bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effectiveness Of Education Types And Methods In the Improvement Of Orthopedic Surgical Patients’ Knowledge And Capability: A Literature Review
Authors: Purwanty Eni
Published: July 2019

Introduction: The success orthopedic surgery patients’ education depends on many factors, including the accuracy in choosing methods and the educational media used. This selection is based on consideration of the appropriateness of the material provided for the patient's needs and the learning objectives to achieve. The purpose of this literature review is to identify the types of methods and educational media employed to improve self-knowledge and abilities of orthopedic surgery patients. Method: The references employed in this literature review were four experimental research articles published in 2010 to2018. The keywords appropriateness in the search were "orthopedic patient", "patient education", "patient knowledge", "education method", and "patient outcome "through the ProQuest database, EBSCO, Sage, and Clinical Key. Results: This review shows that the media and educational methods vary widely, including face-to-face education, web-based or internet-based education, education with DVD videos, and structured education. Statistical analysis shows that all of these methods can improve the knowledge and skills of orthopedic surgery patients in undergoing the perioperative phase. Conclusion:  Using structured educational methods with media combined with web-based or internet education and DVD video education with direct education (face to face) is considered good for education established for patients. Meanwhile, using education with DVD videos is considered good skill enhancement education.
Optimizing the Implementation of Nursing Round and Nursing Handover in Fatmawati Hospital Jakarta
Authors: Dewi Nani Asna
Published: July 2019

Nursing is an integral part of medical services in a hospital, and its mission is to provide the continuum of care based services throughout the life cycle. Nursing round and nursing handover are substantial elements in providing nursing services and ensure patients’ safety. Optimizing the implementation of the nursing round and nursing handover aims to refresh, renew, and optimize required instruments. Therefore, renewing nurses’ knowledge and commitment is required to adopt a better change as mentioned in the hospital’s vision and mission, i.e. continuum of care. This research employed an analysis study with Fishbone analysis. The results reveal that the nurses’ knowledge of nursing round management increases by 49.25%, and their experience of conducting nursing round increases by 39.13%. It indicates a fine enhancement and proves that the implementation of nursing round and handover is effective to enhance the nurses’ knowledge of nursing round management because, in this round, nursing handover is directed and monitored. The commitment of top management plays a significant role in optimizing this program. Therefore, the current issue of patient centre care is well accommodated.

Keywords: Optimization, service management, care management, handover, round
PENGGUNAAN VARIASI MEDIA PEMBELAJARAN UNTUK MENINGKATKAN MOTIVASI DAN MINAT BELAJAR MATEMATIKA SISWA KELAS XI IPS 3 SMA NEGERI 2 MERAUKE
Authors: Suryani Dessy Rizki , Lestari Nurindah
Published: July 2019

Abstract: This Classroom Action Research (CAR) aims to increase motivation and interest in learning mathematics in class XI IPS 3 of SMA Negeri 2 Merauke by using a variety of learning media. The subjects in this study were 30 students of  class XI IPS 3, 17 male students and 13 female students. The cycleof CAR uses the Kemmis & Mc Taggart model with stages of planning, implementation, observation, and observation. Pre-cycle data shows that students' motivation and interest in learning mathematics are in the low category. The study was conducted in 2 cycles with 4 meeting for each cycles. Based on the results of student observation activities indicate that student activities have increased in learning process of cycle I and cycle II. The average percentage of student learning activity in the first cycle reached 57%, and increased in the second cycle, amount 83%. Increased percentage of student’s learning activity in cycle I and cycle II by 26%. Student learning motivation in the good category experienced an increase from pre-cycle with a percentage of 37.16%, 62.72% in the first cycle, and 90.12% in the second cycle. Student’s interest in the good category also increased from pre-cycle with a percentage of 35.34%, in the first cycle 58.55%, and in the second cycle increased to 93.55%. Based on the results of this study it can be concluded that by using a variety of learning media can increase motivation and interest in learning mathematics in class XI IPS 3 of SMA Negeri 2 Merauke. With the motivation and interest in learning students towards mathematics, it is expected that students themselves will be able to more easily understand mathematics and mathematics no longer be a frightening subject for students.

Keywords: variations in learning media, motivation, interests.
Perbedaan Tingkat Kecemasan Berdasarkan Jenis Kelamin pada Tindakan Penumpatan Gigi
Authors: Paputungan Fazriah F. , Gunawan Paulina N. , Pangemanan Damajanty H. C. , Khoman Johanna A.
Published: July 2019

Abstract: Oral and dental treatment is considered to be scary that can causes anxiety. Gender is one of the factors that influence the anxiety due to restorative treatment especially in dental caries. This study was aimed to determine the difference in anxiety level based on gender in restorative treatment at RSGM Unsrat. This was an analytical study using a cross sectional design. Samples were obtained by using purposive sampling method. Levels of anxiety in males and females were measured by using questionnaire that had been tested for validity. The results showed 32 patients aged 18-65 years who received dental restorative treatment in year 2019 at RSGM Unsrat. Males were as many as females. The levels of anxiety due to the restorative treatment were as follows: not anxious (31.2%), mild (40.7%), moderate (28.1%), severe (0.0%), and very severe (0.0%). The unpaired t-test showed a p-value 0.000. In conclusion, there were differences in male and female anxiety levels due to restorative treatment at RSGM Unsrat; females were more anxious than males.Keywords: anxiety level, gender, restorative treatmentAbstrak: Pengobatan penyakit gigi dan mulut masih kurang diminati masyarakat karena dianggap menakutkan sehingga dapat menimbulkan kecemasan. Jenis kelamin merupakan salah satu faktor yang dapat memengaruhi kecemasan pada penumpatan gigi yang digunakan terutama pada karies gigi. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat kecemasan berdasarkan jenis kelamin pada tindakan penumpatan gigi di RSGM Unsrat. Jenis penelitian ialah analitik dengan desain potong lintang dan menggunakan teknik purposive sampling. Tingkat kecemasan pada laki-laki dan perempuan diukur berdasarkan kuesioner pengukuran tingkat kecemasan yang telah teruji validitasnya. Pasien yang menerima tindakan penumpatan gigi di RSGM Unsrat berusia 18-65 tahun pada tahun 2019 berjumlah 32 orang dengan jumlah yang sama besar untuk kedua jenis kelamin. Hasil penelitian menunjukkan bahwa yang mengalami kecemasan pada tindakan penumpatan gigi kategori tidak cemas (31,2%), ringan (40,7%), sedang (28,1%), berat (0,0%), dan sangat berat (0,0%). Hasil analisis bivariat menggunakan uji statistik uji t tidak berpasangan menunjukkan nilai p=0,000. Simpulan penelitian ini ialah terdapat perbedaan tingkat kecemasan antara laki-laki dan perempuan pada tindakan penumpatan gigi di RSGM Unsrat. Kecemasan lebih banyak didapatkan pada perempuan.Kata kunci: tingkat kecemasan, jenis kelamin, penumpatan gigi
Pelatihan Fisik Berlebih Menurunkan Jumlah Hematopoietic Stem Cells (HSCs) Dibandingkan Pelatihan Fisik Seimbang pada Tikus (Rattus norvegicus) Wistar Jantan
Authors: . Zenitalia , Pangkahila Alex , Pangkahila Wimpie , Siswanto Ferbian M.
Published: July 2019

