bluuebunny/crossref_metadata_2025 huggingface dataset:
Sustainable Production in a Circular Economy: A Business Model for Re-Distributed Manufacturing
Authors: Turner Chris , Moreno Mariale , Mondini Luigi , Salonitis Konstantinos , Charnley Fiona , Tiwari Ashutosh , Hutabarat Windo
Published: August 2019

The emergence of new technologies such as the Internet of Things, big data, and advanced robotics, together with risks such as climate change, rising labour costs, and a fluctuating economy, are challenging the current UK manufacturing model. In this paper, business models for re-distributed manufacture (RdM) are developed using anIDEF (Icam DEFinition for Function Modelling) description to serve as a guide for the implementation of the RdM concept in the consumer goods industry. This paper explores the viability of a re-distributed business model for manufacturers employing new manufacturing technologies such as additive manufacturing or three-dimensional (3D) printing, as part of a sustainable and circular production and consumption system. An As-Is value chain model is presented alongside the proposed new business model for a sustainable re-distributed manufacturing system. Both are illustrated via a case study drawn from the shoe manufacturing industry. The case study shows that there is a need for robust facilities in close proximity to the customer. These facilities are store fronts which can also manufacture, remanufacture, and provide services. The reduction in transportation and increase in customer involvement throughout the process are the main benefits that would accrue if a re-distributed model is implemented in the given industry.
Modeling Work Practices under Socio-Technical Systems for Sustainable Manufacturing Performance
Authors: Qureshi Muhammad Imran , Rasiah Rajah A/l , Al-Ghazali Basheer M. , Haider Maqsood , Jambari Hanifah , Iswan  , Sasmoko
Published: August 2019

In light of the overwhelming consumption of resources by the manufacturing sector, this paper examined three key subsystems that are critical in greening the sector. Whereas the extant literature has focused on technological development to reduce environmental damage, it has not analyzed profoundly how manufacturing processes can be greened effectively. Hence, using carefully gathered data of 299 respondents and structural equation modeling, this paper sought to investigate the mediating effect of social, environmental, and technical subsystems on the relationship between management support and sustainable manufacturing performance. The results show that management support has a positive relationship with sustainable manufacturing performance (p < 0.005), while social, environmental, and technical subsystems partially mediate this relationship. Hence, efforts must be taken to encourage management of manufacturing firms to support sustainable management performance, while at the same time supporting them to introduce innovative social, environmental, and technical practices.
Influence Area of Transit-Oriented Development for Individual Delhi Metro Stations Considering Multimodal Accessibility
Authors: Ann Sangeetha , Jiang Meilan , Yamamoto Toshiyuki
Published: August 2019

Understanding the influence areas for transit stations in Indian cities is a prerequisite for adopting transit-oriented development (TOD). This study provides insights into the last mile patterns for selected Delhi Metro Rail (DMR) stations, specifically, Karkardooma, Dwarka Mor, Lajpat Nagar, and Vaishali, and the extent of the influence area based on different access modes. The variation in the extent of the influence areas based on various modes and the locational characteristics of stations have been considered in this study. The last mile distances reported in the conducted survey involved the problems of rounding and heaping, and they were subjected to multiple imputation to remove the bias. The spatial extent of the influence areas for various modes was estimated based on the compound power exponential distance decay function. Further, the threshold walking distances were calculated using the receiver operating characteristic (ROC) curves. The variations were noted in the last mile distances among stations. The walking distances (mean and 85th percentile) among stations did not vary considerably; however, large variations were noted when comparing other modes. These differences in accessibility must be taken into account when considering multimodal accessibility and multimode-based TOD. The study can provide useful inputs for planning and implementing TOD in New Delhi.
Prioritization of Physical Assets for Maintenance and Production Sustainability
Authors: Durán Orlando , Durán Paulo Andrés
Published: August 2019

Maintenance is one of the main drivers for ensuring the sustainability of manufacturing in capital-intensive production systems. However, in many cases, as a result of budgetary constraints, it is necessary to select which machines will be subject to maintenance actions on the basis of a list of priorities. Traditionally, such prioritization decisions are made using techniques which, in general, do not consider the systemic impact of maintenance actions. This paper is focused at the definition of a novel graphical technique for physical assets prioritization. This technique is aimed at establishing maintenance priorities considering the impact on the overall throughput of the production system. Due to the fact that the proposed technique is based on the well-known Overall Equipment Effectiveness (OEE) index, its use is not only limited to measuring the effects of maintenance decisions and actions (availability), but also to operational implications (productivity and utilization). The results could be displayed graphically, which makes it particularly useful and manageable for different types of users. The methodology is illustrated though an example based on a comminution plant from the copper mine industry. It is evident how the proposed technique facilitates business-oriented and economic sustainability focused decisions.
The Upper Limit of Distributed Solar PV Capacity in Riyadh: A GIS-Assisted Study
Authors: Elshurafa Amro M , Muhsen Abdel Rahman
Published: August 2019

Rooftop solar photovoltaic (PV) systems, commonly referred to as distributed generation (DG) solar systems, are deemed important contenders in future sustainable cities. Because deploying DG systems is associated with technical, financial, policy, and market implications that impact utilities, governments, and businesses, quantifying the potential of DG systems that could be deployed in a certain jurisdiction ex ante helps inform the decision-making process for all stakeholders. To that end, the upper limit of rooftop PV systems that could be deployed in Riyadh, the capital of Saudi Arabia, was assessed with the aid of geographic information systems (GIS). By relying on urban land lot data for different categories, i.e., zones, and the maximum allowable area that could be built within a certain lot using prevailing building codes and regulations, the rooftop area suitable for PV deployment within Riyadh Metro was quantified. The analysis was restricted to rooftops in residential, mosque, shopping mall, and health care buildings only. Following the quantification of the rooftop area, the upper limit of rooftop solar PV capacity that can be deployed in the city of Riyadh was found to be 4.34 GW. This capacity represents nearly 22% of the peak load and can satisfy approximately 9% of the energy requirement in the central region, the region in which Riyadh resides.
Virophages of Giant Viruses: An Update at Eleven
Authors: Mougari Said , Sahmi-Bounsiar Dehia , Levasseur Anthony , Colson Philippe , La Scola Bernard
Published: August 2019

