bluuebunny/crossref_metadata_2025 huggingface dataset:
La militance syndicale dans la très petite entreprise : le cas du conseiller du salarié
Authors: Sin Philippe , Grima François
Published: May 2019

Notre étude cherche à comprendre la militance dans de très petites entreprises en France. Plus précisément, nous cherchons à cerner la forme prise par la militance dans ce contexte et les motivations du militant. Pour cela, nous nous appuyons sur 29 entretiens semi-directifs réalisés auprès de conseillers du salarié des deux principales entités syndicales. Mobilisant la littérature sur l’engagement et le travail militant, nous avons dégagé trois profils : le « bon soldat », le « défenseur des droits » et le « combattant ».

Le « bon soldat » a une stratégie de valorisation de son syndicat. Sa militance s’exprime par un accueil soigné au salarié et un alignement sur sa position dans sa relation avec l’employeur. Son engagement militant montre qu’il cherche à préserver un équilibre entre son engagement syndical et sa vie privée. Le second profil, le « défenseur des droits », est attiré par les dimensions juridiques de son engagement auprès des salariés. Le conseiller du salarié ayant ce profil cherche à construire une stratégie de partenariat avec le salarié afin d’obtenir le moins de sanctions pour ce dernier. Pour lui, sa militance est d’abord motivée par la défense des droits du salarié. Le dernier profil, « le combattant », est très expérimenté syndicalement et il s’intéresse davantage à la relation interpersonnelle. Le conseiller du salarié de ce profil met en place une stratégie de conflits. Il s’engage auprès du salarié sans condition. Il lui propose une prise en charge totale jusqu’à le substituer et il ira jusqu’à mobiliser son syndicat, cela sans hésitation.

L’étude met en exergue la diversité de la militance dans les très petites entreprises grâce à des conseillers du salarié qui restent fidèles à leur organisation syndicale et qui s’engagent auprès des salariés en s’appropriant la militance. Cette dernière vient questionner globalement les pratiques syndicales dans les très petites entreprises.
Penalizaciones de Google: cómo destruir nuestro posicionamiento en buscadores
Authors: Navío Navarro Mariché
Published: May 2019

Dentro del conjunto de estrategias de marketing digital, el posicionamiento orgánico en buscadores tiene como principal objetivo conseguir visibilidad en plataformas como Google que, después, se traduzcan en un crecimiento del tráfico a nuestras webs. En este sentido, la disciplina del Search Engine Optimization (SEO) se encarga de ejecutar una serie de tácticas on-page y off-page para promover que los algoritmos de los buscadores nos indexen entre los primeros resultados, pues son estos los que concentran un mayor ratio de clics (CTR). En este intento por adaptar las webs a los requerimientos premiados por los algoritmos, el desconocimiento o la picaresca pueden provocar la sobreoptimización de los sites, que son interpretados por los buscadores como intentos de manipulación o engaño. De ser detectados, las webs que han llevado a cabo estas acciones de manera consciente o inconsciente sufren penalizaciones por parte de plataformas como Google. Estas ocasionan grandes descensos en las posiciones de la página de resultados o, en los peores casos, la desindexación completa de la web, que desaparece de los buscadores, lo que provoca la pérdida de visibilidad y la destrucción del trabajo a largo plazo que supone el SEO. En este artículo, reconoceremos los tipos de penalización y los motivos por los que Google y otros search engines castigan las webs, además de una serie de técnicas para corregir estos castigos.
Effects of Lecanicillium lecanii strain JMC-01 on the physiology, biochemistry, and mortality of Bemisia tabaci Q-biotype nymphs
Authors: Xie Ting , Jiang Ling , Li Jianshe , Hong Bo , Wang Xinpu , Jia Yanxia
Published: May 2019

Background. Lecanicillium lecanii is an entomopathogenic fungi, which was isolated from insect suffer from a disaster. Now, it is an effective bio-control resource that can control agricultural pests such as whitefly and aphids. There are many studies on the control of various agricultural pests by L. lecanii, but no report on its control of Bemisia tabaci biotype-Q exists. In this work we studied the susceptibility of B. tabaci Q-biotype (from Ningxia, China) to L. lecanii JMC-01 in terms of nymph mortality and the changes in detoxifying protective enzymes activities. Methods. Bemisia tabaci nymphs were exposed to L. lecanii JMC-01 conidia by immersion with the host culture. Mortality was assessed daily for all nymph stages. The detoxifying and protective enzyme activity changes, weight changes, and fat, and water contents of the nymphs were determined spectrophotometrically. Results. All instars of B. tabaci died after being infested with 1×108 conidia/mL. The 2nd-instar nymphs were the most susceptible, followed by the 3rd-instar nymphs. The corrected cumulative mortality of the 2nd- and 3rd-instar nymphs was 82.22% and 75.55%, respectively. The levels of detoxifying and protective enzymes initially increased and then decreased. The highest activities of carboxylesterase (CarE), acetylcholinesterase (AchE), peroxidase (POD), and catalase (CAT) occurred on the 3rd day, reaching 10.5 U/mg prot, 0.32 U/mg prot, 20 U/mg prot, and 6.3 U/mg prot, respectively. These levels were 2.2-fold, 4.3-fold, 2.4-fold, and 1.4-fold the control levels, respectively. The highest activities of glutathione-S transferase (GSTs) and superoxide dismutase (SOD) on the 2nd day were, respectively, 64 U/mg prot and 43.5 U/mg prot. These levels were, respectively, 2.7-fold and 1.1-fold that of the control level. The water and fat content in the infected B. tabaci nymphs decreased and differed significantly from the control levels. The weight increased continuously in the first 24 h, decreasing thereafter. At 72 h, the infestation level was about 0.78-fold that of the control level. Conclusions. The studied L. lecanii JMC-01 strain is pathogenic to the B. tabaci Q-biotype. This strain interferes with the normal functioning of detoxifying and protective enzymes, and is also involved in the disruption of normal physiological metabolism in B. tabaci.
Perbedaan Kepedulian Maternal Antara Ibu Primipara dan Ibu Multipara Pada Awal Periode Post Partum
Authors: Afiyanti Yati , Rachmawati Imami Nur , Nurhaeni Nani
Published: May 2019

