bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of nutrients supply on milk yield, composition, and enteric methane gas emissions from smallholder dairy farms in Rwanda
Authors:   Department of Animal production, School of  Animal science and veterinary medicine, University of Rwanda, Rwanda, Ayabagabo Jean de Dieu ,   Department of Animal Science, Faculty of Agriculture, Egerton University, Kenya, Onjoro Paul Anthans ,   Department of Animal Science, Faculty of Agriculture, Egerton University, Kenya, Migwi Perminus Karubiu ,   Department of Animal Science, Faculty of Agriculture, Egerton University, Kenya, Dusingize Marie Christine ,   Department of Animal production, School of  Animal science and veterinary medicine, University of Rwanda, Rwanda
Published: August 2021

This study investigated the effects of feed on milk yield and quality through feed monitoring and quality assessment, and the consequent enteric methane gas emissions from smallholder dairy farms in drier areas of Rwanda, using the Tier II approach for four seasons in three zones namely; Mayaga and peripheral Bugesera (MPB), Eastern Savanna and Central Bugesera (ESCB), and Eastern plateau (EP). The study was carried out using 186 dairy cows with a mean live weight of 292 Kg in three communal cowsheds. The milk quality analysis was carried out on 418 samples. Data collected were subjected to ANOVA.The dry matter intake was lower (p<0.05) in the long dry season (7.24 Kg) with the ESCB zone having the highest value of 9.10 Kg. The Dry matter digestibility varied between seasons and zones ranging from 52.5 to 56.4% for seasons and from 51.9 to 57.5% for zones. The daily protein supply was higher (p<0.05) in the long rain season with 969 g. The mean daily milk production of lactating cows was 5.6 L with a lower value (p<0.05) during the long dry season (4.76 L) and MPB zone having the lowest value of 4.65 L. The yearly milk production per cow was 1179 L. The milk fat varied from 3.79 to 5.49% with a seasonal and zone variation. No variation was observed with milk protein. The seasonal daily methane emission varied from 150 g for the long dry season to 174 g for the long rain season (p<0.05). The mean emission factor was 59.4 Kg of methane/year. The methane emission per unit of milk production was lower in EP zone (46.8 g/L). Farmers should use high-quality feeds to increase the milk yield and reduce the methane gas produced per unit of milk
Successful Mechanical Thrombectomy of Middle Cerebral Artery Occlusion 14 Hours after Stroke Onset
Authors: Robin Bhattarai  , Karki Karuna Tamrakar , Thapa Dinesh Kumar , Yadav Navin Kumar
Published: August 2021

A 45-year-old patient with no significant past medical history presented to out-patient department with aphasia and right hand weakness with a National Institutes of Health Stroke Scale (NIHSS) of 10 and occlusion of the left middle cerebral artery (MCA) in the M1 segment. Last known normal time was 14hrs (wake up stroke). Immediate endovascular thrombectomy was performed 14 hours after symptom onset with complete recanalization and complete clinical recovery. Although mechanical thrombectomy is generally considered an effective alternative strategy up to 8 hours after stroke onset, selected patients with a large diffusion/perfusion mismatch and small infarct cores may benefit from an expanded therapeutic window.
Nepal’s Survival Strategies During the Shah Era
Authors: Subba Phanindra
Published: August 2021

Nepal is one of the few countries in the world which was never colonized during the hey-day of colonial era. She is bounded on the north by China and on the three other sides by India. Compared to these Colossi, Nepal is significantly weaker in terms of demography, economics, military strength and physical size. Nepal is, thus, a typical small state. There are several strategies that small states can employ to compensate for their weaknesses, ensure security, and secure a measure of influence over other actors. Small state literature exposes that such states can choose from strategies such as entering into alliance with a great power, hedging, neutrality, balancing, and band– wakening. Currently, this paper explores a trajectory of survival strategies that Nepal adopted during the Shah era on the basis of the analysis of crucial events that occurred during this period from perspectives of small state theories. The paper is based on the study of relevant books, documents and articles on small states amidst international affairs in global spheres. The joint rise of India and China is transforming the strategic landscape of Nepal’s neighborhood and will have a profound and long-term impact on Nepal. Nepal in the past has demonstrated a stubborn ability to survive by adapting to changing geopolitical situations. Although the present-day world is far more complex, lessons from the past are worth reconsidering because there are instances of similarities to the present. Furthermore, some aspects of strategy are constant.
Impact of Citizenship and Immigration Law on National Security of Nepal
Authors: Dahal Sachin
Published: August 2021

The citizenship and immigration laws are regarded as the foundational units to assure the security of citizens and also to serve the national integrity. This article discusses about the impact of Nepali citizenship and immigration law on national security of Nepal. What may be the significance of citizenship and immigration law of a nation in an increasingly global society? Has Nepal considered immigration as a threat to security by focusing on societal, economic, internal and public security? In order to elaborate the issues of human security in Nepal from the perspectives of citizenship realm and trends of immigration, it is necessary to investigate the provisions of citizenship provided in the constitution as well as the laws that oversee the effect of immigration on the socio-cultural, political and economic demographics of Nepal. Importance of strong citizenship laws proliferate continuously from dual and transitional citizenship in the context of globalization. Considering the geopolitical location of Nepal and its vulnerability to the possible threats, Nepal’s citizenship and immigration laws have always been the integral part of debate and discussion among the politicians, intellectuals and general public. The development of national security of any country is dependent upon the quality of dignity, liberty and protection ensured to its citizens by the state. So, the economic, social and political rights should be granted to the citizens in equal manner through citizenship while guarding against pretentious foreign interests. Nepal needs to have strong citizenship and immigration laws to sustain its territorial integrity and protect national interests.
RANGE OF EXHAUST GASES PRE-COOLING IN THE IMPROVED HEAT PUMP SYSTEM OF HEAT SUPPLY
Authors:   Odessa State Academy of Civil Engineering and Architecture, Petrash V.D. , Polunin Yu.N. ,   Odessa State Academy of Civil Engineering and Architecture, Danichenko N.V. ,   Odessa State Academy of Civil Engineering and Architecture
Published: August 2021

