bluuebunny/crossref_metadata_2025 huggingface dataset:
Dynamic Response of a Cracked Viscoelastic Anisotropic Plane Using Boundary Elements and Fractional Derivatives
Authors: Rangelov Tsviatko V. , Dineva Petia S. , Manolis George D.
Published: July 2018

The aim of this study is to develop an efficient numerical technique using the non-hypersingular, traction boundary integral equation method (BIEM) for solving wave propagation problems in an anisotropic, viscoelastic plane with cracks. The methodology can be extended from the macro-scale with certain modifications to the nano-scale. Furthermore, the proposed approach can be applied to any type of anisotropic material insofar as the BIEM formulation is based on the fundamental solution of the governing wave equation derived for the case of general anisotropy. The following examples are solved: (i) a straight crack in a viscoelastic orthotropic plane, and (ii) a blunt nano-crack inside a material of the same type. The mathematical modelling effort starts from linear fracture mechanics, and adds the fractional derivative concept for viscoelastic wave propagation, plus the surface elasticity model of M. E. Gurtin and A. I. Murdoch, which leads to nonclassical boundary conditions at the nano-scale. Conditions of plane strain are assumed to hold. Following verification of the numerical scheme through comparison studies, further numerical simulations serve to investigate the dependence of the stress intensity factor (SIF) and of the stress concentration factor (SCF) that develop in a cracked inhomogeneous plane on (i) the degree of anisotropy, (ii) the presence of viscoelasticity, (iii) the size effect with the associated surface elasticity phenomena, and (iv) finally the type of the dynamic disturbance propagating through the bulk material.
A Tilted Lorentz Force Effect on Porous Media Filled with Nanofluid
Authors: Muthtamilselvan M. , Sureshkumar S.
Published: July 2018

This paper is intended to investigate the effects of an inclined magnetic field on the mixed convection flow in a lid-driven porous enclosure filled with nanofluid. Both the left and right vertical walls of the cavity are thermally insulated while the bottom and top horizontal walls are maintained at constant but different temperatures. The governing equations are solved numerically by using finite volume method on a uniformly staggered grid system. The computational results are obtained for various combinations of Richardson number, Darcy number, Hartmann number, inclination angle of magnetic field, and solid volume fraction. It is found that the presence of magnetic field deteriorates the fluid flow, which leads to a significant reduction in the overall heat transfer rate. The inclination angle of magnetic field plays a major role in controlling the magnetic field strength and the overall heat transfer rate is enhanced with the increase of inclination angle of magnetic field. Adding the nanoparticles in the base fluid significantly increases the overall heat transfer rate in the porous medium whether the magnetic field is considered or not.
3D Object Shape Reconstruction from Underwater Multibeam Data and Over Ground Lidar Scanning
Authors: Kulawiak Marek , Łubniewski Zbigniew
Published: July 2018

The technologies of sonar and laser scanning are an efficient and widely used source of spatial information with regards to underwater and over ground environment respectively. The measurement data are usually available in the form of groups of separate points located irregularly in three-dimensional space, known as point clouds. This data model has known disadvantages, therefore in many applications a different form of representation, i.e. 3D surfaces composed of edges and facets, is preferred with respect to the terrain or seabed surface relief as well as various objects shape. In the paper, the authors propose a new approach to 3D shape reconstruction from both multibeam and LiDAR measurements. It is based on a multiple-step and to some extent adaptive process, in which the chosen set and sequence of particular stages may depend on a current type and characteristic features of the processed data. The processing scheme includes: 1) pre-processing which may include noise reduction, rasterization and pre-classification, 2) detection and separation of objects for dedicated processing (e.g. steep walls, masts), and 3) surface reconstruction in 3D by point cloud triangulation and with the aid of several dedicated procedures. The benefits of using the proposed methods, including algorithms for detecting various features and improving the regularity of the data structure, are presented and discussed. Several different shape reconstruction algorithms were tested in combination with the proposed data processing methods and the strengths and weaknesses of each algorithm were highlighted.
Non-Line Analysis of Stiffness in Compression Conditions
Authors: Kahsin Maciej , Stecki Dawid
Published: July 2018

The analyzes were aimed at demonstrating the influence of parameters describing the deformation of the structure on the uncertainty of critical force, and the impact of technological imperfections on stress uncertainty in compression conditions. In a linear buckling analysis, the problem is considered only for the initial, permanent state of the stiffness matrix. In the case of demonstrating the influence of initial deformations on the behavior of the structure under load, it is necessary to visualize changes in stiffness over time. To this end, a non-linear MES analysis was carried out, which will take into account local changes in the stiffness of the model through a gradual increase in the load. Thus, the difference in stiffness is taken into account, which in the linear problem is infinite. The analysis was used to examine the local and global sensitivity of the parameters describing: plating thickness as well as deformation caused by the technological process on the stress value reduced by Huber hypothesis, and the value of normal stress. To take into account the influence of non-specified values of the magnitude of geometric deviations, and their simultaneous influence on the range of obtained results, the Experimental Planning Method and the Surface Method of Answers were used.
Maintenance Grouping Optimization for Offshore Wind Turbine Considering Opportunities Based on Rolling Horizon Approach
Authors: Lua Yang , Suna Liping , Kanga Jichuan , Zhang Xinyue
Published: July 2018