Abstract: This study was aimed to prove that balanced physical exercise increased mobilization of hematopoietic stem cells (HSCs) compared to excessive physical exercise in male Wistar rats (Rattus norvegicus). This was an experimental study with the randomized pretest-posttest control group design. Subjects were 24 male Wistar rats (Rattus norvegicus), 2.5-3 months old, weighing 180-200 g, healthy (active and did not show any anatomical abnormality), divided into two groups of 12 rats each. One group (P0) was treated with balanced physical exercise and the other group (P1) was treated with excessive physical exercise. Before (pretest) and 4 weeks after treatment (posttest), peripheral blood of 1 ml was drawn through medial canthus sinus orbitalis for examination of HSCs number in peripheral blood quantitatively. The results showed that the number of HSCs in the P0 group was increased from 1.60±0.70 x 106 cell/μl before treatment to 2.70±0.62 x 106 cells/μl after 4-week treatment (P <0.05). Meanwhile, in the P1 group, the number of HSCs was decreased from 1.74±0.68 x 106 cells/μl before treatment to 1.34±0.55 x 106 cells/μl after 4-week treatment (P <0.05). Conclusion: Excessive physical exercise decreased number of hematopoietic stem cells (HSCs) compared to balanced physical exercise in male Wistar rats (Rattus norvegicus).Keywords: balanced physical exercise, excessive physical exercise, hematopoietic stem cells (HSCs)Abstrak: Tujuan penelitian ini ialah untuk membuktikan bahwa pelatihan fisik berlebih menurunkan jumlah hematopoietic stem cells (HSCs) dibandingkan pelatihan fisik seimbang pada tikus (Rattus norvegicus) Wistar jantan. Jenis penelitian ini ialah eksperimental dengan randomized pre-post test control group design. Subyek penelitian ialah 24 ekor tikus Wistar (Rattus norvegicus) jantan, umur 2,5-3 bulan, berat badan 180-200 gr, sehat (aktif dan tidak menunjukkan abnormalitas anatomi) yang dibagi menjadi dua kelompok yaitu P0 dan P1, masing-masing berjumlah 12 ekor. Kelompok P0 diberikan pelatihan seimbang dan kelompok P1 diberi pelatihan fisik berlebih. Sebelum (pretest) dan 4 minggu setelah perlakuan (posttest), darah diambil sebanyak 1 ml melalui medial canthus sinus orbitalis untuk pemeriksaan kadar HSCs darah tepi secara kuantitatif. Hasil penelitian menunjukkan bahwa pada kelompok P0 terjadi peningkatan jumlah HSCs dari 1,60±0,70 x106 sel/μl pretest menjadi 2,70±0,62 x106 sel/μl posttest (P <0,05). Pada kelompok P1 terjadi penurunan jumlah HSCs dari 1,74±0,68 x106 sel/μl pretest menjadi 1,34±0,55 x106 sel/μl posttest (P <0,05). Simpulan: Pelatihan fisik berlebih menurunkan jumlah hematopoietic stem cells (HSCs) dibandingkan pelatihan fisik seimbang pada tikus (Rattus norvegicus) Wistar jantan.Kata kunci: pelatihan fisik seimbang, pelatihan fisik berlebih, hematopoietic stem cells (HSCs)
Profil Klinis Esodeviasi di Pusat Pelayanan Kesehatan Tersier
Authors: Nursalim Ade J. , Latun Erick , Poluan Herny
Published: July 2019

Abstract: Esodeviation is an ocular anomaly in which the visual axis has a manifest or latent misalignment. Diagnosis of this anomaly needs a further thorough examination of an ophthalmologist. This study was aimed to obtain the profile of esodeviation patients at Ophthalmology Clinic of Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive retrospective study using the medical record data of patients with esodeviation from January 2014 to August 2017. There were 21 patients with esodeviation during that period of time, consisted of 13 males (61.9%) and 8 females (38.1%). The age range was 1-12 years old with the highest percentage in 5 years old (16 patients; 76.1%). The esodeviation types were esotropia accounted in 15 patients (71.4%) and esophoria in 6 patients (28.6%). Refraction anomalies were the most common etiology of esodeviation (57.1%). Squint was the main complaint (61.9%) and 22 degree prism was the most deviation degree (66.7%). Conclusion: In this study, esodeviation was most common in males, age under 5 years, esotropia type, squint as the main complaint, with refraction anomaly as the main cause, and deviation less than 22 degrees prism.Keywords: esodeviation, esotropia, esoforia, etiology, deviation degreeAbstrak: Esodeviasi adalah keadaan dimana aksis visual tidak lurus baik manifes maupun laten. Diagnosis esodeviasi memerlukan pemeriksaan lebih lanjut dari seorang dokter ahli mata. Penelitian ini bertujuan untuk mendapatkan profil klinis esodeviasi di Poliklinik Mata RSUP Prof. Dr. R. D. Kandou Manado dengan menggunakan data rekam medik pasien dari Januari 2014 hingga Agustus 2017. Hasil penelitian mendapatkan sebanyak 21 pasien, terdiri dari 13 pasien (61,9%) laki-laki dan 8 pasien (38,1%) perempuan. Rentang usia berkisar 1-12 tahun dengan usia terbanyak di bawah 5 tahun sebanyak 16 pasien (76,1%). Tipe esodeviasi terbanyak ialah esotropia sebanyak 15 pasien (71,4%) dan esoforia sebanyak 6 pasien (28,6%). Etiologi terbanyak ialah kelainan refraksi (57,1%). Keluhan utama pasien berobat ialah mata terlihat juling (61,9%) dan derajat deviasi terbanyak ialah kurang dari 22 derajat prisma (66,7%). Simpulan: Pada penelitian ini, esodeviasi terutama dijumpai pada jenis kelamin laki-laki, usia <5 tahun, tipe esotropia, keluhan mata juling, dengan etiologi kelainan refraksi, dan derajat deviasi <22 derajat prisma.Kata kunci: esodeviasi, estotropia, esoforia, etiologi, derajat deviasi
Psoriasis Gutata - Laporan Kasus
Authors: Dotulong Julieta D. P. , Korompis Charly M. M. , Pandaleke Herry E. J.
Published: July 2019