The paper studies the range of possible and rational pre-cooling of exhaust gases in an improved heat pump of heating supply system in the development of its previously proposed basic version. The research has established analytical dependences for determining the energy flows of the condenser and evaporator, as well as the energy efficiency of the improved heat supply system. On their basis, a rational range of preliminary cooling of exhaust gases of rotary kilns was revealed, the upper level of which is determined, first of all, by their initial temperature. It has been established that the rational ratio of water consumption for heating systems with traditional temperature drops and hot water supply is in the range of 0.3-0.9. At the same time, an increase in energy efficiency is noted in the process of operational regulation of systems with a decrease in the ratio of the costs of heat carriers for technological and household purposes. The degree of precooling of exhaust gases, which significantly depends on their initial temperature, is in the range of 0.35-0.5 with a decrease in the corresponding flow rates of heat carriers in heating and hot water supply systems. The rational ratio of the consumption of the heating and heated medium in the process of contact interaction, which significantly depends on the initial temperature of the exhaust gases, is in the range of 0.2-1.2. For low-temperature waste gases (up to 500С), the reciprocal values of the analyzed ratio logically agree with the corresponding values of the irrigation coefficient. The results of the analytical study established multifactorial dependences of energy flows in the condenser and evaporator, as well as determining the energy efficiency of an improved heat pump of the heat supply system, on the basis of which the general range of possible pre-cooling of exhaust gases from rotary kilns was revealed.
DEPENDENCE OF WHITENESS OF DECORATIVE SLAG-ALKALINE CEMENT FROM THE CHEMICAL COMPOSITION OF BLAST-FURNACE SLAGS
Authors:   Kyiv National University of Civil Engineering and Architecture, Krivenko P.V. , Gelevera A.G. ,   Kyiv National University of Civil Engineering and Architecture, Kovalchuk A.Yu. ,   Kyiv National University of Civil Engineering and Architecture, Rogozina N.V. ,   Kyiv National University of Civil Engineering and Architecture
Published: August 2021

The construction industry is demanding more and more quality decorative cements. The demand for them and the requirements for their performance are constantly growing. But since decorative cements are based on white Portland cement, their production is associated with the disadvantages of the production of all clinker cements  low environmental friendliness, high energy consumption and high prices. They are not always able to provide decorative ecological and comfortable coatings with increased performance. In addition, many countries do not produce it and have to import it. An effective alternative to decorative clinker cements can be decorative slag-alkaline cement obtained from industrial waste. It also provides a number of special properties  a wide range of colors, color fastness, high strength, high adhesion, durability and many others. But the problem associated with the use of slag-alkaline cements as decorative cements with high linen ( 70%) is the unstable chemical composition of the slag and, first of all, the different presence of iron oxides in it. It is shown that the presence of iron oxides can reduce the whiteness of decorative slag-alkaline cements due to the synthesis of compounds in them, which give the samples of blue-green color and due to the presence of iron oxides proper, which are inherent in color from brown to dark brown. The paper shows the regularities of the influence of the chemical composition of blast-furnace slags on the whiteness of an artificial slag-alkaline stone. Possibilities of obtaining decorative alkali-activated cements with a wide range of whiteness  from 70 to 97% are shown. Methods of reducing the cost of slag-alkaline decorative cements by using a complex bleaching additive, where part of the expensive TiO2 can be replaced by kaolin or CaCO3, are shown. A new method for determining the whiteness of hardened materials is proposed.
Cartilha: Planejamento
Authors: Alandeives de Almeida Souto
Published: August 2021

A presente cartilha, elaborada em linguagem simples, acessível e objetiva, tem por finalidade transmitir informações relevantes e confiáveis, sobre os diversos temas abordados, democratizando e ampliando o acesso à informação e ao conhecimento, buscando contribuir para que tenhamos uma sociedade mais esclarecida e preparada, para o pleno exercício da cidadania. Trata-se de uma iniciativa dos professores da área de Gestão e Negócios do Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco (IFPE), como parte das atividades acadêmicas, com a participação de servidores técnicos-administrativos e estudantes da referida Instituição, em parceria com o Instituto IIDV através do Programa Internacional Despertando Vocações para Gestão.
The art of honing the conscience through bukalapak ads: barongsai Indonesia, juara hati membangun bangsa
Authors: Lumampauw Andreas , Marta Rustono Farady , Widyanto Yohanes Nugroho , Sandel Todd Lyle , Lie Sunny
Published: August 2021

Culture is one of the foundations for the existence of Indonesia as a nation, as it is expressed in the second stanza of her national anthem. The government has taken an initiative to prioritize national character building, which places character education to realize the vision of national development. One of the efforts to visualize this Indonesian is constructed through a Bukalapak advertisement entitled “Barongsai Indonesia, Juara Hati Membangun Negeri,” which presented the Kong Ha Hong lion dance group and was published via Youtube. This study aims to see that the character values of the Indonesian nation can be constructed through digital media, more precisely through an advertisement. This research employed a qualitative approach with a constructivist paradigm that sees facts as unique and has a special meaning. In addition, the analysis used Thomas Albert Sebeok's visual semiotics to depict several similar classifications to different visual symbols. It was found that every advertisement scene contained both visual and audio messages related to the adaptation of the culture and character of the Indonesian. The contribution and novelty of this research in its construction of the deep meaning of an advertisement are that the conscience has played a major role in the process of cultural adaptation in which the national characters have been honed through the actual actions in the heart-mind, body, and spirit. This research suggested that the character of the Indonesian nation can be formed through cultural adaptation, as proven by the Kong Ha Hong lion dance
History training: a time of lost opportunities
Authors: Proleiev Sergii
Published: August 2021

