bluuebunny/crossref_metadata_2025 huggingface dataset:
Atrio-Ventricular Septal Defect in Pregnant Women, How to Deal with It : A Case Study
Authors: Caroline Devie , Yogiarto Moh.
Published: March 2018

Pregnancy is not always well tolerated in women with congenital heart disease (CHD) such as atrio-ventricular septal defect (AVSD), predominantly due to heart failure deterioration and increasing pulmonary hypertension (PH). Managements of those patients are challenging, especially during third trimester and after delivery care. Decision about time of termination, mode of delivery and anesthetic management are also debatable. In this article we report two similarcases of pregnant women with AVSD and severe PH. The frst patient was 27 years old, 28-29 weeks pregnant came with shortness of breath. She had history of miscarriage once. Based on her transthoracal echocardiography, she was diagnosed with AVSD partial type (primum ASD) with severe PH and then treated with intravenous furosemide, oral beraprost and oral sildenafl. The second patient was 27 years old 30-31 weeks pregnant with shortness of breathand appeared cyanotic. She delivered her frst child spontaneously without any symptoms. Based on her transthoracal echocardiography she was diagnosed with AVSD transitional type (large primum ASD with small inlet VSD) and Eisenmenger syndrome. She was treated with intravenous furosemide and oral beraprost. Those two patients underwent planned C-section under general anesthesia, both babies were survived but the patient did not survived severaldays after the procedure due to PH crisis. Until now, management PH associated with CHD in pregnant women is complex. Fluid management and pulmonary artery hypertension (PAH)- targeted therapies are important. Mode of delivery on this cases is also remain debated. Some studies stated planned C-section might be a better choice and combination epidural and lowdose spinal anesthesia might be better than general anesthesia. At the end, when a woman with CHD and PH chooses to continue pregnancy, multidisciplinary team approach is crucial to achieve good outcomes.
Sistem Pendukung Keputusan Pemilihan Ketua Program Studi Berprestasi Menggunakan Metode TOPSIS
Authors: Kusmiati Herlinda , Octafian D. Tri
Published: March 2018

Ketua Program Studi sebagai elemen dalam manajemen perguruan tinggi untuk merealisasikan visi, misi, dan tujuan dari program studi yang relevan dengan visi, misi, dan tujuan lembaga secara keseluruhan. Sistem penghargaan merupakan salah satu unsur penting dan sebagai unsur motivator ke arah kinerja terbaik serta berperan dalam menumbuhkan suasana akademik, yang pada akhirnya dapat mempercepat perkembangan masyarakat ilmiah masa kini dan masa depan sesuai dengan yang diharapkan. Sistem pemberian penghargaan dapat mendorong Ketua Program Studi untuk lebih berprestasi dan produktif, sehingga tujuan pengembangan sistem pendidikan tinggi dan pembangunan nasional pada umumnya dapat tercapai secara optimal. Pemberian penghargaan ini dilakukan secara rutin oleh kemenristekdikti tiap tahun. Menentukan Ketua Program Studi Berprestasi menggunakan Sistem Pendukung Keputusan (SPK). SPK dibuat dengan beberapa tahapan dimulai dari studi literature, desain sistem, membangun sistem dengan menerapkan metode TOPSIS dalam SPK, implementasi dan pengujian sistem, dan analisis sistem yang telah dibangun.Sistem Pendukung Keputusan ini dapat digunakan untuk mempermudah serta membantu dalam menentukan Ketua Program Studi Berprestasi.
Do signo à construção: o legado saussuriano e as abordagens construcionistas da gramática
Authors: Marques Priscilla Mouta , Alonso Karen Sampaio , Pinheiro Diogo Oliveira
Published: March 2018

A importância das proposições de Ferdinand de Saussure, apresentadas no Curso de Linguística Geral (CLG), para o estabelecimento dos pilares da dita Linguística Moderna é consenso entre os estudiosos da linguagem. Apesar disso, na literatura há pouco ou nenhum reconhecimento dos ecos das reflexões gramaticais do CLG sobre o modelo teórico da Gramática de Construções (GC), desenvolvido nos Estados Unidos no fim do século XX. Tendo isso em vista, este artigo propõe-se a: (i) mostrar de que maneira a GC oferece um caminho eminentemente saussuriano para a superação do hiato deixado pelo CLG no que tange ao tratamento da criatividade sintática e (ii) mais amplamente, avaliar a convergência – e eventuais divergências – entre a GC e o modelo gramatical esboçado no CLG. Espera-se, com isso, contribuir para uma reavaliação da extensão do legado de Saussure sobre a teorização gramatical contemporânea, reconhecendo-o como um (improvável?) antecessor da Gramática de Construções. ---DOI: http://dx.doi.org/10.22409/gragoata.2017n44a1022
Increasing Speaking Achievement by Using Pow-Tega Teachnique
Authors: Wahyuni Sri
Published: March 2018

The aim of this study was to find out whether or not Pow-Tega Technique could increase the students’ speaking achievement. The population of the study covered all of the tenth graders of SMA Negeri 1 Pagaralam in academic year 2015/2016. The sample was selected purposively from the population, they were sixty students. Quasi – Experimental design was used in this study. To find whether the Pow-Tega Technique could improve students’ speaking achievement, the instruction tests were used to collect the data. The data were analyzed by using paired sample t-test and independent sample t-test. The result of paired sample t-test showed that t-obtained was 3.971, t-value 2.045 (p < 0.05). Moreover, based on the  result of independent sample t-test, t-obtained was 3.082, t-value was 2.002 (p < 0.05).  The result showed that the students who were taught by using Pow-Tega Technique had a better improvement in their speaking achievement. In other words, Pow-Tega technique is a good way to be used by the teachers as a teaching technique especially in increasing students’ speaking achievement.

