bluuebunny/crossref_metadata_2025 huggingface dataset:
Perilaku Penggunaan Tisu Toilet Terhadap Kejadian Keputihan Pada Remaja
Authors: Paryono Paryono , Nugraheni Intan
Published: January 2020

Abstract: Toilet Tissue, whitish, Young Women. Whitish in medical terms is called fluorine albus or leucorrhea is liquid released from the genitals. Whitish disease is a problem in women. Normal whitish discharge translucent color, no odor, does not itch and occur before menstruation and after menstruation, sexual stimulation, when a pregnant woman and a state of stress. Abnormal discharge of fluid that comes out cloudy and thick, stinking, rancid, fishy, itchy, fluid quantity many, yellowish or greenish. Behavioral habits that are not good personal hygiene will cause vaginal discharge. Behaviors that can reduce the whiteness using toilet paper after urinating. To determine differences in the use of toilet paper on the incidence of vaginal discharge in adolescent girls at school Veteran 1 Sukoharjo. The study design used was quasi exsperiment with Time Series Design study design is the design of the study using pretest posttest conducted by direct observation. The sampling technique used purposive sampling with a sample of 41 students who have signs of symptoms of vaginal discharge. Mc Nemar statistical test used to determine the effect on the incidence of vaginal discharge toilet paper. Before the treated (preliminary examination) most respondents experienced pathological vaginal discharge as many as 33 students (80.5%), after being given treatment using toilet paper (final inspection) of respondents who experience vaginal discharge pathology as many as 14 students (34.14%). Results of the study showed statistical tests p: 0.000, which means there is the effect of the use of toilet paper on the incidence of vaginal discharge. There is a distinction mark whitish symptoms before and after using toilet paper.
Karakteristik Ibu Kaitannya Dengan Kejadian Bayi Berat Badan Lahir Rendah
Authors: Supiati Supiati
Published: January 2020

Abstract: Age, Parity, Incidence of LBW. One indicator to determine the degree of public health is the infant mortality rate (IMR). Infant mortality rate in Indonesia is still relatively high, which recorded 31 per 1,000 live births in 2008. This study aims to determine the relationship between maternal age and parity with LBW in the Maternity Hospital (RB) Juweni Village Pandes Wedi Klaten This study uses descriptive analytic correlation with retrospective approach. The study population all mothers delivered in January 2011-September 2012 with a total population of 142 mothers. The study was conducted in October 2012. The results of the study obtained the highest maternal age age is not at risk of 124 respondents (87.3%), most mothers Parity multi 75 respondents (52.8%), the highest incidence of low birth weight is not 133 respondents (93.7% ). It can be concluded that there is no relationship between the age of mothers with LBW and there is no relationship between the parity of mothers with LBW.
Pengaruh Terapi Musik Instrumentalia Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Aktif Di 3 Bidan Praktek Mandiri Ngemplak Boyolali
Authors: Astuti KH Endah Widhi , Rahayu RD , Sri Mulyani Noris Hadi
Published: January 2020

Absctract: Music Therapy, Pain Intensity, Active Phase Of The First Stage Of Labor. Pain during labor is a physiological condition. In the physiology of labor, pain began to arise in the latent phase of the first stage of labor and the active phase. The intensity of pain during labor affects the psychological condition of the mother, labor, and fetal well-being. To know the effect of instrumental music therapy on decreasing the intensity of pain labor during the active phase on the first stage of labor in 3 indepndent midwives practice in ngemplak Boyolali district. Type of pre-experimental research with one group pretest-posttest design. Population of this study is mother actice phase in the first stage of labor in three independents midwives in Ngemplak Boyolali between October 2013 to December 2013. The sampling used purposive sampling technique with a sample of 32 respondents. The measurement technique used a pain scale. The Data was processed by editing, coding, scoring and tabulating. The Data was analysed used a paired sample t-test. The majority of respondents aged between 20-35 years (93.8%)with 2 children (43.8%), the level of high school education (56.3%), the overall family support (100%) and less anxious (65.6%). Numerical pain l evels before therapy is the majority of severe pain (68.8%) and after music therapy decreased the numerical pain becomes moderate pain (78.1%). The level of pain behavior before the majority of instrumental music therapy is severe pain and being with each 16 persons (50.0%) and after intrumentalia music therapy decreased pain is pain with the majority being about 18 people (56.3%). There is effect instrumental music therapy to decrease pain intensity numeric and the intensity of pain behavior in the labor Kala I active (0.000 < 0.05). There is the effect of instrumental music therapy on decreasing the intensity of pain inthe actve phase of the first stage of labor.
Pengetahuan Masyarakat Tentang Taman Obat Keluarga Di Nglinggi, Klaten Selatan
Authors: Yulianto Susilo
Published: January 2020

Abstract: The Knowledge, People, TOGA. Family Medical Plants (TOGA) is one of many traditional medication that usedfor a long time in Indonesia. The successful of this family medical plants programvery depends with people’s knowledge about every single plants that can used asherbal medicine, especially the one with empirical evidence. Beside of that, alsodepends with how people use that herbal medicine for each different case.This research is intended to disclose the description of people’s knowledge andbehaviour about family medical plants at Nglinggi, Klaten Selatan. The present research deploy descriptive method, with 30 respondents assample that selected with simple random sampling. Data collection is conductedtrough guiding interview with respondent and direct observation. Instrument thatused is questionnaire and camera for observation. The data shows that all of respondents agree using herbal medicine foralternative medication, but there are respondents whose not used herbal medicinefor daily medication.The conclusions drawm from this research is people’s knowledge in Klaten is still undertarget, because of that we have to give these people more information abaout family medical plants (TOGA).
Uji Aktivitas Antiaging Invitro Lavender Body Butter
Authors: Sayuti Nutrisia Aquariushinta
Published: January 2020