The article analyzes the problem of Ukraine's independence. Independence is viewed in two ways: as a formal legal act and as the real sovereignty of the people. The acquisition of real sovereignty is seen as a process of achieving social maturity (education) of the people in the course of its history. Shows the genealogy of the idea of an independent state and its connection with the era of modernity. The idea of state independence is not inherent in either the political consciousness or the practice of most of the era of civilization until the beginning of modernity. The thesis is substantiated that independence is an important social task of modern Ukrainian society, and not a fact of its life. The political and legal basis of independence is the sovereignty of the people. It is declared by the constitution, but did not take place de facto. The limited sovereignty of the people is associated with the usurpation of power and property in Ukraine by a closed ruling corporation. The article analyzes three main social forces that determined the development of the country during the period of independence. They are: the selfish interest of the new ruling class, the state aspiration of the protest movement (it is usually called national democratic) and the inertia of Soviet life of the bulk of the population. There is a meaningful connection between the way of governing in the Soviet system and the regime of the dominant corporation in contemporary Ukrainian history. The key feature of the ruling corporation is the implicit, hidden nature of its dominance. This destroys productive social dynamics, creates the preconditions for social collapse. Recently, after the second Maidan, there has been a lawsuit between the people – civil society – and the corporation of rulers and its social satellites for the organization of public life. It is concluded that only the elimination of the privileged position of the ruling corporation opens up the prospect of real democracy and the productive development of Ukraine in a globalized world.
From demographic crisis to prosperity: Ukrainian students are the key to success
Authors: Zubchyk Oleh , Zubchyk Olha , Lynchenko Maksim
Published: August 2021

The article analyzes the demographic situation in Ukraine in comparison with European countries. Features, forms of manifestation nd causes of the demographic crisis in modern Ukraine are shown. It is established that the situation with demographic potential is especially critical in Ukrainian society. It is substantiated that the current demographic situation is characterized by depopulation trends, declining birth rates, increased mortality, reduced life expectancy. Among the main factors contributing to the deteriorating demographic situation in the country are economic (low wages and pensions, inflation, constantly rising tariffs for housing and communal services, electricity, gas), social (unsatisfactory housing conditions for young people, high unemployment, deteriorating public health, declining health care), political (political instability, political risks, incomplete changes in the management system, inconsistency of public administration mechanisms with management goals, copying other people's reforms, lack of clear idea and integrated (comprehensive) reform strategy), state- managerial (with solving the problems of self-organization, ie overcoming the inconsistencies of the state of public administration and civil society to the modern world level and the requirements of their organization and functioning, as well as problems of improving the subject-object relations, management regime). The influence of migration processes among young people on the development of society is determined. It is substantiated that the demographic problem is a public administration problem. It is noted that one of the factors in increasing the role of youth in state-building processes and social development is the system of higher education. Public policies (demographic, youth, education) need to be more effective.
HUBUNGAN KEPATUHAN DIET DENGAN KADAR GULA DARAH PUASA PADA PASIEN DIABETES MELITUS TIPE 2
Authors: Salma Nur , Fadli Fadli , Fattah Abd. Hayat
Published: August 2021

Type 2 diabetes mellitus is a chronic disease that cannot be cured but can be prevented and controlled through the 4 pillars of diabetes mellitus management which includes education, diet therapy, exercise, and medication. Diet therapy is used to help type 2 sufferers improve their eating habits so they can control glucose, fat, and blood pressure levels so that the success of dietary therapy depends on the patient's compliance with diet. The purpose of this study was to determine the correlation between diet adherence with fasting blood sugar levels in patients with type 2 diabetes mellitus. The design of this study used a correlation analysis method with cross sectional approach. The sampling technique is total sampling with a total sample of 28 respondents. Data were collected using a questionnaire and analyzed by linear regression test. The results of the study of dietary compliance based on the number of calories with a value of p = 0.042, adherence to the diet schedule with a value of p = 0.007 and adherence to the type of food diet p value = 0.002. This shows that there is an influence of diet adherence to the level of GDP of patients with type 2 diabetes mellitus at the Lancirang Health Center in 2020 while the percentage of influence is 14.4% as indicated by the value of R square = 0.144. So that in the process of reducing fasting blood sugar, patients or patients should change their behavior, especially on diet compliance based on the number of calories in their food.
ASUHAN KEPERAWATAN PADA KLIEN SKIZOFRENIA DENGAN FOKUS STUDI HARGA DIRI RENDAH DI RSJ. PROF. dr. SOEROJO MAGELANG
Authors: Eni Eka Nur , Erawati Erna , Sugiarto Angga , Suyanta Suyanta
Published: August 2021

Salah satu masalah keperawatan harga diri rendah yang banyak dijumpai pada klien skizofrenia adalah harga diri rendah. Harga diri rendah adalah suatu perasaan dalam diri seseorang yang menganggap bahwa dirinya itu negatif. Harga diri yang tinggi dapat ditunjukkan dengan seseorang mampu menghadapi lingkungan secara aktif, beradaptasi secara efektif untuk berubah dan cenderung merasa aman. Tujuan penelitian menggambarkan pengelelolaan asuhan keperawatan dari pengkajian sampai evaluasi pada klien skizofrenia dengan fokus studi harga diri rendah dengan intervensi mengidentifikasi aspek dan kemampuan positif melalui afirmasi positif. Afirmasi positif merupakan penguatan dalam diri secara positif dengan cara mengungkapkan kalimat yang positif seperti sedang berdoa. Penelitian ini termasuk penelitian lapangan dengan menggunakan pendekatan deskriptif analitik, langkah-langkah yang dilakukan peneliti dalam penelitian ini yaitu wawancara, observasi, dokumentasi, dan mencari data pada rekam medik. Subjek penelitian berjumlah 1 responden berumur 27 tahun. Instrument yang digunakan adaalah dengan Rosenberg’s Self-Esteem Scale untuk mengukur tingkat harga diri klien sebelum dan sesudah dilakukan tindakan. Hasil penelitian ini menunjukkan bahwa ada peningkatan skor harga diri dari kategori rendah menjadi kategori normal.
KEMAMPUAN EKSTRAK DAUN BELUNTAS (Pluchea indica linn) DALAM MEMATIKAN JENTIK NYAMUK Aedes aegypti
Authors: Rafidah Rafidah
Published: August 2021