Abstract: Guttate psoriasis (GP) is a variant of psoriasis with typical drop-shaped lesions sized 0.5-1 cm in diameter, localized especially in the upper part of the body and proximal extremities. It usually occurs in young adult. We reported a female,11 years old, with red, itchy, and scaly patches distributed nearly all over the body. There was a history of sore throat. Dermatologic status showed multiple erythematous plaques which were miliar to numular, discrete, and were covered with layered silvery white scales. The Auspitz sign, wax spot phenomenon, and ASTO were positive. The histopathologic examination showed para-keratosis and Munro microabcesses. The patient treated with topical steroid for 4 weeks made improvement. Conclusion: In this case, diagnosis of guttate psoriasis was based on anamnesis, examination, and supporting examinations. Streptococcal infection was suspected as the trigger factor due to the positive ASTO examination. Topical steroid as the first line therapy for mild to moderate psoriasis made great improvement.Keywords: guttate psoriasis, streptococcal infectionAbstrak: Psoriasis gutata (PG) merupakan varian dari psoriasis. Gambaran khasnya seperti tetesan air dengan diameter 0,5-1 cm, di badan bagian atas dan ekstremitas proksimal. Sering terjadi pada dewasa muda. Kami melaporkan kasus seorang perempuan berusia 11 tahun dengan bercak merah meninggi, bersisik, disertai gatal pada hampir seluruh tubuh. Riwayat nyeri menelan positif. Riwayat pengobatan sebelumnya disangkal. Status dermatologis ditemukan plak eritem, multipel, miliar-numular, diskret, ditutupi skuama berlapis warna putih keperakan. Pemeriksaan tanda Auspitz, fenomena bercak lilin, dan ASTO positif. Pada pemeriksaan histopatologik didapatkan adanya parakeratosis dan mikroabses Munro. Terapi steroid topikal potensi tinggi selama 4 minggu menunjukkan perbaikan. Simpulan: Pada kasus ini diagnosis psoriasis gutata ditegakkan berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang yang khas. Infeksi streptokokus diduga sebagai faktor pencetus berdasarkan hasil pemeriksaan ASTO. Terapi steroid topikal merupakan lini pertama untuk psoriasis ringan sampai sedang memperlihatkan perbaikan yang nyata.Kata kunci: psoriasis gutata, infeksi streptokokus
Association between Dietary Habits and Prehypertension among Indonesian Young Adults at Prof. Dr. R. D. Kandou Hospital Manado
Authors: Wowor Ribka
Published: July 2019

Abstract: Prehypertension is a warning sign, early in age which denotes the risk of hypertension later on in life. Clinical and academic challenges of medical students may have adverse effect on their lifestyle, predisposing vulnerable subjects to elevated blood pressure. This study was aimed to determine the association between dietary habits and prehypertension among Indonesian young adults in Manado. This was an analytical study with a cross-sectional study. Subjects were 111 medical students (undergraduate and postgraduate) aged between 20-30 years, of either sex. A pre-tested questionnaire was used to elicit the details on physical activity, family history of hypertension, tobacco use, and dietary habits. According to JNC-7 guidelines, a systolic blood pressure (SBP) of 120 to 139 mmHg and/or diastolic blood pressure (DBP) of 80 to 89 mmHg is considered as prehypertension. Of the 111 subjects, 22.5% showed blood pressure levels within the range of prehypertension. Chi-square analysis revealed that junk food consumption (OR=3,152; 95% CI=1,253-7,925; P=0,023), and soft drink consumption (OR=4,747; 95% CI=1,797-12,539; P=0,002) were the risk factors of prehypertension. Conclusion: Dietary habits were associated with the prehypertension among young adults in Manado.Keywords: dietary habits, prehypertension, young adultsAbstrak: Prehipertensi merupakan tanda peringatan dini akan resiko terjadinya hipertensi di kemudian hari. Mahasiswa kedokteran memiliki kesibukan studi terutama pada masa kepaniteraan klinik di Rumah Sakit. Tuntutan dalam pendidikan dan pelayanan sekaligus di RS berdampak terhadap pola aktivitas mereka sehari-hari sehingga dapat memengaruhi tekanan darah. Penelitian ini bertujuan untuk mengetahui hubungan antara diet (konsumsi makanan dan minuman) dengan kejadian prehipertensi pada mahasiswa kedokteran Univrsitas Sam Ratulangi. Jenis penelitian ialah analitik dengan desain potong lintang. Hasil penelitian mendapatkan 111 mahasiswa kedokteran peserta P3D dan PPDS (calon spesialis) berusia antara 20-30 tahun sebagai subyek penelitian. Dilakukan pemeriksaan tekanan darah dan berat badan. Penentuan kebiasaan makan ditetapkan berdasarkan hasil pengisian kuesioner. Definisi prehipertensi berdasarkan kriteria JNC 7 yaitu tekanan darah sistolik lebih dari 120 mmHg tapi kurang dari 140 mmHg, dan atau tekanan darah diastolik lebih dari 80 mmHg tapi kurang dari 90 mmHg. Uji Chi-square dilakukan untuk melihat hubungan antara konsumsi junk food dan soft drink dengan kejadian prehipertensi dan didapatkan adanya hubungan antara konsumsi junk food (OR=3,152; 95% CI=1,253-7,925; P=0,023), dan soft drink (OR=4,747; 95% CI=1,797-12,539; P=0,002) dengan kejadian prehipertensi pada subyek dewasa muda. Simpulan: Diet (konsumsi junk food dan soft drink) berhubungan dengan kejadian prehipertensi pada subyek dewasa muda di Manado.Kata kunci: diet, prehipertensi, dewasa muda
Pemberian tempoyak per oral dapat menghambat peningkatan ekspresi matriks metaloproteinase-1 pada tikus (Rattus norvegicus) betina dewasa galur Wistar yang dipajan sinar UVB
Authors: Fiter Joni , Wiraguna AAG Putra , Pangkahila Wimpie
Published: July 2019