Keywords: Pow-Tega Technique, Speaking Achievement
Using Vlog in the Youtube Channel as a Means To Improve Students’ Motivation And Confidence to Speak English in Intermediate 1 Level of LB-LIA Jambi
Authors: Sari Paramita
Published: March 2018

Students find it hard to speak English despite the fact that they have the basic knowledge of the language due to the lack of motivation and confidence. As the technology advances, teachers must be willing to take advantage of the potential channels provided by it. This study aims to improve students’ motivation and confidence to speak English through the use of Vlog in the Youtube Channel as well as to find out the element that affect the most to the improvement of the motivation and confidence. The data were obtained through classroom observations, questionnaires and interviews. In terms of findings, this study revealed that the use of Vlog in the Youtube Channel improved students’ motivation and confidence. The data also suggested that students were most motivated and confident to speak English because they were given enough time to think of what they wanted to talk about and it was done in the place they found familiar. Therefore, teachers are suggested to bring technology into the classrooms more often and adjust it to the situation where students find it convenient to speak up.

Keywords: Vlog, Youtube Channel, Motivation, Confidence, English
Przydatność arkusza rozliczeniowego kosztów do zarządzania kosztami spółdzielni mleczarskiej
Authors: Ganc Marzena
Published: March 2018

Celem badań jest przedstawienie schematu rozliczania kosztów w spółdzielni mleczarskiej oraz określenie jego przydatności w pozyskiwaniu informacji o kosztach dla potrzeb podejmowania decyzji zarządczych. Analizy mają charakter studium przypadku. Wybrano w sposób celowy spółdzielnię mleczarską określoną jako obiekt typowy przy wykorzystaniu metody odległości euklidesowej i miejskiej. W warunkach, w jakich gospodarują współczesne podmioty gospodarcze, potrzebne są wiarygodne informacje o kosztach. Dostarczanie tych informacji jest głównym zadaniem rachunku kosztów, który jest jedną z najważniejszych części składowych rachunkowości, mającą za zadanie grupowanie kosztów oraz ustalanie szeregu zależności między procesami produkcyjnymi, a wysokością kosztów. Prawidłowo sporządzony arkusz rozliczeniowy kosztów powinien uwzględniać zmiany zachodzące zarówno w technologii produkcji, jak i w otoczeniu rynkowym spółdzielni mleczarskiej, ponieważ czynniki te uzasadniają zapotrzebowanie na informację o kosztach.
Struktura kapitału a poziom rentowności spółek kapitałowych na przykładzie sektora budowlanego
Authors: Kalisiak Aneta
Published: March 2018

Celem prowadzonych badań była identyfikacja wzajemnych zależności pomiędzy udziałem zadłużenia w strukturze pasywów a poziomem wskaźników rentowności. Badanie przeprowadzono dla przedsiębiorstw sektora budowlanego notowanych na Giełdzie Papierów Wartościowych w Warszawie w latach 2011-2015. Przedsiębiorstwa o niższym poziomie zadłużenia wykazywały brak istotnej statystycznie korelacji pomiędzy wskaźnikami zadłużenia a rentownością spółek. W grupie przedsiębiorstw o wyższym poziomie ogólnego zadłużenia wystąpiła istotna statystycznie korelacja między wskaźnikiem ogólnego zadłużenia a rentownością aktywów, sprzedaży oraz wskaźnikiem operacyjnym rentowności sprzedaży.
Lojalność klientów indywidualnych wobec banku komercyjnego
Authors: Pietrzak Piotr
Published: March 2018

Niestabilność otoczenia, w którym funkcjonują banki komercyjne oraz głębokie przeobrażenia zachodzące wewnątrz nich sprawiają, że przewartościowaniu ulegają zasady ich działania. Z instytucji chronionych wieloma przywilejami, banki komercyjne stały się podmiotami muszącymi sprostać presji nasilającej się konkurencji. Tym samym, temat lojalności klientów nabiera coraz większego znaczenia w strategiach marketingowych banków komercyjnych. Celem niniejszego artykułu uczyniono określenie stopnia lojalności klientów banku na przykładzie wybranego oddziału wareckiego banku komercyjnego „X””. W badaniach wykorzystano standardowy i „wzmocniony” wskaźnik lojalności. Analiza statystyczna obejmowała nieparametryczny test chi kwadrat (χ2).
Zmienność struktury kredytowej a wielkość banku na przykładzie wybranych banków spółdzielczych
Authors: Stola Emilia , Stefański Artur
Published: March 2018

Współcześnie banki spółdzielcze chcąc zachować konkurencyjność w sektorze bankowym względem banków komercyjnych oraz innych instytucji bankowych i para-bankowych, dążą do zaspokojenia potrzeb kredytowych klientów. Wydaje się, że banki udzielając kredytów inwestycyjnych, które w ujęciu ilościowym charakteryzują się mniejszą dynamiką, niż kredyty detaliczne to jednak jednostkowe zaangażowanie banku w tej sytuacji jest relatywnie wyższe. W związku z tym powstaje pytanie czy struktura rodzajowa udzielonych kredytów jest determinowana przez wielkość banku. Celem opracowania było określenie poziomu zróżnicowania struktury rodzajowej kredytów ze względu na wielkość banków. Przeprowadzone grupowanie banków i analiza wariancji wskazały na istnienie istotnych statycznie różnic w przypadku struktury kredytów inwestycyjnych oraz operacyjnych i instrumentów dłużnych, natomiast w pozostałych przypadkach, w tym kredytów konsumpcyjnych nie potwierdzono różnic w strukturze w zależności od wielkości banku.
Finansowanie inwestycji rzeczowych w niemieckim sektorze przedsiębiorstw
Authors: Samborski Adam
Published: March 2018

W artykule przyjęto dwa cele, a mianowicie: zaadoptowanie sposobu badawczego zaproponowanego przez Corbett i Jenkinson’a do wymogów Europejskiego Systemu Rachunków 2010; identyfikacja struktury finansowania inwestycji rzeczowych w niemieckim sektorze przedsiębiorstw. W analizach wykorzystano dane pochodzące ze sprawozdawczości narodowej, a dokładniej z dwóch rachunków wchodzących w skład rachunków akumulacji, tj.: rachunku kapitałowego oraz rachunku finansowego. Przyjęto metodologię źródeł finansowania netto, w której wykorzystano przepływy środków finansowych, a nie ich stany. Identyfikując strukturę źródeł finansowania inwestycji rzeczowych zauważono, iż w niemieckim sektorze przedsiębiorstw dominują środki wewnętrzne i transfery kapitałowe.
A genuine family of Bernstein-Durrmeyer type operators based on Polya basis functions
Authors: Neer Trapti , Agrawal P.N.
Published: March 2018