In future, offshore wind turbines may be consider a crucial part in the supply of energy. Maintenance processes are directed to attain a safe and reliable operation of offshore machines and wind turbines. In this paper, an opportunistic maintenance strategy for offshore wind turbine is proposed, considering imperfect maintenance and the preventive maintenance durations. Reliability Centric Maintenance serves as a proactive tactic to operations and maintenance by inhibiting the possible reasons of poor performance and controlling failures. Other components can implement the opportunistic preventive maintenances if one component has reached its reliability threshold. According to the rolling horizon approach, it is of great importance to update the maintenance planning for the sake of the short-term information. By figuring out the best combination, the maintenance schedule in the mission time has been finally determined. Failure information are obtained from previous studies to accomplish the calculations. The outcomes indicate that the maintenance cost has been dramatically reduced through the application of opportunistic maintenance.
PEMODELAN KUALITAS INFORMASI GEOSPASIAL DASAR DI INDONESIA
Authors: Riqqi Akhmad , Taradini Jesika , Effendi Arief Erman
Published: July 2018

Kualitas informasi geospasial pada peta dasar RBI, LPI, dan LLN merupakan informasi yang harus diketahui dan dinyatakan secara jelas untuk menjamin kualitas IG turunannya, yaitu peta tematik. Berdasarkan standar kualitas data geospasial ISO 19157:2013, terdapat 6 elemen kualitas data. Setiap elemen tersebut memiliki jenis dan ukuran kualitas masing-masing, sehingga informasi kualitas yang melibatkan keseluruhan elemen menjadi tidak sederhana. Dibutuhkan suatu pernyataan sederhana untuk menyatakan informasi kualitas yang mudah dipahami oleh pengguna peta. Penelitian ini mengembangkan metode untuk menyusun kelas kualitas peta dasar, dengan melakukan agregasi elemen kualitas pada setiap kategori unsur. Metode agregasi kualitas meliputi perhitungan tanpa bobot dan perhitungan dengan bobot. Pada perhitungan tanpa bobot, setiap elemen kualitas data dan kategori unsur memiliki tingkat kepentingan yang sama; sedangkan pada perhitungan dengan bobot, elemen kualitas data dan kategori unsur yang lebih penting memiliki bobot yang lebih besar dibandingkan dengan elemen kualitas data dan kategori unsur yang lainnya. Peta dasar hasil evaluasi kualitas (QE) memiliki informasi berupa kelas (antara A+, A, AB, B, BC, dan C) yang menunjukkan tingkat kualitas peta dasar. nilai kelas ini digunakan untuk memudahkan pengguna peta dalam memahami kulitas peta dasar.
Kata kunci: kualitas data geospasial, kelas, peta dasar
MODERN WOUND CARE MANAGEMENT IN GENERAL HOSPITAL CUT NYAK DIEN LANGSA
Authors: Mulyadi Edy , Nurrahmawati Nurrahmawati , Ajma'in Ajma'in
Published: July 2018

Introduction: The concept of moist wound care based (moisture balance) has long been known in the world, because it has advantages such as speeding up the re-epitalisasi, retain moisture, decrease infection, the wound bed moist spending can stimulate growth factors that accelerate the wound healing process. This research aims to produce modern wound care management protocols that will run on General Hospital Langsa Cut Nyak Dien, and can be a guide to wound care by nurses in RSUCND. Method: The design used in this study was action research with one cycle. The number of participants involved were 12 people assigned to the purposive sampling method. Data collection methods are focus groups discuss, self-report (questionnaire wound care nurses' knowledge about modern and caring, nurse and patient satisfaction levels), and observation (checklist). Data collection was conducted from 26 April to 28 September 2013. Data obtained were analyzed by analysis wilcoxon. Results: Result test conducted between the pre and post show significant changes. Discussion: The recommendations can be made based on the results of this study, which has been composed POS can be run by RSUCND and this research can be continued on the next cycle. Keywords: wound care with moisture balance concepts, operational procedures
THE EFFECTIVENESS OF DEEP BREATHING AND SLOW STROKE BACK MASSAGE TO DECREASE THE BLOOD PRESSURE ON A PATIENT WITH HYPERTENSION
Authors: Yusiana Maria Anita , Suwardianto Heru
Published: July 2018

