bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH GAYA KEPEMIMPINAN KEPALA SEKOLAH DAN KOMUNIKASI INTERPERSONAL TERHADAP MOTIVASI MENGAJAR GURU DI SEKOLAH DASAR NEGERI KABUPATEN NIAS
Authors: Batee Odaligo
Published: January 2020

The purpose of this study was to analyze the influence of the principal leadership style and interpersonal communication on teacher's motivation at State Elementary School in Kabupaten Nias. This study is a quantitative research using regression analysis, with 70 primary school teachers as respondents. The results showed that the simultant effect of leadership style and interpersonal communication onteacher motivation is 30% (p = 0,000). The partial analysis indicated that the leadership style of principals has a positive and significant effect on teacher motivation, with a beta value of 0,126. (p = 0,15); interpersonal communication has a positive and significant effect on teachers' motivation with a beta value of 0,56 (p = 0,02). The implication of this finding is that it is essential for the principal to adopt a conducive leadership style and personal communication, in order to produce optimal performance of the teachers that he/she leads. 

 

Tujuan penelitian ini adalah untuk menganalisis pengaruh pengaruh gaya kepemimpinan kepala sekolah dan komunikasi interpersonal terhadap motivasi mengajar guru Pegawai Negeri di Sekolah Dasar Negeri Se-Kabupaten Nias dengan menggunakan analisis regresi, dengan responden sebanyak 70 guru sekolah dasar.Hasil penelitian menunjukkan bahwa secara simultan terdapat pengaruh anatara gaya kepemimpinan dan komunikasi interpersonal terhadap motivasi mengajar guru sebesar 30% (p = 0,000). Secara partial,gaya kepemimpinan kepala sekolah berpengaruh positif dan signifikan terhadap motivasi mengajar guru dengan nilai beta 0,126. (p = 0,15),komunikasi interpersonal berpengaruh positif dan signifikan terhadap motivasi mengajar guru dengan nilai beta 0,56 ( p = 0,02). Implikasi temuan ini adalah penting sekali bagi kepala sekolah untuk menerapkan gaya kepemimpinan dan komunikasi personal yang kondusif, untuk dapat menghasilkan kinerja optimal pada staf guru yang dipimpinnya.
STUDI DESKRIPTIF MINAT BACA ANAK DI RUMAH BACA INDONESIA (RBI) DI WILAYAH PADANG, SURABAYA DAN MAKASSAR
Authors: Arifa Arifa
Published: January 2020

This research aims to analyze the reading interest of children and the factors that influence it. This research was conducted in three different regions, at Padang, Surabaya, and Makassar. Therespondents are children using RBI services. RBI is a free library-building movement in rural areas to provide reading access for children. The location of  RBI is usually  far from the economic center. The data collection employs questionnaire to 98 RBI visitors, 17 parents, and 8 RBI administrators from the three regions. The result shows that although living in economic limitation, the children have a high interest in reading, influenced by factors including: parent support, type, variety and number of books, the short distance to location of the reading house, and the attitude of the site coordinator in providing services to children. Based on the results, RBI needs to maintain and increase reading interest of children by providing activities, such as science olympics program, and periodically collect responses from children to improve their reading interest.

Penelitian ini bertujuan untuk menganalisis minat baca anak dan faktor-faktor yang memengaruhinya. Penelitian dilakukan di tiga lokasi yaitu di Padang, Surabaya, dan Makassar. Responden penelitian adalah anak-anak yang menggunakan layanan Rumah Baca Indonesia,  fasilitas membaca yang disediakan oleh gerakan membangun perpustakaan gratis di wilayah pedesaan untuk menyediakan akses membaca bagi anak-anak. Lokasi yang dijangkau oleh RBI seringkali jauh dari pusat ekonomi. Pengumpulan data dilakukan dengan memberikan kuesioner kepada para responden penelitian yang terdiri dari: 98 anak pengunjung RBI, 17 orang tua dan 8 pengurus RBI di tiga wilayah Indonseia. Hasil penelitian menunjukkan bahwa meskipun dalam kondisi  terbatas dan berkekurangan, anak-anak memiliki minat baca yang   tinggi. Minat baca yang tinggi tersebut dipengaruhi oleh beberapa faktor di antaranya: dukungan orang tua, jenis, ragam dan jumlah buku yang tersedia, lokasi  rumah baca yang tidak jauh dari tempat tinggal dan sikap pengelola RBI dalam memberikan layanan kepada anak. Berdasarkan hasil penelitian, RBI perlu memelihara dan meningkatkan minat baca anak dengan melakukan kegiatan tertentu, misalnya program olimpiade sains dan secara berkala mengumpulkan informasi tanggapan dan masukan dari anak untuk meningkatkan minat baca anak.
PENERAPAN PENDEKATAN CREATIVE PROBLEM SOLVING (CPS) PADA KONSEP GAYA UNTUK MENINGKATKAN HASIL BELAJAR SISWA
Authors: Puspitasari Neng Widiya
Published: January 2020

The purposes of the research are: 1. Describing the application of creative problem solving (CPS) approach on “gaya” concept study 2. Describing the improvement of students’ learning result on through the use of student worksheet (LKS) as well as the problem solving through brainstorming by divergent and convergent thinking process. This research is a classroom action research (CAR) with two cycles. The previous research result, before applying this approach was only 12,25% (5 students) who passed the minimum competence criteria. After researcher applying CPS approach in science study on konsep gaya, in the first cycle the number of students who passed competence increase to 52,50% (21 students). It shows that there is an improvement from the earlier data. It increases 40,25. In the second cycle the number of students who passed the competence increase to 77,30% (31 students). It means that the improvement of the percentage is 47,25. Based on the data above, it can be concluded that the application of CPS approach can effectively improve students’ achievement in SDN Kalibuntu.