In this paper, we construct a genuine family of Bernstein-Durrmeyer type
operators based on Polya basis functions. We establish some moment estimates
and the direct results which include global approximation theorem in terms of
classical modulus of continuity, local approximation theorem in terms of the
second order Ditizian-Totik modulus of smoothness, Voronovskaya-type
asymptotic theorem and a quantitative estimate of the same type. Lastly, we
study the approximation of functions having a derivative of bounded
variation.
Asymptotic behavior of second-order impulsive partial stochastic functional neutral integrodifferential equations with infinite delay
Authors: Yan Zuomao , Jia Xiumei
Published: March 2018

In this paper, the existence and asymptotic stability in p-th moment of mild
solutions to a class of second-order impulsive partial stochastic functional
neutral integrodifferential equations with infinite delay in Hilbert spaces
is considered. By using H?lder?s inequality, stochastic analysis, fixed point
strategy and the theory of strongly continuous cosine families with the
Hausdorff measure of noncompactness, a new set of sufficient conditions is
formulated which guarantees the asymptotic behavior of the nonlinear
second-order stochastic system. These conditions do not require the nonlinear
terms are assumed to be Lipschitz continuous. An example is also discussed to
illustrate the efficiency of the obtained results.
Distortion and covering theorems of pluriharmonic mappings
Authors: Chen Shaolin , Ponnusamy Saminathan
Published: March 2018

The linear-invariant families of analytic functions make it possible to
obtain well-known results to broader classes of functions, and are often
helpful in obtaining simpler proofs along with new results. Based on this
classical approach due to Pommerenke, properties (such as bounds for the
derivative, covering and distortion) of a corresponding class of locally
quasiconformal and planar harmonic mappings are established by Starkov.
Motivated by these works, in this paper, we mainly investigate distortion
and covering theorems on some classes of pluriharmonic mappings.
Studying the Krull dimension of finite lattices under the prism of matrices
Authors: Dube T. , Georgiou D.N. , Megaritis A.C. , Sereti F.
Published: March 2018

The Krull dimension of a finite lattice (X;6) is equal to the height of the
poset of join prime elements of X minus 1. To every partially ordered set we
assign an order-matrix, and we use these ordermatrices to characterize the
join prime elements of finite lattices. In addition, we present a reduction
algorithm for the computation of the height of a finite poset. The algorithm
is based on the concept of the incidence matrix. Our main objective,
ultimately, is to use these processes to calculate the Krull dimension of
any given finite lattice.
New weighted sum model
Authors: Miljkovic Boza , Zizovic Malisa , Petojevic Aleksandar , Damljanovic Nada
Published: March 2018

In this paper, a new weighting sum method for multi-criteria decision making
is presented. The main advantage of this method is that it is easier for
understanding and it can effectively be handled by a decision maker, so the
obtained solution best suits his goal and his understanding of the problem.
ZNN models for computing matrix inverse based on hyperpower iterative methods
Authors: Stojanovic Igor , Stanimirovic Predrag , Zivkovic Ivan , Gerontitis Dimitrios , Wang Xue-Zhong
Published: March 2018

Our goal is to investigate and exploit an analogy between the scaled
hyperpower family (SHPI family) of iterative methods for computing the
matrix inverse and the discretization of Zhang Neural Network (ZNN) models.
A class of ZNN models corresponding to the family of hyperpower iterative
methods for computing generalized inverses is defined on the basis of the
discovered analogy. The Simulink implementation in Matlab of the introduced
ZNN models is described in the case of scaled hyperpower methods of the
order 2 and 3. Convergence properties of the proposed ZNN models are
investigated as well as their numerical behavior.
MODEL PENDIDIKAN PAULO FREIRE, REFLEKSI PENDIDIKAN IPA SD DI INDONESIA (Relevansi Model Pendidikan Paulo Freire dengan Pendidikan IPA di Sekolah Dasar)
Authors: Desstya Anatri , Novitasari Istiani Indah , Razak Aldi Farhan , Sudrajat Kukuh Sandy
Published: March 2018

Penelitian ini bertujuan untuk mendeskripsikan: proses pendidikan IPA di SD yang sesuai dengan harapan pada saat ini, model pendidikan Paulo Freire, tujuan dari pendidikan Paulo Freire, serta relevansinya dengan pendidikan IPA di SD. Penelitian ini merupakan jenis penelitian library research (penelitian kepustakaan). Sumber data utama diperoleh dari buku, jurnal dan  tulisan  lain yang berkaitan pendidikan IPA di SD dan model pendidikan pembebasan dari Paulo Freire. Teknik pengumpulan data dengan mengidentifikasi informasi dari buku-buku, laporan penelitian terdahulu, jurnal, artikel, web, ataupun informasi lainnya. Penelitian ini menggunakan cara analisis deskriptif. Analisis data  mencakup  penguraian  masalah  sesuai  objek  kajian kemudian dideskripsikan dan dianalisis untuk memperoleh kesimpulan, yaitu 1) pendidikan IPA di SD diarahkan melalui pengalaman langsung, dilakukan secara inkuiri ilmiah dengan mengembangkan keterampilan proses dan sikap ilmiah, 2) Model pendidikan menurut Paulo Freire menyatakan tentang pendidikan dialektis, pendidikan yang membebaskan dan tidak membelenggu, dan c) pendidikan  yang humanisme, yaitu pendidikan yang memanusiakan manusia. Relevansi Pendidikan IPA SD di Indonesia dengan pendidikan Paulo Freire adalah IPA yang dibelajarkan secara inkuiri ilmiah mempunyai aspek pesan yang saling berkesinambungan dengan pemikiran dari Paulo Freire tentang pendidikan yang dialektis, pendidikan yang membebaskan dan bukan membelenggu, serta pendidikan yang humanistis.
EFEKTIVITAS PENGGUNAAN KOMIK BERBASIS SIKAP ILMIAH TERHADAP SIKAP PEDULI LINGKUNGAN MAHASISWA UNIVERSITAS SLAMET RIYADI
Authors: Wicaksono Anggit Grahito , Widyaningrum Ratna
Published: March 2018

