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If you don't it's your own issue, but people will know. With that in mind we try to switch off but it isn't that easy. I find myself switching off for a couple of hours at a time and forgetting that I even play rugby which is great, until you remember preseason is still looming. Coaching Methods, Gaelic Football, Hurling.Lads have missed out on tours, we were watching Connacht win a league and most people are already thinking about how they are going to attack next season, the next opportunity to improve. My holidays this year were probably my favourite so far. I went to LA for 4 nights with my girlfriend, Chloe, before heading to Cabo. We went from full on tourists in LA to lazy sloths in a resort. But that was exactly what we wanted. I had already warned Chloe that I needed to get my training done. Yes, even on holidays. ![]() Latest Ulster Rugby team news, results, fixtures and analysis of Pro12 and European Cup campaigns - BelfastTelegraph.co.uk. She is quite used to it at this stage and very patient with me so obviously she had no issue. I still have to look after my hamstring so I had to be on top of things, especially with all the travel. I was lucky this year that the hotel had such a good gym, more down to Chloe's research than mine to be honest. Training on holidays wasn't me being a nerd. Everyone has to do it and we know the consequences of not doing it. We won't make the targets set out by our strength and conditioning coaches, but more importantly, the more your load drops off and accelerates again because of preseason, the bigger chance of injury. Something that none of us need. One of the toughest parts of holidays is trying to find the best place to eat. Trying to let my hair down and stuffing my face with chips and donuts, until the guilt comes back and I'm trying to find salmon and sweet potato. I get slagged for my food habits, eating too much sweet potato and bringing shakers with porridge in them when I'm hanging out with the lads. Maybe it's the Virgo in me, if you're into that kind of thing. Or maybe it's because the smaller fellas need to keep on top of things or we'll waste away completely. Whatever my reasoning, it's a bit of an obsession and definitely the hardest thing to switch off from. This obsession even affects my packing. While Chloe is worried about fitting in her makeup and outfits for each night, I make the conscious decision to pack a couple of kilos of protein supplements, kindly donated by our nutritionist, and whatever fits in after that is a plus! Rested and refreshed, before I knew it I was picking up the new kit and settling in to my new house in Limerick. The first day back is always a mix of excitement and a little anxiety which is only natural. We have also welcomed some new faces into the squad. I still remember being told I was going back to the academy sessions by Simon Mannix (then Assistant Coach). I had that conversation many times in the weeks before and was ready to tell him . But it's a great opportunity and I'm looking forward to seeing which one of them really puts their hand up, there's always at least one. This experience with the senior squad drove my ambition to succeed. One of the main things I dislike is the amount of food I have to try squash in throughout the day. I know what you're saying, 'really Johnny, tough life eh?' Now don't get me wrong, I love food as much as the next person, but when you're a small fella like me, eating never stops and three bowls of porridge a day can become a bit sickening! Talk to you next week,Johnny. Automotive Engineering . During the foundation year you will learn about the various Engineering programs available. Engineering and Management There is a need for engineers with management skills. Complement the technical studies of your Engineering program with business and management courses by pursuing the five. Hand-picked favorites from our. Total Program Time Reduced by one year for the two he'd already taken. And he would have done other things as well. Here is the best resource for homework help with ENGR ENGR4260 : Automotive Engineering at UOIT. Find ENGRENGR4260 study guides, notes, and practice tests. University of Ontario Institute of Technology (UOIT) *.