Abstract: Ultraviolet B (UVB) is a source of free radicals that accelerate aging process, especially in the skin by increasing the expression of MMP-1. Tempoyak is rich in nutraceuticals and probiotics that may provide a protective effect against skin exposure to ultraviolet rays. This study was aimed to prove that oral tempoyak could inhibit the increase of matrix metalloproteinase-1 (MMP-1) in UVB-induced rats (Rattus norvegicus). This was a true experimental study with the posttest only control group design. Subjects were 36 female Wistar rats (Rattus norvegicus), aged 2.5-3 months, weighing180-200 g, divided into 2 groups. The control group (P0) exposed to UVB was given oral aquadest as placebo, while the treatment group (P1) exposed to UVB was given 1 g/200 g body weight of oral tempoyak. After 15 days of treatment, all rats were anesthetized and their skin tissues were taken for examination of MMP-1 expression. The analysis showed that the average of MMP-1 expression in the control group (P0) was 25.26±11.19% meanwhile the average of MMP-1 expression in the treatment group (P1) was 8.67±2.51%. There was a significant difference between the MMP-1 expression of the two groups (P = 0.000). Conclusion: Oral tempoyak could inhibit the increase of matrix metalloproteinase-1 (MMP-1) in UVB-induced rats (Rattus norvegicus).Keywords: tempoyak, MMP-1, UVBAbstrak: Ultraviolet B (UVB) merupakan salah satu sumber radikal bebas yang dapat mempercepat proses penuaan, khususnya penuaan kulit melalui peningkatan ekspresi MMP-1. Tempoyak yang kaya akan kandungan nutraseutikal dan probiotik dapat memberikan efek perlindungan kulit terhadap pajanan sinar ultraviolet. Penelitian ini bertujuan untuk membuktikan bahwa pemberian tempoyak per oral dapat menghambat peningkatan ekspresi MMP-1 tikus yang dipajan sinar ultraviolet-B (UVB). Jenis penelitian ialah eksperimental murni dengan menggunakan post test only control group design. Subjek penelitian ialah 36 ekor tikus putih (Rattus norvegicus), betina, galur Wistar, berumur 2,5-3 bulan, dengan berat badan 180-200 gr yang dibagi menjadi 2 (dua) kelompok masing-masing berjumlah 18 ekor tikus. Kelompok kontrol (P0) diberikan pajanan UVB dan akuades per oral sebagai plasebo sedangkan kelompok perlakuan (P1) diberikan pajanan UVB dan tempoyak dengan dosis 1 gr/ 200 gr BB. Setelah 15 hari perlakuan, seluruh tikus dianestesi kemudian diambil jaringan kulitnya untuk pemeriksaan ekspresi MMP-1 dermis. Hasil analisis menunjukkan bahwa rerata ekspresi MMP-1 pada kelompok kontrol (P0) ialah 25,26±11,19% sedangkan rerata ekspresi MMP-1 pada kelompok perlakuan (P1) ialah 8,67±2,51%. Terdapat perbedaan bermakna antara rerata ekspresi MMP-1 antara kedua kelompok (P = 0,000). Simpulan: Pemberian tempoyak per oral dapat menghambat peningkatan ekspresi MMP-1 tikus (Rattus norvegicus) yang dipajan sinar ultraviolet-B (UVB).Kata kunci: tempoyak, MMP-1, UVB
Amenorea Sekunder: Tinjauan dan Diagnosis
Authors: Suparman Erna , Suparman Eddy
Published: July 2019

Abstract: Secondary amenorrhea occurs when a woman in reproductive age who has experienced menstruation, at a sudden stops menstruating for at least three consecutive months. The basic principle underlying the physiology of menstrual function is composed of multiple organ systems with their appropriate compartments in which the menstrual cycle depends on, as follows: compartment I, disorders of the uterus; compartment II, disorders of the ovary; compartment III, disorders of the anterior pituitary; and compartment IV, disorders of the central nervous system (hypothalamus). Finding the cause of secondary amenorrhoea can be done by doing some tests or trials. Determination of the location of the specific anatomical defect is useful to obtain appropriate treatment according to the cause of amenorrhea.Keywords: secondary amenorrhoeaAbstrak: Dikatakan amenorea sekunder bila seorang wanita usia reproduktif yang pernah mengalami haid, tiba-tiba haidnya berhenti untuk sedikitnya 3 bulan berturut-turut. Prinsip dasar yang mendasari fisiologi dari fungsi menstruasi memungkinkan penyusunan beberapa sistem kompartemen yang tepat di mana siklus menstruasi bergantung, yaitu: kompartemen I gangguan pada uterus, kompartemen II gangguan pada ovarium, kompartemen III gangguan pada hipofisis anterior, dan kompartemen IV gangguan pada sistem saraf pusat (hipotalamus). Gangguan ini sering berhubungan dengan keadaan stres (wanita pengungsi, dipenjara, hidup dalam ketakutan), atlit wanita, atau anoreksia nervosa dan bulimia. Mencari penyebab amenorea dapat diperoleh dengan melakukan beberapa uji atau percobaan. Penentuan lokasi defek anatomis spesifik sangat bermanfaat untuk mendapatkan penanganan yang sesuai dengan penyebab amenore.Kata kunci: amenorea sekunder
PENGARUH PERENCANAAN ANGGARAN TERHADAP PENYERAPAN ANGGARAN DI LINGKUNGAN INIVERSITAS SAM RATULANGI
Authors: Ratag Wieske Anneleen , Kumenaung Anderson G. , Engka Daisy S.M.
Published: July 2019