 

Tujuan penelitian ini adalah (1) Mendeskripsikan penerapan pendekatan Creative problem solving (CPS) pada pembelajaran konsep Gaya dikelas IV dengan jumlah 40 orang siswapada prembelajaran IPA di SDN Kalibuntu Kecamatan Baros Kabupaten Serang. (2) Mendeskripsikan peningkatan hasil belajar siswa pada konsep Gaya melalui penggunaan Lembar Kerja Siswa (LKS) serta pemecahan masalah melalui brainstorming (urun pendapat) melalui proses berpikir divergen dan konvergen. Penelitian ini merupakan penelitian tindakan kelas (PTK) yang di dalamnya terdapat dua siklus. Hasil penelitian menunjukkan sebelum menerapkan pembelajaran reflektif atau data awal siswa yang tuntas hanya 12,25% (5 orang). Setelah diterapkannya pendekatan creative problem solving (CPS) dalam pembelajaran IPA pada konsep gaya, pada siklus pertama siswa yang tuntas sebesar 52,50% (21 orang), sehingga ada peningkatan dari data awal dengan presentase sebesar 40,25%. Pada siklus kedua jumlah siswa yang tuntas dengan presentase sebesar 77,50% (31 orang), dan mengalami peningkatan dari siklus pertama sebesar 47,25%. Berdasarkan hasil penelitian dapat disimpulkan bahwa penerapan pendekatan creative problem solving (CPS) dapat meningkatkan hasil belajar siswa di SDN Kalibuntu, maka penelitian ini dapat dikatakan berhasil.
PENGEMBANGAN KREATIVITAS INOVATIF MELALUI PEMBELAJARAN DIGITAL
Authors: Suciati Suciati
Published: January 2020

Digital learning is a current mode of education today, triggered by the rapid development of information and communication technology in the era of Industrial Revolution 4.0. This mode of learning has the capacity to develop the potential and abilities of students,  not only in knowledge but also in life skills, especially in terms of innovative creativity which is an important capital in the era of  21st Century. This article discusses the concept of digital learning,  readiness for usage, and its role in developing students' innovative creativity.

 

Pembelajaran digital merupakan modus pendidikan masa kini yang dipengaruhi oleh perkembangan pesat teknologi komunikasi dan informasi pada era Industrial Revolution 4.0. Modus ini mempunyai potensi untuk mengembangkan potensi dan kemampuan anak didik bukan saja dalam hal pengetahuan tetapi juga dalam life skills, khususnya dalam hal kreativitas inovatif yang menjadi modal penting dalam kehidupan era Abad 21. Artikel ini membahas tentang pengertian pembelajaran digital serta kesiapan untuk menggunakan, dan perannya dalam pengembangan kreativitas inovatif mahasiswa.
PROFIL KEMAMPUAN BERPIKIR KREATIF SISWA SEKOLAH MENENGAH PERTAMA DITINJAU DARI TINGKAT KECEMASAN MATEMATIKA DAN JENDER
Authors: Wahyuningrum Endang , Pratiwi Disti , Adji Sandra Sukmaning
Published: January 2020

The purpose of this study was to describe the creative thinking skills of junior high school students based on mathematics anxiety and gender. Aspects of creative thinking skills used in this study are fluency, flexibility, and novelty. This research is a qualitative descriptive study. The instruments used were open-ended questions consisting of algebra and geometry questions, mathematics anxiety questionnaires, and interview guidelines. The study was conducted in class IX E of SMPI Al Azhar 12 Rawamangun Jakarta. The subject of this study consisted of four students, they are male student with low mathematics anxiety, female student with low mathematics anxiety, male student with medium mathematics anxiety, and female student with medium mathematics anxiety.The results of the mathematics anxiety questionnaire showed that none of the students in class IX E had high math anxiety. There are differences in the fulfillment of aspects of creative thinking in terms of differences in mathematics anxiety and gender levels. Students with low math anxiety fulfill aspects of fluency, flexibility, and novelty in algebra and geometry questions. Students with medium math anxiety fulfill aspects of fluency and flexibility both in algebra and geometry questions. Female students fulfill aspects of fluency, flexibility, and novelty both in algebra and geometry questions. Male students fulfill aspects of fluency and flexibility in algebra questions, while in geometry questions the aspects that are fulfilled are fluency, flexibility, and novelty.
SHARING KNOWLEDGE THROUGH OPEN AND DISTANCE E-LEARNING EDUCATION: GLOBALIZING UNIVERSITAS TERBUKA
Authors: Broto Mani Festati
Published: January 2020

Universitas Terbuka (UT) as an open and distance e-learning institution in Indonesia, has widely intensify the interconnectivity on international stages. UT adopts international academic standard and pave its vision “to provide access to a world quality higher education for all through open and distance higher education”. Although, most of UT students do not yet have access to adequate internet connection, UT has been a reference for other open education institutions and was acknowledged by the global community to have been succeeded in managing distance education system. By outlining the concept of education diplomacy creates an explanation that the growth of globalized educational collaboration increases the importance of conveying people-to-people engagement through e-learning education system. In previous years, UT has aimed the mission toward an ASEAN distance education collaboration and offer an Open Online Certificate Program through MOOC (Massive Open Online Courses). The aim is to share knowledge among Indonesian and its counterparts in ASEAN.
MODEL TASK-BASED LEARNING UNTUK MEMBANGUN PEMBELAJARAN MANDIRI PADA TUTORIAL ONLINE
Authors: Salwa Athiyah
Published: January 2020

Distance learning organized by Universitas Terbuka provides many benefits and opportunities for students in remote areas to get higher education services. For the time being, this learning program is facilitated by e-learning assistance program using technology and information media. This learning process emphasizes unlimited materials for students outside the main source, Buku Materi Pokok, that can be accessed whenever and wherever. The main focus of this tutorial online is to give a chance for students to learn in their free time, give them learning assistance, and measure how they understand the materials given. This emphasizes the learning process independently and autonomously. This article tries to give a new sight in this Tutorial Online about a technique or a model that can be applied. This model encompasses practices, assignments, and tasks can be done independently by students. This learning model will improve and build students’ autonomous learning by providing them with authentic yet simple tasks, practical and independent assignments.
Chronic Kidney Disease –Mineral Bone Disorder (CKD- MBD) – Further Insight at the Indian patients.
Authors: Wani Muzaffar Maqsood , Wani Imtiyaz Ahmad
Published: January 2020