Abstract : Lavender, Body Butter, Antiaging. Antiaging product must contain antioxidant and sunscreens compound to protect skin from free radical. Lavender oilwas a popular parfume of cosmetic form because of its antioxidant dan sunscreen activity. Body butter form was needed to increase antiaging activity of lavender oil. The study aimed to evaluate antiaging activity of lavender body butter trough antioxidant and sunscreen activity evaluation. Body butter was made from combination of lavender oil, olive oil, coconut oil beside cocoa butter. DPPH method was used to evaluate antioxidant activity, sunscreen activity was evaluated of the Sun Protection Factor value (SPF), the percentage of erythema transmission (%Te) and percentage of pigmentation (% Tp). The study showed that the body butter formula had IC50 of 56,34 ppm, 6,68 of %Te, 16,34 of %Tp and the SPF value was 10,88. The formula can increase lavender oil’s antioxidant and sunscreen activity and it was need the addition of chemical sunscreen compound such as Zinci Oxyde or Titanium Oxyde. It can concluded body butter had strong antioxidant activity. It can protect the skin to againt UVA ray but less protect from UVB and UVC rays.
Efektivitas Penambahan Sari Kurma Dalam Pemenuhan Gizi Ibu Hamil Anemia Di Puskesmas Wedi, Kabupaten Klaten
Authors: Rahayu RD
Published: January 2020

Abstract: Sarikurma, Pregnancy, Anemia, Hemoglobin. Dates also have many benefits including increasing the number of platelets, preventing blood clots, prevent strokes and heart attacks, prevent uterine bleeding, thin brain during fasting, increase energy, hindering the process of aging, prevent constipation and smooth bowel movement, reduce blood cholesterol, keeping eye health and good for the nervous system. Aim. To determine the effectiveness of the addition of palm juice against anemia in pregnant women at health centers Wedi Klaten district. This type of research is experimental, quasi-experimental approach, using a pretest-posttest control group design. population (N) = 303 people, found the number of samples (S) as many as 50 people. Of the 50 people, will be dividedinto two equal groups, 25 people will be used as the treatment group (giving palm juice) and 25 will be used as the control group (without a date palm juice). In the group without extract dates, respondents consumed MMN. Data were analyzed using t-test. Results.Anemia hemoglobin levels of pregnant women who were given MMN average was 10.4 mmHg. Hemoglobin levels of pregnant women are anemic before given Sarikurma average of 10.38 and after Sarikurma by an average of 10.84. Conclusion. Sarikurma more effective compared to MMN with p = 0.045 (p <0.05).
Pengaruh Teknik Akupressure Terhadap Nyeri Punggung Pada Ibu Hamil Di Wilayah Puskesmas Jogonalan I Klaten
Authors: Sukeksi Niken Tri , Kostania Gita , Suryani Emy
Published: January 2020

Abstract: Acupressure, Back Pain, Pregnancy. Acupressure is effective to relieve back pain in Meridian point. Acupressure technique is done to help pregnant women in relieving complaints in pregnancy such as nausea and vomiting. In labour process, this technique can be an induction of labor, and can reduce anxiety. The purpose is to know the influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten. Research is pre experimental design with one group pretest posttest approach. The population is all pregnant women in Puskesmas Jogonalan I area of Klaten. The population target is all third trimester of pregnant women in Puskesmas Jogonalan I area of Klaten. Technique sampling is purposive sampling with 30 peopole, ang using t-test data analysis. The characteristics of respondents showed that most of them are 20-35 years old, their gestational age are 3137 weeks, their occupation are housewives, and most of them have 2-3 children. Degree of back pain in pregnant women before acupressure as many as 21 people (70%) are in severe pain. Degree of back pain in pregnant women after given acupressure as many as 24 people (80%) are in mild pain. There is influence of acupressure technique to relieve back pain for pregnant women in Puskesmas Jogonalan I area of Klaten (t =9,893; p=0,001<0,05).
Pengaruh Derajat Robekan Perineum Terhadap Skala Nyeri Perineum Pada Ibu Nifas Di Kabupaten Wonogiri
Authors: Mulati Triwik Sri , Susilowati Dewi
Published: January 2020

Abstract: Perineal Laceration Level, Perineal Pain, Post Partum Mother. Some post partum mothers experienced the perineal laceration because of natural perineal laceration (rupture) or perineal episiotomy. Both of them would be able to cause perineal laceration from mild up to severe level. The level of perineal laceration would influence to perineal pain scale felt by post partum mother. The purpose of this research was to prove the influence of the perineal laceration level to the perineal pain scale on post partum mother. This research was analitical design. The data was analyzed using Paired-samples T-test. The respondents were 59 post partum mothers from Klaten District who experienced perineal laceration but without complication. The result showed the majority of perineal laceration level was 2ᵑᵈ level (89.8%) and the majority of perineal pain scale was mild pain (66.1%). Based on Paired-samples T-test account, the p value was 0.06, p > 0.05 so that it could be concluded that there was no influence of perineal laceration level to the perineal pain scale on post partum moher.
Sifat Fisik Serbuk Effervescent Ramuan Jamu Antihipertensi
Authors: Lestari Titik
Published: January 2020