![]() Automotive Engineering . The discipline focuses on the design and manufacture of automobiles and their component parts, as well as on the integration of components into an automotive system. The automotive sector includes automobiles as well as related transportation devices like trucks and motorcycles. Internship and Co-op Program Post A Job Recruitment Advertising Career Counselling Further Education. Automotive Engineering, Electrical Engineering, Energy Systems Engineering, Manufacturing Engineering, Mechanical Engineering, Mechatronics More. Thanks to ongoing research partnerships with the Natural Sciences and Engineering Research Council of Canada (NSERC), Ontario Power Generation (OPG) and the University Network of Excellence in Nuclear Engineering (UNENE), the University of Ontario. UOIT automotive engineer awarded research funding AUTO21 injects $22 million into Canada’s automotive research community May 30, 2012 Dr. Moustafa El-Gindy (centre) consults with UOIT Automotive Engineering master's degree students Todd Macdonald. Program Maps Workload information and tips FAQs Concurrent Bachelor of Education Good teachers change lives. At the University of Ontario Institute of Technology (UOIT), you gain the academic background and critical skills needed to help you thrive. The automotive sector is continually advancing and giving rise to new opportunities. For example, new automotive challenges include the development of electric and fuel cell- driven cars. Many engineering companies are involved in the automotive industry, locally in the Durham Region as well as across the province and country. The automotive sector plays a particularly vital role in the Ontario economy. What do Automotive Engineers do? Automotive Engineers are usually found across the automotive industry. Their activities range from product design, automation and control, to manufacture and production logistics. Maintenance, repair and testing are additional areas of activity for graduates. Graduates of our Automotive Engineering program will also be highly qualified in the following areas: systems engineering and integrationresearch and developmenteconomic analysisengineering sales and marketing. Automotive Engineers often interface with others to help find ways to bring their designs to fruition, bearing in mind factors such as costs, quality, reliability, ergonomics, appearance, etc. What types of careers do Automotive Engineers find? Automotive engineers are employed in automotive companies as well as in many other industries that service the automotive sector and require specialized mechanical, electrical and manufacturing engineering skills. Automotive engineers may find employment at major automobile, truck, bus and motorcycle companies as well as within racing teams, parts manufacturers and research and development organizations. Potential employers also include engine and gearbox manufacturers, chassis and body makers and supplier industries, as well as other transport companies. Due to their interdisciplinary approach to applied knowledge, our graduating automotive engineers will have excellent career opportunities in the job market, both domestically and abroad. In addition, since the program is structured on a mechanical engineering foundation, graduates will also readily find employment in companies seeking mechanical engineers. Automotive Engineering graduates will have the expertise to work productively as engineers and to manage effectively the work of others. Graduates may also choose to pursue graduate studies or start their own business. Program Description. The Automotive Engineering program provides graduates with the knowledge and skills required for engineering in all areas of the automotive sector and related industries. The Automotive Engineering program at UOIT is the only one in Canada. Developed in consultation with industry and