bluuebunny/crossref_metadata_2025 huggingface dataset:
Transnational parenting practices of Chinese immigrant families in New Zealand
Authors: Chan Angel
Published: February 2017

This article advocates for fluid pedagogies that align with the transnational parenting practices of immigrant families. New Zealand is now considered to be a superdiverse country with a large population of immigrants. This superdiversity phenomenon can therefore also be found in its early childhood education settings. Research has indicated that many contemporary immigrants are transnationals who maintain close connections with their home countries and frequently engage in border-crossing activities. Transnational immigrants are mobile, and their parenting strategies may be similarly fluid. This article uses findings from a research project which involved Chinese immigrant families to illustrate transnational perspectives of early childhood education and parenting practices. Narrative excerpts are presented and analysed using key theoretical constructs of transnationalism to illustrate the participants’ cultural dilemmas in their parenting, their preparedness to adapt their heritage practices and to adopt early childhood education discourses of the host country, and their agency in choosing parenting strategies that they believed best support their children’s learning. It highlights the importance of parent–teacher dialogue and of enacting a curriculum with fluid pedagogies that are responsive to heterogeneous parental aspirations.
Cultural Openness as an Emerging Form of Cultural Capital in Contemporary France
Authors: Coulangeon Philippe
Published: February 2017

This article explores the changing pattern of cultural privilege in contemporary France. Using French data on cultural practices, including variables on ‘highbrow’ culture, mass culture and cosmopolitan culture, we apply a multi-correspondence analysis (MCA). The findings first show that cultural privilege among French social and educational elites remains primarily a matter of cultural capital endowment, with a structuring contrast between ‘legitimate’ and ‘mass’ culture. The MCA also shows an additional divide between local and global culture underpinned by a strong age gradient. Yet the emergence of a changing pattern of cultural privilege among the youngest cohorts does not imply any clear reduction in cultural inequalities. Rather, it suggests a growing cultural distinctiveness of French elites. Finally, these tendencies should not be easily extrapolated to other contexts as they reflect strong French specificities related to the evolution of social and educational structures during the second half of the 20th century.
A bibliometric review of progress in micro air vehicle research
Authors: Ward Thomas A , Fearday Christopher J , Salami Erfan , Binti Soin Norhayati
Published: February 2017

Micro air vehicle research has exponentially expanded since the first articles began to be published in the late 1990s. This article presents a comprehensive bibliometric review of journal articles published on micro air vehicle research from 1998 until 2015. The articles are classified into three types of micro air vehicle: fixed-wing, rotary-wing, and flapping-wing (biomimetic). These types are based upon their primary means of generating lift and propulsive thrust. The specific type of research in these articles is also examined, divided into subcategories of: aerodynamics; guidance, navigation, and control; propulsion; structures and materials; and system design. Numerous bibliometric indicators are presented and analyzed to understand how micro air vehicle research is expanding, which authoring organizations are leading the research, which external sponsoring organizations are providing funding, and the challenges that remain for future researchers. The analysis shows that the majority of the research articles are being written by organizations from the US, China, UK, France, and South Korea. Although biomimetic micro air vehicles are currently the most popular type of micro air vehicle, in recent years the growing popularity of rotary-wing micro air vehicles (especially as a guidance, navigation, and control test platform) has caused it to rival biomimetic micro air vehicles in popularity.
Detecting Potential Overbilling in Medicare Reimbursement via Hours Worked
Authors: Fang Hanming , Gong Qing
Published: February 2017

We propose a novel and easy-to-implement approach to detect potential overbilling based on the hours worked implied by the service codes which physicians submit to Medicare. Using the Medicare Part B Fee-for-Service (FFS) Physician Utilization and Payment Data in 2012 and 2013 released by the Centers for Medicare and Medicaid Services, we construct estimates for physicians' hours spent on Medicare beneficiaries. We find that about 2,300 physicians, representing about 3 percent of those with 20 or more hours of Medicare Part B FFS services, have billed Medicare over 100 hours per week. We consider these implausibly long hours. (JEL H51, I13, I18, J22)
A court order does not guarantee that a child will be immunised
Authors: Griffith Richard
Published: February 2017

Despite evidence of its health benefits, immunisation remains a contentious issue for some people. Richard Griffith explores the court's limited role in ensuring parents have their children immunised.
Rare postpartum complications
Authors: Windsor Sophie
Published: February 2017

As the recorded incidence of postpartum haemorrhage has increased in recent years, it is important for midwives to be aware of potential complications. Sophie Windsor discusses Sheehan's syndrome.
A move to cut red tape
Authors: Allingham Sue
Published: February 2017

These pages have not always been filled with good news, but the coming of a new year heralds a degree of positivity as the government looks to address one of the constant bugbears of early years provision.
Breaking down bureaucracy will give providers a chance
Authors: Tanuku Purnima
Published: February 2017

This is all set to be a watershed year for the early years sector, with the introduction of the national funding formula sure to have a major impact on settings, but many older issues still remain problems.
Tales that shine a light on the canvas of darkness
Authors: Leeper Marion
Published: February 2017

Some children will never get the chance to explore their senses in ‘other’ environments, such as that presented by the dark, or may be scared to do so, which is where stories can work a powerful magic.
Finally we get to eat the pudding
Authors: Merrick Beatrice
Published: February 2017

For almost two years now, since the outcome of the last general election, the early years sector has been anxiously awaiting the arrival of the new funding arrangements. Now, we have our first taste.
Still toxic after even all these years
Authors: House Richard
Published: February 2017