Background: Physical Test, Effervescent Powder, Antihypertensive Herbal. Data from Basic Health Research reports that the prevalence of hypertension in Indonesia in the population aged> 18 years is 29.8% and shows that the population of Indonesia which consumes 95.60% of herbal medicine has experienced benefits in all age groups and economic status, both in rural and urban areas but its utilization so far is still limited to self-medication and has not been done in health facilities. The scientific formula for herbal medicine for antihypertension includes Apium graveolans, Centella asiatica, Orthosiphon aristatus, Curcuma domestica, Phylantus niruri, Curcuma xanthoriza and has received a certificate from the Saintification National Herbal Medicine Commission and has been proven to be safe and efficacious. The observation authors of the use of antihypertensive herbs so far in the form of decoction preparations, it is necessary to make preparations that are practical and easy to consume and are expected with different dosage forms still have the same efficacy as lowering blood pressure, one of them in effervescent powder preparation and the need physical test for powder to find out quality standards. The aim of the study was to determine the results of the physical test of effervescent powder preparations. Method: The research method is descriptive with the research sample being effervescent powder. Results: The results showed that the results of the physical test of effervescent powder of antihypertensive herbs consisting of pH was 5.1, flow velocity was 6.56, stationary angle 21°, dispersion test was 3 minute 11 second . The moisture content of effervescent powder according to the standard is 1.5% (standard less than 5%), while the organoleptic results of effervescent powder of antihypertensive herbs showed results in fine powder, light brown color, sour taste, distinctive smell of antihypertensive herbal ingredients and homogeneous powder. Conclusion: The conclusion showed that the results of the physical test of effervescent powder was in accordance with quality standards.
Gambaran Akseptor Sekaitan Dengan Kontrasepsi Suntik Di Klaten
Authors: Prihati Dwi Retna , Yeni M Ni Wayan , Nikmah Umi Nadhirotun
Published: January 2020

Background: Injection contraception is a "primadonna" contraception in the sense that it is chosen by most family planning acceptors in Indonesia. Hormonal acceptor 73.08%. Characteristics of respondents and all things related to acceptors such as knowledge, role of midwives, support, and others are important points to ensure the welfare of acceptors so that complications from various complications arise. The purpose of this study was to determine the description of acceptors related to injection contraception in Klaten. Method: The method used is survey. Total sample of 139 people. Results: The study results of respondents aged < 35 years were 59.7%, using contraception ≤ 2 years as much as 66.9%. has no contraindications to the use of hormonal contraception which is 94.9%. Conclusion: Respondents chose injection contraception because of their own choice of 80.6%, respondents knew about active ingredients in injection contraception as much as 96.4%, respondents knew about the side effects of injection contraception 50.4%, respondents stated that they could use continuous injection contraception for life 34, 5%, respondents did not receive information about injectable contraception from midwives at the first visit of 65.5%, respondents knew contraindications to injection contraception 77.7%, respondents said midwives did not ask complaints every time they visited 71.3%, respondents stated midwives provide health counseling at 65.5% each time, respondents say midwives do not do head to toe examinations including breasts at 67.6, respondents do not plan to replace other contraceptives by 84.9%.
Hypnobreastfeeding Dapat Menurunkan Kecemasan Pada Ibu Post Partum
Authors: Sari Lutfiana Puspita , Salimo Harsono , Budihastuti Uki Retno
Published: January 2020

Background: Post partum period is condition of a time that very influential on the psychological and social conditions for women after giving birth. The incidence of post partum blues increased in this period of time with a prevalence of 30% to 75%. Post partum blues give effect to the early cessation of breastfeeding process which is contribute to child mortality under 5 years of 11.6%. This is associated with the practice of exclusive breastfeeding that are not optimal as a result of post partum blues experienced by woman after giving birth. The purpose is to  analyze the anxiety in the group given the Hypnobreastfeeding intervention treatment and which is not given the intervention treatment, held at RSUP Dr. Suradji Tirtonegoro, Klaten. Method: Research is experimental design with randomized control trial. The population is all pregnant women in Puskesmas Jogonalan I area of Klaten. A total of 60 post partum object was selected for this study by simple random sampling. This was a randomized controlled trial, conducted at RSUP Dr. Suradji Tirtonegoro, Klaten. Results: The difference of dependent variables between the two groups were tested by Mann-Whitney. Conclusion: There is a differences and significance level of result of degree of anxiety between both treatment result with p=0.002. Hypnobreastfeeding intervention treatment can relief  anxiety level for post- partum mother
Kemampuan Jus Jambu Biji Merah (Psidium Guajava L.) Dibanding Multivitamin 500 Mg Dalam Mempertahankan Antal Eritrosit Pasca Senam Aerobik High Impact Di Jurusan Jamu Politeknik Kementerian Kesehatan Surakarta
Authors: Ambarwanto Sigit Tri , Nasikin M. Ali
Published: January 2020