The last decade has been marked by two eminent discoveries that have changed our perception of the virology field: The discovery of giant viruses and a distinct new class of viral agents that parasitize their viral factories, the virophages. Coculture and metagenomics have actively contributed to the expansion of the virophage family by isolating dozens of new members. This increase in the body of data on virophage not only revealed the diversity of the virophage group, but also the relevant ecological impact of these small viruses and their potential role in the dynamics of the microbial network. In addition, the isolation of virophages has led us to discover previously unknown features displayed by their host viruses and cells. In this review, we present an update of all the knowledge on the isolation, biology, genomics, and morphological features of the virophages, a decade after the discovery of their first member, the Sputnik virophage. We discuss their parasitic lifestyle as bona fide viruses of the giant virus factories, genetic parasites of their genomes, and then their role as a key component or target for some host defense mechanisms during the tripartite virophage–giant virus–host cell interaction. We also present the latest advances regarding their origin, classification, and definition that have been widely discussed.
Use of Visible Light Modulation Techniques in Urea Photocatalytic Degradation
Authors: Vaiano Vincenzo , Sacco Olga , Di Capua Giulia , Femia Nicola , Sannino Diana
Published: August 2019

The aim of this work was to analyze the effect of visible LED dimming duty-cycle modulation techniques in a photocatalytic system for urea degradation using a visible light photocatalyst immobilized on macroscopic supports. For this reason, the effect of different LED dimming techniques was investigated and compared in terms of urea degradation together with ammonia and nitrate production during the irradiation time. The experimental results evidenced that using a visible LED dimming modulation with variable-peak variable-duty pulse-width modulation (PWM) allows to improve the photocatalytic degradation process, with respect to classical LED dimming with fixed-peak fixed-duty PWM, and influences the product’s distribution of ammonia and nitrate in water. Therefore, the proof of concept herein proposed could be considered as preliminary potential results to be used in water recycling applications with a particular emphasis in recovery of urea photodegradation byproducts, such as ammonia, from wastewater that could be used as potential resources and an energy resource.
ANALISIS FAKTOR – FAKTOR YANG BERPENGARUH TERHADAP PROFITABILITAS PERBANKAN YANG GO PUBLIC DI BURSA EFEK INDONESIA PADA TAHUN 2012 - 2016
Authors: Astohar Astohar
Published: August 2019

Banking plays a role in economic development, namely in spurring economic growth. The main function of the bank is as a financial intermediary from parties who have excess funds with those who lack funds. The existence of the banking sector has an important role, which in the life of the community mostly involves services from the banking sector. Banking profitability is a ratio to determine the financial performance of banks. Research from Ali and Laksono (2017) is still interesting to develop both the variables and the object of research. In this study, the variable capital adequacy ratio (CAR) added with consideration that there were still differences between researchers.This study took the object of banks going public on the Indonesia Stock Exchange. Banks that went public in 2016 were 43 banks. After checking as many as 26 banks that can be taken as samples through purposive random sampling technique. 17 banks that cannot be used as samples include going public in the year after 2012 and the absence of complete data. The analytical tool used is multiple regression equation test with the requirement to meet normal criteria and no classical assumption deviations occur.The results showed that the capital adequacy ratio (CAR), loan to deposit ratio (LDR), operational costs and operating income (BOPO) proved to have a negative and significant influence on banking profitability. Net interest margin (NIM) is proven to have a positive and significant influence on banking profitability. Non-performing loans (NPLs) are proven to have a negative and insignificant effect on banking profitability. Large variations in capital structure variables in banks that go public in Indonesia can be explained by variations in the variables of capital adequacy ratio (CAR), non-performing loans (NPL), loan to deposit ratio (LDR), operational costs and operating income (BOPO), net interest margin (NIM) is 92.3%.
DIVERSIFIKASI PENDAPATAN, KEPEMILIKAN PEMERINTAH, KINERJA DAN RISIKO BANK
Authors: Setiawan Rahmat , Shabrina Annisa
Published: August 2019

This study investigates the effect of income diversification on bank performance and risk for government owned banks in Indonesia. This study uses return on assets (ROA) for bank performance and standard deviation of return on assets (SDROA) for bank risk. Using a data set of government owned banks in Indonesia during the period 2012-2016, we find evidence that income diversification is positively related to bank performance (ROA). Income diversification is positively related to bank risk. We find that income diversification increases performance and also risk for government owned banks. Tujuan dalam penelitian ini adalah untuk mengetahui adanya pengaruh diversifikasi pendapatan terhadap kinerja dan risiko bank. Pengukuran pada penelitian ini menggunakan return on assets (ROA) untuk mengukur kinerja dan  standar deviasi return on assets (SDROA) untuk mengukur risiko bank. Penelitian ini menggunakan sampel bank milik pemerintah selama periode 2012-2016. Penelitian ini menunjukkan hasil bahwa terdapat pengaruh positif signifikan diversifikasi pendapatan terhadap kinerja bank.  Implementasi strategi diversifikasi pendapatan juga berpengaruh positif signifikan terhadap risiko bank. Penelitian ini menunjukkan bahwa diversifikasi pendapatan tidak hanya meningkatkan kinerja namun juga risiko bank milik pemerintah.
PENGARUH PENGETAHUAN AWAL DAN PERSEPSI MAHASISWA TERHADAP PRESTASI BELAJAR STATISTIKA II DI STIE INDRAGIRI RENGAT
Authors: Ririen Deci
Published: August 2019

Penelitian ini dilaksanakan di Sekolah Tinggi Ilmu Ekonomi Indragiri (STIE-I) Rengat. Perumusan masalah adalah apakah pengetahuan awal dan persepsi secara simultan dan parsial berpengaruh terhadap prestasi mahasiswa. Tujuan penelitian adalah untuk mengetahui dan menganalisis pengaruh pengetahuan awal dan persepsi secara simultan dan parsial terhadap prestasi mahasiswa.