The purpose of this research is to know: (1) difference of environmental care attitude of students before and after using comic based scientific attitude on basic natural science subjects and (2) effectiveness of the use of comic based scientific attitudes toward environmental care attitude on basic natural science subjects. This research uses pre experimental quantitative research method with one group pretest-posttest design with t-test and N-gain test analysis technique. The results of the first hypothesis test concluded that there are differences in environmental cares attitude before and after using comic based scientific attitude and experienced an increase in average values of environmental care attitude before and after using comic based scientific attitude. The result of the second hypothesis test concludes that the use of comic based scientific attitude is effective on the environmental cares attitude of students on the medium criterion with the value of the N-gain test of 0.425.
PENGARUH PENGGUNAAN METODE GUIDED DISCOVERY TERHADAP HASIL BELAJAR IPA SISWA KELAS IV SEKOLAH DASAR
Authors: Azizah Azizah , Winarti Puji
Published: March 2018

This study aims to determine the effect of using guided discovery learning method for IPA learningoutcomes. Variables that examined are the learning method that consists of guided learningmethods discovery, conventional method, and student learning outcomes IPA. This research isquasi experimental study. Experimental design to be used in the form pretest-posttest controlgroup design. The population were all fourth grade students in elementary school Gedanganak01 West Ungaran and SD Negeri Langensari 01 West Ungaran. The experiments given classtreatment guided discovery learning method and the control class were given conventionaltreatment methods. Data collection techniques of this study is test to measure student learningoutcomes IPA. Analysis of data using (1) the descriptive statistical techniques to describe thecharacteristics of science learning outcomes; and (2) of inferential statistics by t-test to testthe hypothesis of the study with assisted SPSS 16.0 for Windows. The results showed that thereis significant influence learning method guided discovery to learning outcomes IPA. This wasshown by the differences in learning outcomes in science subjects between learning by usingguided discovery with conventional learning. These results are based on t -.test Gain Score withSig. 0.012 α (0.05).
KEEFEKTIVAN METODE LEARNING STARTS WITH A QUESTION PADA PEMBELAJARAN GEOMETRI
Authors: Pradana Lingga Nico
Published: March 2018

This purpose of the research was to determine the effectiveness of learning start with a questionmethods on geometry learning. The effectiveness of these methods would be compared withpresentation method. The method of this research was quasi experimental method with 2x1factorial design. The population in this study was the third semester students at PGSD IKIPPGRI MADIUN while the sample was 3G as an experimental class and 3C as the control class.The sampling technique used was cluster random sampling. Methods of data collection in thisstudy was test method and divided into two: pre-test and post-test. Data analysis techniquesused in this study is a t-test with two independent samples. The results of this study were learningstarts with a question method was more effective than presentation method.
ANALISIS KELAYAKAN BAHASA DALAM BUKU TEKS TEMA 1 KELAS I SEKOLAH DASAR KURIKULUM 2013
Authors: Purnanto Arif Wiyat , Mustadi Ali
Published: March 2018

Penelitian ini bertujuan untuk mendeskripsikan kelayakan bahasa dalam buku teks Tema 1 Kelas I Kurikulum 2013. Penelitian ini menggunakan pendekatan kualitatif jenis analisis konten. Sumber data dalam penelitian ini adalah buku teks Tema 1 Kelas I terbitan Non-Kemdikbud. Data penelitian dikumpulkan melalui analisis konten dengan menggunakan instrumen yang telah divalidasi oleh expert judgement. Data penelitian ini dianalisis menggunakan teknik analisis kualitatif Krippendof yang meliputi pengumpulan data, penentuan sampel, pencatatan, reduksi, penarikan kesimpulan dan pendeskripsian.Hasil penelitian menunjukkan bahwa buku teks Non-Kemdikbud 1 memenuhi aspek kelayakan penggunaan bahasa dengan persentase sebesar 82,69%. Dapat disimpulkan bahwa kelayakan penggunaan bahasa di dalam buku teks ini termasuk dalam kategori baik. Kekurangan pada buku teks ini terletak pada penggunaan ilustrasi yang tidak konsisten dan pemilihan beberapa kata yang kurang sesuai dengan tahap perkembangan siswa. Sedangkan buku teks Non-Kemdikbud 2 memenuhi aspek kelayakan penggunaan bahasa dengan persentase sebesar 78,36%. Dapat disimpulkan bahwa kelayakan materi di dalam buku teks ini termasuk dalam kategori cukup. Kekurangan dalam buku teks ini yaitu penggunaan tanda baca yang kurang sesuai dengan tahap perkembangan siswa dan konsistensi penggunaan ikon.
PENERAPAN PEMBELAJARAN PROBLEM BASED LEARNING (PBL) UNTUK MENINGKATKAN HASIL BELAJAR MATEMATIKA SISWA KELAS IV
Authors: Hadi Fida Rahmantika
Published: March 2018

The purpose of this study was to describe the steps to the application of PBL learning to improve student learning outcomes in the material fractions. This research was a class act. In this study the data source was the teacher and the student. Data collection techniques used in this study consisted of (a) observation, (b) interviews, and (c) test. Methods of data analysis used in this research is descriptive qualitative and descriptive comparative. The steps of learning by PBL method are (1) the stage of cooperation where students formed into groups of 4-5 students, (2) the orientation of students to the problem, namely the provision of problems related to everyday life, (3) organization students to learn independently in a group, (4) guided inquiry groups using worksheets to gather the appropriate information, and (5) develop and present the results of discussions through presentations to the class. The resulting increases in students' mathematics learning of the results of the pre-action test 71.31 and increased in the first cycle to 75.78, on the second cycle increased by 82.63.
Monitoring Students’ Perceptions in an App Inventor School Course
Authors: Panselinas Giorgos , Fragkoulaki Efi , Angelidakis Nikolaos , Papadakis Stavros , Tzagkarakis Eleytherios , Manassakis Vassileios
Published: March 2018