Background: One of important missions from American Collage of Sports Medicine (ASCM) is to support physical activity in community. During high impact physical activity, oxygen consumption in whole bodies are increasing 20 times. This increasing of oxygen consumption may lead to increase of free radical production that can cause cell damage. One of free radicals, Hydrogen peroxide causes damage in red blood cell (erythrocyte) membrane, with the result decreasing of red blood cell life time, moreover inducing anemia. Substance that can inhibit damage cell caused by free radical called antioxidant. Antioxidants are plentiful in fruit and vegetables, especially colorfull fruits and vegetables. One of fruit that well known as antioxidant source is red guava (Psidium guajava). Red guava containing lycopen which is has high antioxidant activity. The aim of this study is to understand effect of red guava juice treatment to red blood cell serum level in respondent who given physical activity. Standard of comparison in this study is vitamin C (zegavit 500 mg). Method:  this study used quasi experiment, independent variable is vitamin C (zegavit 500 mg) and red guava juice treatment, dependent variable is red blood cell serum level. Results: The result of this study showed that there was no decreasing indication in red blood cells serum level of 3 groups. Conclusion: The conclusion in this study is there was no difference between red guava juice and vitamin C (zigavit 500 mg) treatment to avoid decreasing of red blood cells serum level after high impact physical activities.
Pengaruh Booklet Stimulasi Intervensi Pertumbuhan Dan Perkembangan Pada Bayi Prematur Terhadap Peningkatan Pertumbuhan Dan Perkembangan Bayi
Authors: Rosalinna Rosalinna , Andriyani Asti
Published: January 2020

Background: Premature infants have a risk of death in the first year of life mainly due to prematurity. Developmental stimulation interventions in premature infants can have a positive impact on weight gain and infant development. The purpose of this study was to determine the effect of the application of growth and development intervention booklets on mothers who had a premature baby to increase the growth and development of infants aged 0-6 months in Karanganyar Regency. Method: The method used in this study is the method in this study. This research uses a quantitative method with a Quasy experiment in the form of a pre-post test design. The sample in this study was Mother and Baby in Karanganyar District who had met the inclusion and exclusion criteria. Results: The results of this study showed that there were differences in body weight and height growth before and after the study in the control group (ρ <0.05). There were no differences in development before and after the study in the control group (ρ> 0.05). There were differences in body weight and height growth before and after the study in the intervention group (ρ <0.05). There are differences in development before and after the study in the control group (ρ <0.05). There is no effect of the application of growth intervention booklet stimulation, but there is a developmental influence on premature infants aged 0-6 months in Karanganyar Regency. Conclusion: SDIDTK booklet can significantly improve the development of premature babies. It is expected that parents can provide stimulation to premature babies well to increase growth and development
Pengetahuan Masyarakat Tentang Daun Sirsak Untuk Hipertensi
Authors: Yulianto Susilo
Published: January 2020

Public Knowledge About Soursop Leaves For Hypertension. Hypertension is a condition in which blood pressure is higher than 140/90 millimeters of mercury (mmHG). The 140 mmHG number refers to systolic reading, when the heart pumps blood throughout the body. Meanwhile, the 90 mmHG number refers to diastolic reading, when the heart is relaxed while refilling its chambers with blood. Based on a preliminary study conducted by the researchers, the data about people's knowledge about soursop leaves for hypertension was very diverse. The purpose of this study was to find out public knowledge about soursop leaves for hypertension. This research is a quantitative descriptive study with a cross sectional approach. The sampling technique uses quota sampling with 30 respondents. Data analysis was carried out by descriptive analysis. The results of data analysis showed that respondents who had good knowledge were 27 respondents (90%), while respondents who had sufficient knowledge were 3 respondents (10%). The conclusion of this study is that public knowledge about soursop leaves for hypertension, is in the good category (90%), and knowledge with sufficient category (10%).
Hubungan Pemberian Asupan Makanan Pendamping Asi (MPASI) Dengan Pertumbuhan Bayi Atau Anak Usia 6-24 Bulan
Authors: Sari Alfie Ardiana , Kumorojati Ratih
Published: January 2020

Background: Relationship Of Complementary Food Intake Of Breast Milk (MPASI) With Baby / Children Growth Ages 6-24 Months The first two years of life is a period that lasts very short and cannot be repeated again, so it is referred to as a "golden period" or a window of opportunity. Inappropriate nutritional intake will also cause children to experience malnutrition, which ultimately increases the incidence of morbidity and mortality. According to a survey of micronutrients in 12 provinces in Indonesia shows that the age group 6-11 months consume nutrients lower than other age group. Purpose of this research is the relationship of Complementary Food Intake of Breast Milk (MPASI) with infants / children growth ages 6-24 months. This study was a descriptive analytic study with a cross-sectional approach. The population is mothers who have babies / children aged 6-24 months. Samples were taken by consecutive sampling method with 18 babies / children. Data analysis using Chi Square with a significance limit of α = 0.05. Respondents with Complementary Food Intake of Breast Milk giving, most of the growth was normal, namely 10 respondents (55.5%), respondents with sufficient Complementary Food Intake of Breast Milk giving, normal growth was 2 respondents (11.1%) and respondents with less Complementary Food Intake of Breast Milk giving were high growth (11.1 %). There was no significant relationship between the provision of complementary feeding and the growth of infants / children 6-24 months in the Gamping Wirastri Integrated Health Center in Sleman.
Effect Of Yogurth Adduction In Blood Pressure Degression On Pregnant Woman With Hypertension
Authors: Evrianasari Nita , Yuviska Ike Ate , Suprihatini Suprihatini
Published: January 2020