Ten years ago, Toxic Childhood highlighted the issues that were having an adverse effect on the health, happiness, and general wellbeing of children. The problems have not gone away, they have got worse.
Fine motor development
Authors: Jell Caroline
Published: February 2017

In part two of her short seriues, Caroline Jell explores a wide variety of activities that most children will need in order to develop healthy bodies, with strong muscles and the ability to control them.
Discursive battle lines: Al Qadisiyya and the politics of time and reception
Authors: Khouri Malek
Published: February 2017

In the midst of the Iran‒Iraq war of the early 1980s, the Iraqi Film Institute produced one of the most expensive films in the history of Arab cinema, and certainly the most ambitious film projects in Iraqi cinema history. Al Qadisiyya (Salah Abu Seif, 1981), depicted the victory of Arab Muslim leader Saad Ibin Abi Waqqas in a battle with the Persian army fought in the year 636 ce. The battle signalled a watershed in Arab Muslim history, paving the road for their later expansion through North Africa, Spain, and across South Asia. The film presents a key example of how Arab political discourse at the time began to advocate an Arab alliance in the face of an assumed existential and growing Iranian threat. This article discusses how the pan-Arab discourse of Al Qadisiyya both complements and parts with chauvinistic interpretations of Arab nationalism at the time. In the same breadth, the paper considers how various discursive thematic and textual elements within the film also inform subsequent and more current shifts in regional hegemonic politics. As such, the article describes precursor signifiers of shifts from anti-colonial/anti-imperialist nationalist discourse, to sectarian-based Shiite/Sunni approximation of the Arab/Iran relationship.
Analysis of Interstellar Extinction towards the Hypergiant Cyg OB2 No. 12
Authors: Maryeva O. V. , Chentsov E. L. , Goranskij V. P. , Karpov S. V.
Published: February 2017

The Cyg OB2 stellar association hosts an entire zoo of unique objects, and among them – an enigmatic star Cyg OB2 No. 12 (Schulte 12, MT 304). MT 304 is enigmatic not only due to its highest luminosity (according to various estimates, it is one of the brightest stars in the Galaxy), but also because its reddening is anomalously large, greater than the mean reddening in the association. To explain the nature of anomalous reddening (AV
≃ 10 mag) of MT 304, we carried out spectrophotometric observations of 25 stars located in its vicinity. We mapped interstellar extinction within the 2.5 arcmin radius and found it to increase towards MT 304. According to our results, the two most reddened stars in the association after MT 304 are J203240.35+411420.1 and J203239.90+411436.2, both located about 15 arcsec from it. Interstellar extinction AV
towards these stars is about 9 mag. Our results favor the hypothesis of the circumstellar nature of reddening excess. In the second part of the paper we present the results of our modeling of MT 282 (B1 IV) and MT 343 (B1 V), which belong to the older population of the association and have ages greater than 10 Myr.
Results of 40-year Studies of the X-Ray Binary Cyg X-1 = V1357 Cyg
Authors: Karitskaya E. A.
Published: February 2017

This paper reviews the results of our 40-year studies of Cyg X-1 using various methods and observational data: mainly optical photometric, spectroscopic, and polarimetric ones, with X-ray data also considered. We show that, while performing model calculations approximating observational data, it is vital to take into account a diversity of factors, for example, the accretion structure variations that influence the shape of the orbital light curve. We emphasize the necessity of comprehensive studies, development and usage of all possible methods.
Revealing the Network of Periodic Orbits in Galaxy Models with a Prolate or an Oblate Dark Matter Halo Component
Authors: Zotos Euaggelos E.
Published: February 2017

Locating the position of periodic orbits in galaxies is undoubtedly an issue of paramount importance. We reveal the position and the stability of periodic orbits of stars moving in the meridional plane (
Photometric Study of the Seyfert Galaxy NGC 4151
Authors: Shomshekova S. A. , Kusakin A. V. , Reva I. V.
Published: February 2017

The results of CCD photometry in the Johnson-Morgan BV R system for the Seyfert galaxy NGC 4151 are reported. The observations were carried out from November 15, 2013 to May 13, 2016 with the 1-m telescope of Tien-Shan Astronomical Observatory of the Fesenkov Astrophysical Institute. An analysis of the light curve of NGC 4151 shows that over the time interval considered the brightness of the object varied synchronously in the three filters with the following amplitudes: ΔB = 0.68 mag, ΔV = 1.09 mag, and ΔR = 1.81 mag.
The Tidal Potential of a Homogeneous Torus with an Elliptical Section of the Sleeve
Authors: Kondratyev B. P. , Trubitsyna N. G.
Published: February 2017

In this paper the problem of the tidal potential of a homogeneous gravitating torus with an elliptical cross-section sleeve is solved. In particular, the potentials in analytical form in the vicinity of the center of the torus and its external region are found. This torus can serve as a gravitational model of the Kuiper belt.
Notes on Creative Potential and Its Measurement1
Authors: Karwowski Maciej
Published: February 2017

The discussion raised by the Glăveanu target paper (Glăveanu, 2014) continues in the second issue of “Creativity. Theories – Research – Applications” (CTRA). In this editorial I focus on two elements shared by commentators whose articles are presented in this issue, namely: creative potential and its measurement. I start with the observation that potential is probably the most fuzzy and poorly defined construct in the creativity literature (and likely social science as a whole). As a result of different operationalizations of this category, its valid and reliable measurement is difficult – though not impossible – but, more importantly, several different theories of potential are being developed simultaneously. I focus mainly on critiques of the measurement of creative potential and show how recent developments in psychometrics make it more valid and reliable than critics tend to realize.
Creativity and Social Interactions
Authors: Lebuda Izabela , Galewska-Kustra Marta , Glăveanu Vlad Petre
Published: February 2017