The kidneys play an important role in maintaining normal serum calcium (Ca) and phosphorous (P) concentrations. Chronic kidney disease (CKD) is associated with significant disturbances in bone and mineral metabolism, leading to altered serum concentrations of Ca, P, vitamin D and parathyroid hormone (PTH)1,2,3. These changes are initially detected when the glomerular filtration rate (GFR) falls to ≤60 mL/min and are nearly uniform as GFR drops to <30ml/min2,3. This leads to a number of bone abnormalities previously called “renal osteodystrophy”, renamed as CKD-Mineral Bone Disorder (CKD-MBD) by National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKF KDOQI) consensus group4 . CKD-MBD is a systemic disorder manifested by either one or a combination of a) abnormalities of Ca, P, PTH or vitamin D metabolism, b) abnormalities in bone turnover, mineralization, volume, linear growth or strength c) vascular or soft tissue calcification. This has over time been expanded to include left ventricular hypertrophy, hypertension, immune dysfunction and inflammation5,6.
Interaction of Pindone and its Tautomers with Calcium Dication – A DFT Study
Authors: Türker Lemi
Published: January 2020

Calcium dication has an important role at various stages of blood coagulation mechanism. On the other hand, pindone is an important anticoagulant rodenticide which undergoes 1,3-type proton tautomerism to yield two enolic isomers of pindone. Although, the anticoagulant mode of action of pindone is attributed to blocking of a liver enzyme responsible for the recycling of vitamin K, nothing is known about whether the interaction of it with calcium dication has some role as well. In the present study, the interactions of pindone and its tautomers with Ca++ have been investigated within the restrictions of density functional theory at the level of B3LYP/6-311++G(d,p). It has been found that Ca++ highly affects pindone and its tautomers in many respects at the molecular level, hence their anticoagulation effect should vary.
METHODS OF AUTOMATED CREATION OF THEMATIC ONTOLOGY
Authors: Dmitrishin A.N. , Revina V.D. , Rusnak V.I. , Khoroshilov Al-dr A. , Khoroshilov Al-ey A.
Published: January 2020

The article describes the methods, the procedures and technology of automated creation of thematic ontology based on automatic processing and semantic analysis of unstructured normative-technical texts and texts of draft documents and determining the semantic relation between detected by concept names. For an application this method necessary to possess procedures complex of automatic semantic the text processing. The article describes the hybrid methods of automated creation of technologies, based for the use of program-linguistic platform of MetaFraz. The research was supported by the Russian Foundation for Basic Research (project 18-37-00110 mol_a).
SYSTEM-MANAGEMENT INTERPRETATION OF THE MODELS AND POLYMODELESS COMPLEXES DESIGN AND IMPLEMENTATION PROCESSES
Authors: Sokolov B.V. , Yusupov R. M.
Published: January 2020

Aim. Currently, issues of evaluation and analysis of the quality of models and polymodel complexes describing complex objects (DCO) at various stages of their life cycle (LC) are of particular relevance. An approach for the generalized meaningful and formal description of the problem in question is proposed. Materials and methods. An original approach based on the system-management interpretation of the processes of creating and using models and polymodel complexes describing SLO is proposed. Results. To solve these problems, the authors of the article developed a corresponding theory, which they called the qualimetry of models and polymodel complexes. The article shows how, based on the concept introduced by them – the evolving situation, it is possible to approach multi-criteria analysis and synthesis of both models (polymodel complexes) and systems modeling technologies for situational centers (DSS) from a single managerial position. Conclusions. The proposed system-management interpretation of the main classes of problems and tasks solved in the qualimetry of models and polymodel complexes has great prospects, since relies on the fundamental and applied results obtained so far in the interdisciplinary branch of system knowledge, including, within the framework of such basic scientific areas as systemology, neo-cybernetics and computer science.
THE INPUT-OUTPUT MODEL: ONE OF THE BASIC ELEMENTS OF INFORMATION SUPPORT FOR THE WORK OF REGIONAL SITUATIONAL CENTERS
Authors: Smirnov N.V. , Peresada V.P. , Girdyuk D.V. , Postnov K.V. , Popkov A.S.
Published: January 2020

Goal. Modern situational centers are focused on the preparation of evidence-based management decisions of the executive authorities of the federal and regional levels. Their work is aimed not only at making decisions in emergency situations but also at questions of forecasting, planning and implementing socio-economic trends and development programs. Modification of input-output (IO) models is an actual task for these purposes. Materials and methods. The article proposes a modification of the IO model, focused on the simultaneous modeling of the production process and the dynamics of the consumption sphere, as well as taking into account the influence of exogenous macroeconomic parameters. A classification of models is given; methods for the identification of their parameters on the basis of publicly available global and domestic databases are described. Results. We developed methods for customizing models for solving specific problems. The model varies depending on the consideration of various macroeconomic parameters and the degree of detail of the basic balance ratios. Linear continuous and discrete models allow solving investment management problems. Variation of exogenous parameters leads to non-linear dynamic IO models. Conclusion. It is shown that the proposed approach allows providing information support to public administration associated with the analysis and correction of socio-economic trends, as well as the development of the necessary software. At the same time, its successful implementation is possible only if there are relevant statistical databases on regional economies and information infrastructure.
MONITORING THE ATTITUDE OF THE POPULATION TO PROBLEMS OF URBAN ENVIRONMENT FOR SITUATION-AL CENTERS OF A SMART CITY
Authors: Verzilin D. , Maximova T. , Sokolova I.
Published: January 2020