The immediate factor causing high maternal mortality rate was bleeding (30,3%), especially post partum bleeding. In addition, hypertension (27.1%), infection (7.3%), and long handled parturition  (1.7%) and based on pre-survey data on 27-4-2018 at public health working regency of Pesawaran occurring 2 people death due to eclampsia. This study aims to determine the effect of giving yogurt to pregnant  women  with  hypertension  in  the  Area  of  Health  Service  District Pesawaran Year 2018. This type of research is quantitative by using the experimental approach (pre experiment) with pretest-posttest approach with control group. The population in this study were all pregnant women with hypertension. Data in this research taken by simple purposive sample with primary data and data analysis using pretest dependent.. The results of this study showed that there was an effect of yogurt on blood pressure reduction, which mean score of sitole blood pressure before yogurt adduction was significantly higher than after yogurt  adduction  (p  value  0,000  <0.005)  and  the  effect  of  yogurt  on  blood pressure   diastole,   where   scores   on   average   diastolic   blood   pressure measurements before yogurt adduction were significantly higher than after adduction of yogurt. There was a significant difference in mean systole and diastole blood pressure in mothers given yogurt than not given yogurt. Hopefully, from this research should be advised so that could prevent the occurrence of pre eclampsia for pregnant women.
Dukungan Keluarga Dengan Upaya Meminimalisir Serangan Stroke Penderita Hipertensi Di Wilayah Kerja Puskesmas Bontonyeleng Kecamatan Gattareng
Authors: Aszrul AB  , Andi Suswani
Published: January 2020

Family support is very important for stroke patients or those who experience a stroke. Family support is given to health care. Broadly speaking, health efforts are divided into three prevention, curative prevention and rehabilitation efforts (Maulana, 2014: 38). Successfully preventing stroke in patients with hypertension, the family must provide support for patients with hypertension so that lifestyle changes.The purpose of this study was to study the relationship between family support for efforts to prevent stroke in hypertensive patients in the Bontonyeleng Public Health Center Gantarang District, Bulukumba Regency.This study uses quantitative research design using descriptive design. The sample of this study amounted to 50 people taken by the total sampling method that is all participants who were used as the study sample. Data analysis in this study used the Chi Square test statistic test.Based on the results of the research obtained by the respondents, there were mostly in the good category as many as 29 respondents (58%), while the family efforts in minimizing stroke in hypertensive patients were mostly found in the non-done category as many as 33 respondents (66%). The results of the analysis using the Chi Square statistical test obtained a p value of 0,000, thus p <α (0,000 <0,05).The conclusion of this study is about the relationship between families with efforts to minimize stroke in hypertensive patients in the work area of ​​Bontonyeleng Public Health Center, Gantarang District, Bulukumba Regency.Suggestions from this study are to be able to add information and input for health workers to be able to increase assistance for hypertensive patients regarding family needs with family prevention in minimizing stroke in patients with hypertension.
Faktor – Faktor Yang Berhubungan Dengan Stress Kerja Perawat Di Ruang Icu Rs Stella Maris Makassar
Authors: Haerani  , Siringoringo Edison
Published: January 2020

Job stress is an important factor to consider in improving the performance and quality of goal achievement nurses in nursing care The aim of the research was to find the factors related to work stress of ICU nurses. The research was a cross sectional study. The sample consisted of 30 nurses of all population in ICU. The data were obtained using queitionaire and analized using chi squere test with contuinity correction or Yates Correction. The result of multivariate analysis was used to see the most dominant factor releted to work stress of ICU nurses. The result of the research indicate that there are 13 (43.3%) people having a slight stress and 17 (56.7%) people having a severe stress. The result of bivariate analysis between independent variable and dependent variable indicate job intrinsic factor (p=0.001), job extrinsic factor (p=0.005), and individual factor (p=0.004). the analysis of multivariate analysis indicate that intrinsic factor is the most related factor with work stress of ICU nurses. It is concluded that there is correlation between work ontrinsic factor, work extrinsic factor, individual factor and work stress ICU nurses. It is expected that the improvement of job intrinsic factor such as work load, work rutinity, and work invorenment situation could become the program in avoiding the occurrence of work stress of ICU nurses.
Tingkat Pengetahuan Perawat Dengan Efektivitas Penerapan Mpkp Di Rsud H. A. Sulthan Daeng Radja Kabupaten Bulukumba
Authors: Muriyati  , Safruddin
Published: January 2020