ABSTRAK Penganggaran merupakan suatu unsur atau bagian penting dalam sebuah perencanaan yang dibuat suatu entitas melalui tahap formulasi strategis terhadap alokasi sumber daya sebagai upaya pencapaian tujuan yang tergambar dalam visi  dan misi suatu organisasi atau perusahaan. Anggaran dapat digunakan sebagai alat perencanaan biaya dan pendapatan, komunikasi, motivasi, serta sebagai alat pengendali bagi atasan (superior) kepada bawahannya (subordinates). Perencanaan menjadi faktor yang mempengaruhi serapan anggaran karena masih adanya anggapan bahwa tidak semua anggaran yang diusulkan akan disetujui, sehingga anggaran yang diusulkan lebih besar dari yang dibutuhkan tanpa memperhatikan kebutuhan riil di lapangan dan kemudahan dalam implementasinya. Tujuan dari penelitian ini untuk menganalisis bagaimana pengaruh belanja pegawai, belanja barang dan belanja modal terhadap penyerapan anggaran DIPA. Teknik analisis yang digunakan adalah analisis regresi berganda. Hasil penelitan menunjukan bahwa anggaran belanja pegawai berpengaruh positif dan signifikan secara statistik terhadap penyerapan anggaran DIPA. Begitu juga dengan belanja barang yang berpengaruh positif  dan signifikan terhadap penyerapan anggaran DIPA. Belanja modal berpengaruh positif dan signifikan terhadap penyerapan anggaran DIPA Kata Kunci: Belanja Pegawai, Belanja Barang, Belanja Modal dan Anggaran DIPA  ABSTRACT Budgeting is an important element or part of a plan made by an entity through the stage of strategic formulation of the allocation of resources as an effort to achieve the goals reflected in the vision and mission of an organization or company. The budget can be used as a cost and income planning tool, communication, motivation, and as a controlling tool for superiors (superior) to subordinates (subordinates). Planning is a factor that influences budget absorption because there is still an assumption that not all proposed budgets will be approved, so that the proposed budget is bigger than needed without regard to real needs in the field and ease of implementation. The purpose of this study is to analyze how the influence of employee spending, goods expenditure and capital expenditure on the absorption of the DIPA budget. The analysis technique used is multiple regression analysis. The research results show that the employee budget has a positive and statistically significant effect on the absorption of the DIPA budget. Likewise, the expenditure of goods has a positive and significant effect on the absorption of the DIPA budget. Capital expenditure has a positive and significant effect on the absorption of the DIPA budget Keywords: Employee Expenditures, Goods Expenditures, Capital Expenditures and DIPA Budget
Köpeklerde Burun Boşluğundan Pseudomonas aeruginosa’nın İzolasyonu ve Antibiyotik Duyarlılıkları
Authors: ZEYREK Seyfullah , ERBAŞ Göksel
Published: July 2019

Pseudomonas  aeruginosa  inatçı  bir  patojendir  ve  antibiyotik  dirençliliği  nedeniyle  de  mücadelesi  zordur. Araştırmamızda Aydın’ın Kuşadası ilçesinde bulunan özel bir Veteriner kliniğine 2017 yılı Ekim - Kasım - Aralık ay-larında  gelen  köpeklerin  burun  boşluğundan  alınan  100  adet  sürüntü  örneği  P.  aeruginosa  yönünden  incelenmiştir. Örnekler alındıktan sonra soğuk zincir altında Aydın Adnan Menderes Üniversitesi Veteriner Fakültesi Mikrobiyoloji Rutin Teşhis laboratuarına getirilmişlerdir. Yapılan mikrobiyoloji analizler neticesinde 11 adet P. aureginosa izole ve identifiye edilmiş ve izolatların Kirby Bauer disk difüzyon yöntemi ile antibiyotik duyarlılıkları belirlenmiştir. P. ae-ruginosa izolatlarının tamamı Amoksisilin klavulonik asit, Ampisilin/sulbaktam, İmipemen , Kloksasilin ve Penisilin/Novobiosin’e  karşı  dirençli  oldukları  tespit  edilmiştir.  Kanamisin/Cephaleksin’e  karşı  izolatlardan  7’sinin  dirençli (%64), 4’ünün ise duyarlı (%36) olduğu belirlenmiştir. Bununla birlikte 5 izolatın Oksitetrasiklin’e orta düzey duyarlı (%45), 6 izolatın ise duyarlı (%55) olduğu belirlenmiştir. Çalışmada elde edilen 11 izolatın tümünün Enrofloksasin ve Gentamisin’e karşı duyarlı olduğu saptanmıştır. Köpeklerde solunum yolunu etkileyen bakteriyel hastalıklarda etkenin identifikasyonu  ve  doğru  antibiyotik  seçimi  oldukça  önemlidir.  Çalışma  sonuçları  P.  aureginosa  izolatlarının  çoklu antibiyotik direncine sahip olduklarını göstermiştir. Bununla birlikte klinik olarak karşılaşılabilecek vakalarda tedavide Enrofloksasin ve/veya Gentamisin etken maddeleri tavsiye edilmektedir
Probiyotik Olarak Tanımlanan Yeni Mikroorganizmalar
Authors: DELİCE ÜRKMEZ Şeyma , GÜCÜKOĞLU Ali
Published: July 2019