Jentik nyamuk Aedes  aegypti  dianggap sebagai vektor utama penyebab terjadinya penyakit Demam Berdarah Dengue (DBD). Tujuan dalam penelitian ini adalah untuk mengetahui kemampuan ekstrak daun beluntas (Pluchea indica linn) dalam mematikan jentik nyamuk Aedes aegypti dan jenis penelitian ini adalah eksperimen quasi. Pada masing-masing konsentrasi diberikan 20 ekor jentik nyamuk Aedes aegypti, dan begitupun pada kontrol yang dihitung kematiannya setiap 60 menit selama 24 jam, dengan pengulangan sebanyak 3 kali replikasi.Hasil penelitian dengan menggunakan bahan ekstrak daun beluntas yang tentunya dengan berbagai macam konsentrasi yaitu 0,5% dapat mematikan jentik dengan rata-rata kematian 50%, konsentrasi 0,75% rata-rata kematian jentik 50%, konsentrasi 1,00% rata-rata kematian jentik 55%, konsentrasi 1,25% rata-rata kematian jentik 50%, konsentrasi 1,5% rata-rata kematian jentik 50%. Kesimpulan dalam penelitian ini adalah ekstrak daun beluntas (Pluchea indica linn) mampu dalam mematikan jentik nyamuk Aedes aegypti. Adapun saran dalam penelitian ini diharapkan dapat menjadi suatu alternative pengendalian vektor khususnya terhadap jentik nyamuk Aedes aegypti, daun beluntas dapat di fungsikan sebagai insektisida nabati karena aman bagi lingkungan dan manusia.
FAKTOR - FAKTOR YANG MEMPENGARUHI KEPADATAN KENDARAAN DENGAN KANDUNGAN KARBON MONOKSIDA (CO) DI KOTA MAKASSAR TAHUN 2019
Authors: Pratiwi Anisa , Zaenab Zaenab
Published: August 2021

Hasil penelitian kepadatan kendaran pada jalan Sultan Alauddin dan jalan Hertasning dari ke empat titik didapatkan kepadatan kendaraan yaitu pada titik dua yaitu pada pagi dan sore hari dikatakan padat karena pada daerah tersebut pada selama 1 jam dan pada pengukuran Karbo monoksida di dapatkan hasil yaitu titk I menunjukkan hasil 3,085.71 ug/Nm3, titik II menunjukkan hasil yaitu 8,226.57 ug/Nm3, titik III menunjukkan hasil yaitu 3,885.71 ug/Nm3, titik IV menunjukkan hasil yaitu 2,285.71 ug/Nm3.Berdasarkan hasil penelitian dapat disimpulkan bahwa kadar Karbon Monoksida (CO) pada jalan perbatasan Gowa Makassar, Sultan Alauddin Talasalapang, Hertasning Toddopuli dan Aeroppala Hertasning masih dibawah standar baku mutu. Disarankan kepada Pemerintah Kota Makassar melakukan penanaman pohon di pinggir jalan untuk mengurangi kadar Karbon Monoksida di udara.Kata Kunci : Kualitas udara, Kepadatan Kendaraan dan Karbon Monoksida (CO)
STUDI KANDUNGAN LOGAM BERAT TIMBAL (PB) PADA BUAH YANG DIJUAL DIPINGGIR JALAN Study Of The Heavy Metal Content Of Lead (Pb) Infruit Sold On The Roadside
Authors: Syam Syamsuddin , Irnawati Irnawati
Published: August 2021

Timbal atau dikenal dengan logam Pb sebagai gas buangan kendaraan bermotor dapat membahayakan kesehatan dan merusak lingkungan. Pb yang terhirup oleh manusia setiap hari akan diserap, disimpan dan kemudian ditampung dalam darah. Adapun tujuan penelitian ini yaitu untuk mengetahui kandungan timbal pada buah yang dijual dipinggir jalan.Jenis penelitian yang digunakan adalah penelitian yang bersifat studi kepustakaan.Sumber data yang digunakan dalam penelitian ini berupa data sekunder dari jurnal hasil penelitian yang terpublikasikan di internet terkait dengan kandungan logam berat timbal (Pb) pada buah yang dijual dipinggir jalan. Hasil dari penelitian ini terdapat 1 penelitian yang menunjukkan kandungan timbal pada buah yang tidak memenuhi syarat berdasarkan Peraturan Badan Pengawasan Obat dan Makanan No.5 Tahun 2018 Tentang Batas Maksimum Cemaran Logam Berat Dalam Pangan Olahan. Standar maksimum cemaran logam berat pada buah adalah 0,20 mg/kg.Dapat disimpulkan bahwa lamanya  waktu pemajangan,  jumlah kendaraan yang lewat dan faktor cuaca mempengaruhi kadar timbal pada buah yang dijual dipinggir jalan.Kata kunci       : Timbal (Pb), buah.
HUBUNGAN SANITASI, AIR BERSIH DAN MENCUCI TANGAN DENGAN KEJADIAN STUNTING PADA BALITA DI INDONESIA
Authors: Adzura Mitha , Yulia Yulia , Fathmawati Fathmawati
Published: August 2021