Dalam penelitian ini, penulis menggunakan pengambilan sampel dengan metode Rumus Slovin, yakni sampel sebanyak 72 responden. Responden dalam penelitian ini adalah aktif semester IV T.A 2018/2019. Alat analisis yang penulis gunakan aialah Analisis Regresi Linear Berganda dengan pendekatan analisis deskriptif kuantitatif dengan bantuan Software SPSS Versi 24.

Hasil penlitian dapat disimpulkan bahwa: (1) Pengetahuan awal secara parsial berpengaruh signifikan terhadap prestasi. (2) Persepsi secara parsial berpengaruh signifikan terhadap prestasi. (3) Pengetahuan awal dan persepsi secara bersama-sama (simultan) berpengaruh signifikan terhadap prestasi (4) Koefisien determinasi sebesar 0,814 artinya variabel prestasi dapat dijelaskan oleh variabel pengetahuan awal dan persepsi sebesar 81,4%, sedangkan sisanya sebesar 18,6% dijelaskan oleh variabel-variabel bebas lainnya yang tidak diteliti dalam penelitian ini.
METODE PEMBELAJARAN SIMULASI DAN DEMONTRASI DI LABORATORIUM DENGAN HASIL BELAJAR MATA KULIAH KEPERAWATAN KEGAWATDARURATAN DI AKADEMI KEPERAWATAN KESDAM I/BB MEDAN MEDAN
Authors: Pangaribuan Resmi , Pratama Muchti Yuda
Published: August 2019

Emergency nursing care is a nursing process in managing patients or patients to get independent and multidisciplinary care (collaborative) so that the expected outcome criteria can be achieved. The learning process involves complex activities, not just the transfer of knowledge from educators to students textually. In each learning process, efforts must be made to be able to deliver students to the proposed competency, including the underlying values and attitudes. The design of this study is a correlation , The sampling technique is to use the Slovin formula, namely the number of samples taken from affordable populations in this study. The results of the research conducted statistically showed that the Students of Nursing Academy of Kesdam I/BB Medan knew that there were 30 female students (46.9%) in the simulation category. Student of Nursing Academy in Medan I/BB Medan know about the adequate method of demonstration learning method as many as 34 students (53.1%). Students of Nursing Academy of Kesdam I/BB Medan about the learning outcomes of emergency nursing care from the category C value of 35 female students (54.7%). It is expected that the Medan I/BB Middle School Nursing Academy will maintain and further improve laboratory facilities and infrastructure to support the achievement of female students in midwifery care at the Nursing Academy of Kesdam I/BB.
Relevance of Location to Outcome of Stroke Rehabilitation
Authors: Olaleye Olubukola Adebisi , Hamzat Talhatu Kolapo
Published: August 2019

Rehabilitation after stroke is a process that plays an important role in improving and / or enhancing recovery beyond what would have occurred spontaneously. The choice of environment for provision of rehabilitation services, mode of organisation and delivery of services are pertinent to the outcome of rehabilitation. Yet limited information exists on the best way to organise stroke rehabilitation and the relative cost of such services. The involvement and empowerment of patients are inherent and integral to the rehabilitation process. Health policy should therefore be directed at the adoption of rehabilitation settings that stimulate the involvement of patients in their own rehabilitation process and at an affordable cost.
Relative therapeutic efficacy of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pains: a pilot study
Authors: Jogunola Olabanji O
Published: August 2019

Background: Osteoarthritis (OA), also known as degenerative joint disease, has no curative treatment. However, pharmacological therapies such as acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and more recently etodolac (iodine) are commonly used in its treatment. Non-pharmacological therapy, predominantly physiotherapy, is also employed in the treatment of OA. Objective: This research was aimed at determining the relative therapeutic effectiveness of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pain.Methods: Twenty subjects with diagnosis of OA of the knee joint were randomly selected into the ketoprofen iontophoresis group and the transcutaneous electrical nerve stimulation group. Both groups received quadriceps strength training in addition to their group therapy. Each subject, who had 3 sessions per week over a four-week period, had a total of 12 treatment sessions. Each treatment session lasted 45 minutes.Results: There was a statistically significant decrease in pain intensity and increase in range of motion in both groups but no significant difference in change in both outcome measures between the groups.Conclusion: Management of OA of the knee using either ketoprofen iontophoresis or transcutaneous electrical nerve stimulation in addition to quadriceps strengthening exercises in this pilot study was shown to be effective in pain reduction and to increase range of motion. Neither of the interventions was superior. Future studies using a larger sample size are needed to confirm our findings.
PROBLEM REMAJA DAN ABORSI DITINJAU DARI MORAL KATOLIK SERTA USAHA MEMAKNAI LITURGI UNTUK MENGURANGI PRAKTEK ABORSI DI TENGAH REMAJA KATOLIK
Authors: Gaudiawan Antonius Virdei Eresto
Published: August 2019