Knowledge is one of the factors that influence the implementation of the Professional Nursing Practice Model (MPKP). The phenomena and incidents that occurred in the Seruni treatment room showed that the application of MPKP was still not effective. Where there are some nurses who do not know what MPKP is. The purpose of this study was to determine the relationship of the level of knowledge of nurses about MPKP with the effectiveness of implementing MPKP in Seruni Room of H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. This type of research is an Analytical Observational study with a Cross Sectional design. The population in this study were all nurses in the Seruni Room of the H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency which numbered 30 people. The sampling technique in this study is the Total Sampling method with a sample of 30 respondents. The statistical test used was the Fisher-Extract Test. The results obtained that, in the form of nurses' knowledge level about MPKP with the effectiveness of the application of MPKP with a value of p = 0.045 <p (0.05). The results show that respondents who have a good level of knowledge are 10 respondents (33.3%) and respondents who have a lack of knowledge level are equal to 20 respondents (66.7%). Effective MPKP implementation was 12 respondents (40%) and ineffective MPKP application was 18 respondents (60%). With the conclusion that there is a relationship between the level of nurses' knowledge about MPKP with the effectiveness of implementing MPKP in the Seruni Room of the H. Andi Sulthan Daeng Radja District Hospital in Bulukumba 2016. Suggestions from this research are expected to be an effort to develop a model of professional nursing practice (MPKP) in each hospital, especially to continue to encourage concrete steps by continuing to increase the frequency of MPKP training for nurses so that the application of MPKP will be continuous with the good quality of service obtained by patients in the hospital.
LA INSTITUCIONALIZACIÓN DE POLÍTICAS PÚBLICAS PARA LA AGRICULTURA FAMILIAR EN PARAGUAY
Authors: Wesz Junior Valdemar João , Zimmermann Silvia Aparecida , Carreras Rios Francisca Danaides
Published: January 2020

O objetivo deste artigo é analisar o processo de institucionalização de políticas públicas para a agricultura familiar no Paraguai, apresentando a construção de uma definição oficial para este público, bem como os programas dirigidos a esse grupo social. Também falaremos, em termos gerais, da cobertura desses programas sobre o conjunto de agricultores familiares e algumas limitações que ainda acompanham sua execução. Para tanto, foi realizada revisão biblio- gráfica, consulta a documentos oficiais e análise de dados estatísticos. Em termos de institucionalização da agricultura familiar no Paraguai, avanços substanciais foram feitos, tanto em termos legais (leis, decretos, resoluções), quanto na criação de políticas públicas, programas e projetos (PPA, DEAG, Proders, PPI, PAGRO, DAAF, etc.), que beneficiam aproximadamente 50% dos agricultores familiares paraguaios.
O Semiárido do “patriarca”
Authors: Meneses Valdênio
Published: January 2020

O artigo trata de estratégias que frações elites pecuaristas da região do Cariri da Paraíba dire- cionam junto ao patrimônio material e simbólico das suas fazendas. Em consulta a um acervo de livros de memória e genealogias, além de entrevistas, proponho evidenciar uma narrativa biográfica que circula entre famílias detentoras de centenárias propriedades do Cariri: a exal- tação da figura de “patriarcas”, representantes vivos mais longevos de um sobrenome familiar e acadêmicos respeitados, principalmente pelo conhecimento acerca do fenômeno das secas. A partir de uma literatura sociológica sobre elites e suas estratégias de reconversões sociais pro- ponho, ao final, um debate de como a construção dessas biografias demanda uma revisita ao te- ma da relação política da grande propriedade da terra no semiárido nordestino.
Combater a seca ou conviver com o Semiárido?
Authors: Oliveira do Amorim Lucas , Grisa Catia
Published: January 2020

O artigo tem como objetivo reconstituir o processo histórico de intervenção do Estado no Se- miárido brasileiro e as ideias em disputa sobre as estratégias de desenvolvimento para a re- gião. Reconhece-se que dois referenciais disputam a formulação de políticas para o Semiárido: o combate à seca e a convivência com o Semiárido. O primeiro referencial influenciou a for- mulação de políticas públicas durante quase todo o século XX, enquanto o segundo emergiu na década de 1990. As noções de fóruns e arenas de políticas públicas (Fouilleux, 2017, 2003, 2000) demonstraram-se interessantes ferramentas para analisar os atores envolvidos e o cons- tante processo de negociação entre ideias e referenciais.
The Polarization of X-Rays from Warped Black Hole Accretion Disks
Authors: Abarr Quincy , Krawczynski Henric
Published: January 2020

It is commonly assumed that in black hole (BH) accretion disks the angular momenta of the disk and the BH are aligned. However, for a significant fraction of stellar-mass BHs and supermassive BHs, the momenta may not be aligned. In such systems, the interplay of disk viscosity and general relativistic frame dragging can cause the disk to warp or break into two (or more) distinct planes; this is called the Bardeen–Petterson effect. We have developed a general relativistic ray-tracing code to find the energy spectra and polarization of warped accretion disks, accounting for the emission from the disk and for photons reflecting one or multiple times off the warped accretion disk segments. We find that polarization angle can be used to give a lower limit on the misalignment angle when a previous measurement of the jet, which is thought be aligned with the BH angular momentum, can be spatially resolved.
Using Multi-line Spectropolarimetric Observations of Forbidden Emission Lines to Measure Single-point Coronal Magnetic Fields
Authors: Dima Gabriel I. , Schad Thomas A.
Published: January 2020