AbstrakPengetahuan tentang kepedulian maternal sangat penting bagi perawat maternitas dalam memberikan dukungan informasi pada para ibu nifas. Program persiapan pemulangan berdasarkan apa yang menjadi kepedulian ibu nifas dapat dijadikan cara yang efektif dalam memberikan asuhan keperawatan pada ibu dan keluarganya. Tujuan dari studi ini adalah untuk mengidentifikasi kepedulian maternal para ibu nifas di Indonesia pada awal pasca melahirkan baik pada ibu primi maupun multipara dan mengidentifikasi perbedaan kepedulian maternal pada dua kelompok ibu nifas tersebut. Rancangan penelitian yang digunakan adalah cross sectional. Metode pemilihan sampel menggunakan total sampel selama 3 bulan berturut-turut. Instrumen yang digunakan ada tiga jenis yang dikembangkan berdasarkan penelusuran literatur. Data dianalisis menggunakan uji statistik univariat Hasil penelitian menunjukkan bahwa kepedulian maternal ibu primipara dan multipara meliputi yang aspek keluarga, diri sendiri, dan bayi terdapat perbedaan bermakna diantara kedua tersebut. Hasil studi bisa digeneralisasi bila dilakukan replikasi dan menggunakan jumlah sampel yang lebih besar. AbstractMaternal concerns knowledge is very important for a maternity nurse in providing information support for all post partum mothers. A discharge planning preparation program that based on maternal concerns can be a good effective way to give nursing care for post partum mothers and families. The purpose of this study is to identify maternal concerns for post partum Indonesian mothers including prime and multi porous and to identify the differences of maternal concerns between these groups. This study used cross sectional design. The total sample was chosen as a strategy for sample selection during three months. In this study, data were collected using three instruments developed based upon a review literature. Univariat statistic was used to analyze the data. The result of this study indicated that maternal concerns for the prime and multi porous mothers for three aspects (self, baby, and family) were significant difference. The result from this study can be generalized by using a big sample in next replication study.
Pengalaman Mahasiswa S1 Keperawatan Program Reguler Dalam Pembelajaran Klinik
Authors: Syahreni Elfy , Waluyanti Fajar Tri
Published: May 2019

AbstrakPenelitian fenomenologi ini bertujuan menggali pengalaman belajar mahasiswa program reguler di klinik sehingga para pembimbing klinik dapat memberikan persiapan dan bimbingan yang tepat pada mahasiswa selama proses pembelajaran klinik. Sampel yang diambil secara purposive adalah lima mahasiswa program reguler yang sedang menjalani proses pembelajaran tahap klinik (profesi). Data dikumpulkan melalui unstructured interview. Hasil wawancara direkam dengan menggunakan tape recorder dan kemudian dibuat transkripnya. Data tersebut dianalisis dengan menggunakan metoda analisis data “Collaizzi’s phenomenology methods”. Terdapat tujuh tema yang muncul meliputi integrasi teori ke praktik, berupaya untuk tampil baik sebagai mahasiswa, berupaya untuk tampil sebagai perawat yang baik, keinginan untuk tidak membahayakan klien, keinginan untuk membantu klien, penyebab stress, serta pembelajaran ketrampilan psikomotor. Penelitian ini sebaiknya juga dilakukan pada mahasiswa S1 Keperawatan program ekstensi FIK-UI. AbstractThe aim of this phenomenology is to explore and explain a clinical learning of nursing students. The study benefit is identification of knowledge resources for clinical instructors in preparing clinical practices. Another benefit of this study is to increase the quality of clinical learning of students. A sampling method used purposive sampling methods. Samples were 5 students of the regular program who were on going clinical learning process in clinical setting. Data were collected through unstructured interviews. Interview results were recorded using tape recorder and then were transcribed verbatim. Data were analyzed using data analyze methods “Collaizzi’s Phenomenology methods”. There were 7 themes appeared including: to integrate theory into practice, to be a good student, to be a good nurse, to cause no harm or to help the patient, to cause a stress, and to learn psychomotor skills.
Focus Group Discussion (Diskusi Kelompok Terfokus) sebagai Metode Pengumpulan Data Penelitian Kualitatif
Authors: Afiyanti Yati
Published: May 2019

AbstrakMetode Focus Group Discussion (FGD) merupakan pendekatan yang umum digunakan untuk mengumpulkan data/informasi pada penelitian kualitatif, tidak terkecuali penelitian keperawatan yang saat ini semakin populer menggunakan metode FGD sebagai metode pengumpulan data. Metode ini memiliki karakteristik utama yaitu menggunakan data interaksi yang dihasilkan dari diskusi diantara para partisipannya. Kekuatan utama metode FGD terbukti dapat memberikan data yang lebih mendalam, lebih informatif, dan lebih bernilai dibanding metode lainnya. Namun, pelaksanaan yang optimal dari metode ini masih menjadi perdebatan yang dilaporkan pada banyak literatur dan konsensus metode FGD sebagai metode yang ideal untuk pengumpulan data belum disepakati oleh banyak ahli penelitian. AbstractFocus Group Discussions (FGD) method is a common approach for data collection in qualitative research projects, without exception in nursing research in recent years. The primary characteristic of this method is to use interaction data resulting from discussion among participants. The primary strength of the FGD method is that it can provide rich data, more informative, and valuable insight which can not be discovered through other methods. However, the optimal execution of the FGD method has been debated in the literatures, and consensus related to ideal methodology has not been achieved by researchers.
Pemenuhan Hak-hak Pasien di Sebuah Rumah Sakit di Jakarta
Authors: Sudrajat Diwa Agus , Irawati Dewi , Mustikasari Mustikasari
Published: May 2019