In this editorial we discuss the reasons behind choosing social interactions as the theme for this CTRA special issue. We briefly describe the transition in creativity research from a paradigm centered on the individual and his/her intra-psychological predispositions to one focused on the social, systemic approach to creativity in which this phenomenon is not only facilitated or inhibited by social factors, but embedded in and multi-directionally connected to the socio-cultural and material context in which it takes place. We end with a brief description of the contributions to this special issue.
Social Interaction in the Art of Acting: Forms and Phases
Authors: Doyle Charlotte L.
Published: February 2017

Creativity is here construed as an activity taking place in phases over time, one everywhere imbued with the social, whether the creator does much of the work alone as in fiction writing or with others where the creation itself is collaborative such as jazz improvisation. This paper considers the creation of theatrical roles, a domain in which some phases of the activity take place under solitary conditions and others involve face-to-face interaction. Grounded in a research review, the paper examines the phases of the creative process in scripted acting. It notes the kinds of social relationships in each, the roles of intention, reflection and spontaneity, the forms of interaction in terms of Schütz’s multiple realities and the ways in which those realities interact.
PROBLEMATIKA PENYAKIT PRIBUMI BAGI PARA WISATAWAN ASING DI KOTA MANADO
Authors: Hakim Asril , Khan Akbar
Published: February 2017

Dewasa ini jumlah wisatawan yang berkunjung di tempat wisata di Indonesia cukup mengalamiÂ peningkatan dari tahun ke tahun berkisar 10 % pertahunnya dimana bali menyumbang paling banyak dariÂ beberapa kota di Indonesia sebagai tempat kunjungan wisata. Manado sebagai salah satu kunjungan wisata diÂ Indonesia cukup menyita perhatian para wisatawan asing untuk datang berkunjung hal ini ditunjukan denganÂ peningkatan jumlah wisatawan dari tahun 2006 sampai 2009, dengan rata-rata peningkatan sekitar 6 % padaÂ tahun 2007, 15 % pada tahun 2008, dan 24 % pada tahun 2009. Namun beberapa tahun belakangan yaituÂ tahun 2010 dan 2011 terjadi penurunan wisatawan asing hal ini disebabkan oleh beberapa faktor baik faktorÂ internal maupun eksternal, salah satu faktor internal yang mempengaruhi wisatawan di kota manado yaituÂ beberapa penyakit yang banyak diderita oleh para wisatawan asing yang berkunjung ke tempat wisataÂ diantaranya ISPA, diare, dan penyakit infeksi dan penyakit tersebut disebabkan oleh higienitas dan kebersihanÂ yang ada di tempat wisata. Fasilitas dan pelayanan kesehatan yang kurang memadai juga ikut menjadi salahÂ satu factor penyebab.Â Kata kunci : wisatawan asing, penyakit wisatawan (ISPA, diare, penyakit infeksi), fasilitas dan pelayanan.
POTENSI PEMANFAATAN RUMPUT LAUT COKELAT CORONG (Turbinaria conoides) UNTUK MENGURANGI RESIKO KANKER TIROID PADA MANUSIA YANG TERPAPAR RADIASI IODIUM 131 AKIBAT KECELAKAAN NUKLIR FUKUSHIMA
Authors: Tando Juwita
Published: February 2017

Pemanfaatan zat radioaktif pada zaman modern ini berkembang dengan pesat, namun diiringiÂ dengan ketakutan pada dampak yang timbul akibat kecelakaan atau kebocoran nuklir. Salah satuÂ kecelakaan nuklir terbesar yang terjadi dalam abad ini adalah kecelakaan nuklir Fukushima yang terjadiÂ di Jepang pada tanggal 11 Maret 2011. Iodium 131 (I131) ditemukan melimpah di awan uap radioaktifÂ hasil kecelakaan nuklir tersebut. Ketika I131 dilepaskan ke atmosfer, tiroid menyimpannya sebagaiÂ iodium non-radioaktif. I131 yang menumpuk di kelenjar tiroid, memancarkan semburan radiasi yangÂ dapat merusak DNA dan materi genetik lainnya. Kerusakan tersebut menghapus batasan normal untukÂ pertumbuhan sel dan pembelahan sehingga terjadi pertumbuhan tidak terkendali. Pada kanker tiroid,radiasi mengaktifkan komponen dari jalur MAPK terutama melalui inversi paracentric kromosom.Â Sebuah metode pengobatan yang umum untuk mencegah eksposur I131 adalah dengan menjenuhkanÂ tiroid secara regular dengan non-radioaktif I127. Ada alasan untuk berhati-hati dalam penggunaan kaliumÂ iodide atau suplemen yodium, karena penggunaan jangka panjang dapat menyebabkan kondisi sepertiÂ fenomena Jod-Basedow, efek Wolff-Chaikoff, memperburuk hipertiroid dan hipotiroid. Untuk itulahÂ diperlukan adanya konsumsi iodium non radioaktif yang berasal dari unsur alami. Salah satu bahan yangÂ dapat dikonsumsi yaitu Turbinaria conoides yang dikenal dimasyarakat Indonesia dengan rumput lautÂ coklat corong.Â
PREVALENSI KASUS DEMAM BERDARAH DENGUE DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR PERIODE JUNIâ€NOVEMBER 2014
Authors: Ganesan Arvinth
Published: February 2017