experts at other universities, the Automotive Engineering curriculum provides a solid grounding in fundamentals, with significant content in engineering sciences and engineering design. Our Automotive Engineering program has a strong mechanical engineering foundation, and also includes elements of manufacturing and electrical engineering. Since Automotive Engineering is a multidisciplinary field, our program offers an interesting roster of courses from a broad range of areas. In the first year, you study mathematics, sciences, computing and technical communications — courses that represent the foundation building blocks of most engineering programs. In the second year, you cover basic engineering courses like thermodynamics, fluid mechanics, materials properties, electrical circuits, and the mechanics of solids. In third and fourth years, you study a range of applied and advanced automotive engineering courses including vehicle dynamics and control, automotive design, and combustion and engines. In addition, the upper two years cover important courses in mechanical, electrical and manufacturing engineering including computer- aided design, dynamics of machines, mechatronics, control systems and robotics. State- of- the- art laboratories and facilities are being developed to support the program, including laboratories for a wide range of automotive, mechanical and manufacturing technologies. Our 1. 0,0. 00- square- foot Integrated Manufacturing Centre showcases advanced and industrial- scale manufacturing and automation technologies. Complementary studies, including collaborative leadership, economics, and ethics and law for professionals, promote a broader understanding of the needs of society and technology's impact on it. Students gain technical expertise along with the understanding of business and humanities required for an integrated approach to the automotive industry. Program Map for Automotive Engineering. Engineering and Management Program. Students can choose to complement their technical studies in this engineering program with business and management courses by opting for the five- year Engineering and Management program that corresponds to this discipline. Pets and Seasons. I know what you mean. And even if you manage to adopt a stray, the game will just generate a new one in its spot. 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Download as RTF, PDF.![]() Demam Berdarah Dengue sering disebut pula Dengue Haemoragic Fever ( DHF). ASUHAN KEPERAWATAN PADA ANAK. Demam Berdarah Dengue merupakan penyakit yang. Askep Demam Berdarah DHF.Demam berdarah adalah penyakit. Asuhan keperawatan gangguan sistem hematologi dengan kasus demam berdarah dengue pada tn. ![]() Askep Anak Dengan Demam Dengue ( DHF ). A. Pengertian. Dengue haemorhagic fever (DHF) adalah penyakit yang disebabkan oleh virus dengue sejenis virus yang tergolong arbovirus dan masuk kedalam tubuh penderita melalui gigitan nyamuk aedes aegypty (Christantie Efendy,1. Dengue haemorhagic fever (DHF) adalah penyakit yang terdapat pada anak dan orang dewasa dengan gejala utama demam, nyeri otot dan nyeri sendi yang disertai ruam atau tanpa ruam. DHF sejenis virus yang tergolong arbo virus dan masuk kedalam tubuh penderita melalui gigitan nyamuk aedes aegypty (betina) (Seoparman , 1. 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Virus akan masuk ke dalam tubuh melalui gigitan nyamuk aedes aegypty dan kemudian akan bereaksi dengan antibody dan terbentuklah kompleks virus- antibody. Dalam sirkulasi akan mengaktivasi system komplemen. Akibat aktivasi C3 dan C5 akan dilepas C3a dan C5a,dua peptida yang berdaya untuk melepaskan histamine dan merupakan mediator kuat sebagai factor meningkatnya permeabilitas dinding pembuluh darah dan menghilangkan plasma melalui endotel dinding itu. Terjadinya trobositopenia, menurunnya fungsi trombosit dan menurunnya faktor koagulasi (protombin dan fibrinogen) merupakan factor penyebab terjadinya perdarahan hebat , terutama perdarahan saluran gastrointestinal pada DHF. Yang menentukan beratnya penyakit adalah meningginya permeabilitas