Tarih boyunca insanlar tarafından canlı mikroorganizmalar içeren bitkisel ve hayvansal orijinli fermente gıdalar tüketilmiştir.  Geleneksel  fermente  gıdaların  içerisinde  ‘’Probiyotik’’  olarak  isimlendirilen  doğal  mikroorganizmalar, yeterli miktarda uygulandığında konakçıya yarar sağlayan canlı mikroorganizmalar olarak tanımlanır. Her geçen gün doğal kaynaklardan izole edilen ya da mevcut bakteri soylarından türetilen yeni bakteriler keşfedilmekte ve dolayısıy-la bu bakterilerin probiyotik olarak değerlendirmelerinin yapılması ve güvenilirliklerinin derinlemesine araştırılması gerekmektedir. Detaylı inceleme gerektiren mikroorganizmaların son örneklerini Leuconostoc mesenteroides, Bacillus subtilis natto, Clostridium butyricum, Bacteroides xylanisolvens, Akkermansia muciniphila, Fruktofilik laktik asit bak-terileri (FLAB) ve Faecalibacterium prausnitzii oluşturmaktadır. Bu derlemede probiyotik özellikleri yeni ortaya çıka-rılan bazı mikroorganizmalar hakkında bilgi verilmesi amaçlanmıştır. 
The Dust and Molecular Gas in the Brightest Cluster Galaxy in MACS 1931.8-2635
Authors: Fogarty Kevin , Postman Marc , Li Yuan , Dannerbauer Helmut , Liu Hauyu Baobab , Donahue Megan , Ziegler Bodo , Koekemoer Anton , Frye Brenda
Published: July 2019

We present new Atacama Large Millimeter Array observations of the molecular gas and far-infrared continuum around the brightest cluster galaxy (BCG) in the cool-core cluster MACS 1931.8-2635. Our observations reveal (1.9 ± 0.3) × 1010
M
⊙ of molecular gas, on par with the largest known reservoirs of cold gas in a cluster core. We detect CO(1−0), CO(3−2), and CO(4−3) emission from both diffuse and compact molecular gas components that extend from the BCG center out to ∼30 kpc to the northwest, tracing the UV knots and Hα filaments observed by the Hubble Space Telescope. Due to the lack of morphological symmetry, we hypothesize that the ∼300 km s−1 velocity of the CO in the tail is not due to concurrent uplift by active galactic nucleus (AGN) jets; rather, we may be observing the aftermath of a recent AGN outburst. The CO spectral line energy distribution suggests that molecular gas excitation is influenced by processes related to both star formation and recent AGN feedback. Continuum emission in Bands 6 and 7 arises from dust and is spatially coincident with young stars and nebular emission observed in the UV and optical. We constrain the temperature of several dust clumps to be ≲10 K, which is too cold to be directly interacting with the surrounding ∼4.8 keV intracluster medium (ICM). The cold dust population extends beyond the observed CO emission and must either be protected from interacting with the ICM or be surrounded by local volumes of ICM that are several keV colder than observed by Chandra.
Direct Observation of the Broad Line Region in X-Rays during the Low State of NGC 4051
Authors: Peretz Uria , Miller Jon M. , Behar Ehud
Published: July 2019

NGC 4051 is one of the most variable and X-ray bright Seyfert galaxies. During 2009, NGC 4051 was caught at its lowest state ever observed by XMM-Newton. The low source continuum emission allows a clear measurement of the He-like emission lines of

and O+6. The exceptionally high intercombination line flux is a direct measurement of either a high density or a UV irradiated photoionized plasma. Either way, this provides an unambiguous distance diagnostic. We find that the line emitting region has a density of ∼3 × 1010 cm−3 and a distance of a few 1015 cm from the continuum source, placing it within the UV-optical broad line region of NGC 4051. Both N+5 and O+6 independently result in similar measurements for density and distance. In addition, we find the kinematics of the broad O+7 Lyα match those of the He+1
λ4686 Å line, which is associated with the NGC 4051 broad line region. This is the first direct X-ray measurement of a Seyfert broad line region.
A Pseudodisk Threaded with a Toroidal and Pinched Poloidal Magnetic Field Morphology in the HH 211 Protostellar System
Authors: Lee Chin-Fei , Kwon Woojin , Jhan Kai-Syun , Hirano Naomi , Hwang Hsiang-Chih , Lai Shih-Ping , Ching Tao-Chung , Rao Ramprasad , Ho Paul T. P.
Published: July 2019

The HH 211 protostellar system is currently the youngest Class 0 system found with a rotating disk. We have mapped it at ∼50 au (0.″16) resolution, studying its magnetic field morphology with dust polarization in continuum at 232 and 358 GHz and its kinematics in C18O J = 2–1 line. A flattened envelope extending out to ∼400 au from the disk is detected in the continuum and C18O, slightly misaligned with the disk by ∼8°. It is spiraling inwards and expected to transform into a rotating disk at ∼20 au, consistent with the disk radius estimated before. It appears to have a constant specific angular momentum and it can result from an inside–out collapse of an extended envelope detected before in NH3. In the flattened envelope, the polarization is mainly due to the magnetically aligned dust grains, inferring a highly pinched poloidal field morphology there. Thus, both the kinematics and field morphology support that the flattened envelope is a pseudodisk formed as the infalling gas is guided by the field lines to the equatorial plane. Interestingly, a point-symmetric polarization distribution is also seen in the flattened envelope, implying that the pinched field lines also have a significant toroidal component generated by the rotation. No significant loss of angular momentum and thus no clear magnetic braking are detected in the flattened envelope around the disk probably because of the large misalignment between the axis of the rotation and the axis of the magnetic field in the cloud core.
Col-OSSOS: The Colors of the Outer Solar System Origins Survey
Authors: Schwamb Megan E. , Fraser Wesley C. , Bannister Michele T. , Marsset Michaël , Pike Rosemary E. , Kavelaars J. J. , Benecchi Susan D. , Lehner Matthew J. , Wang 王祥 Shiang-Yu 宇 , Thirouin Audrey , Delsanti Audrey , Peixinho Nuno , Volk Kathryn , Alexandersen Mike , Chen 陳英 Ying-Tung 同 , Gladman Brett , Gwyn Stephen D. J. , Petit Jean-Marc
Published: July 2019