Dengue fever, also known as breakbone fever, is a mosquitoâ€borne infection that causes a severe fluâ€like illness. Dengue can vary from mild to severe; the more severe forms include dengue shock syndrome and dengue haemorrhagic fever (DHF).The main purpose of this research is to investigate and analyse the prevalence of dengue cases that has been reported in Rumah Sakit Umum Pusat Sanglah, Denpasar from the month of June to November in the year of 2014. The design research used for this study is Descriptive studyof cohort retrospective. The target population is basically the population of patients in Rumah Sakit Umum Pusat Sanglah, Denpasar, who has been diagnosed with dengue fever. This research is carried out using medical data of 429 patients. Total of 118 cases are reported as outpatients and 311 cases are inpatient. Based on the research, the highest percentage of case reported is in the month of June with 28.20% of total cases. The percentage is then followed by 22.14% in July, 15.62 in August, 11.89% in September, 11.42% inOctober, and only 10.73% in November. Conclude can be made that prevalence of dengue fever which has been reported in RSUP Sanglah from the month of June to November 2014 has been decreasing step by step. It is hoped this study will be useful for the control of dengue cases in the future.
PENGETAHUAN DAN SIKAP IBU NIFAS TENTANG TANDA BAHAYA NEONATUS DI PUSKESMAS II KARANGASEM BALI TAHUN 2013
Authors: Indra Suharta Agung
Published: February 2017

Neonatal mortality or high risk neonates in Karangasem is still high. The largest amount found in Karangasem District. Pneumonia, hipotermy, neonatal jaundice, neonatal tetanus are some causes ofneonatal mortality. The purpose of this research is to determine knowledge and attitudes of post partum women about danger signs of neonatal period. Cross sectional design is used in descriptive observational research. Number of samples were 43 people, with criteria 0 â€“ 28 days post partum women who visit Puskesmas Karangasem II and post partum women who hospitalized at Puskesmas Karangasem II. This research were done for about 2 months, started from June until July 2013. Based on the results, knowledge of respondents had the most good knowledge, as much as 51,16%, respondents who had enough knowledge were 37,21% and respondents who had less knowledge were 11,63%. Specifically, knowledge of postpartum mother less on neonatal jaundice (69,77%) and neonatal tetanus (37,21%). Where as, attitude of respondents about danger signs of neonatal period which had a negative attitude as much as 41,86% respondents
PENGETAHUAN TENTANG SADARI PADA PASIEN KANKER PAYUDARA (CAMAMMAE) DI RUMAH SAKIT UMUM PUSAT SANGLAH DAN RUMAH SAKITPRIMA MEDIKA BALI NOVEMBER 2012
Authors: Nugraha Sindhu , Wibawa Manuaba Tjakra
Published: February 2017

One of theearly inspectionto determinebreastcanceris sadari (periksa payudara sendiri). By doing sadari,patients will beable to knowifthere is alumporsomething that isabnormal. Sadarican be donealoneafter showerby standing infront of the mirror. Researchconducted in2 hospitalsin Denpasartogeta description of thepatient's knowledgeaboutbreastcancer.Resultsin gettingfrom 30breast cancer sampleswere4 patients(13.3%) breast cancer knowaboutsadari. Thenfrom 4breastcancerpatientsknowaboutsadari, 2 patients(50%) didsadari.The remainingsample of26 patients(86.7%) did not know aboutsadari. They got information aboutsadarifromfamily orfriends who'vehad breast cancer. Patientswho foundabnormalities from the examinationare usually notcameto the hospital, butthey didnâ€™t care about it,socomein a bad state.
PREVALENSI HIPERTENSI PADA PENDUDUK UMUR 30 TAHUN HINGGA 80 TAHUN DI DESA MENANGA RENDANG KARANGASEM BALI TAHUN 2012
Authors: Hadiningrat Diah
Published: February 2017

Background: Hypertension cases at coverage of work of Puskesmas Rendang is ranked number 9of 10 major diseases whereby majority of the cases are among people at the age of 30 y.o. to 80 y.o. with the total number of 950 cases(3.50%). Death due to stroke in year 2011 is ranked number 3 with the total number of 11 deaths (5.79%). Lifestyle of the community is one of the factor of hypertension.Method: This research uses quantitative descriptive. Population for this study is the whole community of Desa Menanga, Kecamatan Rendang, Kabupaten Karangasem within the age of 30 y.o. to 80 y.o.on June with the total of 961 people ( 39 sampels).Results: Majority of the respondents who suffer from hypertension are above the age of 60 y.o. (53.8%). From the total of 39 sampels, 13 respondents suffer from hypertension, 76.9% consume inadequate amount of fruits, 100% consume inadequate amount of vegetables, 97.4% consumes meat from where 44.7% consume red meat, 33.3% smoke cigarette, 10.2% consume alcoholic drinks and 53.8% do not perform physical activities. Conclusion: Hypertension is found on respondents who consume inadequate amount of fruits (34.5%), respondents who consume inadequate amount of vegetables (39.4%), respondents who consume meat (31.6%), respondents who smoke cigarette (15.4%), respondents who consume alcoholic drinks (25.0%) and respondents who do not perform physical activities (42.9%). The result of this research shows there is a tendancy of hypertension based on lifestyle.Â
GAMBARAN STATUS NUTRISI, POLA KONSUMSI SARAPAN DAN CEMILAN PADA SISWA SEKOLAH DASAR NEGERI 1 GIANYAR
Authors: Sucita Dewi Mirah , Seriani Luh
Published: February 2017