MIT App Inventor is a block-based programming environment for children and teenagers that sets a “low floor” for allowing creative app building while engaging students in complex computational thinking activities. The present study aims at (a) monitoring students’ perceptions on ‘popularity’ and ‘perceived difficulty’ of certain activities/lessons through the implementation of an App Inventor course in a Greek lower high school, (b) detecting any course design or activity/lesson plan and implementation factors that affected students’ perceptions and finally (c) evaluating their experience with App Inventor in contrast with their previous experience with MicroWorlds Pro and Scratch. Our study confirms students’ positive perceptions such as positive task value beliefs and self-efficacy, identifies features of successful “resources learning” in competence-based learning and finally offers a students’ comparison between App Inventor, MicroWorlds Pro and Scratch.
Perceptions of Informatics Teachers Regarding the Use of Block and Text Programming Environments
Authors: Karaliopoulou Margarita , Apostol Ioannis , Kanidis Evangelos
Published: March 2018

In this paper we investigate teachers’ perceptions regarding the use of block and text programming environments in the class. The survey targets teachers of informatics in primary and secondary schools in Greece and attempts to answer research questions regarding the suggested duration of block-based programming practice and the difficulty of students’ transition from block-based to text-based programming. In contrast to the majority of research works that consider students’ opinions, in this paper we investigate the perceptions of their teachers and take advantage of their experience on the taught subject. Although the curriculum mandated by the Ministry of Education provides no specific directive, teachers agreed that block-based environments are appropriate introductory tools to programming. One of the primary tasks of this work was to determine the recommended age for students to move from block-based to text-based programming. The analysis of the collected data clearly indicated a specific age for this transition: teachers believe that students in primary school and the lower secondary school (ICSED levels 1 and 2 respectively) should use a block-based programming environment and should be introduced to text-based programming during the upper secondary school (ICSED level 3), after the age of 14. The findings of this study can be useful when designing new Informatics curricula for the secondary education, all-over the world.
Universally Designed Educational Material for Students with and without Disabilities: Would Its Development Be Possible without the Contribution of IT Applications?
Authors: Gkyrtis Konstantinos , Gelastopoulou Maria , Kourbetis Vassilis
Published: March 2018

The Institute of Educational Policy, seeking to realize inclusive policies and practices planned the project: “Design and Development of Universally Accessible Educational Material.” Its objectives are the development of universally designed digital educational materials for nursery primary and secondary school students with disabilities or special educational needs. The project focuses on developing new open source digital educational material and software for special education in Greece, adopting and using the popular platform OpenEdX of asynchronous e-learning that allows the organization of Massive Open Online Courses (MOOCs), aimed at distance learning and training of the teachers of general and special education.
Latihan Kegeldan Nyeri Saat Berhubungan Seksual pada Perempuan Pasca Terapi Kanker
Authors: Puspasari Dewi , Trisyani Mira , Widiasih Restuning
Published: March 2018

Efek samping radioterapi adalah pemendekan dan pengeringan vagina yang menyebabkan nyeri saat melakukan hubungan seksual (dispareunia). Hal ini mengakibatkan gangguan fungsi seksual yaitu keinginan, gairah, orgasme, dan kepuasan. Penelitian ini bertujuan untuk melihat efektivitas latihan kegeldalam mengatasi keluhan nyeri saat berhubungan seksual pada perempuan pasca terapi kanker serviks. Penelitian ini menggunakan desain penelitian kuasi eksperimen dengan jumlah responsden 26 orang kelompok intervensi dan 26 orang kelompok kontrol pada perempuan setelah radioterapi. Tingkat nyeri dalam penelitian ini diukur dengan Female Sexual Function Index (FSFI). Pengaruh latihankegelterhadap nyeri diuji dengan t-tes. Hasil penelitian menunjukkan adanya perbedaan yang bermakna pada kedua kelompok dengan nilai p=0.002. Latihan kegel terbukti menurunkan nyeri saat berhubungan seksual (dispareunia) sebanyak 3,897 kali (OR=3,897). Berdasarkan hasil penelitian ini, perawat diharapkan dapat memberikan intervensi latihan kegeluntuk menurunkan nyeri pasca terapi kanker serviks.Kata kunci:Dispareunia, latihan kegel, pasca terapi kanker serviks AbstractRadiotherapy for cervical cancer has side effects which cause the vagina become smaller and drier so that it could reduce the flexibility and lubrication of the vagina. These side effects could change the sexual functions, which is pain during sexual intercourse. This study proves the effectiveness of Kegel exercises to overcome pain during sexual intercourse (dyspareunia) for the women after a cervical cancer therapy. Method The Quasi-experimental was conducted to 26 intervention group and 26 control group. The sampling technique used consecutive sampling method. FSFI (Female Sexual Function Index) were obtained in order to measure dyspareunia. A t-test was used to examine differences between two groups. Result findings The Kegel exercises gave a significant changing of dyspareunia level with p value=0,002. There was significance difference of dyspareunia level between intervention and control groups. Kegel exercises provided opportunies to decrease dyspareunia as much as 3,897 times (OR=3,897). Conclusion The Kegel exercises are proved to reduce effectively to solve dyspareunia for women after a cervical cancer therapy. Nursing role are to promote, prevent and rehabilitate (health education, Kegel exercises sosialization, and health care training) the complaint of women after cervical cancer therapy as an effort to improve health status of women with cervical cancer.Key words:After cervical cancer therapy, dyspareunia, kegel exercises
Hubungan Tingkat Pendidikan, Pekerjaan, dan Paritas Ibu dengan Usia Penyapihan pada Balita
Authors: Oktoviyanda Vinda Dwi , Ropi Helwiyah , Mardiyah Ai
Published: March 2018

