bluuebunny/crossref_metadata_2025 huggingface dataset:
Advances In Asthma Care
Authors: Garvey Chris
Published: January 2019

Asthma rates in the US have risen during the past 25 years, as have asthma-related morbidity and healthcare costs. Professional organizations involved in asthma care have identified the need to assure that an advanced level of asthma knowledge and skill is available to patients with asthma, their families, and insurers. This need led to development of the certification for asthma educators. The Certified Asthma Educator (AE-C) must meet specific clinical criteria and pass a standardized examination designed to evaluate knowledge and skill for providing competent asthma education and coordination. The development and current status of the Certified Asthma Educator examination process and content are discussed, as are goals of the certification
Future of Technology in Health Education
Authors: Kittleson Mark J.
Published: January 2019

Dr. Mark Kittleson, Founder and Editor of the International Electronic Journal of Health Education (IEJHE), provides a vision for the future of technology in health education.
Plano de Empreendimento: SEX BOUTIQUE
Authors: Nunes Barbara da Silva
Published: January 2019

O presente Plano de Negócios apresenta uma empresa de sex shop. A Sex Boutique é uma empresa de pequeno porte que irá comercializar produtos eróticos e também oferecer serviços diferenciados.  Junto à venda dos artigos, a empresa prestará consultoria sensual e visitas tirando dúvidas e resolvendo questões que rodeiam o cenário do mercado erótico. Organizações e exposições em eventos também farão parte das atividades desenvolvidas, e ainda para os casais que queiram deixar mais especial aquele momento à dois, a empresa ajudará com pacotes de decoração e climatização do ambiente.  O mercado erótico brasileiro é um dos que mais crescem, em 2014 foi 8,5%. A venda de artigos pela internet representa 52% do total de vendas no ano, seguido por 21% das consultorias domiciliares. Esses dados propicia alguns cenários favoráveis à implementação do negócio. Além do reconhecimento no mercado erótico, a empresa pretende se consolidar como a melhor opção de venda e distribuição de artigos eróticos de diversos tipos. E para chegar a esse patamar é necessário também conquistar a confiança e fidelidade de nossos clientes e parceiros. O relacionamento com o cliente será algo primordial para o melhor desenvolvimento das atividades da empresa. Através de um canal no YouTube os usuários podem tirar suas dúvidas e saber novas informações sobre os produtos. Sem esquecer também, da importância das redes sociais. No Plano Financeiro, a empresa apresenta números altos, a TIR (taxa interna de retorno) ultrapassa 800%. Até porque os produtos variam muito de preço, o planejamento foi baseado em valores médios.  Para o futuro, pretende-se ampliar as instalações e concretizar os objetivos e metas traçados. Com o crescimento do faturamento, como previsto na projeção de vendas será necessário a contratação de novos profissionais para auxiliarem todo o crescimento e amparar nas transições.
Editorial
Authors: Lima Daniella Munhoz da Costa
Published: January 2019

Editorial
Pequeno varejo supermercadista na região metropolitana de Belo Horizonte
Authors: Moreira Hudson Soares , Castro Silva Wendel Alex , Moreira Marcia Athayde , Batista Nayara Kelly
Published: January 2019

Este estudo objetivou apontar as características dos gestores e dos estabelecimentos pertencentes ao pequeno varejo supermercadista organizado em redes da região metropolitana de Belo Horizonte. A abordagem teórica ancorou-se em pesquisas referentes a pequenas empresas, varejo supermercadista e empreendedorismo coletivo (redes). Metodologicamente a pesquisa é classificada como descritiva de abordagem quantitativa, mediante a aplicação de um questionário a 60 empreendedores do varejo supermercadista organizado em redes da região metropolitana. Os resultados apontam o porte das lojas e dos supermercados de bairro, com abrangência reduzida e altos faturamentos, chegando alguns a faturar mais de R$ 750 mil por mês, indicando que a estruturação em redes favoreceu o crescimento. Nas redes estudadas não há loja inaugurada há menos de dois anos, sugerindo que quem está no mercado luta para se manter e fortalecer seu negócio, não se arriscando a inaugurar novas lojas. Neste cenário, 63% das lojas estão estabelecidas há mais de 10 anos, indicando o fortalecimento da confiança entre os proprietários e a clientela.  Quando comparados com os dados de supermercados não organizados em redes fornecidos pela AMIS, infere-se nessa pesquisa que as lojas organizadas em redes conseguiram atingir um nível de desenvolvimento melhor do que as demais lojas não organizadas, concluindo que, para elas, a participação em redes é um aspecto favorável da sua gestão para a sustentabilidade do negócio.
Redes sociais virtuais: o que não fazer no trabalho
Authors: Dill Rodrigo Prante
Published: January 2019

Enquanto as redes sociais virtuais podem trazer significantes benefícios para as organizações e seus colaboradores, por outro lado, podem trazer significantes problemas. Isto é especialmente verdade quando os colaboradores possuem conexões com seus colegas de trabalho e com seus superiores hierárquicos. Muitos colaboradores em detrimento a suas organizações, realizam postagens consideradas inapropriadas nas redes sociais virtuais que resultam em demissões. Este estudo teve por objetivo examinar casos de demissões por justa causa, ocasionados por postagens no Facebook. Foram buscados na base de dados do Tribunal Regional do Trabalho da 4ª Região do Estado do Rio Grande do Sul, utilizando como critério de pesquisa, as palavras-chaves “justa causa” e “Facebook”. Foram localizados cento e quarenta e dois processos e após análise identificou-se trinta processos onde as postagens no Facebook foram o fato gerador das demissões. A análise processos possibilitou a identificação de seis categorias, sendo nove demissões por ofensa a superior hierárquico, doze por ofensa a imagem da empresa, cinco por atestado médico falso, duas por exposição inadequada da empresa, uma por conduta falsa e uma por violação de sigilo empresarial. Deste total, em treze casos as demissões por justa causa foram mantidas e em dezessete, foram revertidas. Por fim, identificou-se em muitos casos, que tanto empregados como empregadores, tem pouca consciência das potenciais consequências do que o comportamento inadequado pode provocar. Em parte, devido à falta de compreensão da legislação e da possível ausência de políticas do uso de redes sociais virtuais e da conduta on-line nas organizações.
O papel de investidores-anjos em empresas investidas: um estudo exploratório com empresas do Estado do Rio de Janeiro
Authors: De Barros Giovanni Evangelista , Toda Favio Akiyoshi , Ramos Filho Américo da Costa
Published: January 2019