dinding pembuluh darah , menurunnya volume plasma , terjadinya hipotensi , trombositopenia dan diathesis hemorrhagic , renjatan terjadi secara akut. Nilai hematokrit meningkat bersamaan dengan hilangnya plasma melalui endotel dinding pembuluh darah. Dan dengan hilangnya plasma klien mengalami hipovolemik. Apabila tidak diatasi bisa terjadi anoxia jaringan, acidosis metabolic dan kematian. Demam tinggi selama 5 – 7 harib. Mual, muntah, tidak ada nafsu makan, diare, konstipasi. Perdarahan terutama perdarahan bawah kulit, ptechie, echymosis, hematoma. Epistaksis, hematemisis, melena, hematuri. Nyeri otot, tulang sendi, abdoment, dan ulu hati. Pembengkakan sekitar mata. Pembesaran hati, limpa, dan kelenjar getah bening. Tanda- tanda renjatan (sianosis, kulit lembab dan dingin, tekanan darah menurun, gelisah, capillary refill lebih dari dua detik, nadi cepat dan lemah). Komplikasi. Adapun komplikasi dari penyakit demam berdarah diantaranya : a. Shock atau renjatan. Penurunan kesadaran. Derajat I : Demam disertai gejala klinis lain atau perdarahan spontan, uji turniket positi, trombositopeni dan hemokonsentrasi. Derajat II : Manifestasi klinik pada derajat I dengan manifestasi perdarahan spontan di bawah kulit seperti peteki, hematoma dan perdarahan dari lain tempat. Derajat III : Manifestasi klinik pada derajat II ditambah dengan ditemukan manifestasi kegagalan system sirkulasi berupa nadi yang cepat dan lemah, hipotensi dengan kulit yang lembab, dingin dan penderita gelisah. Derajat IV : Manifestasi klinik pada penderita derajat III ditambah dengan ditemukan manifestasi renjatan yang berat dengan ditandai tensi tak terukur dan nadi tak teraba. Pemeriksaan penunjanga. Darah. 1) Trombosit menurun. HB meningkat lebih 2. HT meningkat lebih 2. Leukosit menurun pada hari ke 2 dan ke 3. Protein darah rendah. Ureum PH bisa meningkat. NA dan CL rendahb. Serology : HI (hemaglutination inhibition test). Rontgen thorax : Efusi pleura. Uji test tourniket (+)8. Pemberian makanan lunak . Pemberian cairan melalui infus. Pemberian cairan intra vena (biasanya ringer lactat, nacl) ringer lactate merupakan cairan intra vena yang paling sering digunakan , mengandung Na + 1. Eq/liter , K+ 4 m. Eq/liter, korekter basa 2. Eq/liter , Cl 1. 09 m. Eq/liter dan Ca = 3 m. Eq/liter. d. Pemberian obat- obatan : antibiotic, antipiretik,e. Anti konvulsi jika terjadi kejangf. Monitor tanda- tanda vital ( T,S,N,RR). Monitor adanya tanda- tanda renjatanh. Monitor tanda- tanda perdarahan lebih lanjuti. Periksa HB,HT, dan Trombosit setiap hari. Tumbuh kembang pada anak usia 6- 1. Pertumbuhan merupakan proses bertambahnya ukuran berbagai organ fisik berkaitan dengan masalah perubahan dalam jumlah, besar, ukuran atau dimensi tingkat sel. Pertambahan berat badan 2 – 4 Kg / tahun dan pada anak wanita sudah mulai mengembangkan cirri sex sekundernya. Perkembangan menitik beratkan pada aspek diferensiasi bentuk dan fungsi termasuk perubahan sosial dan emosi. Motorik kasar. 1) Loncat tali. Badminton. 3) Memukul. Motorik kasar di bawah kendali kognitif dan berdasarkan secara bertahap meningkatkan irama dan kehalusan. Motorik halus. 1) Menunjukan keseimbangan dan koordinasi mata dan tangan. Dapat meningkatkan kemampuan menjahit, membuat model dan bermain alat musik. Kognitif. 1) Dapat berfokus pada lebih dan satu aspek dan situasi. Dapat mempertimbangkan sejumlah alternatif dalam pemecahan masalah. Dapat membelikan cara kerja dan melacak urutan kejadian kembali sejak awal. Dapat memahami konsep dahulu, sekarang dan yang akan datangd. Bahasa. 