Breakfast has been known as the most important meal, and it is often missed by children of primary school age and adolescence. Children who eat breakfast regularly have better nutritional profile compared to children who do not eat breakfast. Consumption midmorning snack before lunch is also known in increasing body mass index (BMI).This study is a descriptive cross-sectional approach. Research sample are 5th grade students of SD Negeri 1 Gianyar, located in Puskesmas Gianyar I work area. Total sample was 85 children. Purposive sampling was used as sampling technique by selecting the entire 5th grade students of SD Negeri 1 Gianyar. Data was obtained by questionnaires to the students that were selected as respondents. Data analysis was performed as univariate and bivariate. Study found that almost all (91.80%) samples implemented breakfast behavior, and the rest (8.20%) did not have breakfast. Samples that implemented the behavior of the breakfast, mostly of them had undernutrition status (56.4 %), followed by normal nutritional status (26.9 %) and overnutrition status (16.7%). At samples that eat snacks, most of them had undernutrition status (58.2%), followed by normal nutritional status (26.6 %) and overnutrition status (15.2%).Most of the students of SD Negeri 1 Gianyar had breakfast. Group of students who skipped breakfast and/or skipped snack has higher percentage of normal nutritional status.
PREVALENSI TINGKAT KECEMASAN REMAJA DI PANTI ASUHAN WISMA ANAK-ANAK HARAPAN DALUNG BALI TAHUN 2015
Authors: Suntiawati Putu , Westa Wayan
Published: February 2017

Anxiety is a pathologic conditions that is characterized by fear and somatic symptoms which is the sign of hyperactivity of autonomic neuron. (Kaplan dan Saddock, 1997) Anxiety and fear have the same physiology components, but anxiety is different from fear. The etiology of anxiety comes from the inside and most of the source is unknown and fear is an emotional response for threat or danger which is from the outside that be faced consciously. (Maramis,2005) This study is a descriptive analytic that is a cross sectional study. The study take place in Wisma Anak-Anak Harapan Dalung orphanage. This study use a purposive random sampling. The sample was 30 teenagers in age 13-25 years old. Data obtained by interviewing the respondents one by one using HARS to know the anxietyâ€™s level. The results obtained are the highest number in boys were found in medium anxiety which is 56,3%. The highest number for girls were found in light anxiety which is 57,1%. Besides that, data obtained there was 7,1% girls in very severe anxiety. Based on the age, data obtained was 33,3% from all of the respondents have light anxiety and 3,3% respondents have very severe anxiety. There were 46,2% respondents that had light anxiety was respondents in age 13-15 years old. Numbers 3,3% respondents that had very severe anxiety was respondents in age 16-20 years old.
GAMBARAN FAKTOR RESIKO PADA PENDERITA HIPERTENSI DI WILAYAH PUSKESMAS ABANG I, KABUPATEN KARANGASEM
Authors: Azren Wan
Published: February 2017

From January to December in 2013, hypertension included in 10 most diseases in the Public Health Center Abang I, which ranks fifth in with 830 cases and 230 patient visits. No data about patient with risk factors of hypertension from Public Health Center Abang I. Risk factor for hypertension is needed to be obtained in order to prevent hypertension. This research covers only the risk factors of hypertension based on age, gender, Body Mass Index (BMI), family history, alcohol consumption and smoking habits.Â This research is using descriptive quantitative research study with cross-sectional approach is done once data collection. Collection of sample used is multistage sampling. The population in this study is the population diagnosed with hypertension in Public Health Center Abang I during period January â€“ December 2013.Â Sample used is 60 people. Respondents with age over 65 years old has the highest proportion (33.4%). Respondent who does not working have the highest proportion (41.7%) of hypertension. Among group with only obtain primary education has highest proportion (41.7%), with family history which has the highest proportion (63.3%). Respondents with obesity I have the highest proportion (56.7%). Males who are smoking has the highest proportion (88%). Alcohol consumer has the highest proportion of hypertension (72%).Researcher obtained a trend of increased blood pressure due to increase of age, female, low education level, do not working, family history of hypertension, obesity, smoking, and alcoholic consumer.
PENILAIAN KEPARAHAN SERTA KOMORBIDITAS GANGGUAN PANIK
Authors: Tamilselvan Sivanesh
Published: February 2017

Background: Panic disorder with or without agoraphobia is a common anxiety disorders. Panic disorder patients who seek medical attention complaining of different emerging and many patients also suffer from anxiety disorders / other psychiatric or substance abuse disorders.Methods: This was a cross sectional study conducted using DSM IV TR criteria for panic disorder. Then patients with a diagnosis of panic disorder, panic disorder severity scale measured by 7 items (PDSS) to assess the severity of panic disorder. Clinically evaluated for the presence of agoraphobia or not. Special attention is given to check whether the patients had other comorbid psychiatric disorders.Results: The majority of patients 65% were women, 52.5% were in the age group 15-24 years and the mean age of patients was 23.82 years. The mean age of onset of symptoms of panic disorder was 21.3 years. The most frequent use of a substance is tobacco in 30% of patients. The most frequent comorbidities are major depressive disorder in 40% of patients. Agoraphobia was found in 24 (60%) patients. PA is the average duration of 22.37 minutes. 60% experienced moderate PD. The majority of the patterns of symptoms 67.5% of patients experienced symptoms of cardiovascular system (CVS).Conclusion: panic disorder often found in the age group 15-24 years. Symptoms often appear are the symptoms of a cardiovascular system that needs to be distinguished carefully. Needed attention to the high rates of comorbid substance use and psychiatric disorders in patients with panic disorder.
PREVALENSI HIPERTENSI PADA MASYARAKAT DI DESA TEMBUKU KABUPATEN BANGLI BULAN SEPTEMBER 2014
Authors: Karyadi Riswandinatha
Published: February 2017