Goal. The purpose of the study was to search for alternative sources of information on popu-lation’s preferences and response to problems and changes in the urban environment for use in the operational decision-making at situational centers. Materials and methods. The authors used data from search queries with keywords, data on communities in social networks, data from subject forums, and official statistics. Methods of statistical data analysis were applied. Results. The analysis of thematic online activity of the population was performed. The re-sults reflected the interest in the state of the environment, the possibility of distance learning and work, are presented. It was reasoned that measurements of population’s thematic online activity let identify needs and analyze the real-time response to changes in the urban envi-ronment. Such an approach to identifying the needs of the population can be used in addition to the platforms “Active Citizen” of the Smart City project. Conclusions. An analysis of data on online activity of the population for decision-making at situational centers is more operational, flexible and representative, as compared with the use of tools of those platforms. Such an analysis can be used as an alternative to sociological surveys, as it saves time and money. When making management decisions using intelligent information services, it is necessary to take into account the needs of the population, reflect-ed in its socio-economic activity in cyberspace.
A FUZZY HYPERGRAPH APPROACH TO RESEARCH OF THE VALUE OF SOCIAL NETWORKS
Authors: Pavlov A.N. , Sokolov B.V.
Published: January 2020

Goal. In modern conditions, applied research is required in the field of analysis such properties of social networks as «social correlation», group interaction, the existence of «leaders of influence», the value of a social network taking into account reputation, conformism, activity of its agents. Materials and methods. The article proposes an original approach based on using the operation of differentiating a fuzzy hypergraph, building its derivative, which is a fuzzy graph of social correlation and mutual influence of network agents, and the interpretation of the results obtained in relation to social networks is presented as well. Results. Using a fuzzy hypergraphic formal representation of a social network in which the edges connect individual or group network agents that make up a particular group, coalition or configuration, and its differentiation operation, a fuzzy relation of network value is constructed, and indicators of the value of agents and the network as a whole are introduced. Conclusion. This approach allows us to analyze the influence of the leaders of agents on the social community, to assess how critical their influence is, to determine the most influential agents of the social network with the greatest value in terms of informational influences.
Akarçay Havzası ve Van Gölü Havzası için 1901-2015 Yılları Arasında Standart Yağış İndeksi’ne (SPI) Göre Trend Analizi
Authors: KUZAY Mustafa , TOMBUL Mustafa
Published: January 2020

Bu çalışmada İklim Araştırma Birimi (CRU) tarafından oluşturulan yağış dağıtım ızgaraları kullanılarak Akarçay Havzası ve Van Gölü Havzası’nda 12 aylık SPI değerleri belirlenmiştir. Böylece her ızgarada belirlenen uzun dönemli kuraklık tespitinde kullanılabilen 12 aylık SPI değerleri sayesinde 1901-2015 yılları arasındaki dönem için Theil-Sen Eğim Tahmincisi Testi ile trend belirlenmiştir. 1901-2015 yılları arasındaki trend değerlerine göre Akarçay Havzası’nın kuzeyinde nemliliğin arttığı, güneyi ve doğusunda kuraklığın arttığı belirlenmiştir. Ayrıca Van Gölü Havzası’nın genelinde ise kuraklıklığın arttığı belirlenmiştir.
Doğadan Toplanan Koeleria cristata (L.) Pers. Genotiplerinde Morfolojik Faklılıkların Belirlemesi, Bu makale Zahide Levent adlı kişinin Yüksek Lisans Tezinin Bir Parçasıdır.
Authors: LEVENT Zahide , AVCI Mehmet Ali
Published: January 2020

Çalışmada, doğadan toplanmış olan Koeleria cristata (L.) Pers. genotiplerin de yeşil alan ve yem bitkisi olarak kullanılabilirlik bakımından bazı tarımsal özellikler belirlenmiştir. Bu özellikler doğrultusunda üstün olan genotipler seçilmiştir. Seçilen genotipler, 113O919 no’lu TÜBİTAK projesi kapsamında Koeleria cristata

L. türüne ait 50 adet genotipdir. Elde edilen veriler değerlendirilerek genotiplerin mera ve yem bitkileri tarımında, ayrıca yeşil alan tesisinde kullanılabilme potansiyelleri araştırılarak ıslah çalışmaları için temel verileri belli olan genetik materyaller kazandırılmıştır. Bu bitkilerde çim ve yem bitkisi olmak üzere iki amaca yönelik bitkisel ve tarımsal özellikler incelenmiştir. Gözlem ve ölçümler 2016 yılında yapılmıştır. Çalışmada yapılan gözlem ve ölçümler; Çim kalitesi (1-9 skalası), Mevsimsel Renk Değişimi (1-9 skalası), Yaprak Dokusu (1-9 skalası), Yoğunluk (1-9 skalası), Salkım Oluşturma Eğilimi (1-9 skalası), Sonbaharda Büyüme Şekli (1-9 skalası), Bitki Boyu (cm), Bitki Çapı (cm), Yaprak Eni (cm), Yaprak Boyu (cm), Yaprak alanı (cm²), Yeşil ot verimi (1-9 skalası), İlkbaharda Yeniden Büyüme Zamanı (1-9 skalası), Salkım Boyu (cm), Son Boğum Uzunluğu (cm), Bitki Başına Tohum Verimi (g/bitki), 1000 Tohum Ağırlığı (g) özelliklerinin verileri alınmıştır. Bu özellikler arasındaki ilişkiler korelasyon analizi ile belirlenmiştir
Infección del tracto urinario por enterobacterias productoras de betalactamasas de espectro extendido (BLEE)
Authors: Castro González Fidel , Mina Ortiz Jhon Bryan , Quimis Cañarte Jenniffer Elena , Valero Cedeño Nereida
Published: January 2020