1) Mengerti kebanyakan kata- kata abstrak. Memakai semua bagian pembicaraan termasuk kata sifat, kata keterangan, kata penghubung dan kata depan. Menggunakan bahasa sebagai alat pertukaran verbal. Dapat memakai kalimat majemuk dan gabungan. Dampak hospitalisasi. Hospitalisasi atau sakit dan dirawat di RS bagi anak dan keluarga akan menimbulkan stress dan tidak merasa aman. Jumlah dan efek stress tergantung pada persepsi anak dan keluarga terhadap kerusakan penyakit dan pengobatan. Penyebab anak stress meliputi ; a. Psikososial. Berpisah dengan orang tua, anggota keluarga lain, teman dan perubahan peranb. Fisiologis. Kurang tidur, perasaan nyeri, imobilisasi dan tidak mengontrol diric. Lingkungan asing. Kebiasaan sehari- hari berubahd. Pemberian obat kimia. Reaksi anak saat dirawat di Rumah sakit usia sekolah (6- 1. Merasa khawatir akan perpisahan dengan sekolah dan teman sebayanyaf. Dapat mengekspresikan perasaan dan mampu bertoleransi terhadap rasa nyerig. Selalu ingin tahu alasan tindakanh. Berusaha independen dan produktif. Reaksi orang tuaa. Kecemasan dan ketakutan akibat dari seriusnya penyakit, prosedur, pengobatan dan dampaknya terhadap masa depan anakb. Frustasi karena kurang informasi terhadap prosedur dan pengobatan serta tidak familiernya peraturan Rumah sakit. B. ASUHAN KEPERAWATAN SECARA TEORITIS1. Pengkajian. Pengkajian merupakan tahap awal yang dilakukan perawat untuk mendapatkan data yang dibutuhkan sebelum melakukan asuhan keperawatan . Adapun tahapan- tahapannya meliputi : a. Mengkaji data dasar, kebutuhan bio- psiko- sosial- spiritual pasien dari berbagai sumber (pasien, keluarga, rekam medik dan anggota tim kesehatan lainnya). Mengidentifikasi sumber- sumber yang potensial dan tersedia untuk memenuhi kebutuhan pasien. Kaji riwayat keperawatan. Kaji adanya peningkatan suhu tubuh ,tanda- tanda perdarahan, mual, muntah, tidak nafsu makan, nyeri ulu hati, nyeri otot dan sendi, tanda- tanda syok (denyut nadi cepat dan lemah, hipotensi, kulit dingin dan lembab terutama pada ekstrimitas, sianosis, gelisah, penurunan kesadaran). Diagnosa keperawatan . Penyusunan diagnosa keperawatan dilakukan setelah data didapatkan, kemudian dikelompokkan dan difokuskan sesuai dengan masalah yang timbul sebagai contoh diagnosa keperawatan yang mungkin muncul pada kasus DHF diantaranya : a. Kekurangan volume cairan berhubungan dengan peningkatan permeabilitas kapiler, perdarahan, muntah dan demam. Hipertermi berhubungan dengan proses infeksi virus dengue. Perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan mual, muntah, tidak ada nafsu makan. Kurang pengetahuan keluarga tentang proses penyakit berhubungan dengan kurangnya informasie. Resiko terjadinya perdarahan berhubungan dengan trombositopenia. Shock hipovolemik berhubungan dengan perdarahan. Intervensi. Perumusan rencana perawatan pada kasus DHF hendaknya mengacu pada masalah diagnosa keperawatan yang dibuat. Perlu diketahui bahwa tindakan yang bisa diberikan menurut tindakan yang bersifat mandiri dan kolaborasi. Untuk itu penulis akan memaparkan prinsip rencana tindakan keperawatan yang sesuai dengan diagnosa keperawatan : a. Gangguan volume cairan tubuh kurang dari kebutuhan tubuh berhubungan dengan peningkatan permeabilitas kapiler, perdarahan , muntah dan demam. Tujuan : Gangguan volume cairan tubuh dapat teratasi. Kriteria hasil : Volume cairan tubuh kembali normal. Intervensi : 1) Kaji KU dan kondisi pasien. Observasi tanda- tanda vital ( S,N,RR )3) Observasi tanda- tanda dehidrasi. Observasi tetesan infus dan lokasi penusukan jarum infus. Balance cairan (input dan out put cairan)6) Beri pasien dan anjurkan keluarga pasien untuk memberi minum banyak. Anjurkan keluarga pasien untuk mengganti pakaian pasien yang basah oleh keringat. Hipertermi berhubungan dengan proses infeksi virus dengue. Tujuan. Hipertermi dapat teratasi. Kriteria hasil. Suhu tubuh kembali normal. Intervensi. 1) Observasi tanda- tanda vital terutama suhu tubuh. Berikan kompres dingin (air biasa) pada daerah dahi dan ketiak. Ganti pakaian yang telah basah oleh keringat. Anjurkan keluarga untuk memakaikan pakaian yang dapat menyerap keringat seperti terbuat dari katun. Anjurkan keluarga untuk memberikan minum banyak kurang lebih 1. Therapi, obat penurun panas. Perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan mual, muntah, tidak ada nafsu makan. Tujuan. Gangguan pemenuhan nutrisi teratasi. Kriteria hasil. Intake nutrisi klien meningkat. Intervensi. 1) Kaji intake nutrisi klien dan perubahan yang terjadi. |
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August 2017
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