Hypertension define as persistent elevation of blood pressure above normal range. Hypertension is chronic disease of cardiovascular system that can occur several severe complication including heart disease and stroke. About 40% of world population is suffering from hypertension. People who live in the rural area is very vulnerable to suffering more from hypertension due to lack of understanding and statistical information of hypertension. The shift from infectious disease to metabolic disease is happening in rural area and that should be considered as a problem and information of the real situation in rural area of hypertension should be done and to determine the risk factors of hypertension to decrease incidence of hypertension. This research is using descriptive quantitative method. Research is conducted with measurement of blood pressure from the randomly chosen 96 samples and investigation of hypertension risk factors. Risk factors such as gender, family history of hypertension, smoking habit, BMI (body mass index), physical activity, coffee consumption, and average of daily salt intake are questioned to the samples. This research found that 43% of people in Tembuku village is suffering from hypertension. Smoking and coffee consumption is considered as major risk factors in developing hypertension of people in Tembuku villageÂ
KRITERIA DIAGNOSIS DAN DIAGNOSIS BANDING SUDDEN DEAFNESS (SSNHL)
Authors: Subramaniam Arvindan
Published: February 2017

Introduction: Sudden deafness or sudden sensorineural hearing loss (SSNHL) is defined as sensorineural hearing loss of more than 30 dB at three consecutive frequencies within 3 days of onset, often unilateral and idiopathic. Etiology of sudden deafness is still not known, but there are many theories put forward by the experts as a risk factor for sudden deafness. The prevalence of sudden deafness 5-30 per 100,000 people per year. Distribution of men and women almost equally, with the peak age of 50-60 years. Sudden deafness diagnosis is made based on history, physical examination and audiometry. Sudden deafness has three characteristics; acute, sensorineural hearing loss and unknown etiology. Additional characteristics may include vertigo, tinnitus and the absence of cranial nerve involvement. Management of sudden deafness include conservative therapy with multiple modalities.Case: Patient male, 40 years, Bali, Hindu present with hearing loss since Â± 2 weeks ago. Patients previously complained of heat in the ear Â± 2 days ago accompanied by a downward hearing and ears. A history of vomiting, coughs and colds denied. History of treatment at the hospital and was hospitalized for Â± 2 weeks. Patients had never suffered from the same disease. No history of sinusitis, allergy, anemia, autoimmune and other systemic diseases. Patients also had never experienced trauma and underwent nasal surgery before.
PENGETAHUAN REMAJA PUTRI TENTANG KEHAMILAN,DI WILAYAH KERJA PUSKESMAS KLUNGKUNG I, BALI TAHUN 2014
Authors: Kwesley Ellen
Published: February 2017

The increasing incidence of pregnancies in young girls from year to year will cause health and social issues for teenagers themselves. Since 2010, the number of visits of pregnant women aged <20 years old in Puskesmas Klungkung I constantly increasing. This study purposes to know the knowledge of the young women about early pregnancy in Klungkung I Primary Health Care. Study used a qualitative descriptive research design. Samples were selected purposively. Data were collected by in-depth interviews. Analysis of data using thematic analysis method. Research conducted at Klungkung I Primary Health Care on August 7 to September 6, 2014. Total of 6 respondents engaged in research with the characteristics of education are diverse, 1 respondentis still unmarried and 3 respondents are married while pregnant. The results showed knowledge of the young women about pregnancy affect sexual behavior before marriage. Knowledge of respondents about pregnancy is still somewhat less so the respondents did not know the impact of early pregnancy and did not know about the prevention of pregnancy. So the promotion of reproductive health should be more intense, so that teens can get accurate information.Â
KRITERIA DIAGNOSIS DAN PENATALAKSANAAN OTITIS MEDIA SUPURATIF KRONIS
Authors: Bader Alkatiri Fairuziah
Published: February 2017

Introduction: Otitis media is an inflammation of part or all of the mucosa of the middle ear, Eustachian tube, mastoid antrum, and mastoid cells. Patients with middle ear disease often comes as a chronic stage that causes hearing loss and expense secretions. Patients complain of hearing loss that disrupt the function of the social, educational and professional. School-age children may show poor results at school. One type of otitis media is chronic suppurative otitis media (CSOM), which is a chronic infection of the middle ear with tympanic membrane perforation and discharge of secretions from the middle ear continuous or intermittent, usually accompanied by hearing loss. Secretions may be thin or thick, clear or in the form of pus. CSOM formerly called otitis media with perforated. Diagnosis is made by history, physical examination. Two types of classification that is often used is CSOM types of benign and malignant types, and based on the activity of secretions out. Management of sudden deafness include conservative with some medical therapy depends on the type of CSOM and accompanying complications.Case: Male patient, 47 years old, came with complaints of discharge from the left ear since 1 month ago. Discharge yellowish-white, slightly viscous, odorless, out a little, and not itchy. Patients with a history of diabetes. Patients admitted before the water could get into the ear while swimming in the sea. At the present status and status generalist within normal limits. On the left ear found mucopurulent secretions. On the left tympanic membrane perforation in the visible region of the central part postero superior.Â
GAMBARAN UMUR IBU, USIA KANDUNGAN, DAN TINGGI IBU TERHADAP KEJADIAN BAYI BERAT LAHIR RENDAH (BBLR) DI WILAYAH PUSKESMAS 1 GIANYAR BALI TAHUN 2015
Authors: Syahir Ahmad
Published: February 2017