Penyapihan cepat adalah salah satu penyebab anak terserang infeksi karena daya tahan tubuhnya menurun, namun ditemukan banyak ibu-ibu yang melakukan penyapihan cepat di Wilayah Posyandu “X”. Penelitian ini bertujuan mengetahui hubungan antara tingkat pendidikan, pekerjaan, dan paritas ibu dengan usia penyapihan pada balita di Wilayah Posyandu X menggunakan metode deskriptif korelasional dengan studi retrospektif terhadap 60 responden ibu yang memiliki anak usia 2−5 tahun dengan tehnik purposive samplingdan dianalisis menggunakan spearman rankdan odd ratio(OR). Hasil penelitian menunjukkan tidak ada hubungan antara tingkat pendidikan dengan usia penyapihan (p=0.868), ada hubungan negatif antara pekerjaan dengan usia penyapihan (p=0.016) dan ada hubungan antara paritas dengan usia penyapihan (p=0.027) serta nilai odd ratio (OR) 8,143. Dari hasil penelitian disarankan bahwa pendidikan kesehatan tentang ASI perlu ditambahkan tentang cara penyapihan ASI yang benar dan mengevaluasi pendidikan kesehatan yang diberikan secara teratur.Kata kunci: Balita, paritas, pekerjaan, penyapihan ASI, tingkat pendidikan AbstractThe early weaning process is one of the infection causes among children. That process have influenced in reducing the children’s immune. However, many mothers in the “Posyandu X” have applied the early weaning process to their children. This study aimed to know the relationship between the level of education, job status, maternal parities and the weaning time in toddlers in the “Posyandu X”. This study used the descriptive correlational approach with retrospective study. Samples were 60 mothers who have children aged 2–5 years old. Samples were chosen using the purposive sampling method, and data were analysed using spearman rank and odd ratio (OR). The result showed that there were no correlation between the level of education and the age of weaning (p=0.868), there were negative correlation between mother’s job status and the age of weaning (p=0.016), and there were correlation between the maternal parity and the age of waning p=0.027). The study also found that the odd ratio= 8.143. The study suggests that the health education program related to breast feeding should involve the weaning process as part of the health education material.Key words:Job status, parities, the level of education, the weaning process, toddlers
Pengalaman Keluarga sebagai Caregiver dalam Merawat Pasien Strok di Rumah
Authors: Daulay Nanda Masriani , S Setiawan , S Nunung Febriany
Published: March 2018

Sebagian besar pasien strok yang kembali ke rumah mengalami kecacatan. Kecacatan akibat strok tidak hanya berdampak bagi pasien, akan tetapi juga berdampak bagi anggota keluarga yang akan menjadi caregiver. Penelitian pada caregiverini penting karena caregiverberperan terhadap keberhasilan pengobatan dan perawatan pasien strok. Penelitian ini bertujuan untuk mengeksplorasi secara mendalam tentang makna pengalaman keluarga sebagai caregiverpasien strok di rumah. Penelitian ini merupakan studi fenomenologi deskriptif. Pengumpulan data dilakukan dengan indepth interview. Partisipan dalam penelitian ini berjumlah 16 orang yang dipilih dengan teknik purpossive sampling. Data yang diperoleh dianalisis dengan pendekatan Colaizzi. Hasil analisis penelitian ditemukan lima tema yaitu: memberikan dukungan total, memenuhi kebutuhan dasar, penderitaan dan hikmah bagi caregiver, kurangnya keterampilan dalam merawat, dan keterbatasan caregiver. Caregivermenderita masalah fisik, psikologis, dan sosial. Pada umumnya, caregivermerasa terabaikan, mereka membutuhkan informasi terkait penyakit pasien, cara merawat pasien strok, dan sumber-sumber komunitas pelayanan kesehatan. Berdasarkan hasil penelitian, perawat disarankan untuk melakukan perencanaan pulang individual yang lebih berpusat pada keluarga daripada pendekatan berpusat pada pasien.Kata kunci: Caregiverkeluarga, merawat, pasien strok AbstractMost of the strok patients who return home suffer from disabilities. Disability caused by strok not only impact on strok patients, but also impact on family members who will be the caregiver. The concern to the caregiver is important because the success of the treatment and care of strok patients can not be separated from the help and support provided by the caregiver. This study aims to explore deeply the meaning of family experience as caregiver for strok patients at home. This study is a descriptive phenomenological study. Data were collected through in-depth interview. Participants in this study were 16 people who were selected by purposive sampling technique. The data obtained were analyzed by using Colaizzi approach. Results of analysis found 5 (five) themes, namely: giving total support, meeting basic needs, suffering and wisdom for the caregiver, lack of skills in caring for, and limitations of caregiver. Caregiver suffering from physical, psychological, and social problems. In general, caregivers feel neglected, they need information about the patient's illness and how to care for them as well as community resources for health services. Based on the results of the research, it is suggested that discharge planning approach should be focused more on family rather than patient.Key words:Family caregiver, caring, strok patient
Pengalaman Spiritualitas pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis
Authors: Mailani Fitri , S Setiawan , S Cholina T.
Published: March 2018