Introduction: Many patients with hypertension have not got the proper treatment in controlling blood pressure (BP). The purpose of this study was to analyze the effectiveness of deep breathing (DB) and slow-stroke back massage (SSBM) in BP reduction to patients with hypertension. Method: The design was a True Experiment the Solomon Three-Group Design. Sampling technique was group randomized plan as many as 60 people. The treatment given was BP and SSBM. Blood pressure data retrieval used mercury spigmomanometer. Results: The results were ρ of BP values (systolic) was 0,000, while the value of ρ (diastolic) was 0,000. The value ρ of SSBM (systolic) was 0.000 while the value of ρ (diastolic) was 0.001. The statistical results of the effectiveness BP systolic reduction was the significant difference in both interventions with a control group with ρ = 0.000 and the most effective was the DB compare to SSBM with ρ = 0.05 (4.0 mmHg). While there are differences in BP diastolic reduction significantly in both interventions with the control group with ρ = 0.000 and the most effective was DB than SSBM with ρ = 0.01 (6.6 mmHg). Discussion: It can be concluded DB and SSBM are effective to lower BP (systolic mean difference of 9.3 mm Hg of DB and SSBM 5.3 mmHg, while diastolic mean DB 11.2 mmHg and SSBM. Keywords: deep breathing, slow stroke back massage, blood pressure, hypertension
THE LIVED EXPERIENCE OF SPIRITUALITY OF PATIENTS WITH SCHIZOPHRENIA IN BOARDING SCHOOL (PONDOK PESANTREN)
Authors: Sari Sri Padma , Wijayanti Diyan Yuli
Published: July 2018

Introduction. Spiritual reported to have benefits for healing and quality of life for people with mental disorders including schizophrenia. Spiritual can also be a coping strategy for people with schizophrenia. This study aims to explore the experiences of people with schizophrenia who lived in the boarding school. Method. This study uses descriptive phenomenological approach. Participants in this study who were diagnosed with schizophrenia and live in boarding school and general informants. Data were obtained using indepth interviews with a tape recorder, observations, field notes and photographs. Data were analyzed using descriptive analysis through hermeneutic interpretation. Results. Three main themes emerge from this study are meaning of spirituality, spirituality experience and the impact of spirituality.Discussion. The purposes of this study are (1) describes the spiritual experience that people with schizophrenia get in boarding school, (2) identify their need for spirituality, (3) identify the impact of spiritual experiences of people with schizophrenia who live in boarding school. Keywords: schizophrenia, spirituality, lived experiences
THE EFFECTIVENESS OF BENSON’S RELAXATION THERAPY TO DECREASE THE LEVEL OF INSOMNIA ON CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS
Authors: Sulistyaningsih Dwi Retno , Melastuti Erna
Published: July 2018

AbstractAlmost 50 – 80 % patients with chronic kidney disease undergoing hemodialysis were reported to sleep disorder.  Insomnia is the highest prevalence  sleep disorder in the dialysis patients. This study aims to determine the effectiveness of Benson’s relaxation of the level of patients’ insomnia with chronic kidney disease in dyalisis patients. The design of this study is quasi-experimental with pretest-posttest design with control group. Fourty-two hemodyalisis patiens were recruited purposively from the hemodyalisis Islamic Hospital, Sultan Agung , Semarang. The sample was divided into two groups (treatment and control). Patients in the treatment group received Benson’s relaxation techniques during hemodialysis for 4 weeks and the control group received routine care. The insomnia severity index was used to measure  insomnia level. The result showed that there was significantly different score of insomnia level before and after relaxation Benson in the treatment group (p = 0.000). This study found that relaxation Benson seemed to be effective in decreasing the level of insomnia on chronic kidney disease patients undergoing hemodyalisis. Key words: Benson relaxation, insomnia, hemodialysis, chronic kidney disease
THE EFFECTIVITY OF BREASTFEEDING TECHNIQUE EDUCATION RELATED TO ONSET OF LACTATION OF CAESAREAN SECTION-DELIVERED MOTHER IN MATARAM CITY GENERAL HOSPITAL
Authors: Mulianingsih Misroh , M Winda Nurmayani , Rusiana Harlina Putri
Published: July 2018

Introduction: Globally, World Health Organization (WHO) and United Nations Children (UNICEF) have urged about giving exclusive breastfeed for newborn baby. Indonesian Government had already targeted 80% of the newborn to be given exclusive breastfeed. But the reality told that exclusive breastfeed program wasn’t done well. Although there were a lot of benefits for giving exclusive breastfeed especially for newborn baby and mother, but in fact there were still a lot of mothers that didn’t give it to their baby. One of the reasons was caused by the lactation onset. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process.Objective: To identify the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital.Research method: This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square.Result: There was significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the intervention group (chi square score = 0,026), but there was no significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the control group (chi square score = 0,563).Conclusion: There was significant effect of breastfeeding education for mother that was given intervention, like counseling, compared to control group that was only given leaflet related to mother’s Onset of lactation after caesarean section delivery. Keyword : Breastfeeding Education, Onset of lactation, Caesarean Section
COST ANALYSIS OF CLINICAL PRACTICE NURSING PROFESSION STUDENTS WITH ACTIVITY BASED COSTING (ABC) METHOD IN Dr. SOEWANDHI HOSPITAL SURABAYA EAST JAVA
Authors: Hasinuddin M , Huda Nuh , Wahid Abdul
Published: July 2018