Las infecciones del tracto urinario provocadas por enterobacterias productora de betalactamasas de espectro extendido (BLEE) han tomado importancia por altas tasas de morbi-mortalidad a nivel mundial, debido al uso irracional de antibioterapias en pacientes con infecciones recurrentes provocando complicaciones severas como insuficiencia renal crónica. El propósito de esta investigación es puntualizar conocimientos sobre epidemiología, diagnóstico, tratamiento y prevención que puedan ser aplicados en la práctica clínica por corresponder a una temática que abordan todos los países en especial las infecciones provocadas por enterobacterias productoras de BLEE.
Seguridad alimentaria en la mala nutrición y discapacidad neurológica de niños entre 2 a 10 años
Authors: Zamora Cevallos Ángel Luis
Published: January 2020

Entre  la discapacidad neurológica  y la nutrición, se puede dar  una relación de dependencia de  ambos sentidos. Bajo esta premisa se realizó este artículo cuyo objetivo fue evaluar la  seguridad alimentaria en la mala nutrición y discapacidad neurológica de niños entre  2 a 10 años. La metodologia utilizada fue de tipo descriptiva – transversal. La población la constituyeron 44 niños con manifestaciones de mal nutrición y discapacidad neurológica, que asisten a las  unidades operativas del distrito de salud 13D04 adscritos al Canton de Santa Ana en Manabí. El instrumento utilizado fue una guía de observación dicotómica. Entre sus resultados se destaca el hecho en la cual el grado de compromiso severo de la discapacidad neurológica se indicó en un  55% del total de los niños y el restante  entre leve y moderado. Se concluye que existe una relación de correspondencia entre la alimentación con la discapacidad neurológica en los niños investigados.
Cuidados paliativos domiciliarios en enfermedades crónico-degenerativas y catastróficas
Authors: Guerrero Guerrero Dolores Libia Esthela , Ronquillo Carriel Oscar Andrés , Paredes Llumitaxi Silvia Jessenia
Published: January 2020

El cuidado paliativo domiciliario, se fundamenta en actividades desarrolladas por enfermería, para promover, mantener y recuperar la dignidad y totalidad del ser, siendo el objetivo del articulo planear una atención integral domiciliaria de enfermería,  a individuos con Enfermedades Crónicas-catastróficas y sus familiares. Mediante una metodología cuanti-cualitativo, de investigación acción participación, que inicia con la aplicación de una encuesta a 65 usuarios, en base a 11 patrones funcionales de M. Gordon, se diseñó un plan de cuidados, se ejecutó sesiones educativas. Un 78.5% de pacientes con mejor estabilidad emocional; 23.85% de familiares adiestrados en cuidados paliativo; 80% de pacientes recibieron terapias: meditación, masajes y musicoterapia; 100% de pacientes reciben tratamiento alternativo para mitigar el dolor. El cuidado paliativo domiciliario, brinda una atención oportuna, humanista y fortalece el cuidado autónomo y comprensivo de enfermería.
Consideraciones clínicas e inmunológicas del hipotiroidismo subclínico: Una revisión documental
Authors: Tauriz Navarro Wendy , Cañarte Alcívar Jorge , Anzules Guerra Jazmín
Published: January 2020

El hipotiroidismo subclínico (HSC) es una disfunción leve de la glándula tiroides con producción normal o reducida de hormonas tiroideas T3 y T4, pero con un incremento de TSH (Hormona Estimulante de Tiroides) por encima de los valores referenciales. Se puede presentar a cualquier edad y es más frecuente en el sexo femenino. Se vincula mayormente a trastornos autoinmunitarios y su tratamiento es aún tema de controversia. Objetivo: Presentar las diferentes características del HSC y otros factores asociados, desde un enfoque inmunológico hacia la relevancia que tiene la relación del hipotiroidismo subclínico con la autoinmunidad. Material y Método: Investigación descriptiva basada la recopilación de documentos científicos en inglés y español, de las bases de datos de Redalyc; Scielo; Latindex;  Science Direct; Elsevier provenientes de búsquedas en Scholar Google y el portal de difusión: Dialnet. Conclusiones: La enfermedad de Hashimoto (tiroiditis autoinmune), es la causa más frecuente de hipotiroidismo primario. El hipotiroidismo subclínico sin diagnóstico ni control, puede llegar al hipotiroidismo clínico manifiesto. Se fundamenta la importancia de los exámenes de laboratorio para el diagnóstico oportuno de HSC en pacientes con trastornos inmunitarios, con síntomas inespecíficos o asociados a patologías no endócrinas.
Ergonomía y calidad de vida laboral en la praxis odontológica
Authors: Molina Bravo Brenda Anaís , Antón Cedeño Angie Mariel , Bravo Cevallos Dorys María , Carrasco Sierra Miguel
Published: January 2020

Se aplicó una  investigación descriptiva y un diseño no experimental, transeccional de campo con la finalidad de analizar la ergonomía y calidad de vida en la praxis odontológica. Para tal fin se trabajó con el método LEST, el cual se basa en recopilar información sobre  6 dimensiones. Si los odontólogos objeto de investigación, no mejoran su condición ergonómica corren el riesgo de profundizar las causas que le están afectando, pudiendo generarse lesiones o enfermedades en detrimento de la calidad de vida. Es necesario promover la ergonomía en el área de la odontología con la finalidad de concienciar a los odontólogos a estar en condiciones óptimas de salud, generándose una cultura epidemiológica social de prevención.
Hábitos y conductas del paciente diabético en el contexto rural
Authors: Vite Solorzano Franklin Antonio , Barrera Paz Leobaldo , Monserrate Masías Aida , Vélez Cuenca Maria Felicidad
Published: January 2020

El siguiente artículo, tuvo como objetivo estudiar los hábitos y conductas del paciente diabético en el contexto rural  de la provincia de Manabí  Ecuador. Para ello, se apoyó en una metodología descriptiva con un diseño no experimental, de tipo prospectivo. La población la constituyeron 90 pacientes diagnosticados con diabetes. Para la recolección de los datos, se utilizó un instrumento tipo cuestionario. Los resultados del estudio, indicaron que el 100%  negaron haber consumido drogas, un 82%  que consumen bebidas alcohólicas y el 91% manifestaron no fumar. Dentro de las conclusiones se indica predominio de pacientes no fumadores, que consumen alcohol y  sin tener problemas de insomnios.
Aspectos socio-demográficos del paciente con tuberculosis (tb)
Authors: Pinargote Chancay Rosa del Rocío , Castillo Merino Yasmin , Figueroa Merino Bryan Ramón , Cedeño Chavarria Geomayra Betzabeth
Published: January 2020