AbstrakPenelitian deskriptif korelasi dengan desain cross sectional ini bertujuan mendapatkan gambaran hubungan karakteristik dan pengetahuan perawat pelaksana tentang aspek hukum praktik keperawatan dengan pemenuhan hak-hak pasien. Populasinya seluruh perawat pelaksana sebuah RS di Jakarta dengan jumlah sampel 106. Analisis hubungan variabel menggunakan uji koefisien korelasi Pearson dan t test. Hasil penelitian menunjukkan pemenuhan hak-hak pasien sudah baik; perawat pelaksana mayoritas berusia produktif, berpendidikan D-III, jenis kelamin perempuan, dan rerata lama kerja 7,35 tahun; pengetahuan aspek hokum praktik keperawatan masih rendah. Penelitian menyimpulkan bahwa tidak ada hubungan karakteristik dan pengetahuan perawat pelaksana tentang aspek hukum praktik keperawatan dengan pemenuhan hak-hak pasien. Pelatihan tentang hak-hak pasien dan evaluasi system penilaian kerja perlu dilakukan untuk meningkatkan pemenuhan hak-hak pasien oleh perawat pelaksana. AbstractThis research was a descriptive research using a cross sectional design to describe the relationship between nurse’s characteristics and knowledge concerning legal aspect of nursing practice and the gratification of patient’s rights. 106 respondents were taken from the total nurse population in a hospital in Jakarta. Analysis of variables relationship was conducted using the coefficient test of Pearson correlation and t-test. The result indicated that the accomplishment of patient’s rights was good; majority of nurse providers were at productive age; had nursing diploma background, woman, and the mean of the job period was 7,35 years; the knowledge of nurse providers about the legal aspects of nursing practice were still low. This research concluded that there was no relationship between the nurse’s characteristics and the knowledge of the nurse concerning legal aspects of nursing practice and the accomplishment of patient’s rights. Training about patient’s rights, and improvement of the performance evaluation system can be conducted to improve accomplishment of patient’s rights of nurse providers.
Peningkatan Generativitas Melalui Terapi Kelompok Pada Perempuan Paruh Baya
Authors: Hapsah Hapsah , Hamid Achir Yani S. , Susanti Herni
Published: May 2019

AbstrakPerempuan paruh baya mengalami banyak perubahan psikososial yang dapat mempengaruhi perkembangannya sehingga diperlukan upaya promotif untuk meningkatkan derajat kesehatannya. Penelitian quasi experimental dengan pendekatan prepost test with control group ini ditujukan untuk mengidentifikasi pengaruh terapi kelompok terapeutik (TKT) terhadap perkembangan generativitas perempuan paruh baya di Kabupaten Pinrang. Hasil penelitian terhadap 34 orang kelompok intervensi dan 36 orang kelompok kontrol (melalui purposive sampling) menunjukkan peningkatan generativitas secara bermakna (p= 0,000, α= 0,05) pada kelompok intervensi dan peningkatan secara tidak bermakna pada kelompok kontrol (p= 0,410, α= 0,05) sebelum dan sesudah dilakukan TKT. Terapi kelompok terapeutik ini direkomendasikan untuk dikembangkan sebagai bentuk pelayanan kesehatan jiwa bagi perempuan paruh baya. AbstractMiddle age women generally experience many phsycosocial changes that can influence their developments, hence they need promoted actions to improve their health quality. This experimental quasi research using pre-post test with control group aims to identify an influence of therapeutic group therapy on the generativity development of middle age women in Pinrang Regency. The results showed that generativity development are significantly higher (p= 0,000, α= 0,05) on treated group (n=34) compared to control group (n=36) which did not show significant improvement (p= 0,410, α= 0,05) before and after intervention. This therapeutic group treatment was recommended to be developed as one way to promote mental health for middle age women.
Penurunan Respon Nyeri Akut pada Bayi Prematur yang Dilakukan Prosedur Invasif Melalui Developmental Care
Authors: Herliana Lia , Wanda Dessie , Hastono Sutanto Priyo
Published: May 2019

AbstrakNyeri merupakan stimulus yang dapat merusak perkembangan otak bayi prematur. Developmental care merupakan salahsatu strategi untuk mengurangi respon nyeri akibat prosedur invasif. Penelitian ini bertujuan untuk mengetahui pengaruhdevelopmental care terhadap respons nyeri akut pada bayi prematur yang dilakukan prosedur invasif. Penelitian menggunakanrancangan quasi experimental non equivalent control group, before and after design, dengan jumlah sampel 42bayi prematur terdiri dari 21 responden sebagai kelompok kontrol dan 21 sebagai kelompok intervensi yang dipilih denganteknik sampling accidental sampling. Pada penelitian ini didapatkan hasil ada perbedaan selisih skor respons nyeri akutantara kelompok yang diberikan developmental care dan kelompok kontrol (p= 0,000; α= 0,05), developmental caremenurunkan skor nyeri sebesar 2,05 poin. Developmental care perlu diterapkan dalam memberikan asuhan keperawatan padabayi prematur. Penelitian lanjutan tentang pengaruh developmental care terhadap perkembangan bayi prematur pada dariaspek kognitif, bahasa, dan motorik perlu dilakukan.Kata kunci: bayi prematur, developmental care, respons nyeri akutAbstractPain is a stimulus that can damage the developing brains of premature babies. Developmental care is one strategyin reduce pain caused by invasive procedure. The objective of this research was to determine the effects of developmentalcare on acute pain response in premature babies who had been performed invasive procedure. This study used quasiexperimentresearch design non equivalen control group, before and after design, involving 42 sample consisted of 21premature babies in both control and intervention groups, technical sampling used accidental sampling. This studyfounded that there was a significant difference in change score of acute pain response between on intervention andcontrol groups (p= 0.000; α= 0.05), developmental care decreased 2,05 point of pain scores). Developmental care wasrecommended to be applied in nursing care for premature babies. Further research on effect developmental care ondevelopment of premature babies influence cognitive, languanges, and motor skills aspects need to be designed .Keywords: premature babies , developmental care, acute pain response
Peningkatan Suhu Bayi Prematur Melalui Terapi Sentuhan
Authors: Hikmah Ema , Rustina Yeni , Pujasari Hening
Published: May 2019