Background and objectives. During this time the unit cost of clinical practice in hospitals that practice becomes a vehicle which has not been done calculation costing more Clinical practice based on estimates, propriety and comparison with the cost of clinical practices from other hospitals. The costing is sometimes caused problems. Currently the cost of student practice in teaching hospitals varies between Rp. 300,000 - Rp. 500,000 / person / month. The problem that exists is how the unit cost and how much it costs the right based on unit cost and other considerations that apply to students practice at the Hospital Clinic as a vehicle for clinical practice. The purpose of this study to determine the unit cost and set the cost of professional practice of nurses that will be proposed applicable professional nurses students at Hospital.Method. This research was a descriptive observational study by conducting a case study in the dr. Soewandhi hospital East Java. Calculation of unit cost carried by Activity Based Costing (ABC), costing more to do content analysis after conducting focus group discussions, as well as other considerations.Research result. The results using the ABC method showed that the unit cost to the cost of professional practice nurses in the hospital Dr. Soewandhi Surabaya is Rp. 460,000, - / month / person, while the cost of practice set by the RS Dr. Soewandhi is Rp. 1.200.000, - / month / person. There is a practice of the profession excess costs Rp. 740,000, -. RS Dr. Surabaya Soewandhi practice fees apply without using a standard based on the unit cost accordingly. Some educational institutions felt the cost was very heavy so the impact to the cancellation of the filing of the professional nurses student practice.Conclusions and recommendations. The hospital used a professional students practice nurses should use the standard fees in accordance with needs through precise calculations that the fees charged to students through educational institutions in accordance with the appropriate calculations.Keyword: ABC system - Profession nurses - Fee Practices
EFFECT OF INTERPROFESSIONAL EDUCATION MODEL TO TEAM WORK AND COLLABORATION ATTITUDES OF NURSING STUDENTS IN THE INTENSIVE CARE UNIT OF HOSPITAL
Authors: Kusmiran Eny , Istianah Istianah , Manalu Lisbet Octovia
Published: July 2018

Background: International policy recommends Interprofesional Education (IPE) to improve the practice of interprofessional In an effort to improve the practice of professional nurses, the IPE is the strategy of forming professional conduct of nurses in team work and collaboration between other health professionals, especially doctors in critical care. Objective: to identify the effect of IPE model of team work and collaboration of the attitudes of nursing students in an intensive care unit of Hospital. Methods: This study was conducted with The quasi-experimental design. The number of 30 subjects (15 intervention and 15 control group) by random sampling. The intervention consisted of 1) pretest 2) the provision of material interprofessional education modules on subjects of critical nursing for 2 weeks, 2) posttest. Paired t tests were used to determine the effects of interprofessional Education. Independence t-test were used to determine the difference effect of interprofessional Education. The instrument used was The Attitudes towards interprofessional Health Care Teams Scales to measure the attitude of teamwork and Interprofesional Collaboration Scales to measure the attitude of collaboration. Results: There were differences rates of team work and collaboration attitudes of nurses before and after on intervention group. There werenot differences rates of team work and collaboration attitudes of nurses before and after on control group. There were differences scores of the attitude of team work and collaboration between the intervention and control groups. Conclusions and Recommendations: Giving IPE modules for nurses are commonly regarded to be an essential strategy for improving team work and collaboration attitudes on nurses student at intensive care unit of hospital. Keyword: Interprofessional Education, team work, collaboration, nurses student.
ROLE OF WET CUPPING TREATMENT TOWARD ACTIVITY DAILY LIVING (ADL) OF MIGRAINE PATIENT AT SEMARANG
Authors: Samiasih Amin
Published: July 2018

Introduction. Migraine is often disturbing Activity Daily Living (ADL) due to the throbbing pain, accompanied by nausea, no appetite, sensitivity to light, sounds and smells. The purpose of this study was determined differences in patient’s ADL before, after one week, two weeks, and three weeks after being intervented by wet cupping method. Methods. This research used pre and post test quasi-experimental design. Numbers of sample were 30 male patients, choosed by consecutive sampling technique. Wet cupping treatment was given 1 time only. ADL was measured with a checklist Headache Impact Test-6 (HIT-6) before treatment, one week, two weeks, and three weeks after treatment. Analysis of data was done in two steps: the frequency of distribution and multivariate repeated ANOVA test in normal distribution and Friedman test in unnormal distribution (p = 0.000) then followed post test with the Wilcoxon test. Results. Post test with the Wilcoxon in migraine patients was done before cupping, one week, two weeks and three weeks after wet cupping. Results showed p value 0,000 for all groups. Discussion. ADL before cupping differ by one week, two weeks and three weeks after cupping with p value 0.000(α <0.005).  Keywords: Cupping, Activity Daily Living (ADL), Migraines
RELATIONSHIP EARLY MARRIAGE WITH GROWTH & DEVELOPMENT OF CHILDREN IN THE ETHNIC MADURA DISTRICT LEKOK PASURUAN
Authors: Fatmati Iis
Published: July 2018