En el  presente artículo se  caracterizaron los aspectos socio- demográficos del paciente TB en el Cantón de Manabí del Ecuador. Para ello, se llevó a cabo un estudio  de tipo observacional, descriptivo, transversal y prospectivo. La  población la constituyeron 40 pacientes que asisten a consultas de controles en los centros de salud que atienden pacientes con TB en el Canton de Manabí del Ecuador. El instrumento utilizado fue un   cuestionario y la técnica la entrevista estructurada. De sus resultados, se puede indicar que el 75% de las opiniones favorecieron el  factor afectivo y emocional de las familias. En sus conclusiones se destaca el hecho en la cual un alto porcentaje de los pacientes con TB investigados presenta un nivel socioeconómico por debajo de la media nacional y reciben  un alto apoyo familiar en relación al afecto y la parte emocional.
Hubungan Kejadian Plasenta Previa dengan Riwayat Kehamilan Sebelumnya
Authors: Husain Widia R. , Wagey Freddy , Suparman Eddy
Published: January 2020

Abstract: To date, the main cause of maternal mortality rate is bleeding. Placenta previa is one of the causes of bleeding in pregnant women. This study was aimed to obtain the relationship between the occurence of placenta previa and pregnancy history among patients at RS Bhayangkara Manado, RSU GMIM Pancaran Kasih Manado, Prof. Dr. R. D. Kandou Hospital Manado. This was a descriptive and retrospective study with a cross sectional design. Subjects were pregnant women or women who laboured from January 2017 to December 2018 that had placenta previa. There were 72 cases as subjects, obtained by using non random sampling. The results showed that placenta previa were most common among subjects aged ≥35 tahun as many as 30 subjects (41.7%), multiparity as many as 39 subjects (54.2%), no history of sectio caesarea as many 39 subjects (54.2%), and no history of curetage as many as 66 subjects (91.7%). In conclusion, there were relationships between the occurence of placenta previa and age ≥35 years as well as multiparity, albeit, there were no relationships between the occurence of placenta previa and sectio caesaria as well as curetage history.Keywords: placenta previa, age, parity, histories of sectio caesarea and curetage Abstrak: Penyebab angka kematian ibu (AKI) yang utama ialah perdarahan. Plasenta previa merupakan salah satu penyebab perdarahan yang tersering terjadi pada ibu hamil. Penelitian ini bertujuan untuk mengetahui hubungan kejadian plasenta previa dengan riwayat kehamilan sebelumnya di RS Bhayangkara Manado, RSU GMIM Pancaran Kasih Manado dan RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang. Subyek penelitian ialah ibu hamil atau bersalin yang mengalami plasenta previa pada periode Januari 2017-Desember 2018 yang berjumlah 72 kasus, diperoleh dengan metode non random sampling. Hasil penelitian menunjukkan kejadian plasenta previa terbanyak pada usia ibu >35 tahun yaitu 30 orang (41,7%), paritas multipara yaitu 39 orang (54,2%), tidak ada riwayat seksio sesarea yaitu 39 orang (54,2%), dan tidak ada riwayat kuretase yaitu 66 orang (91,7%). Simpulan penelitian ini ialah terdapat hubungan kejadian plasenta previa dengan usia ibu dan multiparitas namun tidak terdapat hubungan dengan riwayat seksio sesarea dan riwayat kuretase.Kata kunci: plasenta previa, umur ibu, paritas, riwayat seksio sesaria dan riwayat kuretase
Hubungan Merokok dan Obesitas Sentral dengan Nilai Ankle-Brachial Index pada Mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi
Authors: Savitri Maghfirah , Wantania Frans , Sedli Bisuk P.
Published: January 2020

Abstract: Peripheral artery disease (PAD) is commonly found in the community but it is hard to detect in primary health care providers. Smoking and central obersity are the major risk factors in the development of PAD. One non-invasive and cheap method in screening for PAD is determining the ankle-brachial index (ABI). This study was aimed to provide an overview of the relationship between ABI and smoking and central obesity among students of Faculty of Medicine, Sam Ratulangi University. This was an analytical study with a cross sectional design using the ABI results of the students. There were 73 students as subjects; 26 non-smokers with no central obesity (36%), 15 smokers (20%), 21 with central obesity (29%), and 11 smokers with central obesity (15%). The age range of subjects was 18-23 year olds (young adult age). The Fisher’s exact test analysis of the relationship between smoking and PAD obtained a p-value of 0.267 (p>=0.05) and of the relationship between central obesity and PAD obtained a p-value of 0.016 (p<=0.05). In conclusion, there was a significant relationship between central obesity and ABI, albeit there was no significant relationship between smoking and ABI.Keywords: peripheral artery disease, ankle-brachial index, smoking, central obesity. Abstrak: Penyakit arteri perifer (PAP) banyak ditemukan pada masyarakat tetapi sulit terdeteksi di layanan kesehatan primer. Merokok dan obesitas sentral ialah faktor risiko yang berperan penting dalam perkembangan PAP. Salah satu metode pemeriksaan non invasif, murah, dan mudah untuk mendeteksi PAP ialah dengan menentukan nilai Ankle-Brachial Index (ABI). Penelitian ini bertujuan untuk mengetahui gambaran ABI serta hubungan merokok dan obesitas sentral dengan PAP pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ialah analitik dengan desain potong lintang menggunakan hasil pemeriksaan ABI. Hasil penelitian mendapatkan 73 mahasiswa sebagai subyek; 26 yang tidak merokok dan tidak obes sentral (36%), 15 yang merokok (20%), 21 yang obes sentral (29%), dan 11 yang obes sentral dan merokok (15%). Kisaran usia sampel yaitu 18-23 tahun (usia dewasa muda). Hasil uji Fisher’s exact terhadap hubungan merokok dengan PAP didapatkan nilai p=0,269 (p>=0,05) dan untuk obesitas sentral dengan PAP didapatkan nilai p=0,016 (p<=0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara obesitas dengan nilai ABI, tetapi tidak terdapat hubungan bermakna antara merokok dengan nilai ABI.Kata kunci: penyakit arteri perifer, ankle-brachial index, merokok, obesitas sentral
Gambaran Waktu Tunggu Operasi Hip Replacement pada Pasien Manula dengan Patah Tulang Pinggul Periode November 2017-Desember 2018 di RSUP Prof. Dr. R. D. Kandou Manado
Authors: Thadius Tio G. L. , Lengkong Andreissanto C. , Wagiu Angelica M. J.
Published: January 2020