Stunting pada balita merupakan salah satu tantangan pada bidang kesehatan paling penting bagi pertumbuhan manusia, yang mempengaruhi sekitar 162 juta balita di dunia. Studi literatur ini bertujuan mengetahui hubungan faktor sanitasi dengan stunting. Tulisan ini bersumber dari artikel yang terdapat pada basis data PubMed dan Google scholar. Pencarian literatur bahasa Indonesia dilakukan dengan kata kunci: stunting, kepemilikan jamban sehat, akses air bersih, dan cuci tangan pakai sabun, sedangkan untuk pencarian literatur bahasa Inggris dilakukan dengan kata kunci: stunting, healthy latrines, clean water, dan hand washing.  Pencarian berbatas dimulai dari tahun 2014 hingga tahun 2019 yang bisa diakses secara penuh (full text) dalam format pdf serta memiliki desain penelitian kasus kontrol, cross sectional, dan kohort. Dua belas artikel yang memenuhi kriteria inklusi kemudian ditelaah. Kepemilikan jamban sehat, akses air bersih, dan cuci tangan pakai sabun  diindikasikan sebagai faktor penyebab stunting pada balita. Beberapa hasil penelitian yang telah dilakukan dapat dijadikan dipertimbangkan untuk melakukan penanganan stunting melalui intervensi lingkungan.
PENGARUH INTENSITAS KEBISINGAN TERHADAP KEJADIAN SINDROMA VERTIGO PADA KARYAWAN UNIT PRODUKSI PT MARUKI INTERNATIONAL INDONESIA MAKASSAR
Authors: Nurhartati Andi , Musfirah Musfirah , Suryanti Suryanti
Published: August 2021

Lingkungan kerja pabrik di Unit Produksi memiliki intensitas kebisingan yang melebihi Nilai Ambang Batas (NAB), yakni tidak sekedar menimbulkan rasa tidak nyaman namun juga dapat menimbulkan efek serius bagi kesehatan manusia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara intensitas kebisingan dengan kejadian sindroma vertigo  pada karyawan unit produksi PT Maruki International Indonesia Makassar.Penelitian ini merupakan penelitian observasional dengan pendekatan Cross Sectional Study. Populasi dalam penelitian ini adalah seluruh karyawan yang  berada di unit produksi 1 PT Maruki International Indonesia Makassar. Teknik pengambilan sampel dengan metode total  sampling yaitu sebanyak 49 karyawan. Variabel yang diteliti adalah Intensitas Kebisingan, Masa Kerja, Penggunaan Alat Pelindung Telinga (APT) dan sindroma vertigo. Instrumen yang digunakan adalah pengukuran kebisingan dengan menggunakan alat Sound Level Meter (SLM), data karakteristik karyawan dan sindroma vertigo diperoleh dari kuesioner dan wawancara langsung.Hasil penelitian ini mengindikasikan bahwa ada pengaruh antara intensitas kebisingan dengan kejadian sindroma vertigo dengan nilai ρ = 0,031, Penggunaan APT dengan kejadian sindroma vertigo dengan nilai ρ = 0,007 dan tidak ada pengaruh antara masa kerja dengan kejadian sindroma vertigo dengan nilai ρ = 0,755.Untuk itu perusahaan perlu menegakkan aturan penggunaan program Keselamatan dan Kesehatan Kerja (K3) secara maksimal dan konsisten melalui penyuluhan secara menyeluruh pada setiap unit kerja berupa tindakan pencegahan dalam meminimalisasi terjadinya penyakit akibat kerja, khususnya Sindroma Vertigo. Kata kunci : Intensitas Kebisingan, Masa Kerja, Penggunaan APT,  Sindroma vertigo.
ANALISI KADAR CO2 DAN NO DI BASEMENT TRANS STUDIO MAKASSAR
Authors: Lasmi Sulasmi , Hasanah Uswatun
Published: August 2021

Zaman sekarang pembangunan basement semakin  meningkat dan berkembang sebagai lahan parkir karena keterbatasan lahan. Namun kendaraan menjadi salah satu faktor terjadinya pencemaran udara di dalam basement yang nantinya akan berdampak pada kesehatan manusia.Penelitian ini bertujuan untuk mengetahui kadar karbon dioksida (CO2) dan nitrogen monoksida (NO) di basement Trans Studio Makassar sebagai hasil dari aktivitas manusia & emisi kendaraan yang menghasilkan CO2&NO.Jenis penelitian observasional dengan pendekatan deskriptif melalui pengukuran CO2 dan NO pada kawasan parkir basement Trans Studio Makassar. Titik pengambilan sampel udara yaitu 7 titik pengamatan yang mewakili seluruh udara dalam basement  dan dilakukan dua kali pengukuran pada siang hari jam  (13.00-15.00) dan sore  jam  (15.00-17.00) selama 2 hari yaitu hari kerja dan hari libur.Hasil penelitian di basement trans studio makassar menunjukkan pada hari kerja kadar CO2 lebih tinggi pada sore hari yaitu 3.3 ppm dan NO 2.0 ppm. Dan pada hari libur kadar CO2 juga lebih tinggi pada sore hari yaitu 3.1 ppm dan NO 1.3 ppm.Kesimpulan dari hasil penelitian ini adalah kadar CO2 dan NO masih memenuhi persyaratan  yaitu CO2 (5.000 ppm) dan NO (25 ppm). Hal ini disebabkan oleh penggunaan exhaust fan yang berjalan dengan baik sehingga konsentrasi gas dalam basement masih aman bagi petugas parkir dan pengunjung.Kata Kunci :  Pencemaran Udara, Basement, Trans Studio MakassarKarbon Dioksida, Nitrogen Monoksida
Studi Indeks Eritrosit Pada Pasien Diagnosis Positif Malaria
Authors: Kahar Fitriani , Priyatno Djoko , Meo Beatrix Marta
Published: August 2021