Indonesia termasuk salah satu negara di mana aborsi banyak terjadi. Dari 2,3 juta aborsi yang terjadi di Indonesia, 30 persennya dilakukan oleh remaja. Aborsi dikalangan remaja umumnya disebabkan oleh kehamilan yang tidak diingink:an, rendahnya pendidikan seksualitas dan moral seksual bagi remaja, tiadanya pendidikan dan konsientitasi tentang aborsi, dan budaya patriarkal yang masih kuat. Gereja Katolik dipanggil untuk bersama dengan berbagai pihak bekerja keras menekan lajunyapertumbuhan aborsi di kalangan remaja dengan mengembangkan pola pendidikan seksualitas dan moral seksual yang tepat, konsientisasi tentang aborsi dan prosesaborsi, usaha konsientisasi untuk masyarakat umum terhadap realitas kehamilan tak diinginkan, mengembangkan serta mempromosikan berbagai tempat yang bisa menampung para wanita yang mengalami kehamilan yang tidak diinginkan.
APPLIED EPIDEMIOLOGY - HISTORY AND FUTURE
Authors: Levterova Boryana
Published: August 2019

Epidemiology is both a science and a fundamental method of public health. This is the science that seeks to link health or disease to various factors affecting the health of human populations. Although epidemiology as a discipline develops after World War II, epidemiological thinking can be traced by Hippocrates through John Graunt, William Farr, John Snow to the present day. Epidemiology's roots are nearly 2500 years old. Hippocrates attempted to explain disease occurrence from a rational rather than a supernatural viewpoint. In his essay entitled “On Airs, Waters, and Places,” Hippocrates suggested that environmental and host factors such as behaviours might influence the development of disease.Another early contributor to epidemiology was John Graunt, a London haberdasher and councilman who published a landmark analysis of mortality data in 1662. This publication was the first to quantify patterns of birth, death, and disease occurrence, noting disparities between males and females, high infant mortality, urban/rural differences, and seasonal variations. In the mid-1800s, an anaesthesiologist John Snow was conducting a series of investigations in London that warrant his being considered the “father of field epidemiology.” Twenty years before the development of the microscope, Snow conducted studies of cholera outbreaks both to discover the cause of disease and to prevent its recurrence.Epidemiology is a philosophy and methodology that can be applied to study and solve a very wide range of health problems. The Art of Epidemiology consists of not only to use different study designs and statistical methods, but when and how to apply the various epidemiological strategies most effectively to respond to specific health issues axes and get the information we need. It is a key element in the formulation of effective public health initiatives to prevent disease and promote community health. Epidemiology studies the factors affecting health and disease of the population and thus serves as a basis for a logical approach to protecting and strengthening public health. The scope of epidemiology has been steadily expanding over recent decades as epidemiologists demonstrate new applications and variations traditional design and training methods. We can expect that the scope of epidemiology will be further expanded in the future as more and more epidemiologists develop innovative strategies and techniques.
SEISMICITY OF DEBAR EPICENTRAL AREA
Authors: Drogreshka Katerina , Chernih Dragana , Najdovska Jasmina
Published: August 2019

Main neotectonic regions in the territory of the Republic of Macedonia are the Vardar zone, West Macedonia and East Macedonia. These regions, being developed within major, regional tectonic units, are permanently uplifting with different intensities. They also show differences in the seismic activity, which is the reason to treat them as separate seismic zones, named with the same names. Debar epicentral area belongs to the West Macedonia seismic zone. This epicentral area is presented by the sinking of Drim graben (valley), crisscrossed by neotectonic faults which coused strong earthquake in 1967y, with Richter magnitude ML=6.5 and intensity Io=IX degrees EMS–1998 scale. After 1900y several moderate (5.0≤ML≤5.9) and light (4.0≤ML≤4.9) and lot of small earthquakes with magnitude ML ≤3.9 are also observed. According to all instrumental data, our latest investigation of seismic activity parameters for this epicentral area pointed out the activity of Elbasan-Debar fault.
ECONOMIC ASPECTS OF WASTE MANAGEMENT
Authors: Grubor Marina , Šmelcerović Miodrag
Published: August 2019

This paper provides a brief overview of waste management in Serbia in order to become such a past in the European Union as a result of the obligations arising from the European Waste Land Disposal Directive. This will in practice mean that there is no longer any disposal of untreated waste, and the processing of waste will be paid according to the following price lists, and then the separate collection of waste becomes, in some way, an instrument for reducing the burden on the budget, ie saving from disposal and waste disposal. There is a direct link between the amount of landfill for the landfill and the economic viability of their waste management systems, a new study by the European Institute for Foreign Policy and the needs of the European Commission confirmed. The task of the study was to analyze the use of economic instruments in waste management. considerations used in the development of the ecological system model in order to select the solid waste management process, after which the possibility of using the incineration process is presented. It also provides an overview of the use of waste as fuel, institutional and financial frameworks. A rough estimate was made that about 50% of waste could be burnt with the possibility of obtaining heat and electricity. If about 1,800 kWh of useful energy (thermal and electrical) is obtained per tonne of waste then it is possible to expect about 1,800 kWh / tx 75,000t = 135 MWh of useful energy or an approximate savings effect of about 6,750,000 € per year, calculated with the price of energy from 0.05 € / kWh., Per city in Serbia.
JILBAB DALAM PERSPEKTIF AL-QUR’AN
Authors: Budiyanto Budiyanto , Muawanah Arfatul
Published: August 2019

