Effects of the Nursing Therapeutics Program for Facilitating Patient Transition (NTPFPT) on Subjective Well-Being, Role Mastery, and Relationships’ Well-Being among Adult Stroke Patients in Bandung, Indonesia

This quasi-experimental, repeated measures design was used to examine the effects of the nursing therapeutics program for facilitating patient transition (NTPFPT) on subjective well-being, role mastery, and relationships’ well-being among adult patients who suffered from stroke in Indonesia. Purposive sampling was used to recruit the sample. The control group (n = 42) received the routine care, while the experimental group (n = 42) received the NTPFPT and routine care. The data were collected using 1) the subjective well-being inventory, 2) the role function mode, and 3) the brief family relationship scale. The Chronbach’s alpha coefficients of questionnaires 1 - 3 were .89, .77 and .89, respectively. Descriptive statistics, repeated measures ANOVA, one-way ANOWA, and t-test were used to analyze the data. The results revealed that significant differences of the mean scores of subjective well-being, role mastery and relationships’ well-being were found between the control and experimental groups (p < .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3) within group (p < .000). Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p < .000) while, two pair wise comparisons showed significant differences in the control group. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p < .000) whereas those of measured at T1 showed no significant differences between two groups (p > .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families. The results revealed that significant differences of the mean scores of subjective well-being, role mastery and well-being of relationships were found between the control and experimental groups (p < .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3)within group (p < .000).Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p < .000) whereas in the control group, only two pair wise comparisons were significant differences. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p < .000) whereas those of measured at T1 were non significant differences between two groups (p > .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families.

Strategic-tactical optimization in hand-to-hand combat: the mastery of grappling as a determining factor in encounters

Introduction. The present work had for objective to investigate the role mastery of grappling, chiefly on the ground, considering the existence of factors whose impact extends beyond the sporting spheres, although in which they can be potentiated. Materials and methods. The literature review has been the procedure adopted to accomplish this work, including books and case studies from which the data were extracted and interpreted in their set. Results. The studies analyzed converge pointing out the primacy of the grappling under striking in MMA events. Besides, there is a trend in the sense that the higher the qualification of the fighters, the more expressive the incidence of their performance on the ground, that which, in turn, suggests that the issue is not exhausted in the mere field of grappling. Some studies have shown that, even within the context of grappling battles, the groundwork effectiveness indexes are still the most expressive Conclusion. Taking into account the athletes performances as well as the vulnerabilities presented by the group of law enfor­cement officers analyzed, some guidelines have been drawn up in order to contribute to the improvement of the methodological systems in force. 1- Whether in the sports sphere, or in the war against crime, the main approach must be based on grappling, even it is accomplished in a context in which it must be associated to striking. 2- Ground fight qualification is an imperative not only for succeeding in sporting competitions but also for survival in non-rules encounters. 3- Brazilian Jiu Jitsu (BJJ) must be the central pillar of modernization of the current hand-to-hand combat systems, in order to reconfigure them to the new modern combat scenario, where more and more specific ground fighting skills are required besides other capabilities.