Introduction. Early marriage is the beginning of the health problems of women, children and the control population. Marriage is too young the age at first marriage under 18 years of age in sub Lekok Pasuruan strongly influenced by cultural factors madura. The purpose of this study was to determine the effect of early marriage on the quality of growth and development of children in the District Lekok Pasuruan. Methods. The method used a retrospective cohort study. The study population was women who married young age (<18 years) and children under five. Samples were taken by using random sampling. Data were collected and analyzed using Chi Square test. Result. The results showed that 85% of teens got married early, the child’s growth by weight / height 52% of normal and 77% normal child development. Based on Chi Square test was an early marriage to the child’s growth and development of children and the obtained value of p = 0.000. Discussion. This could be due to the influence of culture so entrenched and public education are low at only elementary school in general.  Keywords: Early marriage, growth, development, child
PSYCHOEDUCATION THERAPY REDUCES BURDEN AND IMPROVES FAMILY ABILITY IN CARING FOR MENTAL RETARDATION CHILDREN
Authors: Sutinah Sutinah , Saswati Nofrida
Published: July 2018

Introduction: Children with mental retardation have intellectual functioning below average, inadequate self-care behaviors, socializing, communication, adaptive skills, participation and family support is needed to enhance the independence of the child so that the capability increased and decreased the family burden. Various therapists can be treated to increase the capability of families including family psyche-education therapy. This study is aimed to identify the influence of psycho-education therapy to the family burden and the capability of families in caring for mentally retarded children in SDLB Prof. Dr. Sri Soedewi Masjchun Sofwan, SH Jambi. Method: Quantitative research quasi-experimental, nonequivalent, control group pre-test and post-test design. A sample of 64 respondents consisting of 32 intervention and 32 control with proportional random sampling technique. The data was collected using a structured questionnaire with interview method. Result: The results showed a decrease of the burden and increase the capability of a family in caring for children with mental retardation after psycho-education therapy. Psycho-education therapy is a therapy that can be implemented for a family with psychosocial disorders where exchanged information on mental health care due to the illness suffered, help family members to understand about the disease. Discussion: It is recommended to conduct research that combines psycho-education therapy and supportive therapy to psychosocial support family of children with mental retardation.Keywords: burden, caring capability, mental retardation, psycho-education
FACTORS ASSOCIATED WITH LOW ACHIEVEMENT IN POLIO IMMUNIZATION
Authors: Fitria Reni , Fawziyah Sri , Erfiana Erma
Published: July 2018

Background of the research: The Ministry of Health Republic of Indonesia has been implementing Polio Immunization (PIN) 2016 simultaneously in Indonesia since 8 to 15 March 2016. Overall, the result of implementation PIN polio at Dharmasraya regency in 2016 has reached about 93.15%. While the lowest scored was reached by Tiumang PHC 75.76%. The purpose of this research is to determine the factors associating on the low of reaching polio immunization in March 2016 at community health centers (Puskesmas) Tiumang Dharmasraya 2016. Methods: using descriptive analytic with Cross-Sectional Study research design. The number of samples is 94 people with accidental sampling technique. Where the research was conducted in Puskemas Tiumang, Dharmasraya. Data were collected using a questionnaire then processed by SPSS software. The result of the study is presented in the form of distribution frequency and chi-square test. Result: The study showed that almost half of 42 respondent were knowledgeable (44.7%), negative (45.7%), and the lowest (3.2%) in no act category. Furthermore, almost half is supported by negative family (30.9%). The result of the statistical test found that (p-value=0.093), there is no significant relationship between knowledge and polio immunization. Moreover, there is no significant relationship between attitudes toward immunization values (p-value=0.082), there is no significant relationship between the cadres roles and polio immunization (p-value=0.591). However, only family support that can reach the significant relationship toward immunization (p-values= 0.005). Discussions: it is hoped that mothers concern about their children‟s health to be kept and those who have not been motivated yet to visit with their children getting immunization polio.Key Word: Knowledge, Behavior, Achieviement, Polio
SERVICE QUALITY OF NURSE IN THE SCOPE OF NATIONAL HEALTH INSURANCE IN BATU CITY
Authors: Lumadi Sih Ageng , Wulandari Pipin Shintya
Published: July 2018

Introduction. The Program of Indonesian Government in 2014 is to apply health insurance based program which known as National Health Insurance (NHI). The concept of this program is all of Indonesian will have health insurance based on Gotong Royong principal. The concept of health provider will be totally changes in health provider, referral system and financing. This study aimed to known the phenomena of nursing quality assurance under NHI which held in the first and the second grade of health provider in Batu, East Java. Method. Qualitative study with in depth interview was used to explore the phenomena. 18 participants were participating in this study taken based on the inclusion criteria were taken by purposive sampling. There were five theme which were nurse responsiveness, assurance of health provider, tangible, empathy and reliability. Result. The satisfaction of patients receive care in Batu BPJS still not achieved optimally. Discussion. It is suggests for the next researcher to explore the factors which barrier the nurse to give the optimal serveto national health insurance patient.Keywords: Service Quality, Nursing, NHI
MENTAL STRESS MANAGEMENT BASED ON AUDIO-VISUAL MEDIA
Authors: Ayu A.D Maria Frani , Kristianto Heri
Published: July 2018