Kita dapat melihat bahwa para penafsir dari masa lalu telah sepakat bahwa jilbab adalah kewajiban agama bagi wanita, para sarjana sepakat pada kewajiban untuk mengenakan jilbab dan tidak setuju tentang arti memperluas jilbab, apakah membentang di seluruh tubuh kecuali satu mata, merentangkannya di seluruh tubuh kecuali mata kedua atau memperpanjang di seluruh tubuh kecuali wajah, M. Quraish Shihab menyatakan bahwa kewajiban untuk memperpanjang jilbab adalah bahwa masalah khilafiyah jelas tidak berdasar karena para ulama sepakat bahwa mereka harus mengenakan jilbab untuk Muslim wanita, karena urutannya didasarkan pada argumen yang sangat kuat.
DYNAMICS FOR MORBIDITY OF
THE CIRCULATION SYSTEM DISEASES IN ADULT POPULATION OF THE MOSCOW REGION
Authors: Goloshchapov-Aksenov R.S. , Semenov V.Yu. , Kicha D.I. , Ivanenko A.V.
Published: August 2019

Circulatory System Diseases (CSD) are the leading causes of high morbidity and mortality of the adult population in
many countries, including in the Russian Federation and largely determine public health status. The aim of the work is
to analyze the dynamics of the general and primary morbidity of CSD and coronary heart disease (CHD) in the adult
population of the Moscow Region for 2008–2016. We used the data of Rosstat for 2008–2016. The indicators of the total
and primary morbidity of CSD and CHD of the adult population were determined. A high level and dynamics of an
increase in the morbidity of CSD and CHD in the Moscow Region for the 2008 – 2016 period, which determine the high
need for endovascular care, especially for patients with acute coronary syndrome, have been established.
DISABILITY ISSUES IN PERSONS WHO HAVE SUFFERED FROM THE NERVOUS SYSTEM DISEASES
Authors: Samusenko A.G. , Zapariy N.S.
Published: August 2019

Analysis of re-disability among working age persons due to the nervous system diseases showed that proportion of working age disabled persons in the structure of re-recognized as disabled persons (RRDP) was 73.1 % of which 43.2 % were young people with disabilities, 25.9 % were middle-aged with ones for 2014–2018 in Moscow. The prevalence of young people with disabilities, their share at the level of the indicator in the Russian Federation, but lower than in the Central Federal District is noted in the structure of RRDP. The proportion and the re-disability level of middle-aged persons with disabilities in Moscow are lower than in the Central Federal District and the Russian Federation. There is a decrease in the number of RRDP both in Moscow and in the Central Federal District and the Russian Federation in the dynamics. There is the prevalence of persons with disabilities with third-degree of disability in the RRDP structure both among young people (62.6 %) and middle-aged persons (59.1 %) with a tendency to decrease their share among middle-aged persons and reduce the re-disability level. We noted a decrease in the proportion and re-disability level of disabled persons with the second-degree of disability in dynamics, but the re-disability level among middle-aged persons is in 2 times higher than among young people. There was an increase in the proportion of the first-degree of disability among young people.
THE EFFECT OF CLEAN LIVING BEHAVIOR ON THE IMPROVEMENT OF STUDENTS’ACHIEVEMENT
Authors: Butarbutar Ranta
Published: August 2019

Clean living behavior has effect on the student’s learning achievement. This study aims to determine the effect of clean living behavior on the improvement of students’ learning achievement in Tomer Elementary School Naukenjerai District on Academic Year of 2017/2018. The type of this research is a correlational research. The method used is survey research, with data collection technique using questionnaire and documentation analysis. The population of this study is the students of class I to class VI, which consists of 50 students, taken using random sampling technique. The findings of this study indicate that there is a significant effect between clean living behavior on the improvement of students’ learning achievement in Tomer Elementary School Naukenjerai District on Academic Year of 2017/2018. From the total of 50 students, there are only 5 students (10%) who have clean living behavior (low category), while the rest of 45 students (90%) have not implemented a clean living behavior (high category).

Keywords: clean living behavior, learning achievement
EVALUASI PASCA DIKLAT MEDIS MOW TERHADAP KINERJA PROVIDER DALAM MEMBERIKAN PELAYANAN KELUARGA BERENCANA
Authors: Verawati Bernadetta , Widaryanti Rahayu , Sugiharti Sri
Published: August 2019

Latar Belakang : Salah satu Grand Strategi BKKBN yaitu memperkuat SDM operasional program KB sehingga sangat dibutuhkan pendidikan dan pelatihan (Diklat) bagi tenaga kesehatan. Meskipun BKKBN DIY sudah mengkoordinir terlaksananya diklat medis dari tahun 2010 sampai 2014 yang diikuti oleh provider di 5 kabupaten namun jumlah akseptor KB MOW masih rendah.Metode : Penelitian ini menggunakan pendekatan kualitatif. Penelitian dilakukan di kabupaten Bantul dan kabupaten Sleman. Informan utama pada penelitian ini adalah provider peserta diklat medis MOW. Informan pendukung adalah Kasubid Yan KB SKPD KB Kabupaten Bantul dan Sleman serta subid Penyelenggaraan dan Evaluasi pelatihan BKKBN DIY.Pengumpulan data dilakukan melalui observasi tak berstruktur dan wawancara mendalam terhadap 2 informan utama dan 3 informan kunci.Hasil dan pembahasan: Berdasar hasil penelitian, Pada saat pelaksanaan Diklat MOW sudah praktik langsung ke pasien,. Setelah pelaksanaan Diklat : Sebagian besar provider belum memberikan pelayanan MOW. Kendala yang dihadapi oleh para provider adalah adanya kebijakan pendanaan dari instansi terkait yang masih menghambat aplikasi hasil Diklat MOW.Simpulan : Pendidikan dan pelatihan medis belum diterapkan secara maksimal oleh provider dalam memberikan pelayanan keluarga berencana.Kata kunci : Evaluasi, Diklat medis, MOW
HUBUNGAN UMUR DENGAN TINGKAT NYERI PASCA PERSALINAN SETELAH MELAKUKAN TEKNIK RELAKSASI NAPAS DALAM
Authors: J. Nugrahanintyas. W.U. Aan Ika Sugathot,
Published: August 2019