Abstract: Hip fracture often occurs over the age of 60 years and is more common in women due to postmenopausal osteoporosis. Timing of surgery is thought to play an important role regarding survival. Moreover, international clinical practice guidelines recommend surgical treatment of acute hip fracture within 24 to 48 hours after admission. Some researchers argue that early surgery can lead to an increased the risk of perioperative complications. This study was aimed to determine the incidence of hip fracture, the impact of timing of surgery on perioperative complications, and the mortality in elderly patients with hip fracture from November 2017 to December 2018 at Prof. Dr. R. .D. Kandou Hospital Manado. This was a retrospective and descriptive study using data of patient medical record. The results found 32 cases of hip fractures, and the highest incidence was in females. Most patients did not have any perioperative complications as many as 26 cases. Moreover, there was no patients who died due to the impact of timing of surgery. In conclusion, most hip fracture cases were female. There was a relationship between delayed time in surgery and perioperative complications, however, there was no relationship between delayed time in surgery and patient mortality.Keywords: hip fracture, delay time of surgery, complication, mortality Abstrak: Patah tulang pinggul sering terjadi pada usia di atas 60 tahun dan lebih sering pada perempuan yang disebabkan oleh kerapuhan tulang akibat kombinasi proses penuaan dan osteoporosis pascamenopause. Waktu tunggu operasi dianggap memiliki peran yang penting dalam kelangsungan hidup. Pedoman praktik klinis internasional merekomendasikan perawatan bedah patah tulang pinggul akut dalam waktu 24 hingga 48 jam setelah cedera namun beberapa peneliti berpendapat bahwa operasi dini dapat menyebabkan peningkatan resiko komplikasi perioperatif. Penelitian ini bertujuan untuk mengetahui angka kejadian patah tulang pinggul serta dampak waktu tunggu operasi terhadap komplikasi perioperatif dan risiko kematian pada pasien manula dengan patah tulang pinggul periode November 2017-Desember 2018 di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deskriptif retrospektif menggunakan data rekam medik pasien. Hasil penelitian mendapatkan 32 kasus patah tulang pinggul, dengan angka kejadian terbanyak pada perempuan. Jumlah pasien dengan komplikasi sebanyak 6 kasus dan pasien tanpa komplikasi sebanyak 26 kasus. Tidak ditemukan adanya pasien yang meninggal oleh karena lama waktu tunggu operasi. Simpulan penelitian ini ialah sebagian besar kejadian patah tulang pinggul terjadi pada perempuan, dan terdapat hubungan antara waktu tunggu operasi dengan peningkatan komplikasi perioperatif, namun tidak terdapat hubungan antara waktu tunggu operasi terhadap peningkatan angka mortalitas pasien.Kata kunci: patah tulang pinggul, waktu tunggu operasi
Hubungan Konsumsi Makanan Manis sebagai Faktor Risiko Terjadinya Gangguan Pemusatan Perhatian dan Hiperaktivitas pada Anak di 9 Sekolah Dasar Kota Manado
Authors: Hidayat Pearensia E. P. , Kaunang Theresia M. D. , Dundu Anita E.
Published: January 2020

Abstract: Attention-deficit/hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood and can be associated with sweetened food consumption. This study was aimed to determine the prevalence of ADHD children and the association between sweetened food consumption and children in nine elementary schools in Manado. This was an analytical study with a cross-sectional design. Samples were students of elementary schools that represented nine districts in Manado and were randomly selected using the multi-stage random sampling technique. The results showed that there wre 20.1% of elementary school students in Manado that had ADHD. Statistical analysis obtained a p-value of 0.000 (<0.05) and OR(CI 95%) = 23.61 (OR>1). In conclusion, the prevalence of ADHD children in Manado was still high and there was a positive correlation between sweetened food consumption as a risk factor of children with ADHD in elementary schools in Manado.Keywords: ADHD, sweetened food consumption, elementary school student Abstrak: Gangguan pemusatan perhatian dan hiperaktivitas (GPPH) adalah salah satu gangguan psikiatri anak yang paling sering dan dihubungkan dengan konsumsi makanan manis. Penelitian ini bertujuan untuk mengetahui prevalensi GPPH pada anak dan hubungan konsumsi makanan manis sebagai faktor risiko terjadinya GPPH pada anak di sembilan sekolah dasar di Kota Manado. Jenis penelitian ialah analitik dengan desain potong lintang. Sampel yang digunakan ialah siswa Sekolah Dasar yang mewakili sembilan Kecamatan di Kota Manado yang dipilih secara acak dengan teknik multi stage random sampling. Penelitian dilakukan dengan uji asosiasi Fisher Exact. Hasil penelitian mendapatkan 20,1% anak Sekolah Dasar di Kota Manado menyandang GPPH. Hasil analisis data mendapatkan nilai p=0,000 (<0,05) dan OR=23,61 (OR>1). Simpulan penelitian ini ialah angka kejadian GPPH di Manado cukup tinggi dan terdapat hubungan positif antara seringnya mengonsumsi makanan manis sebagai faktor risiko terjadinya GPPH pada anak.Kata kunci: GPPH, makanan manis, anak sekolah dasar
Gambaran Fungsi Kognitif pada Lanjut Usia di Desa Sendangan Kecamatan Remboken
Authors: Roring Nadia V. , Nadia.roring@gmail.com Junita M. , Mahama Corry N.
Published: January 2020