Este trabalho tem como objetivo principal avaliar a participação de investidores-anjos junto às empresas em que investiram, identificando as competências e os recursos que os mesmos possuem e que os permitem contribuir com o desenvolvimento do negócio. Neste sentido, este estudo busca contribuir adicionando a literatura do assunto mais informações à respeito do valor que os investidores-anjos podem agregar às empresas que fazem parte de seu portfólio. Para obter estas informações foram realizadas entrevistas semiestruturadas com sócios e empreendedores de empresas do Estado do Rio de Janeiro que receberam investimento-anjo em algum momento de sua trajetória. Com os resultados obtidos observou-se que os investidores contribuíram de forma mais significativa com o suporte financeiro, com a atuação e a disponibilidade de seu conhecimento técnico e, de forma mais modesta com o networking.
Math Touch: tecnologia assistiva para o desenvolvimento de conceitos matemáticos básicos
Authors: Moeller Juliano Daniel , Sganzerla Maria Adelina Raupp , Geller Marlise
Published: January 2019

Resumo: Este artigo é um recorte da monografia de conclusão de curso em Ciências da Computação, descrevendo a implementação de uma Tecnologia Assistiva (TA), Math Touch, que tem como intuito auxiliar pessoas com Deficiência Visual (DV) no desenvolvimento de conceitos básicos matemáticos (quatro operações), tendo continuidade na validação em uma Tese de Doutorado. A aplicação é composta por um sistema embarcado que serve como ferramenta de apoio para a aquisição e a compreensão dos conceitos envolvendo as operações básicas da Matemática. Sua primeira validação foi efetivada com um grupo de 11 professores que ensinam Matemática na qual foi possível constatar o potencial da TA. Posteriormente, a TA foi validada com a interação de um grupo de 5 estudantes do Ensino Fundamental, sendo que a análise permite inferir que a Math Touch se constitui em uma tecnologia auxiliar para a educação matemática.Palavras-chave: Tecnologia Assistiva; Sistema Embarcado; Educação Matemática; Educação Inclusiva. Math Touch: assistive technology for the development of basic mathematical conceptsAbstract: This paper is a cut-off of the monograph of course completion in Computer Science, describing the implementation of Assistive Technology (TA), Math Touch, which aims to assist people with Visual Impairment (DV) in the development of basic mathematical concepts operations), and continued validation in a PhD thesis. The application is composed of an embedded system that serves as a support tool for the acquisition and understanding of concepts involving the basic operations of Mathematics. His first validation was carried out with a group of 11 teachers who teach mathematics in which it was possible to verify the potential of TA. The same one was validated later with a group of 5 students of Elementary School, where it was verified through the interaction an important aid in the education.Keywords: Assistive Technology; Embedded System; Mathematics Education; Inclusive Education.
EDUKASI DEVELOPMENTAL CARE MENINGKATKAN PENGETAHUAN, MOTIVASI DAN KEPUASAN PERAWAT DALAM MERAWAT
Authors: Ernawati Ernawati
Published: January 2019

Developmental care merupakan salah satu komponen penting dalam asuhan keperawatan bayi berat lahir rendah (BBLR) yang bertujuan untuk mencegah stress pada BBLR, sehingga dapat mendukung perkembangannya.Penelitian ini bertujuan untuk  mengidentifikasi pengaruh edukasi  developmental careterhadap pengetahuan, motivasi dan kepuasan perawat dalam merawat BBLR. Desain penelitian ini menggunakan  desain kuasi eksperimen pre test post test tanpa kontrol , dengan 20 responden perawat anak di Rumah Sakit Husada Jakarta.  Hasilnya menunjukkan ada peningkatan yang signifikan pada  tingkat pengetahuan dan motivasi perawat (p value =0,000), sedangkan pada tingkat kepuasan perawat tidak menunjukan hasil yang bermakna (p value =0,083). Edukasi developmental care efektif dalam meningkatkan pengetahuan dan motivasi perawat. Peneliti merekomendasikan pentingnya memberikan edukasi  developmental care  kepada perawat anak, karena sangat berpengaruh terhadap pengetahuan dan motivasi perawat dalam merawat BBLR.
HUBUNGAN PSYCHOLOGICAL CAPITAL DENGAN MASALAH PSIKOSOSIAL PADA MAHASISWA - SEBUAH STUDI LITERATUR
Authors: Fitria Dian
Published: January 2019

Gangguan kecemasan dan stres merupakan masalah yang dialami oleh banyak orang dalam segala umur termasuk mahasiswa. Diantara banyak jurusan penelitian menyebutkan bahwa mahasiswa jurusan kesehatan memiliki tingkat stres dan ansietas yang lebih tinggi dibandingkan jurusan yang lain. Stresor yang paling dominan  yaitu stresor akademik. Peneltian menunjukan masalah psikososial yang dihadapi mahasiswa kesehatan cukup tinggi yaitu 82% stres, 60% ansietas, dan 51% depresi. Studi ini bertujuan untuk mengetahui hubungan antara stres, ansietas dengan psychological capital (hope, optimism, self efficacy, &resilience) pada mahasiswa. Penelusuran literatur menemukan enam artikel yang memiliki kesesuaian dengan tema. Keenam penelitian merupakan penelitian kuantitatif deskriptif dan eksperimen pre dan post.Semua analisis literatur yang dilakukan mengungkapkan hasil yang konsisten bahwa terjadi masalah psikososial pada mahasiswa dan memiliki hubungan dengan psychological capital (hope, optimism, self efficacy, & resilience) yang dimiliki. Masalah psikososial yang memiliki nilai paling tinggi yaitu stres dan ansietas. Hasil menunjukan semakin tinggi psychological capital  yang dimiliki maka semakin baik kemampuan mahasiswa dalam menghadapi kecemasan dan stres.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEBERHASILAN PEMBERIAN ASI EKSKLUSIF PADA BAYI
Authors: Warsini Warsini , Pratiwi Pegita Dwi
Published: January 2019