Spiritualitas merupakan aspek yang sangat penting bagi pasien yang menderita penyakit ginjal kronik yang menjalani hemodialisis. Tujuan penelitian ini adalah untuk mengeksplorasi spiritualitas pasien penyakit ginjal kronik yang menjalani hemodialisis. Penelitian ini merupakan studi fenomenologi deskriptif. Metode pengumpulan data dilakukan dengan wawancara mendalam. Partisipan dalam penelitian ini berjumlah 10 orang yang berasal dari unit hemodialisis RSUP H.Adam Malik dan RSU dr. Pirngadi Medan dengan kriteria partisipan berusia lebih dari 18 tahun, menjalani hemodialisis lebih dari 3 bulan, kesadaran compos mentis dan reguler menjalani hemodialisa 2 kali seminggu. Data yang diperoleh dianalisis dengan pendekatan Colaizzi. Dari hasil analisis penelitian di temukan 4 tema yang mencerminkan fenomena yang diteliti. Tema-tema tersebut antara lain adalah mendekatkan diri kepada Tuhan, dukungan dari orang terdekat, mempunyai harapan besar untuk sembuh, dan menerima dengan ikhlas penyakit yang diderita. Dengan demikian disarankan kepada perawat dialisis untuk membuat program yang mendukung kegiatan spiritualitas secara berkelompok sesuai dengan kepercayaan masing-masing pasien.Kata kunci: Hemodialisis, penyakit ginjal kronik, spiritualitas.Spiritual Experience of Chronic Renal Failure Patient Undergoing HemodialysisAbstractSpirituality is a very important issue in patients with chronic renal failure undergoing hemodialysis. The purpose of this qualitative study was to explore the spirituality experience of patients with chronic renal failure undergoing hemodialysis. The design of this study is phenomenology. Data were collected through in-depth interviews that conducted with 10 participants selected from renal unit of RSUP. H. Adam Malik and RSUD dr. Pirngadi Medan hospital based on criteria including age more than 18 years old, undergoing hemodialysis more than 3 months, composmentis and reguler hemodialysis 2 times a week. The collected data were analyzed using Colaizzi apporach to analysis. The results of this study showed four including being closer to God, the support of the people nearby, had great hopes for recovery, and willingly accept the illness. This study suggested the dialysis nurses to create program to support spiritual activity.Key words: Chronic kidney disease, hemodialysis, spirituality.
A Critical Review of Symptom Management of Auditory Hallucinations in Patient with Schizophrenia
Authors: Suryani Suryani
Published: March 2018

Auditory hallucinations are a key symptom of schizophrenia. It is estimated that the prevalence of auditory hallucinations in people with schizophrenia range from 64.3% to 83.4%. The auditory hallucinations impacted on daily lives of the sufferer. An extensive review of the literature was undertaken to find symptom management that has been developed in reducing auditory hallucinations from CINAHL, PsyInfo, Health and Medical Complete, ProQuest Psychology Journals, ProQuest Social Journals, Science Direct, Web of Science and Scopus. Based on the analysis of the 15 articles, evidence was suggested that CBT and other psychological treatments have beneficial for individuals who experience auditory hallucinations. However, individuals who experience auditory hallucinations are not just sufferers who need to be treated but people who can develop their own strategies of living with auditory hallucinations. Therefore it is important for nurses to involve them in the management of the auditory hallucinations.Key words: Auditory hallucinations, literature review, symptom management. Reviu Kritis terhadap Pengelolaan Gejala Halusinasi Pendengaran pada Pasien SkizofreniaAbstrakHalusinasi pendengaran merupakan gejala utama skizofrenia. Prevalensi halusinasi pendengaran pada penderita skizofrenia diperkirakan berkisar antara 64,3% sampai 83,4%. Halusinasi pendengaran berdampak pada kehidupan sehari-hari penderitanya. Kajian literatur ini dilakukan untuk menemukan manajemen gejala yang telah dikembangkan dalam mengurangi halusinasi pendengaran dari CINAHL, PsycINFO, Kesehatan dan Kedokteran Lengkap, Jurnal Psikologi Proquest, Jurnal Sosial Proquest, Science Direct, Web of Science dan Scopus. Berdasarkan analisis terhadap dari 15 artikel, ada bukti yang menunjukkan bahwa CBT dan perawatan psikologis lainnya bermanfaat bagi individu yang mengalami halusinasi pendengaran dalam mengatasinya. Namun, individu yang mengalami halusinasi pendengaran bukan hanya penderita yang perlu diobati tetapi individu yang dapat mengembangkan strategi mereka sendiri hidup dengan halusinasi pendengaran. Karena itu penting bagi perawat untuk melibatkan mereka dalam manajemen halusinasi tersebut.Kata kunci: Halusinasi pendengaran, kajian literature, manajemen gejala.
Pengaruh Program Edukasi Perawatan Kaki Berbasis Keluarga terhadap Perilaku Perawatan Kaki pada Pasien Diabetes Melitus Tipe 2
Authors: Sari Citra Windani Mambang , Haroen Hartiah , Nursiswati Nursiswati
Published: March 2018

Perilaku perawatan kaki merupakan komponen yang penting dalam pencegahan kaki diabetik. Namun, banyakpasien Diabetes Melitus (DM) yang tidak menjalankannya akibat rendahnya pengetahuan dan self-efficacy pasienmaupun keluarga. Di sisi lain, dukungan dan keterlibatan keluarga merupakan aspek penting dalam terlaksananyaperilaku perawatan kaki pasien DM. Pengembangan program peningkatan perawatan kaki DM berbasis keluargapenting dilakukan guna mengatasi kelemahan program sejenis yang berbasis individu. Tujuan penelitian iniadalah untuk mengidentifikasi pengaruh program edukasi perawatan kaki berbasis keluarga terhadap perilakuperawatan kaki pasien DM. Penelitian quasi experiment dengan pre-test and post-test with control group designini melibatkan 72 responden DM Tipe 2 dan keluarganya yang diseleksi secara purposive dari populasi respondenDiabetes Melitus di wilayah kerja Puskesmas Pasirkaliki Kota Bandung. Sampel dibagi menjadi kelompokintervensi dan kontrol dengan masing-masing 36 responden. Responden pada kelompok intervensi mendapatkanprogram edukasi perawatan kaki berbasis keluarga, konseling serta tindak lanjut 1 kali melalui telepon dan tigakali melalui kunjungan langsung ke rumah. Perilaku perawatan kaki dikumpulkan menggunakan kuesioner.Data dianalisis menggunakan paired dan independent t-test. Hasil penelitian menunjukkan tidak ada perbedaankarakteristik antar kelompok. Perilaku perawatan kaki post test (M=84.69, SD=4.49) pada kelompok intervensiberbeda secara bermakna (p = 0.000) lebih tinggi dibanding pre test (M=49.50, SD=9.40), sedangkan padakelompok kontrol ada penurunan skor setelah pengukuran (sebelum M=51,33, SD=8,58; sesudah M=49,50,SD=9,40; p=0,219). Program edukasi perawatan kaki berbasis keluarga efektif meningkatkan perilaku perawatankaki pasien DM. Dengan demikian, perawat dapat mengintegrasikan program edukasi perawatan kaki berbasiskeluarga ke program perkesmas sebagai upaya pencegahan kaki diabetik pada pasien Diabetes Melitus.
Pengaruh Pijat Punggung terhadap Skor Kelelahan Pasien Gagal Jantung
Authors: Nugraha Bambang Aditya , Fatimah Sari , Kurniawan Titis
Published: March 2018