Low weight Birth Infant (LWBI) is seen as a problem in UPT Kesmas Gianyar 1. In 2013 there are 39 cases of LWBI and 3 of them passed away.In 2014 there are 25 cases LBWI, 13 boys, 12 girls and 4 of them passed away.In 2015 there are 10 cases until February 2015. High prevalence of LBWI are cause by multifactor such as (age, early or late marriage, height, number of child and number of pregnancy), social economic, pregnancy factor (pregnancy aterm/preterm, infection of fetus and ANC) and intake of balance nutrition.This study is using case control method with cases group (<2500g) dan control group (>2500g). All sample are taken from March 2014 until April 2015 at UPT Kesmas Gianyar I. Total cases group are 26 samples and and total control group are 52 samples.Total sampling method for cases group and accidental sampling method are used for control group.Sample that are less than 20 years old and more than 35 years old have the probability 3.40 times or 77% for having LBWI compare to group of sample 20 until 35 years old. Pregnancy period less than 37 weeks have more probabilty 11.40 times or 91% for having LBWI compare to samples of pregnancy more than 37 weeks. Height of sample less than 145 cm have more probabilty 1.55 times having LBWI or 60% chance for having LBWI compare to samples height more than 145cm.
PREVALENSI KONSUMSI ROKOK PRIA USIA 18 - 64 TAHUN DENGAN HIPERTENSI DI DESA SUSUT, KABUPATEN BANGLI BALI TAHUN 2014
Authors: Jeanne Bianca
Published: February 2017

Hypertension is a classic problem that contributes to increased morbidity and mortality due to its complications. A good management of hypertension can reduce the risk of stroke, coronary heart disease, congestive heart failure, and death significantly. Factors that influence the occurrence of hypertension were divided into two major group; unmodifying factors such as sex, age, and genetic factors, and modifying factors such as diet, exercise habits and others. Hypertension happened due to the combination of these risk factors together, in other words, one risk factor alone is not sufficient to cause hypertension. Smoking has long been associated with high numbers of morbidity and mortality in cardiovascular disease. It works together with hypertension and dyslipidemia to increase the incidence of myocardial infarct. A descriptive cross-sectional study conducted on 89 people in the Susut village of Bangli, which is selected with non-probability sampling methods (convenience sampling). Each sample was measured to obtain the data of blood pressure. Interviews were conducted to obtain data about the characteristics of respondents and pattern of cigarette consumption in men with hypertension in Susut village, Bangli Regency. Data were analyzed descriptively. Results of the data analysis shows that the overall sample have hypertension that is a number of 33 people (37%) and the remaining 56 people (63%) did not have hypertension.And for the pattern of cigarrete consumption in hypertensive men aged 18-24 years in Susut village, Bangli obtained tend to be current smokers (48.4%). The severity of cigarrete consumption tend to be light smokers (88.8%). All types of cigarettes consumed is filter type (100%) and for years of cessation in ex-smokers tend to be less than 10 years (80%).Â
TINGKAT KEPATUHAN PASIEN HIPERTENSI TERHADAP EDUKASI PENATALAKSANAAN HIPERTENSI OLEH PETUGAS KESEHATAN PUSKESMAS ABANG I, KABUPATEN KARANGASEM BALI PERIODE JANUARI-DESEMBER 2013
Authors: Harianto Felix
Published: February 2017

Hypertension is a disease which needs a life time management so that hypertensive patientsâ€™ blood pressure can be controlled. As a result, hypertensive patientsâ€™ compliance towards hypertensive management advice given to them becomes a crucial thing. A study by Kenny and Karisma in 2013 about hypertensive patients compliance in taking antihypertensive drugs in Denpasar shows only 29% of all samples has a good compliance. This study aims to make an overview of hypertensive patientsâ€™ compliance towards medical advice given by medical staff in Abang I health centre, Karangasem district, of January 2013 to December 2013. This is a quantitative descriptive study with a cross sectional approach with 79 samples. The samples are hypertensive patients in Abang I health centreâ€™s working area of January 2013 to December 2013. Data is obtained by a structured interview with questionnaires help. The result of this study shows there are patients that donâ€™t adhere towards medical advice about salt consumption (29,1%), alcohol consumption (10,1%), smoking (21,5%), physical activity (60,8%), medical check-up (32,9%), and pharmacological medication consumption (34,2%).Â
HUBUNGAN STATUS DEPRESI TERHADAP KUALITAS HIDUP LANSIA DI WILAYAH KERJA PUSKESMAS PETANG II KABUPATEN BADUNG BALI TAHUN 2015
Authors: Kathiravellu Sri Chandra Kumar
Published: February 2017

Pendahuluan: Fenomena population aging di wilayah kerja Puskesmas Petang II dapat menimbulkan masalah baru terkait kualitas hidup lansia. Berdasarkan penelitian yang telah dilakukan, diketahui beberapa faktor terkait seperti status depresi memiliki peran yang besar dalam mempengaruhi kualitas hidup lansia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status depresi terhadap kualitas hidup lansia di wilayah kerja Puskesmas Petang II sehingga dapat dijadikan acuan dalam pengembangan program kesehatan lansia.Metodologi: Penelitian ini merupakan penelitian deskriptif cross-sectional analitik yang melibatkan 93 lansia yang tinggal di wilayah kerja Puskesmas Petang II sebagai responden. Data mengenai karakteristik sosiodemografi, dan penyakit kronis pada lansia diperoleh melalui wawancara terstruktur dengan kuesioner, data status depresi dan kualitas hidup didapatkan melalui wawancara dengan kuesioner yang spesifik yakni kuesioner GDS dan WHOQOL BREF. Data selanjutnya dianalisis secara univariat dan bivariat terstratifikasi dengan program komputer.Hasil: Kualitas hidup lansia di wilayah kerja Puskesmas Petang II secara umum telihat lebih banyak jumlah lansia memiliki kualitas hidup buruk (50,5%) namun dengan selisih yang kecil dibandingkan kualitas hidup baik. Hasil uji chi-square antara status depresi menunjukkan hubungan yang signifikan dengan kualitas hidup lansia.Â Simpulan: Hubungan yang bermakna ditunjukkan antara status depresi terhadap kualitas hidup lansia. Lansia yang tidak mengalami depresi memiliki kecendrungan tinggi untuk memiliki kualitas hidup yang baik.Â
Terapi Sulih Testosteron Meningkatkan Ekspresi Messenger Ribonucleaic Acid (mRNA) RESEPTOR Androgen pada Penis Tikus Wistar (Rattus norvegicus) Dewasa yang Dikastrasi
Authors: Dwi Asti Indira Ni Putu Rahayu
Published: February 2017