mengidentifikasi pengaruh terapi sentuhan terhadap suhu dan nadi bayi prematur di ruang perinatologi RS X Tangerang. Desain penelitian menggunakan kuasi eksperimen dengan pre dan post test. Teknik pengambilan sampel dengan cara consecutive sampling. Responden berjumlah 30 bayi prematur, dengan 15 bayi pada kelompok intervensi dan 15 bayi pada kelompok kontrol. Pengujian rata-rata suhu dan nadi pada kelompok kontrol dan kelompok intervensi menggunakan uji t-test. Hasil penelitian menunjukkan peningkatan rata-rata suhu bayi prematur secara signifikan pada kelompok intervensi (p= 0,000, α= 0,05). Kesimpulannya, terapi sentuhan dapat meningkatkan suhu bayi prematur. Disarankan agar terapi sentuhan dapat diterapkan dalam asuhan keperawatan pada bayi prematur.
Peningkatan Kemampuan Asertif dan Penurunan Persepsi Melalui Assertive Training Therapy pada Suami dengan Risiko KDRT
Authors: Wardani Nuniek Setyo , Keliat Budi Anna , Nuraini Tuti
Published: May 2019

Peningkatan masalah dalam rumah tangga dengan kurangnya pemecahan masalah yang baik memicu terjadinya kekerasandalam rumah tangga, baik pada usia pernikahan muda maupun tua. Tujuan penelitian ini melihat pengaruh assertive trainingtherapy (ATT) terhadap kemampuan asertif dan persepsi istri terhadap risiko kekerasan dalam rumah tangga suami. Desainpenelitian Quasi Experimental Pre-Post Test With Control Group, dengan sampel 60 orang istri dengan resiko kekerasan dalamrumah tangga. Hasil menunjukkan ATT berpengaruh meningkatkan kemampuan asertif istri sebesar 86,9% dan persepsi istriterhadap risiko kekerasan menurun 71,3%. Istri yang diberi ATT mempunyai kemampuan asertif meningkat secara bermaknadan persepsi istri terhadap risiko kekerasan dalam rumah tangga suami lebih rendah dibandingkan yang tidak diberikan ATT.Assertive Training Therapy direkomendasikan untuk istri dengan resiko kekerasan dalam rumah tangga.
Kemampuan Perawatan Diri Anak Tuna Grahita Berdasarkan Faktor Eksternal dan Internal Anak
Authors: Ramawati Dian , Allenidekania Allenidekania , Besral Besral
Published: May 2019

Kemampuan perawatan diri anak tuna grahita, kemampuan perawatan diri dapat dipengaruhi oleh beberapa faktor, baik faktoreksternal (karakteristik orangtua dan lingkungan) maupun faktor internal (karakteristik anak). Penelitian ini bertujuan untukmengetahui faktor-faktor yang berhubungan dengan kemampuan perawatan diri anak tuna grahita. Rancangan penelitian crosssectional dengan sampel adalah 65 orangtua anak tuna grahita di Sekolah Luar Biasa (SLB). Analisis data menggunakan ujiChi-Square dan regresi logistik ganda menunjukkan kemampuan perawatan diri pada anak tuna grahita masih rendah.Terdapathubungan bermakna antara pendidikan orang tua, umur, dan kekuatan motorik pada anak tuna grahita dengan kemampuanperawatan diri (p < 0,005). Faktor paling dominan yang mempunyai hubungan adalah faktor kekuatan motorik anak tunagrahita dengan OR= 4,77.
Pengalaman Mantan Penggunadalam Penyalahgunaan Napza Suntik
Authors: Santoso Budi , Sahar Junaiti , Wiarsih Wiwin
Published: May 2019

Kasus penyalahgunaan NAPZA khususnya NAPZA suntik mengalami peningkatan. Kecenderungan peningkatan tersebuttercermin dalam peningkatan kasus NAPZA suntik di Kota Palembang. Penelitian ini bertujuan untuk mendeskripsikan artidan makna pengalaman mantan pengguna dalam penyalahgunaan NAPZA suntik di Kota Palembang. Desain penelitian yangdigunakan yaitu fenomenologi deskriptif dengan teknik pengambilan sampel purposive sampling. Wawancara mendalamdigunakan dalam pengumpulan data. Hasil wawancara direkam menggunakan tape recorder, data diolah dalam bentuk transkripverbatim dan dianalisis menggunakan metode Colaizzi. Penelitian menghasilkan sembilan tema sesuai tujuan khusus yaitu:alasan menggunakan NAPZA suntik diklasifikasikan menjadi alas an pertama kali dan alasan tetap menggunakan; respon yangtimbul setelah menggunakan NAPZA suntik yaitu respon personal dan respon orangtua; persepsi terkait efek samping danbahaya yaitu mempunyai nilai lebih dan mempunyai dampak buruk; makna menggunakan NAPZA suntik yaitu makna selamamenggunakan dan makna setelah sembuh; dan harapan terhadap dukungan pihak terkait yaitu dukungan pihak kepolisian,petugas kesehatan dan pemerintah daerah. Penelitian ini menyimpulkan bahwa penyalahgunaan NAPZA suntik merupakankebiasaan yang harus segera dicegah dan ditanggulangi sedini mungkin. Perawat spesialis komunitas sebagai salah satu tenagaprofesional dibidang kesehatan mempunyai peran dalam upaya pencegahan penyalahgunaan NAPZA yaitu upaya primer,sekunder dan tertier.
Pengalaman Seksualitas Perempuan Selama Masa Kehamilan
Authors: Budiarti Astrida , Afiyanti Yati , Asih Imalia Dewi
Published: May 2019