Kelelahan merupakan salah satu masalah serius pada pasien dengan gagal jantung karena dapat menurunkanproduktivitas dan meningkatkan angka kesakitan. Pijat punggung merupakan salah satu intervensi yang berpotensiefektif mengatasi kelelahan dan relatif sederhana, mudah dan murah dalam pengaplikasiannya. Meski demikian,belum ada studi yang membuktikan pengaruh terapi ini dalam mengatasi kelelahan pasien gagal jantung. Tujuanpenelitian ini adalah mengidentifikasi pengaruh pijat punggung terhadap skor kelelahan pasien gagal jantung di RSUdr. Slamet Garut. Penelitian quasi experiment ini menggunakan rancangan one group pretest and postest denganmelibatkan 30 pasien gagal jantung yang diambil secara consecutive sampling. Kelelahan pasien gagal jantungdikumpulkan menggunakan Functional Assessment of Chronic Illness Therapy (FACIT) skala kelelahan. Datadianalisis secara deskriptif dan uji inferensial dilakukan menggunakan paired t test. Hasil penelitian menunjukanrerata skor kelelahan pasien sebelum diberikan intervensi pijat punggung sebesar 24,67 (SD=7,078) dan setelahdiberikan intervensi pijat punggung sebesar 15,9 (SD=5,75). Terdapat penurunan skor kelelahan yang bermaknasesudah dilakukan intervensi pijat punggung dengan nilai p=0,000 (p<0,005). Selain itu, didapatkan skor kelelahansetelah intervensi hari ketiga secara bermakna lebih rendah dibanding skor kelelahan hari kedua (p=0,006) dan haripertama (p=0,000). Simpulan penelitian ini adalah terdapat pengaruh pijat punggung terhadap skor kelelahan padapasien dengan gagal jantung di RSU dr. Slamet Garut, semakin sering frekuensi pijat punggung semakin besarpenurunan skor kelelahan. Berdasarkan hal tersebut menjadi penting bagi petugas kesehatan untuk menjadikan pijatpunggung sebagai salah satu upaya terapi komplementer dalam pengelolaan kelelahan pada pasien gagal jantung.
Hubungan antara Fatigue, Jumlah CD4, dan Kadar Hemoglobin pada Pasien yang Terinfeksi Human Immunodeficiency Virus (HIV)
Authors: Ibrahim Kusman , Kurnia H Yusshy , Rahayuwati Laili , Nurmalisa Baiq Emi , Rifa’atul Fitri Siti Ulfah
Published: March 2018

Keberadaan Human Immunodeficiency Virus (HIV) di dalam tubuh secara terus menerus menyebabkan gangguan pada hampir semua sistem tubuh yang berdampak pada munculnya gejala kelelahan (fatigue). Fatigue banyak dilaporkan pada penderita HIV/AIDS dengan prevalensi berkisar antara 20% sampai 60%. Penelitian ini bertujuan menguji hubungan antara fatigue dengan jumlah CD4 dan kadar Hb pada pasien HIV/AIDS. Sebanyak 77 responden direkrut secara purposif di sebuah Klinik Rawat Jalan Rumah Sakit di Kota Bandung. Fatigue diukur menggunakan kuesioner HIV Related Fatigue Score (HRFS). Data yang terkumpul dianalisis menggunakan uji pearson correlation. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara fatigue dengan jumlah CD4 dalam darah (r = -.289, p< 0.05) dan kadar Hb (r = -.349, p< 0.05). Selain itu, kadar Hb memiliki hubungan yang bermakna dengan jumlah CD4 pada pasien HIV/AIDS (r = .360, p < .01). Hasil penelitian ini mengindikasikan perlunya monitoring kadar CD4 dan Hb secara berkala dan melakukan intervensi untuk mengatasi penurunan Hb dan CD4 sesegera mungkin sehingga dapat mencegah agar fatigue tidak berkelanjutan.Kata kunci: CD4, fatigue, hemoglobin, HIV/AIDS. The Correlation of Between Fatigue, CD4 Cell Count, and Hemoglobin Level among HIV/AIDS PatientsAbstractThe existence of Human Immunodeficiency Virus (HIV) in the body continuously causes disruption in almost all body systems that impact on the emergence of symptoms of fatigue. Fatigue was widely reported in HIV/AIDS patients with prevalence ranging from 20% to 60%. This study examined the relationship between fatigue and CD4 cell count and hemoglobin levels in HIV/AIDS patients. A total of 77 respondents were recruited purposively in Outpatient Clinic, General Hospital Bandung City. Fatigue was measured using the HIV Related Fatigue Score (HRFS) questionnaire. The collected data were analyzed using pearson correlation product moment. The results showed there were significant relationship between fatigue and CD4 count in blood (r = -.289, p< 0.05) and hemoglobin level (r = -.349, p< 0.05). In addition, CD4 had significantly correlation with Hb (r = .360, p < .01). The results of this study indicated that nurses or health care providers need to periodically monitor the CD4 and Hb levels and provide early intervention to manage the hemoglobin and CD4 cell count at optimum levels to prevent prolonging fatiguel.Keywords: CD4, fatigue, hemoglobin, HIV/AIDS.