Abstract: Increased elderly in Indonesia grows in number and affects the health problems such as impaired cognitive function. Examination carried out by using Indonesian version Montreal Cognitive Assessment (MoCA-INA), Trail Making Test (TMT), and the Clock Drawing Test (CDT) are used to determine the cognitive function. This study was aimed to obtain the profile of cognitive function among the elderly at nursing home and outside of nursing home at Sendangan, Remboken. This was a descriptive study with a cross sectional design. The results showed that there were 59 people that met inculsion criteria. The Ina-MoCA examination showed that 94.9% of the elderly had a decline in cognitive function. Moreover, the TMT-A and TMT-B found that 100% of the elderly had impaired cognitive function. Meanwhile, the CDT found that 49.2% of the elderly had impaired cognitive function. In conclusion, the Ina-MoCA, TMT-A, TMT-B, and CDT indicated that the majority of the elderly at Sendangan, Remboken had impaired cognitive function.Keywords: elderly, cognitive function, Ina MoCA, TMT-A, TMT-B, CDT Abstrak: Peningkatan lanjut usia di Indonesia semakin bertambah yang berdampak pada masalah kesehatan, salah satunya ialah gangguan fungsi kognitif. Pemeriksaan Montreal Cognitive Assesment versi Indonesia (INA-MoCA), Trail Making Test (TMT), dan Clock Drawing Test (CDT) dapat digunakan untuk medeteksi gangguan fungsi kognitif, Penelitian ini bertujuan untuk mengetahui gambaran fungsi kognitif pada lanjut usia di Panti Werdha dan luar Panti Werdha di Desa Sendangan Kecamatan Remboken. Jenis penelitian ialah deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan 59 orang yang memenuhi kriteria penelitian. Pemeriksaan Ina-MoCA menunjukkan 94,9% lanjut usia mengalami penurunan fungsi kognitif. Pada pemeriksaan TMT-A dan TMT-B didapatkan 100% lanjut usia terganggu. Pemeriksaan CDT mendapatkan 49,2% lanjut usia terganggu. Simpulan penelitian ini ialah hasil pemeriksaan Ina-MoCA, TMT-A, TMT-B, dan CDT menunjukkan bahwa sebagian besar lansia di Desa Sendangan Kecamatan Remboken memiliki fungsi kognitif yang terganggu.Kata kunci: lanjut usia, fungsi kognitif, Ina MoCA, TMT-A, TMT-B, CDT
Profil Penderita Morbus Hansen di Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado Periode 2016-2018
Authors: Makalew Deivy A. , Kapantow Grace M. , Pandaleke Herry E. J.
Published: January 2020

Abstract: Morbus Hansen (MH) is a chronic infectious disease caused by Mycobacterium leprae. World Health Organization data showed that in 2018, Indonesia was the third rank in the world with incidences of 17,017 cases. This study was aimed to determine the profile of MH patients at Irina F-Dermatovenereology of Prof. Dr. R. D. Kandou Hospital. This was a descriptive retrospective study by evaluating medical record files of MH patients hospitalized at Irina F-Dermatovenereology, Prof. Dr. R. D. Kandou Hospital from 2016 to 2018. The results showed that the distribution of MH patients in 2016-2018 was 14 patients, 20 patients, and 18 patients respectively. Most patients were in the age group of 25-34 years (38.46%). Males were more common than females (4.8:1). Most patients were from Manado. All patients had multibacillary (MB) type MH and ENL was the most common reaction (86.54%). The comorbidities were gastrointestinal disorders, electrolyte imbalance, and anemia. In conclusion, the number of hospitalized MH patients was slightly increased from 2016 to 2017 and then was decreased insignificantly in 2018. Most patients were male, in the age group of 25-34 years, came from Manado, multibacillary type MH, had ENL reaction and comorbidity of gastrointestinal disorders.Keywords: Morbus Hansen, hospitalized patients Abstrak: Morbus Hansen (MH) merupakan penyakit infeksi kronik yang disebabkan oleh Mycobacterium leprae. Data World Health Organization (WHO) pada tahun 2018 menunjukkan bahwa Indonesia menempati peringkat ketiga di dunia dengan jumlah kasus baru mencapai 17.017 kasus. Penelitian ini bertujuan untuk mengetahui profil penderita MH di Irina F Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialaht deskriptif retrospektif dengan cara mengevaluasi berkas rekam medis penderita MH yang dirawat inap di Irina F Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado pada periode 2016-2018. Hasil penelitian mendapatkan distribusi penderita MH pada tahun 2016 sebanyak 14 pasien, tahun 2017 sebanyak 20 pasien, dan tahun 2018 yaitu 18 pasien. Kelompok usia terbanyak ialah 25-34 tahun (38,46%). Penderita laki-laki lebih banyak dibandingkan perem-puan (4,8:1). Penderita terbanyak berasal dari Kota Manado. Semua penderita memiliki MH tipe Multibasiler (MB). Reaksi ENL merupakan tipe reaksi yang terbanyak (86,54%). Penyakit penyerta yang banyak didapati ialah gangguan gastrointestinal, gangguan elektrolit dan anemia. Simpulan penelitian ini ialah penderita MH yang dirawat inap mengalami peningkatan dari tahun 2016 sampai 2017, sedikit menurun pada tahun 2018 namun tidak bermakna. Penderita yang terbanyak ialah kelompok usia 25-34 tahun, jenis kelamin laki-laki, asal Kota Manado, MH tipe Multibasiler (MB), reaksi tipe ENL, penyakit penyerta gangguan gastrointestinal.Kata kunci: Morbus Hansen, pasien rawat inap