AbstrakSeksualitas merupakan keinginan menjalin relasi, kemesraan, dan cinta. Penelitian ini bertujuan mengungkap fenomenapengalaman seksualitas perempuan selama masa kehamilan. Pendekatan kualitatif dengan desain fenomenologi deskriptif sesuaifilosofi Hussler digunakan dalam penelitian ini. Data dikumpulkan dengan metode wawancara semi terstruktur dan dianalisisdengan menggunakan tehnik analisis data Colaizzi. Delapan ibu post partum berpartisipasi dalam penelitian ini. Hasil penelitianadalah diidentifikasinya empat klaster tema, yaitu ekspresi kasih sayang selama masa kehamilan, coital activity selama masakehamilan, pelayanan keperawatan seksualitas selama masa kehamilan, dan harapan terhadap petugas kesehatan.Direkomendasikan bagi perawat untuk proaktif melakukan pengkajian dan memberikan asuhan keperawatan yang berhubungandengan aspek seksualitas selama masa kehamilan. Bagi institusi pendidikan direkomendasikan untuk mengembangkan kurikulummata ajar keperawatan maternitas terkait konseling seksualitas pada level magister keperawatan maternitas.Kata kunci: kehamilan, perempuan, seksualitasAbstractSexuality is the desire to build relationships, intimacy, and love. This study aimed to reveal the phenomenon of women’sexperience of sexuality during pregnancy. This study was a qualitative approach with descriptive phenomenology accordingto Hussler philosophy employing semi-structured interview. Data was analyzed using Colaizzi method. Eight postpartummothers participated in this study. The result identified four groups of themes, namely expressions of love during pregnancy,coital activity during pregnancy, nursing sexuality services during pregnancy, and women’s expectation of health workers. Itis recommended that nurses are to proactively review and provide nursing care related to aspects of sexuality during pregnancy.Educational institutions are suggested to develop curriculum-related teaching maternity nursing sexuality counselling inmaternity nursing master degree.Keywords: pregnancy, sexuality, women
Pengetahuan Klien Tentang Diabetes Melitus Tipe 2 Berpengaruh Terhadap Kemampuan Klien Merawat Kaki
Authors: Diani Noor , Waluyo Agung , Sukmarini Lestari
Published: May 2019

Upaya pencegahan primer pada pengelolaan kaki diabetik bertujuan untuk mencegah luka kaki secara dini. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan praktik perawatan kaki pada klien diabetes melitus tipe 2 di Kalimantan Selatan. Penelitian ini merupakan deskriptif korelasi dengan desain cross sectional dan jumlah sampel sebanyak 106 orang. Hasil analisis Chi Square menunjukkan adanya hubungan yang bermakna antara pengetahuan dengan praktik perawatan kaki pada klien diabetes melitus tipe 2 (p= 0,04; α= 0,05). Faktor pengetahuan memiliki peluang 2,38 kali untuk melakukan praktik perawatan kaki. Perlu dikembangkan pendidikan kesehatan tentang perawatan kaki dan pemeriksaan kaki.
Reflection on Mental Health System and Quality Assurance: Considering the Relevance of the Australian Experience for Indonesia
Authors: Frazer Neil
Published: May 2019

Pelayanan kesehatan jiwa di Australia telah berkembang menjadi pelayanan yang berorientasi pada komunitas dan sensitive terhadap kebutuhan dan hak klien dengan gangguan jiwa. Perkembangan ini mempunyai implikasi pada system kesehatan jiwa komunitas., kebijakan tentang kesehatan jiwa, legalisasi, pelayanan kesehatan jiwa, pelayanan pembauran, begitu pula implikasi terhadap praktek keperawatan. Perubahan dalam pelayanan kesehatan jiwa menuntut perawat untuk memiliki pengetahuan yang teoritis yang lebih baik dan kemampuan untuk melakukan praktek keperawatan secara professional.Di Indonesia, kajian yang ekstensif tentang kebutuhan masyarakat dengan masalah kesehatan jiwa, sumber yang tersedia untuk memenuhi kebutuhan tersebut, serta keyakinan, nilai dan sikap tenaga professional kesehatan jiwa tentang ilmu kedokteran dan perilaku dari negara barat yang mempengaruhi pelayanan kesehatan jiwa, sangat diperlukan untuk pengembangan system kesehatan jiwa yang lebih efektif dan efesien. The mental health services in Australia have been developed to be more community based services and sensitive to the needs and rights of the mentally ill. This development has implications for mental health system and the community, mental health policy, legislation, mental health services, mainstreaming services as well as implications for nursing practice. The change in mental health services required the nurse to have the better theoretical knowledge and competence to practice professionally. In Indonesia, the extensive study on the needs of the people with mental health problem and the existing resource to meet those needs, as well as the current beliefs, values and attitudes held by mental health professionals towards the Western medical and behavioral science influence on mental health services is an important process in developing more efficient and effective mental health system.
Tinjauan Kasus : Klien Menarik Diri
Authors: CD Novy Helena , Mustikasari Mustikasari , P Ria Utami
Published: May 2019