Pasca persalinan terkadang disertai nyeri yang mengganggu ibu dalam memberikan ASI dan aktivitas lainya. Penyebab dari timbulnya nyeri tersebut dikarenakan trauma pada jalan lahir yang mengalami peregangan berlebihan hingga menyebabkan robeknya jaringan lunak. Faktor risiko nyeri adalah tingkat elastisitas jaringan lunak pada organ kewanitaan. Jaringan yang kurang elastis berpotensi mudah mengalami robekan. Elatisitas jaringan lunak berbanding terbalik dengan umur yaitu semakin bertambah umur maka elastisitas semakin menurun. Penelitian ini bertujuan untuk mengetahui hubungan umur dengan tingkat nyeri pasca perlasinan setelah melakukan teknik relaksasi pernapasan dalam di rumah sakit  umum daerah kota Yogyakarta. Peneliti telah melakukan penelitian deskriptif dengan bentuk cross sectional study dengan suatu pendekatan retrospective menggunakan data-data rekam medis mengenai hasil pemeriksaan nyeri pasca persalinan  di rumah sakit umum daerah kota Yogyakarta. Penelitian ini menemukan 28 kasus nyeri pasca persalinan dengan umur yang bervariasi. Hasil penelitian ini menunjukkan bahwa pasien ibu pasca persalinan dengan disertai nyeri brdasarkan umur adalah berumur 20-35 tahun sebanyak 17 orang (60,8%).  Sedangkan usia yang lebih dari 35 tahun seumlah 11 orang (32,9%).Perubahan skala nyeri berdasarkan umur yaitu antara kelompok 20-35 tahun dengan nilai p 0,017 yang artinya ada perubahan signifkan. Sedangkan pada usia lebih dari 35 tahun perubahan skala nyerinya lebih signifikan yaitu dengan nilai p 0,000. Dari hasil penelitian tersebut dapat disimpulkan bahwa masing-masing kelompok usia mengalami penurunan skala nyeri pasca persalinan setelah mendapatkan rileksasi nafas dalam. Namun yang paling signifikan adalah kelompok usia diatas 35 tahun.Kata kunci: Nyeri pasca persalinan, umur, nafas dalam
VALIDITAS PENGUKURAN RENTANG LENGAN, TINGGI LUTUT DAN PANJANG ULNA TERHADAP INDEKS MASSA TUBUH LANJUT USIA
Authors: Kusnandar Kuntari Astriana, Budiyanti Wiboworini,
Published: August 2019

INTISARILatar Belakang: Penilaian status gizi lansia dapat diukur dengan menggunakan Indeks Massa Tubuh (IMT) yaitu perbandingan berat badan dan kuadrat tinggi badan. Tinggi badan (TB) merupakan indikator status gizi sehingga pengukuran TB seseorang secara akurat sangatlah penting untuk menentukan nilai IMT. Akan tetapi untuk memperoleh pengukuran TB yang tepat pada lansia cukup sulit karena masalah postur tubuh, kerusakan spinal, maupun masalah dalam pergerakan. Penelitian ini bertujuan untuk menganalisis validitas (sensitivitas (Se), spesifisitas (SP), dan Area Under Curve (AUC)) pengukuran rentang lengan, tinggi lutut, dan panjang ulna sebagai prediktor Indeks Massa Tubuh lanjut usia.Tujuan: Penelitian ini bertujuan untuk mengetahuai validitas pengukuran rentang lengan, tinggi lutut dan panjang ulna terhadap IMT lansia.Metode: Penelitian ini menggunakan desain penelitian cross sectional dan bersifat observasional analitik. Sampel penelitian ini adalah lansia di Kecamatan Sewon yang berusia ≥ 60 tahun sebanyak 138. Analisis Se dan Sp menggunakan tabel 2×2. Kurva ROC digunakan untuk menentukan AUC.Hasil: Rentang lengan mempunyai Se 91,02%, Sp 83,33%, dan AUC 0,872 dengan CI 95% 0,806-0,938. Tinggi lutut mempunyai Se 75,64%, Sp 68,33%, dan AUC 0,720 dengan CI 95% 0,632-0,808. Panjang ulna mempunyai Se 80,77%, Sp 73,33%, dan AUC 0,771 dengan CI 95% 0,688-0,853.Kesimpulan: Rentang lengan, tinggi lutut maupun panjang ulna sama baiknya dalam memprediksi IMT pada lansia di Kecamatan Sewon.Kata Kunci: Sensitivitas, Spesifisitas, AUC, Rentang Lengan, Tinggi Lutut, Panjang Ulna, IMT, Lanjut Usia
Трагическое как человеческое: В.В.Розанов и И.Ф.Анненский о "Бранде" Ибсена
Authors: Маркарьян Ольга
Published: August 2019

В статье раскрывается феномен идейно-художественного родства двух редко сопоставляемых критиков начала ХХ в. – В. В. Розанова и И. Ф. Анненского. Совпадение их взглядов на фигуру ибсеновского Бранда, оказавшегося в центре внимания русской критики в связи с постановкой пьесы «Бранд» в Московском Художественном театре в 1906 г., позво¬ляет сделать выводы об их общем неприятии героического и в целом о трансформации самой этой гуманитарной категории в мышлении человека ХХ в. и в работе драматургов. Оба – и Анненский, и Розанов – были особенно чутки к пере¬менам, которые отразила Новая драма как современный лик трагедии. «Бранд» Ибсена воспринимается критиками как воплощение идеала древней классической трагедии и как наглядная демонстрация его кризиса. Сверхчеловеческие притязания «Бранда» соотносятся с поисками Ницше, однако у Ибсена сочетаются восхищение сверхчеловеческим и сомнение в нем. У Розанова и Анненского полное отторжение сверхчеловеческого обусловлено их особым чувством трагического, которое не хочет признавать катарсического торжества. Безысходная, лишенная катарсиса трагедия – новый тип жанра в ХХ в.
Деятельность Жан-Батиста Ланде в Скандинавии.
Authors: Берлова Мария
Published: August 2019