Malaria is a contagious disease caused by parasites (protozoa) of the genus Plasmodium, which can be transmitted through the bite of a female Anopheles mosquito. There are 4 species of Plasmodium that cause malaria in humans, namely Plasmodium Vivax, Plasmodium Falciparum, Plasmodium Malariae and Plasmodium Ovale. Malaria is an infectious disease that is found in many tropical and sub-tropical countries. This study aims to determine the description of the erythrocyte index in patients diagnosed with malaria positive at the Kotaratu Public Health Center, Ende Utara District. Erythrocyte index examination functions in determining the type of anemia. This research method is laboratory observation with a descriptive approach. The research sample was 20 patients with positive diagnosis of malaria in Kotaratu Public Health Center, Ende Utara District. The results of this study were 20 samples, for normal MCV values 10 samples (50%), 10 samples (50%) less than normal and 0 samples (0%) more than normal. The MCH value was less than normal for 7 samples (35%), 13 samples (65%) normal and 100% normal MCHC value. The conclusion is that in malaria parasite infection there is a low MCV is 50% and 50% normal, low MCH is 35%, and normal is 65, while normal MCHC is 100%. Keywords: Erythrocyte Index (MCV, MCH, MCHC), Malaria
STUDI VOLUME JUMLAH KENDARAAN TERHADAP KANDUNGAN NO2 DI UDARA PADA BASEMENT TRANS STUDIO MAKASSAR
Authors: La Taha La Taha , Nur Hardiyanti Nur Hardiyanti
Published: August 2021

Nitrogen Dioksida (NO2) adalah salah satu komponen utama yang mempengaruhi kualitas udara, yang dihasilkan dari proses pembakaran bahan bakar pada mesin kendaraan. Basement merupakan tempat yang berisiko terhadap terjadinya pencemaran udara yang disebabkan emisi gas kendaraan sehingga berpotensi tercemar NO2.            Tujuan penelitian ini untuk mengetahui jumlah kendaraan terhadap kandungan NO2di udara pada basement Trans Studio Makassar. Jenis penelitian yang digunakan dalam penelitian inii berupa deskriptif  dengan pengukuran di tujuh titik yaitu : (1). Jalan masuk basement. (2). Depan escalator. (3) Depan lift. (4). Depan tangga gajah (permainan anak-anak). (5). Depan Carrefur. (6). Depan Mushollah. (7). Jalan Keluar basement. Data yang diperoleh melalui pengukuran dii lapangan. Alat yang digunakan yaitu Hygrometer, Anemometer, counter, dan Odalog 7000. Hasil  penelitian disajikan dalam bentuk tabel.            Hasil penelitian diperoleh rata-rata kandungan NO2 di Area Basement Trans Studio Makassar pada waktu siang-sore hari yaitu 1,25-2.7 µg/Nm3 dengan rata-rata suhu 29oC-31,4oC, kelembaban 54,2%-62% dan kecepatan angin 0,3m/s-0,6m/s. Hasil tersebut masih di bawah kadar baku mutu udara ambient Peraturan Pemerintah Republik Indonesia No 41 Tahun 1999 tentang Pengendalian Pencemaran Udara yaitu 400 µg/Nm3 dalam waktu pengukuran 1 jam.            Berdasarkan hasil penelitian ini, maka disimpulkan kadar NO2 di temukan kisaran 1,25-2,7 µg/Nm3 dari hasil pengukuran ini tidak melebihi standar baku mutu berdasarkan dengan Pemerintah Republik Indonesia Nomor 41 Tahun 1999. Disarankan agar pihak pengelolah parkir basement Trans Studio Makassar dapat menambah ventilasii agar sirkulasi udara bisa lebih baik.
HUBUNGAN PENGETAHUAN, SIKAP, PERSONAL HYGIENE TERHADAP PENYAKIT HEPATITIS-A DI KABUPATEN PACITAN 2019
Authors: Ardiyah Mufiadzatul , Nurhaidah Nurhaidah , Kriswandana Ferry
Published: August 2021

Hepatitis A adalah penyakit radang hati yang disebabkan oleh virus hepatitis A. Penyakit ini umumnya dapat menyebabkan wabah. Pada tahun 2019 Bulan Juni pemerintah menetapkan status KLB hepatitis A di Kabupaten Pacitan yang tersebar di beberapa kecamatan. Berdasarkan data Dinas Kesehatan Kabupaten Pacitan, penderita hepatitis A per Bulan Oktober 2019 sebanyak 1.310 orang. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan, sikap, dan personal hygiene terhadap kejadian hepatitis A di Wilayah Kerja Puskesmas Ngadirojo Kabupaten Pacitan.Jenis penelitian yang digunakan untuk melakukan penelitian ini adalah penelitian kuantitatif dengan metode analitik observasional danmenggunakan desain penelitian case control. Populasi dalam penelitian ini sebanyak 280 orang dan jumlah total sampel sebanyak 60 orang dengan rincian case sebanyak 30 orang dan controlsebanyak 30 orang. Pengambilan sampel case dan controldilakukan dengan cara simple random sampling.Pengumpulan data dengan cara wawancara, kemudian data yang diperoleh selanjutnya dianalisis secara analitik menggunakan uji Chi Square dan Contingency Coefficient.Hasil penelitian ini menunjukkan hubungan yang signifikan antara tingkat pengetahuan dengan kejadian Hepatitis A (pvalue= 0,002; C= 0,374; OR= 5,675, 95% CI:1,841 –17,494), sikap dengan dengan Hepatitis A (pvalue= 0,004; C= 0,346; OR= 4,75, 95% CI: 1,584 –14,245), dan personal hygiene dengan kejadian Hepatitis A (pvalue= 0,001; C= 0,407 ; OR= 7,5, 95% CI: 2,244 –25,062).Peneliti menyarankan peran aktif tenaga kesehatan dan masyarakat dalam upaya penanggulangan dan pencegahan KLB Hepatitis A, melakukantindakan primery protection berupa imunisasi Hepatitis A sebagai upaya preventif, menerapkan Perilaku Hidup Bersih dan Sehat, dan kegiatan monitoring evaluasi pasca KLB sehingga diharapkan tidak terjadi kembaliKLB Hepatitis A di Kabupaten PacitanKata kunci : Hepatitis A, Personal Hygiene, Kejadian Luar Biasa
PENGARUH PENGETAHUAN IBU TENTANG GIZI BALITA DAN POLA PEMBERIAN MAKANAN TERHADAP STATUS GIZI BALITA
Authors: Khayati Fitriana Noor
Published: August 2021