Menarik diri adalah suatu pola tingkah laku menghindari kontak dengan orang, situasi atau lingkungan yang penuh dengan stress yang dapat menyebabkan kecemasan fisik dan psikologis. Individu yang menarik diri cenderung untuk menghindari hubungan interpersonal dan dalam menghadapi realitas. Dampak dari perilaku menarik diri adalah gangguan perawatan diri, gangguan penampilan dii dan potensial terjadinya halusinasi bahkan keinginan untuk bunuh diri. Mengingat dampak tersebut maka diperlukan asuhan keperawatan yang komprehensif dan intensif khususnya untuk menarik diri. Withdrawal is a pattern of behavior to avoid contact with others, stressful situation and environment which can cause the physical and psychological distress. The individual who withdrawal tends to avoid interpersonal relationship, and face the reality. The withdrawal behavior can lead to problems related to self care and personal appearance and potential hallucination even attempted suicide. Considering the impact of withdrawal behaviors on individual, comprehensive and intensive nursing care specifically planned for client with withdrawal are acquired.
Aspek Psikososial Pasien dengan Stoma : Gambaran Umum
Authors: Keliat Budi Anna
Published: May 2019

Perubahan struktur tubuh pada klien yang mempunyai stoma akan mempengaruhi semua spek kehidupannya baik secara individu maupun supra sistemnya. Perawat bersama klien, keluarga, sistem pendukung dan anggota tim kesehatan secara terintegrasi dapat membuat strategi sehingga stoma bukan menjadi masalah kesehatan yang mengerikan, tetapi menjadi masalah yang dapat dihadapi. Melalui upaya keperawatan yang optimal, diharapkan klien dengan stoma dapat menikmati kehidupannya dengan sejahtera dan tetap produktif. The change of client’s structure with stoma will affect all aspects of individual’s life and supra system. Nurse, client, family, support system and other health professions, working collaboratively to make a stoma not as a treating thing but as a solvable problem. With the optimal nursing intervention, client with stoma can still has a high quality of life and enjoy his live prosperously and productively.
Penggunaan Singkatan dalam Penulisan Ilmiah
Authors: Novieastari Enie
Published: May 2019

Singkatan dari suatu istilah dalam tulisan ilmiah seringkali digunakan oleh penulis. Untuk memaksimalkan kejelasan naskah dan pengertian bacaan, penulis perlu memperhatikan beberapa hal yang dapat dijadikan pedoman dalam penggunaan singkatan menurut “American Psychological Association (APA)” yang banyak dipaki sebagai penuntun dalam penulisan ilmiah.The writers sometimes use abbreviations in their paper. In order to maximize the comprehensiveness of the paper, there are some guidance based on the American Psychological Association (APA), which could be used.
HUBUNGAN ANTARA WAKTU MEMBERSIHKAN RUNGAN DENGAN PENINGKATAN JUMLAH MIKROORGANISME MELALUI ALIRAN UDARA
Authors: Handiyani Hanny
Published: May 2019

Penelitian ini bertujuan untuk membuktikan adanya hubungan antara waktu membersihkan ruangan dengan peningkatan jumlah mikroorganisme melalui aliran udara. Metoda yang digunakn adalah deskriptif eksploratif yang diambil secara cross sectional. Studi dilakukan di dua ruang rawat yaitu ruangan yang menggunakan sistem terbuka da tertutup. Hasil studi menunjukkan adanya peningkatan jumlah mikroorganisme yang berarti pada ruang rawat yang menggunkan sistem tertutup dengan semakin lamanya rentang waktu sejak ruangan dibersihkan sampai saat diperiksa. Penelitian ini sangat merekomendasikan untuk mengatur jadwal kegiatan perawatan di ruang rawat agar dilakukan minimal setelah 15 menit ruangan dibersihkan dan ruangan dibersihkan kembali setelah 4 jam kemudian. The purpose of this study is to prove correlation between the time of ward cleaning and the increasing the number of microorganism through air steam. The methodology used descriptive explorative with cross sectional. This study was used two wards, the ward uses open system and the other uses closes system. The result revered that there is significant increasing number of microorganism on the close system word. This study recommended to regulate the word activity schedule at least 15 minutes after cleaning and the ward should be re-clean next 4 hour.
PENGATURAN CAIRAN SECARA MANDIRI PADA KLIEN YANG MENJALANI HEMODIALISIS
Authors: Malawat Krisna Yetti
Published: May 2019

Salah satu stressor yang dialamni oleh klien End Stage Renal Disease (ESRD) sebagai akibat tidak berfungsinya ginjal adalah masalah kelebihan cairan. Pengaturan pemasukan cairan akan mengurangi penambahan cairan di dalam pembluh daah antara dua waktu hemodialisis (HD). Merujuk pada teori Orem tentang Self Care, diyakini bahwa klien mempunyai kemampuan untuk mengatur pemasukan cairan secara mandiri. Berdasarkan teori ini dikembangkan suatu program untuk mengendalikan cairan untuk menolong klien HD yang mengalami kelebihan cairan di suatu rumah sakit umum di Jakarta pada tahun. Dari 24 klien HD yang berhasil menyelesaikan program ini 2 orang (8%) berada pada grafik baik, 15 orang (63%) berada pada grafik rata-rata, dan 7 orang (29%) berada pada grafik bahaya. Fluid overload is one of the stressors experienced by End Stage Renal Disease clients. The management of fluid intake will minimize the amount of fluid in blood vessel inter-dialysis time. Refer to Orem theory of self care; it is believed that hemodialysis (HD) clients have the ability to regulate the fluid intake. Based on theory; it was developed a program for helping HD clients to reduce their fluid overload in a public hospital in Jakarta. Twenty-four HD clients have completed the program successfully, who were 8% in good graphic, 63% in average graphic, and 29% in dangerous graphic.
Suitability analysis of new air quality monitoring stations in Krakow as related to assessment of spatial and temporal variability of PM10 concentrations
Authors: Gorzelnik Tomasz , Oleniacz Robert
Published: May 2019