Background. Currently the development of teaching methods in nursing education more varied. It is also supported by the increased use of information and communication technology. This research aimed to develop learning media nursing care mental stress management based on audio-visual media in the form of video to utilize the program Camtasia Studio 8.4. Method. Media design process was done by using the 6 phases, stages of concept, design, collection of material, manufacture, testing and distribution. Result. The results of the development of instructional media such as video, showing that this video can be used as a learning method was applied and taught when learning activities. Discussion. Developers can use this design as the basis for the development of media-based learning audio-visual material by adding a few components as has been suggested by previous commentators.Keywords: Learning media, audio visual, camtasia
AEROBIC EXERCISE ON BODY MASS INDEX (BMI) CHANGE IN PERSON WITH OVERWEIGHT AND OBESITY
Authors: Muriyati Muriyati , Patima Patima , Suswani A.
Published: July 2018

Introduction. Aerobic Gymnastics is one type of exercise that increases fatty acid oxidation so that can lose weight. The purpose of this study was to determine the effect of aerobic exercise on body mass index (BMI) changes in person with obesity. Methods. This study was a quasi-experimental study using a pre-post test design. Individuals with obesity / overweight do aerobic exercise for 3 times a week for 6 weeks. Before aerobic exercise, the body mass index (BMI) measured and then after aerobic exercise done reassess the Body Mass Index (BMI). The number of sample studied were 30 women aged between 17-22 years old.Results.The results showed that BMI scores before aerobic exercise intervention is average of 27.54 and the average BMI of the respondents after attending aerobics for 6 weeks was 26.65 with a probability value (p = 0.000) smaller than (p = 0.05), which means that there is effect of aerobic exercise with BMI change. Discussion. BMI levels have changed significantly after aerobic exercise for 6 weeks.Keywords: BMI, aerobic, obesity
DIABETES SELF MANAGEMENT EDUCATION AGAINST TYPE 2 DM PATIENTS INDEPENDENCE IN MANAGING DIET
Authors: Hariyono Hariyono , Sababa Okaria Nur
Published: July 2018

Introduction. Diabetes mellitus has been the cause of 4.6 million deaths. In addition, health expenditure for diabetes mellitus has reached 465 billion USD. Complications experienced by patients with type 2 diabetes mellitus that causes the sufferer to experience dependence in regulating dietary patterns. Patients depend in managing the diet due to a lack of knowledge and lack of motivation in self-care. The purpose of this study was to identify the effectiveness of Diabetes Self-Management Education to independence yipe 2 diabetic patients in managing the diet. Method. This research was aPre-experimental study. Research design was one group pre-post-test design. The sampling technique used simple random sampling with 30 samples. Data was analyze by using Wilcoxon Signed Rank Test with a significance value of α = 0.05. Result. Pre-test results showed that almost all respondents (80%) or 24 samples in the category of partial care. The post-test results showed that the majority (56.7%) or 17 respondents in the category of minimal care. Statistical analysis showed Wilcoxon p = 0.000. Discussion. The conclusion of this research showed that the effects of Diabetes Self-Management Education on patient autonomy in managing diet in type 2 diabetes patient. Keywords: Diabetes Self-Management Education, Diet, Independence
The Effect of Team Game Tournament (TGT) Cooperative Learning Method Application Towards Learning Motivation and Achievement
Authors: Juwita Linda , Sari Ni Putu Wulan Purnama , Septianingrum Yurike
Published: July 2018

Introduction: Learning method of Team Game Tournament (TGT) has student-centered learning characteristic focuses on students’ knowledge construction in which they could find important information useful for constructing their own knowledge. The continuous weak comprehension of neurology system anatomy and physiology resulted in the application of TGT for constructing students’ knowledge in this study. This study aimed to analyze the efficacy of TGT application for improving learning motivation and achievement in studying neurology system anatomy and physiology among nursing students. Methods: This pre-experimental study used the one group pretest post-test design approach. Target population was all nursing students in two institutions around Surabaya in the even semester of 2016/2017 academic year. Inclusion criteria were passed the course of Biomedical II or Nursing Basics I. Sample size was 143 chose by total sampling. Independent variable was TGT application and dependent variables were learning motivation and achievement. Study instruments were motivation questionnaire and objective test. Data analysis used paired t-test and Mann-Whitney test with α ≤ 0.05. Ethical clearance was issued (number: 449-KEPK). Results: Most respondents were 19 years old single female who chose nursing major because of their dream, and the majority still live with parents in their own house. Only learning motivation data that were normally distributed. TGT application could increase learning motivation and achievement of nursing students significantly (p=0.000 and p=0.028 respectively).  Conclusions: TGT application could increase learning motivation and achievement in studying neurology system anatomy and physiology among nursing students. Further implementation could be broad, other subjects in nursing could be the target in which difficult subject would be underlined.
The Effectiveness of Basic Training on Disaster Management Pilot Program for Disaster Preparedness in Community
Authors: Juanita Farida , Suratmi Suratmi , Maghfiroh Isni Lailatul
Published: July 2018