Polarized magnetic dipole (M1) emission lines provide important diagnostics for the magnetic field dominating the evolution of the solar corona. This paper advances a multi-line technique using specific combinations of M1 lines to infer the full vector magnetic field for regions of optically thin emission that can be localized along a given line of sight. Our analytical formalism is a generalization of the “single-point inversion” approach introduced by Plowman. We show that combinations of M1 transitions for which each is either a

transition or has equal Landé g-factors for the upper and lower levels contain degenerate spectropolarimetric information that prohibits the application of the single-point inversion technique. This may include the pair of Fe xiii lines discussed by Plowman. We identify the Fe xiii 10747 Å and Si x 14301 Å lines as one alternative combination for implementing this technique. Our sensitivity analysis, based on coronal loop properties, suggests that for photon noise levels around 10−4 of the line intensity, which will be achievable with the National Science Foundation’s Daniel K. Inouye Solar Telescope, magnetic fields with sufficient strength (∼10 G) and not severely inclined to the line of sight (≲35°) can be recovered with this method. Degenerate solutions exist, though we discuss how added constraints may help resolve them or reduce their number.
The CO(3–2)/CO(1–0) Luminosity Line Ratio in Nearby Star-forming Galaxies and Active Galactic Nuclei from xCOLD GASS, BASS, and SLUGS
Authors: Lamperti Isabella , Saintonge Amélie , Koss Michael , Viti Serena , Wilson Christine D. , He Hao , Shimizu T. Taro , Greve Thomas R. , Mushotzky Richard , Treister Ezequiel , Kramer Carsten , Sanders David , Schawinski Kevin , Tacconi Linda J.
Published: January 2020

We study the

luminosity line ratio in a sample of nearby (z < 0.05) galaxies: 25 star-forming galaxies (SFGs) from the xCOLD GASS survey, 36 hard X-ray-selected active galactic nucleus (AGN) host galaxies from the BAT AGN Spectroscopic Survey, and 37 infrared-luminous galaxies from the SCUBA Local Universe Galaxy Survey. We find a trend for r
31 to increase with star formation efficiency (SFE). We model r
31 using the UCL-PDR code and find that the gas density is the main parameter responsible for the variation of r
31, while the interstellar radiation field and cosmic-ray ionization rate play only a minor role. We interpret these results to indicate a relation between SFE and gas density. We do not find a difference in the r
31 value of SFGs and AGN host galaxies, when the galaxies are matched in SSFR (〈r
31〉 = 0.52 ± 0.04 for SFGs and 〈r
31〉 = 0.53 ± 0.06 for AGN hosts). According to the results of the UCL-PDR models, the X-rays can contribute to the enhancement of the CO line ratio, but only for strong X-ray fluxes and for high gas density (n
H > 104 cm−3). We find a mild tightening of the Kennicutt–Schmidt relation when we use the molecular gas mass surface density traced by CO(3–2) (Pearson correlation coefficient R = 0.83), instead of the molecular gas mass surface density traced by CO(1–0) (R = 0.78), but the increase in correlation is not statistically significant (p-value = 0.06). This suggests that the CO(3–2) line can be reliably used to study the relation between SFR and molecular gas for normal SFGs at high redshift and to compare it with studies of low-redshift galaxies, as is common practice.
NuSTAR Observations and Multiwavelength Modeling of the High-redshift BL Lacertae Object 4FGL J2146.5-1344
Authors: Rajagopal M. , Marcotulli L. , Ajello M. , Kaur A. , Paliya V. , Hartmann D.
Published: January 2020

High synchrotron peak (HSP;

Hz) BL Lac objects are some of the most extreme accelerators in the universe. Those found at high redshifts (z > 1) challenge our understanding of blazar evolution models and are crucial for cosmological measurements of the extragalactic background light. In this paper, we study a high-z BL Lac object, 4FGL J2146.5-1344, detected to be at z = 1.34 using the photometric dropout technique. We collected multiwavelength data for this source from optical up to γ-rays, in order to study its spectral energy distribution (SED). In particular, this source was observed for the first time with the Nuclear Spectroscopic Telescope Array, which accurately measures the synchrotron emission of this blazar up to 50 keV. Despite being classified as an HSP BL Lac object, the modeling of the SED reveals that this source likely belongs to the “masquerading BL Lac” class, which comprises flat spectrum radio quasars appearing as disguised BL Lac objects.
The Original Anisotropy of TeV Cosmic Rays in the Local Interstellar Medium
Authors: Zhang Ming , Pogorelov N. V. , Zhang Y. , Hu H. B. , Schlickeiser R.
Published: January 2020

This paper presents the original anisotropy that TeV cosmic rays (CRs) have in the local interstellar medium. This anisotropy is obtained using a method of flux mapping with the Liouville theorem and a magnetohydrodynamic (MHD) heliosphere model of the electromagnetic field to remove the particle propagation effects hidden in the measurements made by the Tibet ASγ experiment at Earth. The original interstellar anisotropy turns out to be almost a pure dipole, which results from a diffusion flow of CRs escaping along the local interstellar magnetic field into the northern Galactic halo. The observed anisotropy maps at Earth appear quite complex because the heliosphere distorts the dipole anisotropy, generating a significant amount of high-order multipoles, while interstellar magnetic field fluctuations contribute to some weak anisotropy on small angular scales. It is found that the density gradient of these CRs points approximately toward Vela in the Local Bubble, providing experimental evidence to show that the local supernova is making a special contribution to the TeV CRs we see at Earth. This special contribution will keep growing in the future tens of thousand years. The original anisotropy also reveals that the CRs spread from the source primarily along the interstellar magnetic field, while experiencing a nearly isotropic pitch-angle scattering process caused by interstellar turbulence.
Quiescent Galaxies 1.5 Billion Years after the Big Bang and Their Progenitors
Authors: Valentino Francesco , Tanaka Masayuki , Davidzon Iary , Toft Sune , Gómez-Guijarro Carlos , Stockmann Mikkel , Onodera Masato , Brammer Gabriel , Ceverino Daniel , Faisst Andreas L. , Gallazzi Anna , Hayward Christopher C. , Ilbert Olivier , Kubo Mariko , Magdis Georgios E. , Selsing Jonatan , Shimakawa Rhythm , Sparre Martin , Steinhardt Charles , Yabe Kiyoto , Zabl Johannes
Published: January 2020

