC belum sesuai standar. Kualitas pelayanan yang baik dilakukan oleh tenaga kesehatan pastinya akan meningkatkan kepuasan masyarakat. Tujuan penelitian ini untuk mengetahui standar pelayanan ANC 10 T terhadap kepuasan ibu hamil di Puskesmas Tlogosari Kulon Kota Semarang. Jenis penelitian ini merupakan observasional analitik dengan pendekatan cross sectional . Pengambilan sampel dilaksanakan dengan menggunakan accidental sampling didapatkan sebanyak 55 ibu hamil TM III. Metode analisis data menggunakan uji descriptive stastictics frequencies dan uji chi-square . Hasil penelitian didapatkan bahwa standar pelayanan ANC 10 T sebagian besar dilakukan secara lengkap sesuai standar 10 T yaitu 43 ibu hamil (78,2 %). Kepuasan ibu hamil pada waktu melakukan pemeriksaan ANC sebagian besar ibu hamil mer...