The Colours of the Outer Solar System Origins Survey is acquiring near-simultaneous g, r, and J photometry of unprecedented precision with the Gemini North Telescope, targeting nearly 100 trans-Neptunian objects (TNOs) brighter than m

r
 = 23.6 mag discovered in the Outer Solar System Origins Survey. Combining the optical and near-infrared photometry with the well-characterized detection efficiency of the Colours of the Outer Solar System Origins Survey target sample will provide the first flux-limited compositional dynamical map of the outer solar system. In this paper, we describe our observing strategy and detail the data reduction processes we employ, including techniques to mitigate the impact of rotational variability. We present optical and near-infrared colors for 35 TNOs. We find two taxonomic groups for the dynamically excited TNOs, the neutral and red classes, which divide at g − r ≃ 0.75. Based on simple albedo and orbital distribution assumptions, we find that the neutral class outnumbers the red class, with a ratio of 4:1 and potentially as high as 11:1. Including in our analysis constraints from the cold classical objects, which are known to exhibit unique albedos and r − z colors, we find that within our measurement uncertainty our observations are consistent with the primordial solar system protoplanetesimal disk being neutral class dominated, with two major compositional divisions in grJ color space.
Yearly microbial cycle of human exposed surfaces in show caves
Authors: Bercea Silviu , Năstase-Bucur Ruxandra , Moldovan Oana Teodora , Kenesz Marius , Constantin Silviu
Published: July 2019

The human impact upon the subterranean microbiomes is not only a peril to the cave environment but might also affect future visitors. We focused on the changes that humans induced on the surfaces they came in direct or indirect contact with inside two intensely visited Romanian show caves, by means of commercially available microbial rapid test kits and molecular identification.

Overall culturable bacteria abundance in the caves maintained high levels year-round while Enterobacteriaceae, coliform bacteria and Escherichiacoli levels peaked during the touristic season, reaching levels that could pose a threat to the health of the visitors. Culturable fungi abundance usually peaked in the spring, remained at a high level in the summer and started to slowly decrease towards the winter months. Differences were observed between the direct and indirect exposed surfaces, as the later had lower overall levels of bacteria and fungi, with increased Enterobacteriaceae loads. Most of the taxa identified are known biodeteriorants of subterranean surfaces and were previously associated with human altered caves. A Dothideomycete sp. previously unknown to the cave environments was detected.

This was the first study to analyse the dynamics of the microbial communities of delicate subterranean surfaces in show caves through the use of commercially available test kits. We revealed that exposed surfaces in show caves, in direct or indirect contact with tourists, are host to high concentrations of cultivable microbes. The touristic activity was shown to influence the abundance and dynamics of the microbial communities inhabiting surfaces of show caves.
La société industrielle d’Aron et Galbraith : des regards croisés pour une vision convergente ?
Authors: Chirat Alexandre
Published: July 2019

L’article propose une confrontation des analyses de deux grands intellectuels du XX e  siècle aux destinées croisées, Raymond Aron et John Kenneth Galbraith, eu égard au thème de la société industrielle. Le but de cette contribution est de montrer qu’en dépit de différences contextuelles, disciplinaires et méthodologiques, ces deux auteurs proposent une vision convergente de la société d’après-guerre. L’étude comparative permet alors non seulement de spécifier les traits caractéristiques de leurs pensées à propos d’une époque qui connaît des transformations radicales, mais également de saisir l’esprit intellectuel qui l’anime. Dans cette perspective, nous démontrons qu’il existe des liens électifs puissants entre les thèses dites de la révolution managériale, de la fin des idéologies, de l’institutionnalisation des conflits ainsi que les théories de la convergence. L’article se termine par une présentation de l’étude du pouvoir dans l’œuvre des deux auteurs, lequel apparaît comme un concept nécessaire pour quiconque entend mener une analyse critique et dynamique de la société industrielle.
Marketing et communication politique
Authors: Dosquet Frédéric
Published: July 2019

Ce chapitre présente les systèmes politiques au sens général de plusieurs pays démocratiques. Le choix de ces démocraties s’est fait sur un critère « objectif » qui est le classement donné par The Economist Group depuis 2006. Huit pays ont ainsi été sélectionnés pour leur intérêt et leur appartenance à la catégorie démocratique. Ces huit nations ont en commun un long passé et vécu de la démocratie et présentent également des similitudes en termes de complexité dans leur management démocratique. La France n’a pas été retenue dans cette présentation, non qu’elle ne puisse s’abstenir des remarques précédentes, mais nous sommes partis du principe que le lecteur avait de la connaissance en la matière et donc que l’ouvrage n’allait que peu lui apporter, en cas de sa sélection. Pour chacun des pays, trois éléments sont présentés. Le premier concerne les institutions. Le deuxième est relatif au système électoral. Et, enfin, le troisième aborde le système partisan.
Marketing et communication politique
Authors: Barquissau Éric , Schlenker Lee
Published: July 2019

Ce chapitre se propose de présenter l’intérêt du digital au sein d’une stratégie de persuasion électorale. Le e-marketing politique est plus qu’une réalité dans les campagnes électorales d’aujourd’hui, il devient incontournable. Tant du niveau de la recherche académique que de la pratique, les outils digitaux tendent à occuper une place de plus en plus conséquente. Pour un acteur politique, ils sont maniables, agiles et relativement peu coûteux. Ils permettent de créer de la notoriété, du flux discursif et, si nécessaire, d’orchestrer de la «  negative communication  ». Dans un monde fait de connections, le e-marketing politique représente un vecteur idéal d’une persuasion électorale moderne basée sur l’habileté et la performance.
Les personnes handicapées vieillissantes : évolutions récentes
Authors: Reynaud François
Published: July 2019