Pemerintah menetapkan Standar Pelayanan Minimum (SPM) untuk ASI Eksklusif 80%. Kisaran cakupan ASI eksklusif pada bayi 0-6 bulan Provinsi Jawa Tengah tahun 2015 sebesar 56,1%. Penelitian bertujuan untuk mengetahui hubungan peran keluarga dan motivasi ibu terhadap keberhasilan pemberian ASI eksklusif. Metode penelitian ini analitik observasional dengan desain crossectional. Besar sampel 33 diambil menggunakan teknik sampling jenuh. Hasil penelitian menunjukkan tidak terdapat hubungan antara peran keluarga dan keberhasilan pemberian ASI Eksklusif (OR= 0.123; CI 95% 0.014 hingga 1.046; p= 0.055), dan terdapat hubungan yang negatif dan secara statistik signifikan antara motivasi ibu dan keberhasilan pemberian ASI Eksklusif. Adanya motivasi yang rendah pada ibu memiliki kemungkinan berhasil dalam pemberian ASI Eksklusif 0.056 kali sehingga lebih rendah daripada motivasi ibu yang tinggi (OR= 0.056; CI 95% 0.005 hingga 0.663 ; p= 0.022).
Penerapan Program Perawatan Spiritual untuk Menurunkan Depresi pada Pasien Leukemia
Authors: Rosliany Nia , Irawaty Dewi , Maria Riri
Published: January 2019

Peran perawat spesialis medikal bedah adalah sebagai caregiver, researcher, dan innovator yang diterapkan dalam mengelola kasus pasien kanker dengan pendekatan chronic illness trajectory model, penerapan evidence based nursing program perawatan spiritual pada pasien leukemia untuk menurunkan depresi, dan melakukan proyek inovasi tentang manajemen edukasi bagi pasien yang menjalani perawatan isolasi radioaktif Iodine 131 di Ruang Isolasi Radio Aktif (RIRA) RSK Dharmais. Konsep trajectory merupakan salah satu teori keperawatan yang akan membantu memberdayakan pasien dan caregiver karena memberikan perawatan yang sesuai dengan tahapan atau fase penyakit pasien serta berfokus pada perawatan paliatif. Perawatan paliatif merupakan salah satu area fokus perawat spesialis pada bidang perawatan kanker yang akan membantu meningkatkan kemandirian dan kualitas hidup pasien. Penerapan perawatan program spiritual bersifat non-ivasif, murah, aman, dan secara tehnis praktis dalam mengelola status depresi pasien. Edukasi dapat memperbaiki pemahaman pasien tentang radioterapi dan efek sampingnya sehingga dapat meningkatkan kualitas mutu pelayanan keperawatan.
Efektifitas Skin Wrap dalam Mencegah Hipotermia pada Kelahiran Bayi Prematur
Authors: Casman Casman
Published: January 2019

ABSTRAK

 

Tujuan: untuk menelaah efektifitas skin wrap dalam mencegah hipotermia  pada kelahiran bayi prematur. Metode: Studi literatur dipilih dimana artikel diambil dari 3 database yaitu ScienceDirect, Wiley dan Scopus. Semua artikel dicari dengan menggunakan kata kunci: skin wrap and premature infants. Dua puluh dua artikel berhasil terpilih. Hasil: Hanya 1 artikel yang tidak membuktikan bahwa penggunaan plastik tidak efektif mempertahankan suhu tubuh bayi (p=0.07). Penggunaan plastik rata-rata menggunakan plastik non steril dan plastik yang direkatkan ke tubuh bayi tanpa mengeringkan tubuh bayi. Perlekatan plastik pada bayi bisa seluruh tubuh dan kepala atau hanya sampai leher. Kesimpulan: penggunaan plastik segera setelah lahir dengan vynil isolation bag atau polyethylene plastic dapat mencegah kehilangan panas pada bayi prematur.
STUDI FENOMENOLOGI: KEBUTUHAN DUKUNGAN SOSIAL PADA REMAJA DENGAN DIABETES MELLITUS TIPE-1
Authors: Dewi Winasari
Published: January 2019

Setiap tahun semakin terjadi peningkatan jumlah anak penderita DM tipe-1. Tanpa dukungan sosial yang mencukupi, DM tipe-1 sering mengganggu kehidupan normal penderitanya. Tujuan penelitian adalah untuk mengeksplorasi kebutuhan dukungan sosial pada remaja dengan DM tipe-1. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Jumlah partisipan dalam penelitian ini adalah sebanyak 6 orang remaja dengan DM tipe-1. Teknik pengambilan sampel menggunakan purposive sampling. Analisis data menggunakan analisis tematik. Hasil penelitian mengidentifikasi 4 tema, yaitu  ketergantungan pada orang sekitar,  hidup dikontrol,  kebahagiaan akan dukungan, dan keinginan seperti remaja lainnya. Berdasarkan hasil penelitian, direkomendasikan bagi perawat anak dapat berkoordinasi dengan pihak lain untuk mengembangkan inovasi pelayanan keperawatan dalam memberikan asuhan keperawatan secara holistik dan komprehensif pada remaja dengan DM tipe-1 sehingga kebutuhan dukungan sosialnya dapat terpenuhi.
PERAN HYPNOTHERAPHY UNTUK PENCEGAHAN PREEKLAMSI PADA MASA KEHAMILAN
Authors: Kusbandiyah Jiarti , P Yuniar Angelia
Published: January 2019

