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Factors Affecting Arteriovenous Fistula (AVF) Maturation Cahya Nabila; Salwa Khairunnisa; Holila Sajidah
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 2 (2021): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.783 KB) | DOI: 10.54543/kesans.v1i2.14

Abstract

AVF requires postoperative maturation before cannulation to initiate hemodialysis treatment. AVF maturation usually takes about six weeks and depends on the development of vascular remodeling. However, AVF surgery is not always followed by successful maturation. Recent studies have shown that the rate of maturation failure in patients with chronic kidney disease undergoing AVF-type vascular access establishment is very high, ranging from 20% to 60%. The source search was carried out on the online portal of journal publications as many as 12 sources from Medscape, Google Scholar, National Center for Biotechnology Information (NCBI) with the keywords chronic kidney disease, hemodialysis, AVF, and maturation. Many factors are involved in the functional maturation of AVF, including age, sex, coagulation factors, lipid profile, hypoalbumin, venous diameter, diabetes, hypertension, peripheral vascular disease, smoking, obesity, and dialysis. Failure of AVF maturation results in insufficient blood flow to allow cannulation and initiation of hemodialysis.
The Effect Of Relaxing A Deep Breath On Anxiety Levels Holila Sajidah; Salwa Khairunnisa; Cahya Nabila
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 2 (2021): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.947 KB) | DOI: 10.54543/kesans.v1i2.15

Abstract

Emotions and breathing are closely linked in a complex feedback loop. Understanding this interrelationship between breathing and emotions is critical to better understanding how to deal with anxiety, stress, depression, and emotional disturbances. During emotional attacks and anxious states, the autonomic nervous system triggers physiological variables such as heart rate, breathing, blood pressure, hormonal secretions, palpitations, gastrointestinal functions suddenly increase as a result of which the normal social and behavioral functions of the individual are disturbed. It is generally believed that deep breathing, practiced with various techniques, such as qigong and yoga, can promote relaxation. Source searches were carried out on the online portal of journal publications as many as 10 sources from Medscape, Google Scholar, National Center for Biotechnology Information (NCBI) with the keywords anxiety, relaxation, and deep breathing. Deep breathing relaxation has been shown to be effective in reducing the perception and symptoms of anxiety. Deep breathing offers several advantages over conventional therapies currently used to treat anxiety problems. These advantages include a non-pharmacological approach, safety, minimal space requirements, ease of learning, and ease of practice.