Background: Communication is a multi-dimensional, multi-factorial phenomenon and a dynamic, complex process, closely related to the environment in hospital or related places. Nurses in hospital need to enhance their skill in communication to improve patient satisfaction. This study conducted a systematic review to describe the communication barrier between nurse and patient at the hospital. Subjects and Method: This was a systematic review conducted by searching databases from EBSCO e-journals, Elsevier Science Direct, CINAHL Complete, and Google Scholar, published from 2012 to 2017. The literature was analyzed using critical appraisal tool. Results: Communication barriers included job dissatisfaction due to workload, uncontrolled patient family presence, distrust of nurse competency, gender incompatibility, nurse lack of attention, delay and carelessness in providing information, lack of nurse responsibility, difference in language, over workload, patient family disorder, nurse reluctance to communicate, patient physical discomfort, physical and psychological complaint, language difficulty, limited nurse communication skill, insufficient time, busy environment, and noise. Communication barriers between nurse and patient affected the quality of health service. Conclusion: Communication barriers between nurse and patient affect the quality of health service.
Abstract. Awaludin, Kartina, Maulianawati D, Manalu W, Andriyanto, Septiana R, Arfandi A, Lalang Y. 2020. Short Communication: Phytochemical screening and toxicity of ethanol extract of Sauropus androgynus. Biodiversitas 21: 2966-2970. Katuk (Sauropus androgynus L.) (SAL) is a plant used to increase the production of breast milk for nursing mothers and lactating mammalian animals because this plant contains high sterols. Phytosterols are plant sterols known to play a role in the synthesis and secretion of progesterone and estradiol. Progesterone and estradiol are hormones that are involved in controlling the reproduction and mammary gland growth and development in mammalian animals. Estradiol also stimulates vitellogenin synthesis in oviparous animals such as avian and fish. The study was designed to determine the phytochemical contents and the level of toxicity of the SAL ethanol extract. The research was conducted in 4 phases i.e., (i) extraction of SAL samples using ethanol 70%, (ii) the analysis of phytochemical content of SAL extract using GCMS, (iii) toxicity test of SAL extract in giant tiger shrimp larvae, and (iv) data analysis. The results of GCMS analysis showed that the SAL extract was dominated by the fatty acid group (62.92%), phenol (15.3%), and terpenoids (4.03%). These compounds have roles in animal reproduction and production. The mortality data of giant tiger shrimp larvae were analyzed using probit analysis to determine the LC50 of ethanol extract of SAL. The results of toxicity test for 24 hours showed that the LC50 of the ethanol extract of SAL was 552.208 mg/L. The phytochemical analysis showed that SAL extract has dominant concentrations of fatty acid, phenol, and terpenoid that could be used to improve the reproduction and production of fish.
Penelitian bertujuan untuk mengevaluasi efek pemberian infusa benalu teh (Scurrula sp.) terhadap toksisitas akut lethal dose 50 (LD50) dan mengkaji perubahan histopatologi hati, ginjal, dan limpa mencit. Sebanyak 30 ekor mencit jantan dan 30 ekor mencit betina dibagi menjadi enam kelompok dan lima ulangan. Mencit percobaan yang tidak diberi infusa benalu teh dikelompokkan sebagai kontrol, sedangkan yang diberi infusa benalu teh dosis 1, 5, 10, 15, dan 20 g/kg BB dikelompokkan sebagai perlakuan. Pemberian infusa benalu teh dilakukan satu kali pada awal penelitian secara oral kemudian mencit diamati gejala klinis, mortalitas, dan bobot badan. Pada akhir penelitian (hari ke-14), mencit percobaan dikorbankan untuk dievaluasi secara histopatologi. Hasil penelitian menunjukkan bahwa pemberian infusa benalu teh pada mencit sampai dengan dosis 20 g/kg BB tidak menimbulkan kematian ataupun gejala klinis spesifik serta pertumbuhan normal. Gambaran histopatologi menunjukkan bahwa pemberian infusa benalu teh pada semua mencit percobaan sampai dengan dosis 20 g/kg BB tidak ditemukan adanya degenerasi maupun nekrosis pada organ hati, ginjal, maupun limpa. Kesimpulan dari penelitian ini menunjukkan bahwa infusa benalu teh dikelompokkan dalam sediaan praktis tidak toksik dan tidak menimbulkan kelainan pada organ hati, ginjal, maupun limpa.
Background and Aim: Basil is well known as a medicinal plant that contains high essential oils and antioxidant compounds that have the potential to improve ovarian development. Thus, basil may have the potential to improve the growth and development of the uterus and placenta for optimal prenatal growth of offspring. This study aimed to evaluate the effect of Indonesian basil maceration on gonad development of mature female albino rats. Materials and Methods: Fifteen 8-week-old female Sprague-Dawley rats, at the diestrus stage of the estrus cycle, were divided into three different treatment groups: Control group (mineral water), bas-low group (1% of basil maceration), and bas-high group (5% of basil maceration). Basil maceration was dissolved and administered in mineral drinking water, and the treatments were given for 20 days (4 estrus cycles). At the end of the treatment period, serum follicle-stimulating hormone (FSH), estradiol, and progesterone (Pg) were measured using enzyme-linked immunosorbent assay. The relative weight of the ovary and uterus; diameter and length of uterine cornual; vascularization of uterus; the diameter of uterine glands; the number of primary, secondary, and tertiary de Graaf follicles; the number of corpora luteum; as well as the expression of vascular endothelial growth factor (VEGF) in the ovary were determined. Results: There was no significant difference (p>0.05) in the serum FSH level of rats treated with basil maceration drinking water doses of 1% and 5% compared to the control group. However, serum estradiol and Pg concentrations in the 1% and 5% basil maceration groups were significantly higher (p<0.05) than those of the control group. Furthermore, 1% and 5% basil maceration significantly increased the uterus's relative weight, diameter, and vascularization. Serum estradiol concentrations contributed to the elevated expression of VEGF compared to Pg. Conclusion: Administration of basil maceration for 20 days before mating could improve follicle growth and development, eventually increasing estradiol synthesis and secretion, thus improving the uterus's preparation for implantation. This makes basil maceration an attractive candidate in clinical research to enhance the growth and development of the uterus and placenta, which will better support the optimum prenatal growth and development of embryos and fetuses, resulting in superior offspring.
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