Tujuan penelitian : untuk menganalisa pengaruh pengetahuan ibu tentang gizi balita dan pola pemberian makanan terhadap status gizi balita. Metode: Penelitian deskriptif analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini yaitu ibu yang memiliki anak usia 1-3 tahun di Desa Kunden, Karanganom. Sampel berjumlah 56 orang yang diambil dengan teknik total sampling. Penelitian dilaksanakan pada bulan Juni-Juli 2016. Analisa data menggunakan uji Chi Square. Hasil: Ibu yang memiliki pengetahuan tentang gizi balita cukup baik 41,1% dan pola pemberian makanan ibu yang baik 78,6%. Balita di Desa Kunden sebagian besar memiliki status gizi normal yaitu 62,5%. Hasil uji Chi Square menunjukkan tidak ada pengaruh pengetahuan ibu (p=0,113) dan pola pemberian makanan (p=0,503) terhadap status gizi balita (α=0,05). Diskusi: Status gizi balita selain dipengaruhi oleh faktor pengetahuan dan pola pemberian makan, dipengaruhi juga oleh faktor genetik.  Kesimpulan: Tidak ada pengaruh antara pengetahuan ibu tentang gizi balita dan pola pemberian makanan terhadap status gizi balita.Kata Kunci: pengetahuan ibu, pola pemberian makanan, status gizi, balita
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELULUSAN DALAM UJI KOMPETENSI NERS INDONESIA (UKNI) DI REGIONAL SULAWESI
Authors: Tahir Takdir
Published: August 2021

ABSTRAK Tujuan penelitian : Mengidentifikasi faktor-faktor yang berhubungan dengan kelulusan dalam pelaksanaan UKNI di institusi regional Sulawesi.Metode: Penelitian ini menggunakan survey analitik dengan model pendekatan Cross Sectional Study. Sebanyak 72 orang lulusan  ners sebagai sampel dari berbagai institusi keperawatan di wilayah Sulawesi,  pengambilan sampel dilakukan secara kluster sampling, lalu diberikan kuesioner saat brefing H-1 sebelum Ujian Kompetensi Ners.  Uji statistik yang digunakan yaitu uji Pearson Correlation dengan tingkat kemaknaan  p-value =0.05Hasil: Ada hubungan kesiapan ujian (p=0.001), try out UKNI (p=0.03), prestasi akademik (p=0.03), peran institusi (p=0.005) dengan tingkat kelulusan uji kompetensi ners dan  tidak ada hubungan kondisi fisik   (p=0.555),  praktik profesi  dengan tingkat kelulusan uji kompetensi ners.Kesimpulan: Faktor yang paling dominan berhubungan dengan kelulusan uji kompetensi adalah kesiapan uji kompetensi. Perlu dilakukan penelitian lanjutan yang terkait sistem bimbingan profesi, pemahaman blue print dengan kelulusan uji kompetensi ners. Kata Kunci: Uji Kompetensi, Tingkat Kelulusan, Prestasi Akademik  ABSTRACTObjective: Determine the factors associated with ners’s graduate rate in the implementation of the Indonesian ners competence test (UKNI) in institution at Sulawesi Methods: This study use survey analitic model with cross sectional approach. Study using a questionnaire with Guttman scale. The sampling technique using Cluster Random Sampling and obtained the number of samples in the study was 72 teenagers. The statistical test used was the Pearson Correlation test with a significance level of p-value = 0.05.Result: This study used Pearson test and obtained that there is a relationship between prepared test and graduation rate (p=0,001), academic achievement and graduation rate is related (p=0,03), physical condition and graduation rate found no correlation (p=0,555), institutional role and graduation rate is related (p = 0.005), UKNI’s try out and graduation rate is related (p=0,03). profession practice system and graduation rate found no correlation (p=0,437).Discussion  Based on this study’s result, from six factors there are four factors that related to the ners’s passing rate in implementation of UKNI. There are prepared test, academic achievement, institutional role and UKNI’s try out. The most related factor of these four is prepared test. Meanwhile, factors that have no correlation is physical condition and profession practice system. Conclusion: The most dominant factor related to the graduation of competency test is the readiness of the competency testKeywords: UKNI, graduation rate.accademic achievement
Tingkat Kecemasan dan Stres Pada Mahasiswa yang Mengikuti OSCE
Authors: Rachmawati Vina , - Mustikasari
Published: August 2021

Penelitian ini membahas mengenai tingkat kecemasan dan stres yang dialami oleh mahasiswa yang mengikuti OSCE. Tujuan: Penelitian ini menggunakan desain deskriptif dengan tujuan untuk menggambarkan tingkat kecemasan dan stres pada mahasiswa yang mengikuti OSCE. Metode: Penelitian ini melibatkan 109 responden dengan kriteria inklusi yaitu mahasiswa aktif dan sudah mengikuti ujian OSCE praktikum anak. Penelitian ini sudah berhasil melewati uji etik. Instrumen yang digunakan yaitu Hamilton Rating Scale Anxiety (HRS-A) dan Perceived Stress Scale (PSS). Uji reabilitas instrumen HRS-A memiliki nilai Cronbanch’s Alpa yaitu 0,752 dan uji reabilitas instrumen PSS memiliki nilai Cronbanch’s Alpa yaitu 0,706. Hasil: Hasil penelitian menunjukkan dari 109 responden didapatkan mahasiswa mengalami kecemasan ringan yaitu 71 (65,1%), kecemasan sedang 19 (17,4%) dan kecemasan berat 17 (15,6%) dan panik 2 (1,8%.  Hasil penelitian menunjukkan dari 109 responden didapatkan mahasiswa yang mengalami stres ringan 1 (0,9%), stres sedang 78 (71,6%) dan stres berat 30 (27,5%). Kesimpulan: Hasil penelitian ini diharapkan bisa memberikan informasi bagi institusi pendidikan mengenai gambaran tingkat kecemasan dan stres pada mahasiswa yang mengikuti OSCE. Peneliti lain dapat mengembangkan penelitian dengan meneliti faktor faktor yang mempengaruhi tingkat stres dan kecemasan serta strategi koping yang digunakan dalam mengatasi kondisi stres yang muncul saat melaksanakan OSCE.Kata kunci: Kecemasan, stres, mahasiswa keperawatan dan OSCE
EFFECT OF WOUND CARE ON WOUND HEALING PROCESS OF POST OPERATION IN PATIENTS APENDEKTOMY IN RS DUSTIRA CIMAHI
Authors: Sutrisna Marlin , Tusyanawati Vega M
Published: August 2021