Hormon testosteron pada pria mengalami penurunan seiring terjadinya proses penuaan sehingga mengakibatkan ekspresi mRNA reseptor androgen pada jaringan penis juga menurun. Penurunan ekspresi mRNA androgen reseptor pada penis mengakibatkan atrofi pada jaringan erektil penis sehingga menimbulkan keluhan pada fungsi organ reproduksi dan seksual pria. Hormon testosteron berperan memodulasi proliferasi jaringan erektil penis melalui regulasi reseptor androgen, namun efek pemberian terapi sulih testosteron terhadap ekspresi mRNA AR pada penis masih terbatas. Rancangan penelitian ini menggunakan Randomized Post-Test Only Control Group Design. Penelitian dilakukan di Laboratorium Histologi Universitas Udayana selama 12 minggu terhadap 36 ekor tikus wistar dewasa kastrasi yang dibagi menjadi 2 kelompok, yaitu 1 kelompok kontrol dan 1 kelompok perlakuan. Kelompok kontrol diberikan suntikan Aquabidest 18Âµl/minggu secara intramuskular dan kelompok perlakuan diberikan suntikan testosteron 4,5mg/250gr BB/minggu secara intramuskular. Setelah 28 hari seluruh tikus dieutanasia dan diambil jaringan penisnya untuk pemeriksaan ekspresi mRNA AR. Ekspresi mRNA AR diukur dengan menggunakan metode real time PCR. Analisis komparasi dengan t-independence test pada data ekspresi mRNA AR posttest menunjukkan hasil yang berbeda bermakna dengan nilai p=0,001 (p<0,05). Simpulan penelitian ini ialah terapi sulih testosteron (testosterone replacement therapy) meningkatkan ekspresi messenger ribonucleaic acid (mRNA) reseptor androgen pada penis tikus wistar (Rattus norvegicus) dewasa yang dikastrasi.Â Â Â
Pemberian Kombinasi Estrogen, Progesteron, dan Testosteron Lebih Meningkatkan Integritas Struktural Vagina Dibandingkan dengan Kombinasi Estrogen dan Progesteron pada Tikus Putih (Rattus norvegicus) Betina Dewasa Post Ovarektomi
Authors: Devi Irmayanti Putu Cynthia
Published: February 2017

Atrofi vagina ditandai dengan vagina yang pucat, memendek dan menyempit yang diikuti dengan hilangnya lipatan-lipatan (rugae) pada vagina, terlebih lagi terjadi penurunan lubrikasi dan elastisitas vagina. Salah satu penatalaksanaan atropi vagina pada wanita menopause adalah mengatasi penurunan hormon reproduksi dengan terapi sulih hormon. Penelitian ini dilakukan untuk membuktikan bahwa pemberian kombinasi estrogen, progesteron dan testosteron lebih meningkatkan integritas struktural vagina dibandingkan dengan kombinasi estrogen dan progesteron pada tikus putih betina dewasa post ovarektomi. Penelitian ini menggunakan rancangan penelitian True Experimental Design â€“ Post Test Only Control Group Design yaitu rancangan yang digunakan untuk mengukur efek setelah pemberian kombinasi hormon pada integritas struktural vagina ketiga kelompok perlakuan. Tiga kelompok tersebut adalah kelompok kontrol (P0) yang hanya diberikan akuades, kelompok P1 yang diberikan kombinasi estrogen dan progesteron, sedangkan kelompok P2 diberikan kombinasi hormon estrogen, progesteron dan testosteron. Perlakuan diberikan peroral selama 30 hari dan pada hari ke 31 dilakukan terminasi. Hasil penelitian ini menunjukkan bahwa : (1) rerata ketebalan epitel ketiga kelompok perlakuan berbeda secara signifikan (p = 0,000). Ketebalan epitel yang paling tinggi dimiliki oleh kelompok kombinasi estrogen dan progesteron, sedangkan ketebalan epitel yang paling rendah pada kelompok kontrol; (2) rerata luas area muskularis ketiga kelompok perlakuan berbeda secara signifikan (p = 0,000). Luas area muskularis yang paling tinggi dimiliki oleh kelompok kombinasi estrogen, progesteron dan testosteron, sedangkan luas area muskularis yang paling rendah pada kelompok kontrol; (3) rerata jumlah vaskular ketiga kelompok perlakuan berbeda secara signifikan (p = 0,000). Jumlah vaskular yang paling tinggi dimiliki oleh kelompok kombinasi estrogen, progesteron dan testosteron, sedangkan jumlah vaskular yang paling rendah pada kelompok kontrol. Dari hasil penelitian ini dapat disimpulkan bahwa pemberian kombinasi estrogen, progesteron dan testosteron lebih meningkatkan integritas struktural vagina dibandingkan dengan kombinasi estrogen dan progesteron pada tikus putih (Rattus norvegicus) betina dewasa post ovarektomi.Â Â