The exceedance of air quality standards in urban agglomerations leads local communities to take actions that aim to improve aerosanitary conditions. For these actions to be efficient, it is essential to regularly collect accurate quantitative data that is able to characterize the degree of ambient air pollution. In order to achieve this objective, air quality monitoring systems are constantly being extended.In this paper, the usefulness of newly established air quality measuring stations in Krakow was examined. The assessment was carried out using statistical me-thods on the basis of the spatial and temporal variability of particulate matter (PM10) air concentrations over the period of 2016–2017. In the analysis, meteorological data (wind directions) were applied. The main part of this assessment was a pairwise comparison of the PM10 concentrations measured at particular stations. The differences between the average values and the Pearson correlation coefficient were considered. In order to verify the statistical significance of the obtained results, the t-Student test was conducted. The greatest absolute differences between the measured values occurred during the autumn-winter period (heating season). Notwithstanding the foregoing, a high variability was also observed among the traffic stations.
Analysis of YouTube as a Source of Information for Diabetic Foot Care
Authors: Smith Peter E. , McGuire James , Falci Michael , Poudel Dilli Ram , Kaufman Richard , Patterson Mary Ann , Pelleschi Benjamin , Shin Esther
Published: May 2019

Background:

Increasing amounts of diabetes-focused content is being posted to YouTube with little regulation as to the quality of the content. Diabetic education has been shown to reduce the risk of ulceration and amputation. YouTube is a frequently visited site for instructional and demonstrational videos posted by individuals, advertisers, companies, and health-care organizations. We sought to evaluate the usefulness of diabetic foot care video information on YouTube.

Methods:

YouTube was queried using the keyword phrase diabetic foot care. Original videos in English, with audio, less than 10 min long within the first 100 video results were evaluated. Two reviewers classified each video as useful or nonuseful/misleading. A 14-point usefulness criteria checklist was used to further categorize videos as most useful, somewhat useful, or nonuseful/misleading. Video sources were categorized by user type, and additional video metrics were collected.

Results:

Of 87 included videos, 56 (64.4%), were classified as useful and 31 (35.6%) as nonuseful/misleading. A significant difference in the mean length of useful videos vs nonuseful/misleading videos was observed (3.33 versus 1.73 min; P < .0001). There was no significant difference in terms of popularity metrics (likes, views, subscriptions, etc) between useful and nonuseful/misleading videos.

Conclusions:

This study demonstrates that although most diabetic foot care videos on YouTube are useful, many are still nonuseful/misleading. More concerning is the lack of difference in popularity between useful and nonuseful videos. Podiatric physicians should alert patients to possibly misleading information and offer a curated list of videos.
Ciprofloxacin-Induced Bullae of the Lower Extremity: A Case of a Fixed Drug Reaction
Authors: Mollica Anthony J. , Mollica Albert J. , Grant Elaine , Malik Ali , Claydon Marc
Published: May 2019

Cutaneous adverse drug reactions make up 1% to 2% of all adverse drug reactions. From these adverse cutaneous drug reactions, 16% to 21% can be categorized as fixed drug reactions (FDR). Fixed drug reactions may show diverse morphology including but not limited to the following: dermatitis, Stevens-Johnson syndrome, urticaria, morbilliform exanthema, hypersensitivity syndrome, pigmentary changes, acute generalized exanthematous pustulosis, photosensitivity, and vasculitis. An FDR will occur at the same site because of repeated exposure to the offending agent, causing a corresponding immune reaction. There are many drugs that can cause an FDR, such as analgesics, antibiotics, muscle relaxants, and anticonvulsants. The antibiotic ciprofloxacin has been shown to be a cause of cutaneous adverse drug reactions; however, the fixed drug reaction bullous variant is rare. This case study was published to demonstrate a rare adverse side effect to a commonly used antibiotic in podiatric medicine.
An order-to-disorder structural switch activates the FoxM1 transcription factor
Authors: Marceau Aimee H , Brison Caileen M , Nerli Santrupti , Arsenault Heather E , McShan Andrew C , Chen Eefei , Lee Hsiau-Wei , Benanti Jennifer A , Sgourakis Nikolaos G , Rubin Seth M
Published: May 2019

Intrinsically disordered transcription factor transactivation domains (TADs) function through structural plasticity, adopting ordered conformations when bound to transcriptional co-regulators. Many transcription factors contain a negative regulatory domain (NRD) that suppresses recruitment of transcriptional machinery through autoregulation of the TAD. We report the solution structure of an autoinhibited NRD-TAD complex within FoxM1, a critical activator of mitotic gene expression. We observe that while both the FoxM1 NRD and TAD are primarily intrinsically disordered domains, they associate and adopt a structured conformation. We identify how Plk1 and Cdk kinases cooperate to phosphorylate FoxM1, which releases the TAD into a disordered conformation that then associates with the TAZ2 or KIX domains of the transcriptional co-activator CBP. Our results support a mechanism of FoxM1 regulation in which the TAD undergoes switching between disordered and different ordered structures.
Getting to the heart of cardiovascular evolution in humans
Authors: Pollen Alex , Pavlovic Bryan J
Published: May 2019

Differences in the response of cardiomyocytes to oxygen deprivation in humans and chimpanzees may explain why humans are more prone to certain heart diseases.
Hierarchical generalized additive models in ecology: an introduction with mgcv
Authors: Pedersen Eric J. , Miller David L. , Simpson Gavin L. , Ross Noam
Published: May 2019

In this paper, we discuss an extension to two popular approaches to modeling complex structures in ecological data: the generalized additive model (GAM) and the hierarchical model (HGLM). The hierarchical GAM (HGAM), allows modeling of nonlinear functional relationships between covariates and outcomes where the shape of the function itself varies between different grouping levels. We describe the theoretical connection between HGAMs, HGLMs, and GAMs, explain how to model different assumptions about the degree of intergroup variability in functional response, and show how HGAMs can be readily fitted using existing GAM software, themgcvpackage in R. We also discuss computational and statistical issues with fitting these models, and demonstrate how to fit HGAMs on example data. All code and data used to generate this paper are available at:github.com/eric-pedersen/mixed-effect-gams.
The biogeography ofElaphe sauromates(Pallas, 1814), with a description of a new rat snake species
Authors: Jablonski Daniel , Kukushkin Oleg V. , Avcı Aziz , Bunyatova Sabina , Kumlutaş Yusuf , Ilgaz Çetin , Polyakova Ekaterina , Shiryaev Konstantin , Tuniyev Boris , Jandzik David
Published: May 2019