En 2014, 69 600 personnes de 50 ans ou plus dont 15 200 de 60 ans ou plus sont accueillies dans un établissement pour adultes handicapés. De plus, 18 400 personnes handicapées de 50 ans ou plus dont 4 900 de 60 ans ou plus sont accompagnées à domicile par un service dédié. Entre 2010 et 2014, la croissance du nombre de personnes au-delà de ces seuils d’âge est plus élevée dans les établissements et services d’accompagnement pour adultes handicapés que dans l’ensemble de la population française. La part des établissements qui accueillent des personnes handicapées vieillissantes a augmenté de 39,9 % à 58,8 % en quatre ans. Les personnes handicapées de 60 ans ou plus, dont le nombre de déficiences augmente, résident pour moitié dans les maisons d’accueil spécialisées (MAS) et les foyers d’accueil médicalisés (FAM). Aux personnes handicapées qui avancent en âge dans les établissements et services médico-sociaux du champ du handicap, s’ajoutent celles avec un handicap reconnu avant 60 ans qui résident dans un établissement pour personnes âgées : elles sont au moins 25 800 en 2015. Malgré les limites des enquêtes, l’étude semble mettre en évidence trois parcours types en lien avec le processus de vieillissement : un parcours où les personnes restent principalement hébergées à domicile tout en travaillant en ESAT ou en bénéficiant d’un accompagnement, un autre où elles sont principalement en institution et un dernier où elles ont un handicap reconnu mais pas de contact avec les établissements du champ du handicap. Les premières entreraient fréquemment en EHPA, mais pas directement après avoir arrêté de travailler en ESAT ou bénéficié d’un service d’accompagnement. Les secondes, à mesure qu’elles deviendraient de plus en plus dépendantes en avançant en âge, iraient d’établissements pour personnes handicapées en établissements pour personnes handicapées accueillant des personnes toujours plus dépendantes. Les dernières n’ont jamais vécu en institution et entrent en EHPA en vieillissant.
Handicap, vieillissement et vieillesse. Revue de la littérature à partir de la France
Authors: Schnitzler Marie
Published: July 2019

En partant de la distinction entre le vieillissement, processus physique et psychologique socialement construit, et la vieillesse, un âge de la vie déterminé par le passage à la retraite, cette contribution revient sur les grandes thématiques de la littérature autour de l’avancée en âge des personnes en situation de handicap : la définition de la catégorie « personnes handicapées vieillissantes », le passage à la retraite et l’habitat. Il ne s’agit pas de justifier les politiques catégorielles, mais de saisir dans quelle mesure ces deux dynamiques éclairent la littérature existante. Premièrement, il s’agira de montrer la variation des définitions de la catégorie « personnes handicapées vieillissantes ». Ce point permet de revenir sur la notion de vieillissement précoce. Deuxièmement, la question de la retraite sera étudiée en mettant en évidence deux questions distinctes, à savoir la gestion d’une main-d’œuvre vieillissante et le changement de statut associé à la retraite. La dernière section approfondira la question du logement des personnes en situation de handicap vieillissantes, en lien avec le vieillissement des aidants familiaux et des professionnels.
Espaces de vie d’adhérents vieillissants d’un Groupe d’Entraide Mutuelle d’une petite ville
Authors: Painter Sara
Published: July 2019

Les personnes en fragilité psychique vieillissantes font face à de multiples contraintes les empêchant de pratiquer la ville comme elles le voudraient. L’article présente les résultats d’une recherche en géographie sociale portant sur les géographies quotidiennes de 14 adhérents vieillissants d’un GEM d’une petite ville. L’analyse montre comment cette structure associative innovante peut favoriser leur inclusion dans la ville et les aider à rétablir quelques prises sur leur espace de vie.
Vieillir avec un handicap physique à la lumière d’enjeux politiques : retour d’expérience
Authors: Nuss Marcel
Published: July 2019

Grâce à des progrès médicaux et technologiques constants et impressionnants (les premiers « respirateurs », en l’occurrence les poumons d’acier, sont apparus très rapidement après la guerre de 1939-1945), la population des personnes en situation de grande dépendance, souvent plurihandicapées, a vu son espérance de vie doubler, voire tripler, en l’espace d’une quarantaine d’années environ. Ce vieillissement, que les pouvoirs publics n’avaient pas anticipé, est devenu un défi sociétal et social, dont les enjeux et les difficultés sont multiples. D’où une gestion et une appréhension problématiques et délicates pour les professionnels de santé, du médico-social, les familles et les personnes concernées elles-mêmes. De surcroît, si la qualité de vie de ces personnes a été considérablement améliorée, en contrepartie, leur prise en charge et les choix qu’elle implique représentent un coût budgétaire et humain particulièrement conséquent. Sont-ils clairement perçus et assumés par toutes les parties prenantes ? Quelles sont les perspectives et les impératifs de cette (r)évolution médicale et sociétale ? Cet article s’appuie sur l’expérience vécue de l’auteur.
Vieillir et s’adapter : apprendre pour aménager son domicile
Authors: Trevidy Frédérique , Makdessi Peyronnie Marie , Brunie Vanida , Toro-Arrocet Daniela , Brugidou Guillaume , Wolfrom Jacques , Gagnayre Rémi
Published: July 2019

En France, les bailleurs sociaux sont encouragés à adapter les logements au vieillissement de la population. Pourtant, ces aménagements provoquent parfois des réticences chez les personnes âgées car ce qui est en jeu est le continuum de soi dans un logement en transformation. Ce lien très particulier entre les personnes âgées et leur logement a été caractérisé par le concept d’identité-logement (IL). À partir du modèle théorique de l’IL, un programme éducatif spécifique aux Entreprises Sociales pour l’Habitat (ESH) est élaboré pour permettre au locataire d’apprendre à modifier son espace de vie et prévenir la chute. Le programme est expérimenté et évalué auprès de 11 locataires âgés de plus de 65 ans et ayant chuté. Les résultats ressortant comme essentiels sont : la nature concrète des apprentissages, la centration de l’éducation sur l’habitant, le temps nécessaire pour apprendre, une évolution de l’IL de l’habitant. Pour prévenir le risque de chute, la personne activerait des stratégies d’apprentissage propres à l’IL, permettant de préserver son sentiment de continuité temporelle tout en construisant de nouvelles connaissances dites situées pour maîtriser le risque dans son logement (aménagements/agencements préventifs, modification des usages en situation, modification des perceptions situées). Suite à l’évaluation, le programme d’éducation a été bonifié et sera expérimenté, au sein de deux autres ESH, dans le but d’en dégager des invariants permettant sa modélisation.