Preeklamsia merupakan penyebab kematian ibu ke-2 tertinggi setelah perdarahan di Indonesia. Pada Tahun 2011 kematian ibu akibat hypertensi dan preeklamsi sebesar 24,62%, terlihat kecenderungan peningkatan pada tahun 2012. Secara tidak langsung preeklamsi juga mempunyai kontribusi yang besar terhadap tingginya kematian bayi di Indonesia (Kemenkes RI, 2011). Beberapa penelitian menemukan bahwa hipnotis efektif mengatasi beberapa gangguan medis. Mulai dari mengurangi migrain hingga menurunkan tekanan darah, mengendalikan serangan asma, mengurangi gejala keringat dingin pada malam hari dan mengurangi efek samping kemoterapi. Tujuan penelitian ini adalah untuk meneliti bagaimana peran hypnoteraphy dalam mencegah timbulnya preeklamsi. Metode dalam penelitian ini adalah pra eksperimental pretest posttest design pada 20 responden yang diambil secara purposive sampling. Analisa menggunakan deskriptif dan analitik uji beda (t-test). Hasil penelitian analisis deskriptif menunjukkan Sebagian besar responden berada pada usia trimester 3 (70%), Usia antara 20-34 tahun (75%), pendidikan SD (45%), tidak bekerja (95%), faktor resiko preeklamsi adalah multipara, riwayat eklamsi dan riwayat hipertensi keluarga serta cenderung mengalani stress (skala 21-30) sebanyak 35%. Tidak ada perbedaan gerakan janin (100% tetap positif), oedema (85% tetap) dan proteinuria (100% tetap) sebelum dan sesudah diberikan hypnoteraphy. Analisis bivariat dilakukan dengan uji beda t-test menunjukkan terdapat perbedaan tafsiran berat janin (pvalue 0,004) dan berat badan responden (pvalue 0,000) sebelum dan sesudah diberikan hypnoteraphy. tidak perbedaan tekanan darah (pvalue sistole 0,304, distole 0,186) dan DJJ (pvalue 0,719) sebelum dan sesudah diberikan hypnoteraphy. Saran yang bisa disampaikan adalah deteksi faktor resiko sejak dini, pemantauan keadaan fisik dan psikologis ibu dan janin serta pemberian hypnoteraphy untuk relaksasi selama kehamilan.
PERANCANGANPROGRAM KESELAMATAN PASIEN DI RS MENGGUNAKAN QUALITYFUNCTION DEPLOYMENT (QFD)
Authors: Joegijantoro Rudy
Published: January 2019

Di Indonesia data tentang KTD apalagi Kejadian Nyaris Cedera (Near miss) masih langka, namun dilain pihak terjadi peningkatan tuduhan “mal praktek”, yang belum tentu sesuai dengan pembuktian akhir. Dalam rangka meningkatkan keselamatan pasien di rumah sakit maka Perhimpunan Rumah Sakit Seluruh Indonesia telah mengambil inisiatif membentuk Komite Keselamatan Pasien Rumah Sakit (KKP-RS). Komite tersebut telah menyusun Panduan Tujuh Langkah Menuju Keselamatan Pasien bagi staf RS untuk mengimplementasikan Keselamatan Pasien di Rumah Sakit. Di samping itu pula KARS (Komisi Akreditasi RumahS akit) Depkes telah menyusun Standar Keselamatan Pasien Rumah Sakit yang akan menjadi salah satu Standar Akreditasi Rumah Sakit. Komponen rumah sakit yang berperanpentingan terhadap program keselamatan pasien di rumah sakita adalah tenaga medis (dokter, perawat), tenaga penunjang medis (laborat, apotek), laundry, dapur, pengelolaan limbah RS, kondisi bangunan, serta sistem di RumahSakit (Kajian resiko, identifikasi dan pengelolaan resiko, pelaporan dan analisis insiden, analisis belajar, tindaklanjut dan implementasi solusi). Penelitian ini bertujuan untuk menciptakan sebuah program keselamatan pasien rumah sakit (hospital patient safety) yang memiliki tingkat keberhasilan pelaksanaan tinggi dan dapat dilaksanakan oleh semua rumah sakit menggunakan metode QFD (Quality Function Deployment) berdasarkan tujuh standar keselamatan pasien.
PENGELUARAN HORMON ENDORPHINE ALAMI DENGAN METODE TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) UNTUK MENGENDALIKANINTENSITAS AFTERPAIN PADA IBU NIFAS
Authors: Amalia Waifti , Jayanti Nicky Danur
Published: January 2019

Afterpain adalah perasaan mulas akibat relaksasi dan kontraksi yang periodik dari uterus dan menimbulkan nyeri yang bertahan sepanjang masa awal puerperium. Nyeri atau perasaan mulas ini merupakan masalah yang serius dan jika diabaikan akan berdampak buruk bagi kesehatan ibu dan bayinya. Selain dengan obat-obatan, afterpain dapat diredakan dengan menggunakan alat yang tidak menimbulkan efek samping. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Pengeluaran Hormon Endorphine Alami Dengan Metode Transcutaneous Electrical Nerve Stimulation (TENS) Untuk Mengendalikan Intensitas Afterpain pada ibu nifas. Penelitian ini menggunakan one group pre test-post test desain dengan populasi sebanyak 20 orang ibu nifas. Setelah dilakukan perlakuan selama 15 menit dengan menggunakan metode TENS, intensitas afterpain pada ibu nifas dievaluasi. Dari hasil penelitian didapatkan data bahwa sebanyak 18 orang (90 %) ibu nifas mengalami nyeri sedang dan 2 (10 %) ibu nifas mengalami nyeri berat sebelum diberikan metode TENS. Setelah diberikan metode TENS sebanyak 18 (90 %) ibu nifas mengalami penurunan nyeri menjadi nyeri ringan dan 2 orang (10 %) ibu nifas mengalami penurunan nyeri menjadi nyeri sedang. Hasil analisa data menggunakan Wilcoxon Signed Rank Test. Dari hasil analisa didapatkan nilai Z = -4,472 dan nilai A syimp Sig (2-tailed) = 0,000. Jika dibandingkan dengan α = 0,05 maka A syimp Sig (2-tailed) < α, dengan demikian maka Ho ditolak yang artinya terdapat pengaruh implementasi metode Transcutaneous Electrical Nerve Stimulation (TENS) terhadap intensitas afterpain pada ibu nifas.
pengaruh Senam Kaki DM terhadap Perubahan Nadi Dorsalis Pedis Klien Diabetes Mellitus Di Puskesmas Dinoyo Malang
Authors: Arif Taufan
Published: January 2019