Professional nurses are expected to prepare in emergency and disaster situations. Therefore, we need to prepare pre-clinical nursing students for basic disaster management. This study aimed to evaluate the effectiveness of disaster management basic training in improving student’s preparedness to face disaster. It used experimental posttest only - nonequivalent control group design with purposive sampling and 50 students were divided into 2 groups: students who got basic disaster management training and groups of students who only received disaster materials in lectures. The average index of disaster preparedness in the treatment group (χ = 5.4500) was higher than the control group (χ = 3.7554). The result was obtained ρ = 0,000 (α = 0.05) using independent t test. This showed that the method of basic disaster management training significantly affect the level of disaster preparedness in the students. Therefore, the method can be applied for implementation of curriculum 2018 in disaster nursing lecture.
STRESS IN NURSING STUDENTS: AN INDONESIAN PILOT CASE STUDY
Authors: Ritonga Imelda L
Published: July 2018

Introduction. Previous studies have found that severe stress can occur in nursing students because of their education system; however there have not been any studies to address stress in nursing students, conducted in Indonesian. The studies reinforce that stress in nursing students, is an important factor for nursing lecturers to consider in nursing education. Students felt helpless when they could not change situations they did not like and complained that the learning approach was authoritarian. This study identifi ed stressors in nursing students and effect of stress in the students’ learning process. Method. A case study was used with cognitive appraisal theory from Lazarus and Folkman (1984), as the theoretical proposition. Data was collected by utilizing in-depth interviews with nursing students. Results. There were fi ve evident themes found in this study related to stress and its effect on the students’ learning process. These Themes were: (1). Dormitory living, (2). Learning in the school, (3). Learning in the clinical setting, (4). Personal and socialbeliefs, and (5). Short-term and long-term effects. Discussion. Results indicated that education process used in this particular school of nursing, created stress which impacted adversely on the students’ learning process. Some of the problems identifi ed are specific to nursing education in Indonesian.Keywords: psychological stress, stressor, cognitive appraisal, coping
Using Solar Thermal Collectors for Plastic Recycling in Additive Manufacturing
Authors: Monnet Wrya , Carroll Joseph Ray , Embery Paul Dirk
Published: July 2018

Solar thermal applications vary widely across many different fields. This research aims to introduce the concept of using solar thermal energy in a new application for recycling waste plastic for use in 3D printing. In some countries or regions, waste plastic is not collected for recycling and thrown into landfills. This leads to serious local and global environmental pollution. In additive manufacturing, plastic is one of the main materials used to build 3D models. In this work we suggest a novel way to produce extruded filament for 3D printing from waste plastic using solar energy. The concept relies on using a Scheffler fixed focus solar collector to heat the barrel of a filament extruder rather than using electrical heaters. The barrel of the filament extruder is heated by a receiver in the focal point of the solar collector. The molten plastic is then extruded through a nozzle to produce filament. This concept of using solar power for extruding 3D printing filament is an environmentally friendly way to turn waste plastic into useful 3D printing material especially in areas where recycling of plastics does not exist and electrical power is limited.
A CEGUEIRA, OS COMPUTADORES E ESTRATÉGIAS PARA INCLUSÃO ESCOLAR
Authors: Fraga Vladimir Figueiredo , Heidrich Regina De Oliveira
Published: July 2018

A inclusão de pessoa cega em disciplinas de infraestrutura tecnológica, no ensino técnico profissionalizante, envolve o agenciamento de uma variedade de recursos utilizados também no mercado de trabalho. O processo de ensino/aprendizagem neste contexto estará, em parte, limitado por quanto acessíveis forem estes recursos. Para que a referida inclusão efetive-se, mesmo na ausência de tecnologia acessível, pode ser necessária a utilização de estratégias pedagógicas, e descrevê-las é o objetivo desse trabalho, assim como propostas para produção de tecnologia mais acessível. A existência de atividades que envolvam algum tipo de risco também deve ser considerada, assim como adaptações curriculares e definição de atividades individuais ou em grupo, em contexto de sala de aula e laboratório. Como metodologia é utilizada uma reflexão teórica sobre prática docente realizada através de estudo de caso descritivo. Como conclusão tem-se uma série de considerações para o aperfeiçoamento dos recursos e das estratégias pedagógicas, envolvendo a inclusão escolar de pessoas cegas em cursos de infraestrutura tecnológica de informática no sistema comum de educação.Palavras-chave: Educação. Inclusão. Estratégias. Tecnologias. Recursos.ABSTRACTThe inclusion of blind people in disciplines of technological infrastructure, in vocational technical education, involves the handling of a variety of resources which are also used in the labor market. The teaching/learning process in this context will be limited in part by how accessible these resources are. For such inclusion to be effective, even in the absence of accessible technology, it may be necessary to use pedagogical strategies, to describe them is the objective of this work, as well as proposals for the production of more accessible technology. The existence of activities that involves some type of risk should be considered also, as well as curricular adaptations and definition of individual or group activities, in the context of classroom and laboratory. As methodology is used a theoretical reflection on teaching practice carried out through a descriptive case study. As a conclusion, there are a number of considerations for the improvement of resources and pedagogical strategies involving the inclusion of blind people in educational courses of IT infrastructure in the common education system.Keywords: Education. Inclusion. Strategies. Technologies. Resources.
ENSINO E TECNOLOGIA: UMA PROPOSTA DE EXPLORAÇÃO DO DUOLINGO, VIA PLANO DE TRABALHO DOCENTE, PARA O ENSINO DE LÍNGUAS
Authors: Nantes Eliza Adriana Sheuer , Figueiredo Adriana Giarola Ferraz , Vitiello Maria Gorett Freire , Gargioni Ligia Fogolin , Allio Renata Leão Vanzo
Published: July 2018