Статья посвящена скандинавскому периоду деятельности основателя русского балета Жан-Батиста Ланде. С 1721 по 1728 годы Ланде работал в Стокгольме, в 1726 г. гастролировал в Копенгагене и с 1728 до начала 1730 х гг. работал там. Автор рассматривает достижения Ланде в Скандинавии — его педагогическую деятельность и формирование собственного хореографического стиля с уклоном на «серьезные» и «комические балеты» и приходит к выводу, что рождение русского балета нужно рассматривать не как отдельное явление, а как логичное завершение творческого пути французского педагога и хореографа, выработавшего своеобразие своего художественного языка в Швеции и Дании.

The article focuses on the work of Jean- Baptiste Landé, known as a founding father of the Russian ballet in Scandinavia. From 1721 to 1728 Landé worked in Stockholm. In 1726 he went on tour to Copenhagen and lived and worked there from 1728 until around 1730. The author examines Landé’s achievements in Scandinavia, his work as a teacher, and the formation of his cho¬reographic style with an emphasis on the ballet sérieux and ballet comique and comes to the conclusion that the formation of the Russian ballet did not stand alone, but was the logical continuation of Landé’s ongoing development. Long before his stay in Russia, he had already formed his own dance language in Sweden and Denmark.
PENGARUH MOTIVASI DAN DISIPLIN TERHADAP KINERJA PERAWAT PELAKSANA RUANG RAWAT INAP DI RUMAH SAKIT BETHESDA YOGYAKARTA
Authors: Sudarta Wayan
Published: August 2019

Latar Belakang : Pelayanan kesehatan maupun keperawatan di rumah sakit merupakan satu kesatuan yang

tidak terpisahkan dalam pelayanan kepada pasien dan merupakan faktor penentu kualitas pelayanan kepada

pasien. Perawat bertanggung jawab terhadap pasien secara holistik. Survey pelaksanaan Asuhan keperawatan

pada pendokumentasian asuhan keperawatan kurang sesuai dengan pelaksanaan tindakan, dan survey tentang

kepuasan kerja perawat ada 16,25 % mengatakan tidak puas.Motode: Survey, cross sectional, populasi

perawat pelaksana, sampel 73 orang, DIII keperawatan, pengumpulan data dengan Angket, dokumentasi

dan observasi, analisa data dengan regressi logistic. Hasilnya : Motivasi koefsien wald 4,811 signifkansi

0,028 dan Disiplin koefsien wald 4,537 signifkansi 0,033 sehingga terdapat pengaruh antara motivasi dan

disiplin dengan kinerja perawat, Simpulan : Motivasi dan Disiplin berpengaruh secara signifkan dengan

kinerja perawat dalam melaksanakan asuhan keperawatan.

Kata kunci: Motivasi - disiplin - kinerja.
STUDI KOMPARATIF SENAM KAKI DAN SENAM KEBUGARAN DIABETES TERHADAP KADAR GLUKOSA DARAH SEWAKTU LANSIA DI SLEMAN YOGYAKARTA
Authors: Melati Nimsi , Indriastuti Charolina Merlida
Published: August 2019

Latar Belakang: Tantangan kesehatan utama saat ini adalah penyakit tidak menular, seperti diabetes mellitus (DM). Tahun 2014 jumlah penderita DM di dunia sebanyak 194 juta jiwa. Penderita yang tidak mampu mengontrol penyakit DM dapat menimbulkan berbagai komplikasi. Pengelolaan dan pencegahan komplikasi DM memerlukan 4 pilar, salah satunya adalah olahraga seperti senam. Tujuan:Untuk mengetahui perbedaan senam kaki dan senam kebugaran diabetes terhadap kadar glukosa darah sewaktu lansia di Sleman Yogyakarta 2017. Metode Penelitian: Penelitian ini menggunakan desain quasi experimental two group pre-post test time series. Teknik sampling menggunakan purposive sampling sebanyak 34 responden, 17 responden senam kaki dan 17 responden senam kebugaran diabetes. Analisisdata menggunakan uji General Linier Model Repeated Measures (GLM-RM). Hasil: Hasil uji GLM-RM kelompok senam kaki p= 0,008 (p
PENGARUH ART THERAPY MENGGAMBAR TERHAD TINGKAT DEPRESI PADA PASIEN SKIZOFRENIA DI RSJD Dr. RM SOEDJARWADI KLATEN
Authors: Ngapiyem Ruthy , Asmara Petrus Dwi
Published: August 2019