Perubahan gaya hidup terutama dikota besar,menyebabkanpeningkatan prevalensi penyakit degeneratif seperti Diabetes Mellitus.Tungkai bawah terutama kakisering bermasalah akibatnya perfusi jaringan bagian distal dari tungkai menjadi kurang baik dan timbul ulkus yang dapat berkembang menjadi nekrosis/gangren.Tujuan penelitian untuk menjelaskanpengaruh senam kaki DM terhadap perubahan nadi dorsalis pedis.

Penelitian menggunakan Quasy-experimentalpre-post test design. Populasi penelitian ini berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Analisis data menggunakan Wilcoxon sign ranked test untuk 2 sampel berpasangan, dan mann whitney test untuk 2 sampel bebas.

Hasil uji pre test Mann-Whitneytestnilai p = 0.417sedangkan uji post test Mann-Whitneynilai p = 0.003. Hasil uji pre-post test kelompok perlakuan menggunakan Wilcoxon Signed ranked nilai p = 0.008sedangkan uji pre-post test kelompok kontrol menggunakan Wilcoxon Signed ranked nilai p = 0.564. Hasil penelitian ini menunjukkanada pengaruh senam kaki DM terhadap perubahan nadi dorsalis pedis.

Senam kaki DM yang dilaksanakan minimal 3 kali seminggu dalam jangka waktu 3 minggu terbukti memberikan pengaruh pada vaskularisasi perifer dan kestabilan glukosa darah. Senam meningkatkan Nitric Oxode Syntesis dan vasodilatasi arteri.Saran penelitian adalahmengembangkan model pencegahan impairmentulkus diabetikum berdasarkan teori keperawatan lainnya.
STUDI TENTANG KESIAPAN PENGADILAN AGAMA AMBON KELAS IA TERHADAP PENYELESAIAN SENGKETA PERBANKAN SYARIAH MENURUT UU NO. 3 TAHUN 2006 TENTANG PENGADILAN AGAMA PASCA PENETAPAN UNDANG-UNDANG NOMOR 21 TAHUN 2008 TENTANG PERBANKAN SYARIAH
Authors: Hasan Hasan , Shardi Akbar M
Published: January 2019

There is result research, esentially, justices of Ambon's religion Class IA, was ready in order to solve syariah bank dispute evident judge have preparing self variously; often gets discussion with judge humanity, study orders concerning with syariah economic for example; Islamic Law compilation, Jurisdictional compilation of Syariah Economic, UU No. 21 on 2008 About Syariah Bank and fiqhi's books includes classic book and also fikhi kontemporer's book at single-sided. On the other side religion justice judge class IA Ambon tries to follow executed program by Supreme Court concerning education and syariah's economy training but haven't available graduate one. Meanwhile dispute working out performing syariah's bank was carried on Ambon's religion justice Class IA Caused by; human resource of judge preparation situation is still less be equal, occasionally, judge mutation happened in religion justice, troublesome society unwillingness at religion justice because need much cost and time, and its reducing socialization various rule that manage syariah economic or syariah's banking to Ambon’s city society.
OTONOMI DESA DAN KESEJAHTERAAN MASYARAKAT NEGERI BATU MERAH PASCA UNDANG-UNDANG NOMOR 6 TAHUN 2014 TENTANG DESA (PERSPEKTIF HUKUM PROGRESIF)
Authors: Lonthor Ahmad
Published: January 2019

Progressive jurisdictional view to silvan autonomy and well-being country society petrifies statute position deep red number 6 years 2014 about villages if dikorelasikan therefore tend advance law aspiration for human, therefore relevansi country society energy Batu Merah who want independence in mengurusi their own village autonomy as it were have already at amanahkan by law thus principally utilize progressive law approaching is in line with culture goal sentence indonenesia who emphasizes to assess – the living one point in society.
DAMPAK KONFLIK TERHADAP PEREKONOMIAN MASYARAKAT DI NEGERI MAMALA DAN MORELLA
Authors: Naya Farid
Published: January 2019

This study aims to find answers to two research queation. Firt, why the conflik continue to occur at both the community? Second, how the conflikt persistent impact on the economy of these societies? This study uses qualitative research methods (qualitavie research method) approach verstehen or understanding to explore from the inside (Inside View) value or meaning derived from the subject of research by individuals and the dynamics of conflict in the country Mamala and Morella, as well as how the economic impacts both communities in both countries. Data obtained through observation, interview and documentation. Data analysis begins with making abstraction, making categorization, coding, data validity checking, and interpret data and draw conclusion. The results showed that, first, the conflict is a consequence arising from social interaction with a social structure that is built in the community both countries. The second aspect of the historicity of the country to be one trigger their intensity conflict. Cleim legitimacy of customary dyeing masyaramat awareness of both countries. Second, conflicts which continue to experience the intensity, has a negative impact on both the community. One is the level of the costliness of the local community product sales. Start of production of fish by fishermen arrests in both societies.
STRATEGI PENGEMBANGAN RURAL TOURISM DI WILAYAH JAZIRAH LIEHITU: STUDY KASUS DESA TULEHU DAN DESA LIANG KECAMATAN SALAHUTU KABUPATEN MALUKU TENGAH
Authors: Toatubun Maimunah
Published: January 2019