Este artigo integra a linha de pesquisa “Ensino, Linguagens e suas Tecnologias” e tem como objetivo apresentar uma proposta de exploração do Duolingo enquanto uma ferramenta para o ensino de línguas. Para tanto, os passos da pesquisa seguem a proposta das Diretrizes Curriculares do Estado do Paraná (PARANÁ, 2010), com ações interligadas, levadas a campo via Plano de Trabalho Docente (GASPARIN, 2007). A metodologia de pesquisa é qualitativa, tendo como critérios para participar da pesquisa ter utilizado o Duolingo para o ensino de línguas em diferentes idiomas. Os dados indicaram a proficuidade do aplicativo, sobretudo devido aos recursos motivacionais existentes, o que resultou em ampliação do vocabulário dos sujeitos. Contudo, em relação à oralidade, ainda há lacunas a serem preenchidas.Palavras-chave: Ensino. Gamificação. Duolingo. Plano de Trabalho Docente.ABSTRACT This article integrates the research line “Teaching, Languages and their Technologies” and aims to present a proposal to explore Duolingo as a tool for teaching languages. To do so, the research steps follow the proposal of the Paraná State Curricular Guidelines (PARANÁ, 2010), with interlinked actions, taken to the field via the Teaching Work Plan (GASPARIN, 2007). The methodology of research is qualitative, having as criteria to participate in the research have used Duolingo for teaching languages in different languages. The data indicated the applicability of the application, mainly due to the existent motivational resources, which resulted in an amplification of the subjects’ vocabulary. However, regarding orality, there are still gaps to be filled.Keywords: Teaching. Gamification. Duolingo. Teacher’s Work Plan.
Can Arginine inhibit Insulin Aggregation? A Combined Protein Crystallography, Capillary Electrophoresis, and Molecular Simulation Study
Authors: Březina Kryštof , Duboué-Dijon Elise , Palivec Vladimír , Jiráček Jiří , Křížek Tomáš , Viola Cristina M. , Ganderton Timothy R. , Brzozowski Andrzej M. , Jungwirth Pavel
Published: July 2018

The oligomeric state of the storage form of human insulin in pancreas, which may be affected by several endogenous components of beta-cells storage granules such as arginine, is not known. Here, the effect of arginine on insulin oligomerisation is investigated independently by protein crystallography, molecular dynamics simulations and capillary electrophoresis. The combined results point to a strong effect of ionic strength on insulin assembly. Molecular simulations and electrophoretic measurements at low/mM salt concentrations show no significant effect of arginine on insulin aggregation. In contrast, crystallographic data at high/molar ionic strength indicate inhibition of insulin hexamerization by arginine due to its binding at site relevant for intermolecular contacts, which was also observed in MD simulations. Our results thus bracket the in vivo situation in pancreatic beta-cells storage granules, where the ionic strength is estimated to be in the hundreds of millimolar to sub-molar range. The present findings add to molecular understanding of in vivo insulin oligomerization and storage, with additional implications for insulin stability in arginine-rich injections.
UPAYA GURU DALAM MENGEMBANGKAN PEMAHAMAN KONSEP KEPADA ANAK DIDIK DALAM PEMBAHASAN TRIGONOMETRI
Authors: Sulianto Joko
Published: July 2018

Concepts are ideas that can be used to categorize or classify objects, whether a particular objects is an example of the concepts or not. At the simplest level we often observe objects with their characteristic. Based on the observation that the similarities can be seen from the object, so we can classify these objects.Concept math learning can be done by using a deductive approach begins by giving definitions, axioms, and the theorems followed by giving examples. This example can be given by the teacher or found by students. Deductive approach in teaching mathematics is commonly practiced. Learning by using deductive approach have to do fastly so it caan be more efficient. If a math lesson conducted with formal approach, but its implementation is deviate from the formal system, so it use informal approach. In this approach, theorem or formulas of mathematics is given. Then used to solve the problem without degrading or prove prior learning with informal approach can be used to train the students to discover and prove the characteristic or formula.