Introduction: The mechanisms of nurse response time in handling head injury patients has an important role on the safety and viability of patients in reference to the rules of “safety and time saving is life saving”. The purpose of the study: This study aims to identify factors that related to the response time in handling head injury patient in emergency department (ED) and to determine the most related factor to the response time. Method: This study was an observation design and using cross sectional approach. A total sample of 32 emergency department nurses participated for this study, in references to the inclision and exclusion criteria. The data were analyzed by using chi-square, Fisher's extract test and logistic regression. Result: This study found that there were statistical significance between respon time and level of education (p = 0.006), duration of working (p = 0.005), medical emergency training (p = 0.001), the emergency department facilities (p = 0.008) and the level of the patient acute condition (p = 0.006). Among the factors, it was found that facilities most related factor to the respon time (OR = 6.945). Conclusion and suggestion: It is concluded that there is a relationship between respon time and education level, work duration of nurses, medical emergency training, Emergency facilities and the patient acute condition in handling head injury patients and facilities are the factors that most related to the response time handling head injury. It is suggested to the hospital to complete the emergency room facilities because the facilities affects the response time handling head injury patients.
Hyperlipidaemia is causally related to coronary artery diseases (CAD) and peripheral artery diseases (PAD) in people with Diabetes Mellitus (DM). An in vivo study confirmed that virgin coconut oil (VCO) could maintain levels of lipids in the blood as effectively as conventional therapy. Therefore, this study aimed to determine the effect of VCO on the lipid profiles and ankle–brachial index (ABI) of patients with DM. In this experimental study with pre- and post-test design and a control group, the participants were selected purposively. The ABI was evaluated on the first visit. Baseline lipid profile readings were taken. Each participant took 1.2 mL/kgBW of VCO daily and divided it into three doses. After 30 days of taking VCO, laboratory examinations and ABI were repeated, and adverse events were evaluated. The dependent t-test and Wilcoxon sign rank test with a significance level of α ≤ 0.05 showed a significant decrease in low-density lipoprotein (LDL) (p = 0.002), a significant increase in high-density lipoprotein (HDL) levels (p = 0.031), a significant decrease in energy intake (p = 0.046) and cholesterol intake (p = 0.023) at the endpoint in the VCO group. In conclusion, this therapy is beneficial for maintaining lipid profile when combined with dietary therapy. Future studies should investigate the duration and dosage of VCO on patients to maintain lipid-linked protein.
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