The aim of research are to: (1) To identified and find out potensial and “capital” to developed stategy for Rural tourism in both Village (Tulehu and Liang), (2) To estimate Readiness Governance of Rural to develop strategy Rural Tourism, (3) to find out the support and participation of local communities to develop strategy rural tourism, (4) To know perception local, national tourism and the relationship to develop rural tourism. The result showed that: (1) Tulehu village had more potencial in rural tourism than Liang village, (2) The local government of Tulehu village more ready to develop rural tourism than Liang, (3) Participation and support from local community in develop rural tourism in both village are good, but if they are compared local community in Tulehu are more engage and much high participate than Liang, (4) Perception of tourism from local and national about rural tourism and tourism obyek is still low.
PEMBERIAN ASI EKSLUSIF, SUPLEMEN VITAMIN A DAN ASUPAN SENG DENGAN RISIKO KEJADIAN PNEUMONIA PADA ANAK BALITA DI PUSKESMAS PUUWATU KECAMATAN PUUWATU KOTA KENDARI
Authors: Irma Rita , Sunaryo Sunaryo , Toruntju Sultan Akbar
Published: January 2019

Pneumonia is the leading cause of death in children. Many factors can influence the increased incidence of pneumonia in young children, Among them are age, sex, nutritional status, low birth weight, immunization status, Exclusive breastfeeding, and vitamin A. This study aims to determine the relationship of exclusive breastfeeding, supplements vitamin A, and zinc intake with the incidence of pneumonia in children under five in sub-district Puskesmas Puuwatu Kendari. This study uses a case-control design. Take place at sub-district Puskesmas Puuwatu Kendari. A sample of 32 samples taken using P = prevalence of LBW infants (0.092%), d = absolute precision (10%), Z = confidence interval (95% = 1.96). Taken with accidental sampling technique, and performed on samples Matching namely age, where the age of the sample of cases and controls were age 1 to 5 years. Data analysis was conducted to see the value Odds Ratio (OR), Odds Ratio (OR) = ad/bc with confidence interval (CI) = 95%. The results showed that young children who are not breastfed Exclusive 3.4 times greater risk of pneumonia compared with exclusive breastfeeding of children under five, which marked the value of OR = 3.40. Infants and children who do not complete vitamin A supplementation 2.4 times greater risk of developing pneumonia than children under five who complete vitamin A supplementation, which marked the value of OR = 2.49. Infants and children who lack their zinc intake were 2.4 times greater risk of pneumonia compared with toddlers sufficient intake of tin, which is marked with OR = 2.43. This study concluded that children who are not breastfed Exclusive have an increased risk of pneumonia. Supplementation with vitamin A complete and sufficient zinc intake in children under five among children could reduce the incidence of pneumonia.
MUTU PELAYANAN DAN KEPUASAN PASIEN DI INSTALASI RAWAT INAP RUANG DAHLIA RSUD KOTA MADIUN
Authors: Prayitno Suhadi
Published: January 2019

Service efforts undertaken by the Hospital was to improve the quality of health services quality and affordable by the community in order to improve public health status.Quality of service should be done by Hospital to improve patient satisfaction as a service user. The objective was to analyze association between service quality and patient satisfaction at Dahlia room,Regional Public Hospital Madiun .An observational analysis was conducted with cross-sectional study design. Samples were 78 using purposive sampling techniques. Data were analyzed by chi-square. This study showed that 56,4% respondents said that the quality of service was good. There were 52,6% respondents not satisfied with quality of service. Bivariate analysis showed association between service quality and patient satisfaction (p=0,014). There were an association between service quality and patient satisfaction. Madiun City General Hospital should improve the quality of service so that all patients are satisfied with the services provided.
KEPADATAN HUNIAN, VENTILASI DAN PENCAHAYAAN TERHADAP KEJADIAN TB PARU DI WILAYAH KERJA PUSKESMAS BINANGA KABUPATEN MAMUJU SULAWESI BARAT
Authors: Mariana Dina , Hairuddin Miftah Chairani
Published: January 2019

The home environment is one of the potential factors in the spread of Pulmonary Tuberculosis incidence. This study aims to analyze the environmental risk factors of the incidence of Pulmonary Tuberculosis in the working area Puskesmas Binanga Mamuju 2016. The study design is a case-control study. Sample size of 93 with a comparison between case and control 1: 2. TB case sample 31 patient and control sample 62 people. TB cases are pulmonary TB patients and controls, not the lungs. The data were collected by interview using questionnaire. Bivariate statistic test using Odds Ratio with α = 0,05. The results showed that residential density (OR 1.969, 95% CI: 0.641 - 6.049), Ventilation (OR 1.492, 95% CI: 0.576-3.863), and Lighting (OR 6.471, 95% CI: 0.795 - 52.6) significant to the incidence of pulmonary TB.
Voting for Radical Right Parties in Europe: the Role of Cultural Change and Party Polarization
Authors: Safronov Viacheslav V.
Published: January 2019

The article is devoted to the problem of rapid growth in recent decades of electoral support for radical right-wing parties in Western, Central and Eastern Europe. The first part of the article discusses the general theoretical foundation of approaches to this problem in the scientific literature - social changes caused by modernization and globalization, and the main varieties of these approaches. One of them assumes that there is an increase in public "demand" for populist and nationalist ideology, while the other indicates the emergence of favorable political opportunities due to electoral institutions of proportional multi-party systems and strategies of party competition, leading to a change in the polarization of the party system in the economic and socio-cultural dimensions. A brief review of empirical studies is given, and the ambiguity of the results is noted.
In vitro and in vivo anti-inflammatory activity of Dillenia pentagyna Roxb. bark, a folklore medicine of Mizoram
Authors: Zothanpuia  , Kakoti Bibhuti K.
Published: January 2019