ABSTRACTVega M. Tusyanawati1, Marlin Sutrisna2, Tonika Tohri3  Sekolah Tinggi Ilmu Kesehatan Rajawali Bandung IndonesiaEmail : vegatusyanawati@gmail.comBackground: Appendicitis is one of the emergency  cases in the abdominal area with a major complaint of persistent lower abdominal pain that develops and increased pain. An appendectomy is a surgical intervention that has the purpose of ablative surgery or removal of body parts that contain problems or have disease. One of the postoperative treatments of apendectomy is with wound care. The current wound care treatment is modern and conventional wound care. Objective: This study was to investigate the effect of treatment of postoperative wound healing apendectomy. Methodology: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples taken is 18 respondent. Taking sampling with accidental sampling technique. Result: The result shows that p-value 0.001, with mean value in intervention group was 5.50 and in control group 13.50. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords                    : type of wound care, post operative apendectomy
PENINGKATAN KEMAMPUAN TIMBANG TERIMA PASIEN DENGAN BUDAYA KOMUNIKASI SBAR DI RUMAH SAKIT “X”BEKASI
Authors: Anggraini Dian
Published: August 2021

ABSTRAKKomunikasi tidak efektif dalam timbang terima pasien dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien, yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Komunikasi dengan alur Situation, Background, Assessment, Recommendation (SBAR) adalah salah satu metode komunikasi efektif yang jelas, fokus, dan terstruktur. Tujuan penelitian adalah untuk mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan, desain penelitian dengan pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift  (n= 17), analisis data dengan uji t berpasangan dan uji Wilcoxon. Ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p value < 0,001), ada perbedaan yang  bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p value < 0,001). Efektifitas pelaksanaan komunikasi SBAR perlu menjadi sebuah budaya, dan pelaksanaannya perlu ada dukungan dari pihak manajerial dan komitment perawat, dengan adanya pedoman komunikasi efektif dengan metode SBAR, motivasi, mentoring, dan supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata kunci: Kemampuan, komunikasi, pengetahuan, SBAR, timbang terima  ABSTRACTIneffective communication in hand over patients can increase the incidence of medication errors, endanger patients, extend the treatment process, reduce patient satisfaction, extend patient care days, which will have an impact of the lack on quality nursing care given to patients. Communication with the groove Situation, Background, Assessment, Recommendation (SBAR) is one of the effective clear, focused and structured communication method. The objective of this  research is to identify differences in the knowledge and ability of nurses after training, research design with pre-experiment with pre-post without a control group, the study sample whole Nurses Primary and responsible shift (n = 17), data analysis with paired t test and Wilcoxon test. There is a significant difference in the average nurse's knowledge before and after training (p value <0.001), and there is a significant difference  means the ability of nurses before and after training SBAR communication in shifts handover (p value <0.001). Effective implementation of the SBAR communication needs of the managerial support and commitment of nurses, with the guidance effective methods SBAR communication, motivation, mentoring, and supervision, as well as the development of continuing education.Keywords: Abilities, Communication, handover, knowledge, SBAR
The effects of heat stress and feed restriction on the microbiome of lactating dairy cows
Authors:   , Witzke Monica Camille
Published: August 2021

Elevated environmental temperatures and relative humidity can cause heat stress in dairy cattle which results in decreased feed intake, reduced milk production, and increased disease incidence. Our objectives were to evaluate the effects of heat stress and feed restriction on the rumen fluid, fecal, bedding, inguinal skin, teat skin, and milk microbiomes of lactating dairy cattle. Feces contribute bacteria to bedding and by evaluating rumen fluid, feces, bedding, inguinal skin, teat skin, and milk samples, we aimed to determine if elevated environmental temperatures induced changes in one microbial niche impacted the other sample types evaluated. We hypothesized that heat stress would result in increased shedding of Gram-negative bacterial phyla (Bacteroidetes and Proteobacteria) and mastitis-associated bacterial operational taxonomic units (OTU) (Enterobacter, Enterococcus, Escherichia-Shigella, Klebsiella, Staphylococcus, and Streptococcus). Our first study evaluated the effects of heat stress on one group of cows (n = 6) in a time course design through pretreatment, heat stress, and recovery periods. Our second study evaluated the effects of elevated and clamped rectal temperature (40[degrees]C [plus-minus] 0.5; n = 6) or pair-feeding (n = 6) in a sequential design through pretreatment, challenge, and recovery periods. A third group of control cows (n = 6) was maintained under thermoneutral conditions. During these studies, the relative abundances of dominant bacterial phyla, families, and genera in rumen fluid, feces, bedding, inguinal skin, teat skin, and milk often displayed different responses to heat stress and feed restriction in dairy cattle. Fecal samples were collected from heat-stressed cows in both studies but the relative abundances of Bacteroidetes and Firmicutes differed between the studies. Rumen fluid and fecal samples contained few of the OTU corresponding to mastitis associated bacteria. Enterococcus relative abundance appeared temperature responsive as shown by an increase in abundance in bedding, and on inguinal and teat skin during the heat stress challenge. Because inguinal skin was less exposed to the bedding than teat skin, the rise in the abundance of Enterococcus during heat stress highlights the skin's additional contribution to changes within the teat skin microbiome. These studies highlight that the skin microbiome responded to heat stress and may alter the bedding microbiome. Collectively, the results from these studies report specific bacterial OTU that appear heat stress-responsive and support the concept that mastitis-associated bacteria have different responses to heat stress. Additionally, the results from these studies highlight the variability within the dairy cow microbiome over time.