Background

The rat snake genusElapheonce comprised several dozens of species distributed in temperate through tropical zones of the New and Old World. Based on molecular-genetic analyses in early 2000s, the genus was split into several separate genera, leaving only 15 Palearctic and Oriental species as its members. One of the three species also occurring in Europe isElaphe sauromates, a robust snake from the Balkans, Anatolia, Caucasus, Ponto-Caspian steppes, and Levant that has been suspected to be composed of two or more genetically diverse populations. Here, we studied the genetic structure and morphological variation ofE. sauromates, aiming to better understand its inter-population relationships and biogeography, and subsequently revise its taxonomy.

Methods

We reconstructed the phylogeography and analyzed the genetic structure ofE. sauromatespopulations originating from most of its geographic range using both mitochondrial (COI,ND4) and nuclear (C-MOS,MC1R,PRLR,RAG1) DNA gene fragments. We employed Maximum likelihood and Bayesian inference methods for the phylogenetic tree reconstructions, supplemented with species delimitation methods, analysis of haplotype networks, and calculation of uncorrectedp-distances. Morphological variation in 15 metric and 18 meristic characters was studied using parametric univariate tests as well as multivariate general linearized models. In total, we analyzed sequences originating from 63 specimens and morphological data from 95 specimens ofE. sauromatessensu lato.

Results

The molecular phylogeny identified two clearly divergent sister lineages withinE. sauromates, with both forming a lineage sister toE. quatuorlineata. The genetic distance between them (5.80–8.24% in mtDNA) is similar to the distances among several other species of the genusElaphe. Both lineages are also moderately morphologically differentiated and, while none of the characters are exclusively diagnostic, their combination can be used for confident lineage identification. Here, following the criteria of genetic and evolutionary species concepts, we describe the lineage from eastern Anatolia and parts of the Lesser and Great Caucasus as a new speciesE. urarticasp. nov.

Discussion

Elaphe urarticasp. nov. represents a cryptic species whose ancestors presumably diverged from their common ancestor withE. sauromatesaround the Miocene-Pliocene boundary. The intraspecific genetic structure indicates that the recent diversity of both species has been predominantly shaped by Pleistocene climatic oscillations, with glacial refugia mainly located in the Balkans, Crimea, and/or Anatolia inE. sauromatesand Anatolia and/or the Caucasus inE. urarticasp. nov.
On the presence of Dipturus nidarosiensis (Storm, 1881) in the Central Mediterranean area
Authors: Carbonara Pierluigi , Cannas Rita , Donnaloia Marilena , Melis Riccardo , Porcu Cristina , Spedicato Maria Teresa , Zupa Walter , Follesa Maria Cristina
Published: May 2019

The Norwegian skate Dipturus nidarosiensis (Storm, 1881) has only recently been recorded in the western Mediterranean Sea along the coast of southern Sardinia, off Algeria and the Alboran Sea. The present study confirmed the presence of the species in the Central Mediterranean Sea by identifying morphometric, morphological features and molecular markers. Biological sampling was conducted from 2010 to 2016 on eight specimens collected through commercial landings, offshore observer programmes and scientific surveys in Adriatic and Ionian waters at depths between 320 and 720 m. The total lengths of the specimens (juveniles and adults) ranged from 268 to 1,422 mm, and their body weights ranged from 44.5 to 12,540.0 g. They showed morphometric features that corresponded to those of Norwegian skates in the Northeast Atlantic and the Western Mediterranean. In previous analyses, molecular data were obtained by mitochondrial COI sequences. The haplotype network showed the occurrence of a common haplotype (Hap_1) shared by the individuals from areas in the North Atlantic, Sardinian, Algerian and Spanish Mediterranean Sea areas but not South Africa. The occurrence of individuals in different stages of life (i.e., juveniles, sub-adults and adults) and sexual development (immature and mature) suggested the presence of a species with a permanent reproductive allocation in the deep waters of the Mediterranean, which was exposed to a low level of fishing exploitation. Indeed, the deep depth distribution of the species could be the reason for the absence of information about this species in onshore or offshore fishery data collection programmes and scientific surveys.
Identify CRNDE and LINC00152 as the key lncRNAs in age-related degeneration of articular cartilage through comprehensive and integrative analysis
Authors: Hu Pengfei , Sun Fangfang , Ran Jisheng , Wu Lidong
Published: May 2019

Background

Osteoarthritis (OA) is one of the most important age-related degenerative diseases, and the leading cause of disability and chronic pain in the aging population. Recent studies have identified several lncRNA-associated functions involved in the development of OA. Because age is a key risk factor for OA, we investigated the differential expression of age-related lncRNAs in each stage of OA.

Methods

Two gene expression profiles were downloaded from the GEO database and differentially expressed genes (DEGs) were identified across each of the different developmental stages of OA. Next, gene ontology (GO) functional and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses were performed to annotate the function of the DEGs. Finally, a lncRNA-targeted DEG network was used to identify hub-lncRNAs.

Results

A total of 174 age-related DEGs were identified. GO analyses confirmed that age-related degradation was strongly associated with cell adhesion, endodermal cell differentiation and collagen fibril organization. Significantly enriched KEGG pathways associated with these DEGs included the PI3K–Akt signaling pathway, focal adhesion, and ECM–receptor interaction. Further analyses via a protein–protein interaction (PPI) network identified two hub lncRNAs, CRNDE and LINC00152, involved in the process of age-related degeneration of articular cartilage. Our findings suggest that lncRNAs may play active roles in the development of OA. Investigation of the gene expression profiles in different development stages may supply a new target for OA treatment.