Natural products have played an exceptionally important role in health care and prevention of diseases for thousands of years and are one of the greatest sources of medicine. Mizoram is a home to a rich variety of flora and fauna however; very less systematic survey and documentation were carried out to date. The plant diversity of Mizoram is not adequately studied as compared to other states of north east India. Dillenia pentagyna Roxb., known as kaihzawl in Mizo and dog teak in English, is one of the endangered plants that is yet to be explore. The Mizo communities use the decoction of D. pentagyna bark to treat different stomach ailments, inflammation and diabetes. In this perspective, the methanolic extract of the bark of D. pentagyna was evaluated for its anti-inflammatory properties. The extract showed the presence of flavanoids, triterpenoids, steroids, phenolics, saponins, fixed oils and others exerting varied pharmacological activities. The methanolic extract of this plant was found to contain active constituents such as betulinic acid and β-sitosterol which are found to actively interact with the inflammatory mediators and suppressed the inflammation when evaluated for its in vitro and in vivo anti-inflammatory activity. The present study suggests that the methanolic extract of D. pentagyna bark showed significant anti-inflammatory activity. This study also support the folkloric used of the plant in diseases related to inflammatory condition.
High-Resolution Displacement Sensor Based on a Chirped Fabry–Pérot Interferometer Inscribed on a Tapered Microfiber
Authors: Lu Zhong , Cao Yuan , Wang Guangying , Ran Yang , Feng Xinhuan , Guan Bai-Ou
Published: January 2019

In this study, a high-resolution optical fiber Fabry–Pérot (FP) interferometer displacement sensor with chirped spectral characteristics based on a tapered microfiber is theoretically discussed and experimentally implemented. Instead of inscribing two fiber Bragg gratings (FBGs) on the symmetric position of the microfiber, we continuously inscribed one long FBG along the microfiber region to reduce the cavity length. The bandwidth of the interferometer is over 35 nm, and its displacement sensitivity is as high as 36.5 nm/mm at the tension state.
Profiling of Invasive Breast Carcinoma Circulating Tumour Cells—Are We Ready for the ‘Liquid’ Revolution?
Authors: Braun Marcin , Markiewicz Aleksandra , Kordek Radzisław , Sądej Rafał , Romańska Hanna
Published: January 2019

As dissemination through blood and lymph is the critical step of the metastatic cascade, circulating tumour cells (CTCs) have attracted wide attention as a potential surrogate marker to monitor progression into metastatic disease and response to therapy. In patients with invasive breast carcinoma (IBC), CTCs are being considered nowadays as a valid counterpart for the assessment of known prognostic and predictive factors. Molecular characterization of CTCs using protein detection, genomic and transcriptomic panels allows to depict IBC biology. Such molecular profiling of circulating cells with increased metastatic abilities appears to be essential, especially after tumour resection, as well as in advanced disseminated disease, when information crucial for identification of therapeutic targets becomes unobtainable from the primary site. If CTCs are truly representative of primary tumours and metastases, characterization of the molecular profile of this easily accessible ‘biopsy’ might be of prime importance for clinical practice in IBC patients. This review summarizes available data on feasibility and documented benefits of monitoring of essential IBC biological features in CTCs, with special reference to multifactorial proteomic, genomic, and transcriptomic panels of known prognostic or predictive value.
Electrochemical Stability Enhancement in Reactive Magnetron Sputtered VN Films upon Annealing Treatment
Authors: Achour Amine , Islam Mohammad , Ahmad Iftikhar , Saeed Khalid , Solaymani Shahram
Published: January 2019

Vanadium nitride (VN) thin films were produced via direct-current reactive magnetron sputtering technique followed by vacuum annealing. The treatment was carried out at different temperatures for any effect on their electrochemical (EC) stability, up to 10,000 charge–discharge cycles in 0.5 M K2SO4 solution. The film surface chemistry was investigated by using X-ray photoelectron spectroscope (XPS) and cyclic voltammetry (CV) techniques. For the as-deposited film, the oxide layer formed on the VN surface was unstable upon K2SO4 immersion treatment, along with ~23% reduction in the EC capacitance. Vacuum annealing under optimized conditions, however, made the oxide layer stable with almost no capacitance loss upon cycling for up to 10,000 cycles. Annealing treatment of the VN films makes them a potential candidate for long-term use in electrochemical capacitors.
Conversion of D-Fructose into Ethyl Lactate Over a Supported SnO2–ZnO/Al2O3 Catalyst
Authors: Prudius Svitlana V. , Hes Nataliia L. , Brei Volodymyr V.
Published: January 2019

The study is directed to the search of a simple effective catalyst for ethyl lactate obtained from fructose as renewable raw material. A series of SnO2-containing oxides prepared by impregnation of alumina were characterized by several techniques in order to determine their textural and acid-base properties. The transformation of a 13% fructose solution in 98% ethanol over SnO2/Al2O3 catalysts using autoclave rotated with 60 rpm at 160 °C for 3 h was studied. It was found that doping SnO2/Al2O3 samples with ZnO improves selectivity towards ethyl lactate. The supported SnO2-ZnO/Al2O3 catalyst provides 100% fructose conversion with 55% yield of ethyl lactate at 160 °C. A possible scheme of fructose transformation into ethyl lactate on L-acid IVSn4+ sites is discussed.
Comparison of Micro-Census Results for Magarya Ward, Wurno Local Government Area of Sokoto State, Nigeria, with Other Sources of Denominator Data
Authors: Ghiselli Margherita E. , Wilson Idongesit Nta , Kaplan Brian , Waziri Ndadilnasiya Endie , Sule Adamu , Ayanleke Halimatu Bolatito , Namalam Faruk , Tambuwal Shehu Ahmad , Aliyu Nuruddeen , Kadi Umar , Bolu Omotayo , Barau Nyampa , Yahaya Mohammed , Ugbenyo Gideon , Osigwe Ugochukwu , Oguji Clara , Usifoh Nnamdi , Seaman Vincent
Published: January 2019