Latar belakang : Penelitian ini didasarkan pada studi pendahuluan berupa observasi dan wawancara kepada pasien diruang rawat inap RSJD Dr. RM Soedjarwadi Klaten, dimana didapatkan hasil 41 dari 59 pasien mengatakan susah tidur, malas melakukan aktivitas, rasa bersalah, dan tidak ada semangat untuk menjalani hidup yang merupakan gejala depresi. Tujuan : Tujuan ini bertujuan untuk mengetahui pengaruh art therapy menggambar terhadap tingkat depresi pada pasien skizofreniadi RSJD Dr. Soedjarwadi Klaten Provinsi Jawa Tengah 2016. Metode : Jenis penelitian yang dilakukan adalah pre eksperimental dengan one group design pretest-postest. Populasi pada penelitian ini berjumlah 41. Sampel berjumlah 15 orang diambil dengan teknik Purposive Sampling. Analisis data menggunakan Wilcoxon Match Paired Test. Hasil : Hasil uji Wilcoxon Match Paired Tes tmenunjukan p
PENINGKATAN KEMAMPUAN DAN PENURUNAN TEKANAN DARAH PADA AGREGATE DEWASA HIPERTENSI SESUDAH MENGIKUTI INTERVENSI MODIFIKASI PERILAKU DENGAN HYPNOCARING (MOLUCA) DI CURUG, CIMANGGIS, DEPOK
Authors: Indrayanti Indrayanti , Sahar Junaiti , Permatasari Henny
Published: August 2019

Latar Belakang: Hipertensi merupakan masalah penyakit tidak menular yang terus meningkat dari tahun ketahun. Gaya hidup yang tidak sehat seperti aktivitas yang kurang, obesitas, dan komsumsi tinggi lemak dan garam menjadi faktor risiko penyebab utama hipertensi, diperlukan intervensi untuk meningkatkankesadaran sehingga perawatan hipertensi dapat dipertahankan agar tekanan darah dapat terkontrol. Tujuan: Studi ini bertujuan untuk mengetahui perubahan kemampuan dan penurunan tekanan darah sesudah intervensi Moluca pada agregate dewasa hipertensi. Metode: Desain studi ini menggunakan evidence base practice, pengumpulan data dilakukan dengan purposive sampling dan diperoleh sampel sebesar 58 orang responden. Intervensi Moluca diberikan selama 8 sesi, dan 1 sesi dalam 1 minggu. Hasil: Hasil intervensi Moluca terdapat penurunan rerata tekanan darah sistolik 21,16 mmHg dan diastolik 12,63 mmHg. Kesimpulan: Kesimpulan intervensi Moluca efektif menurunkan tekanan darah dengan nilap p value: 0,001. Saran: Perawat komunitas perlu meningkatkan pengetahuan dan keterampilan untuk mengembangkan diri denganmengikuti berbagai pelatihan untuk pengendalian hipertensi di masyarakat seperti intervensi keperawatankomunitas Moluca untuk meningkatkan pengendalian tekanan darah pada agregate dewasa hipertensi.Kata kunci: Hipertensi – Moluca
GAMBARAN EDUKASI PERAWAT TENTANG EKSTRAVASASI KEMOTERAPI PADA PASIEN KANKER PAYUDARA DI RUANG ELISABETH 2 RS PANTI RAPIH YOGYAKARTA 2019
Authors: Haryanti Priyani , Yuliani Christina Nita Dwi
Published: August 2019

Latar belakang : Efek kemoterapi diantaranya adalah ekstravasasi, yaitu obat sitotoksik terinfiltrasi ke jaringan subdermal yang menyebabkan  edema sampai dengan terjadinya nekrosis. Terdapat dua kejadian ekstravasasi kemoterapi di ruang Elisabeth 2.

Tujuan : Mengetahui gambaran edukasi ekstravasasi kemoterapi pada pasien kanker payudara menjalani kemoterapi di ruang Elisabeth 2 Rumah Sakit Panti Rapih Yogyakarta tahun 2019.

Metode : Penelitian kualitatif dengan pendekatan fenomenologi, sampel penelitian sebanyak enam perawat, menggunakan tehnik purposive sampling. Pengumpulan data menggunakan wawancara semi terstruktur, observasi pada 5 pasien, dan trianggulasi pada 2 sumber.  Analisa menggunakan transkriping, koding dan kategorisasi.

Hasil : Sebanyak 6 perawat dalam persipan kemoterapi melakukan persiapan alat, pasien, lingkungan sesuai dengan prosedur, 6 perawat memberikan edukasi ekstravasasi tentang tanda dan gejala, semua perawat belum memberikan pengertian dan penanganan ekstravasasi, pasien belum mengerti tentang ekstravasasi.  

Kesimpulan: Perawat dalam memberikan edukasi ekstravasasi kemoterapi belum secara menyeluruh, edukasi yang diberikan berisi tentang tanda dan gejala ekstravasasi, pengertian dan penanganan belum dijelaskan.

Saran : Pembuatan SPO edukasi ekstravasasi kemoterapi,  media edukasi menggunakan leaflet.

 

Kata kunci : kanker – kemoterapi – ekstravasasi – edukasi

 

ABSTRACT

Background: The effects of chemotherapy include extravasation, which means cytotoxic drugs infiltrated into subdermal tissue which cause edema until necrosis occurs. There were two cases of extravasation of chemotherapy in Elisabeth Ward 2.

Objective: To find out about the description of nurse education of extravasation of chemotherapy in patient with breast cancer and chemotherapy in Elisabeth Ward 2 at Panti Rapih Hospital Yogyakarta in 2019.

Method: Qualitative research with phenomenology approach, six sample nurses, using purposive sampling technique. Data collection used semi-structured interviews, observations on 5 patients, and questionnaire sources.  Analysis used translation, coding and categorization.

Result: At a total of 6 nurses have prepared the equipment patient, environmental setting according to procedures. Six nurses have educated the patients regarding extravasation about sign and symptoms. All of the nurses have not given any educations related to definition of extravasation and how to handle it. Patients have not understood what extravasation is.

Conclusion: Nurses have not given comprehensive extravasation chemotherapy education. It is only about sign and symptoms of extravasation. They have not explained about the definition and how to handle it.

Suggestions: Making education extravasation of chemotherapy based on SOP, education media use a leaflet.

 

Keywords: Cancer – Chemotherapy – Extravasations – Education