We report two secure (

) and one tentative (z ≈ 3.767) spectroscopic confirmations of massive and quiescent galaxies through K-band observations with Keck/MOSFIRE and Very Large Telescope/X-Shooter. The stellar continuum emission, absence of strong nebular emission lines, and lack of significant far-infrared detections confirm the passive nature of these objects, disfavoring the alternative solution of low-redshift dusty star-forming interlopers. We derive stellar masses of log(M
⋆/M
⊙) ∼ 11 and ongoing star formation rates placing these galaxies ≳1–2 dex below the main sequence at their redshifts. The adopted parameterization of the star formation history suggests that these sources experienced a strong (

M
⊙ yr−1) and short (∼50 Myr) burst of star formation, peaking ∼150–500 Myr before the time of observation, all properties reminiscent of the characteristics of submillimeter galaxies (SMGs) at z > 4. We investigate this connection by comparing the comoving number densities and the properties of these two populations. We find a fair agreement only with the deepest submillimeter surveys detecting not only the most extreme starbursts but also more normal galaxies. We support these findings by further exploring the Illustris TNG cosmological simulation, retrieving populations of both fully quenched massive galaxies at z ∼ 3–4 and SMGs at z ∼ 4−5, with number densities and properties in agreement with the observations at z ∼ 3 but in increasing tension at higher redshift. Nevertheless, as suggested by the observations, not all of the progenitors of quiescent galaxies at these redshifts shine as bright SMGs in their past, and, similarly, not all bright SMGs quench by z ∼ 3, both fractions depending on the threshold assumed to define the SMGs themselves.
A Unified Framework for X-shaped Radio Galaxies
Authors: Garofalo David , Joshi Ravi , Yang Xiaolong , Singh Chandra B. , North Max , Hopkins Matthew
Published: January 2020

We propose a radically different picture for X-shaped radio galaxies compared with existing models as transition objects between cold-mode accreting, low-spinning retrograde black holes and low-spinning prograde black holes. This model explains their smaller average black hole masses; their general aversion for cluster compared with isolated environments; the negligible difference in spectral index between primary and secondary jets, despite a time difference in their formation; their absence among the most powerful radio quasars and radio galaxies; and their connection to the elusive Fanaroff–Riley I quasar class, among others. The key to their formation is cold gas accretion onto Schwarzschild black holes.
Testing the Prediction of Fuzzy Dark Matter Theory in the Milky Way Center
Authors: Li 李 Zhi 智 , Shen 沈 Juntai 俊太 , Schive 薛 Hsi-Yu 熙于
Published: January 2020

The fuzzy dark matter model (FDM; also known as quantum wave dark matter model) argues that light bosons with a mass of

are a possible candidate for dark matter in the universe. One of the most important predictions of FDM is the formation of a soliton core instead of a density cusp at the center of galaxies. If FDM is the correct theory of dark matter, then the predicted soliton core can help form the Central Molecular Zone (CMZ) in the Milky Way. We present high-resolution hydrodynamical simulations of gas flow patterns to constrain the properties of the soliton core based on a realistic Milky Way potential. We find that a dense center is required to form a reasonable CMZ. The size and kinematics of the CMZ offer a relatively strong constraint on the inner enclosed mass profile of the Galaxy. If a soliton core is not considered, a compact nuclear bulge alone with a radially varying mass-to-light ratio can match the observed size and kinematics of the CMZ. A soliton core model with a mass of

and a core radius of

, together with a less massive nuclear bulge with a constant mass-to-light ratio, also agrees nicely with the current data. Such an FDM soliton core corresponds to a boson mass of

, which could be further constrained by the improved determination of the mass-to-light ratio in the Galactic center.
A Convective Dredge-up Model as the Origin of Hydrogen in DBA White Dwarfs
Authors: Rolland B. , Bergeron P. , Fontaine G.
Published: January 2020

We revisit the problem of the formation of DB white dwarfs, as well as the origin of hydrogen in DBA stars, using a new set of envelope model calculations with stratified and mixed hydrogen/helium compositions. We first describe an approximate model to simulate the so-called convective dilution process, where a thin, superficial hydrogen radiative layer is gradually eroded by the underlying and more massive convective helium envelope, thus transforming a DA white dwarf into a DB star. We show that this convective dilution process is able to account for the large increase in the number of DB white dwarfs below T
eff ∼ 20,000 K, but that the residual hydrogen abundances expected from this process are still orders of magnitude lower than those observed in DBA white dwarfs. Scenarios involving the accretion of hydrogen from the interstellar medium or other external bodies have often been invoked to explain these overabundances of hydrogen. In this paper, we describe a new paradigm where hydrogen, initially diluted within the thick stellar envelope, is still present and slowly diffuses upward in the deeper layers of a T
eff ∼ 20,000 K white dwarf. When the convective dilution process occurs, the bottom of the mixed H/He convection zone sinks deep into the star, resulting in large amounts of hydrogen being dredged up to the stellar surface, a phenomenon similar to that invoked in the context of DQ white dwarfs.