Routine immunization coverage in Nigeria is suboptimal. In the northwestern state of Sokoto, an independent population-based survey for 2016 found immunization coverage with the third dose of Pentavalent vaccine to be 3%, whereas administrative coverage in 2016 was reported to be 69%. One possibility driving this large discrepancy is that administrative coverage is calculated using an under-estimated target population. Official population projections from the 2006 Census are based on state-specific standard population growth rates. Immunization target population estimates from other sources have not been independently validated. We conducted a micro-census in Magarya ward, Wurno Local Government Area of Sokoto state to obtain an accurate count of the total population living in the ward, and to compare these results with other sources of denominator data. We developed a precise micro-plan using satellite imagery, and used the navigation tool EpiSample v1 in the field to guide teams to each building, without duplications or omissions. The particular characteristics of the selected ward underscore the importance of using standardized shape files to draw precise boundaries for enumeration micro-plans. While the use of this methodology did not resolve the discrepancy between independent and administrative vaccination coverage rates, a simplified application can better define the target population for routine immunization services and estimate the number of children still unprotected from vaccine-preventable diseases.
Using High-Bandwidth Voltage Amplifier to Emulate Grid-Following Inverter for AC Microgrid Dynamics Studies
Authors: Messo Tuomas , Luhtala Roni , Roinila Tomi , de Jong Erik , Scharrenberg Rick , Caldognetto Tommaso , Mattavelli Paolo , Sun Yin , Fabian Alejandra
Published: January 2019

AC microgrid is an attractive way to energize local loads due to remotely located renewable generation. The AC microgrid can conceptually comprise several grid-forming and grid-following power converters, renewable energy sources, energy storage and local loads. To study the microgrid dynamics, power-hardware-in-the-loop (PHIL)-based test setups are commonly used since they provide high flexibility and enable testing the performance of real converters. In a standard PHIL setup, different components of the AC microgrid exist as real commercial devices or electrical emulators or, alternatively, can be simulated using real-time simulators. For accurate, reliable and repeatable results, the PHIL-setup should be able to capture the dynamics of the microgrid loads and sources as accurately as possible. Several studies have shown how electrical machines, dynamic RLC loads, battery storages and photovoltaic and wind generators can be emulated in a PHIL setup. However, there are no studies discussing how a three-phase grid-following power converter with its internal control functions should be emulated, regardless of the fact that grid-following converters (e.g., photovoltaic and battery storage inverters) are the basic building blocks of AC microgrids. One could naturally use a real converter to represent such dynamic load. However, practical implementation of a real three-phase converter is much more challenging and requires special knowledge. To simplify the practical implementation of microgrid PHIL-studies, this paper demonstrates the use of a commercial high-bandwidth voltage amplifier as a dynamic three-phase power converter emulator. The dynamic performance of the PHIL setup is evaluated by identifying the small-signal impedance of the emulator with various control parameters and by time-domain step tests. The emulator is shown to yield the same impedance behavior as real three-phase converters. Thus, dynamic phenomena such as harmonic resonance in the AC microgrid can be studied in the presence of grid-following converters.
DC Voltage Adaptive Droop Control Strategy for a Hybrid Multi-Terminal HVDC System
Authors: Liu Yingpei , Zhang La , Liang Haiping
Published: January 2019

To solve the problems of DC voltage control and power allocation in the hybrid multi-terminal high voltage direct current system effectively, a DC voltage adaptive droop control strategy based on DC voltage-current characteristics is proposed. Based on adjustment of the droop coefficient of the converter station, the proposed control strategy introduces the influence factor of the droop coefficient, which considers the dynamic power margin of the converter station according to the direction of DC current variation in the converter station. When changes in the hybrid multi-terminal high voltage direct current system power flow occur, the droop coefficient of the converter station can be adjusted by the influence factor of the droop coefficient, so that the converter station can participate in power regulation according to its own power regulating ability. Consequently, the proposed control strategy can reasonably allocate the active power and minimize the deviation of the DC voltage. Besides, the stability analysis of the proposed control strategy is also carried out. Simulation results have verified the feasibility and effectiveness of the proposed control strategy.
Complete Genome Sequence Analysis and Characterization of Selected Iron Regulation Genes of Pasteurella Multocida Serotype A Strain PMTB2.1
Authors: Jabeen Shagufta , Yap Huan Y. , Abdullah Faez Firdaus J. , Zakaria Zunita , Isa Nurulfiza M. , Tan Yung C. , Joo Yap S. , Satharasinghe Dilan A. , Omar Abdul R.
Published: January 2019

Although more than 100 genome sequences of Pasteurella multocida are available, comprehensive and complete genome sequence analysis is limited. This study describes the analysis of complete genome sequence and pathogenomics of P. multocida strain PMTB2.1. The genome of PMTB2.1 has 2176 genes with more than 40 coding sequences associated with iron regulation and 140 virulence genes including the complete tad locus. The tad locus includes several previously uncharacterized genes such as flp2, rcpC and tadV genes. A transposable phage resembling to Mu phages was identified in P. multocida that has not been identified in any other serotype yet. The multi-locus sequence typing analysis assigned the PMTB2.1 genome sequence as type ST101, while the comparative genome analysis showed that PMTB2.1 is closely related to other P. multocida strains with the genomic distance of less than 0.13. The expression profiling of iron regulating-genes of PMTB2.1 was characterized under iron-limited environment. Results showed significant changes in the expression profiles of iron-regulating genes (p < 0.05) whereas the highest expression of fecE gene (281 fold) at 30 min suggests utilization of the outer-membrane proteins system in iron acquisition at an early stage of growth. This study showed the phylogenomic relatedness of P. multocida and improved annotation of important genes and functional characterization of iron-regulating genes of importance to the bacterial growth.