bluuebunny/crossref_metadata_2025 huggingface dataset:
Transient Analysis And Optimization Of A Knuckle Joint
Authors: Muhammad Aisha , Shanono Ibrahim Haruna
Published: May 2019

Knuckle joint is used to provide movement between rods while transferring force along the pin axis. It has a range of applications such as in robotics, reciprocating engine valve, fulcrum, and suspension bridge. Various cases have been reported of failures in a Knuckle joint due to poor design and strenuous loading condition. For a guaranteed safety of the structure, analysis and optimization of a knuckle joint are required. A cheaper and qualitative production of the knuckle joint can be achieved in a short period through optimization. In this paper, Finite Element Method (FEM) using ANSYS workbench was used to carry out topology optimization, and transient analysis of a knuckle joint where its dynamic response is observed and its weight is reduced through optimization under certain design loading conditions. Weight reduction of 20%, 35%, and 50% using a structural steel material under a static loading of 1000N. The optimization process successfully identifies the mass that needs to be removed to minimize both weight and cost without compromising its reliability and durability. The structural design was carried out using SolidWorks software and then imported into the ANSYS workbench for analysis. By the results obtained, it is proved that ANSYS software can be employed by production companies to minimize material wastages and maximize profits while at the same time maintaining product quality and reliability
Uso de Indicadores Bióticos Basados en Macroinvertebrados Bentónicos para la Determinación de Calidad Ambiental en la Cuenca Superior del Río Gallegos, Santa Cruz
Authors: Asueta René , Súnico Alejandro , Martin Juan Pablo , Sierpe Carolina
Published: May 2019

La cuenca superior del río Gallegos se encuentra integrada por diferentes cursos de agua, cuya confluencia conforma el río Gallegos. En la cuenca se desarrollan diversas actividades antrópicas, siendo la minería del carbón el principal desarrollo industrial desde 1936. Relacionadas a esta industria se encuentran las localidades de 28 de Noviembre y Río Turbio, cuyos efluentes, tanto urbanos como industriales, son vertidos directamente a los cursos de agua de la cuenca.

En el presente estudio, se analizaron los cambios en la composición de la comunidad de macroinvertebrados bentónicos sujeta a las alteraciones antrópicas y se evaluó la respuesta de distintos índices bióticos en relación con diferentes variables ambientales. Se realizaron cuatro muestreos estacionales de la comunidad de macroinvertebrados bentónicos,  se hicieron análisis fisicoquímicos del agua y se aplicaron distintos índices bióticos para determinar el estado ambiental de este sector de la cuenca. En el sitio más cercano a la actividad industrial se detectó un incremento en los valores de Conductividad y DQO, así como también del contenido de hierro soluble en el agua Se detectaron cambios en la comunidad de macroinvertebrados bentónicos, observándose diferencias significativas entre los distintos sitios estudiados. El índice Biotic Monitoring Patagonian Streams (BMPS) mostró la mejor respuesta para evaluar la calidad ambiental del recurso hídrico en el área de estudio. La aplicación de este índice biótico muestra que la calidad de los cursos de agua estudiados varía entre fuertemente contaminados, en cercanías de la actividad industrial minera, y contaminación incipiente en los sitios control y los más alejados de esta actividad.
Selected Abstracts From the Proceedings of the 2019 Society of Teachers of Family Medicine Conference on Medical Student Education
Authors: Norris David R. , Jortberg Bonnie
Published: May 2019

From January 31 through February 3, 2019 the Society of Teachers of Family Medicine (STFM) held its 45th annual Conference on Medical Student Education in Jacksonville, Florida. STFM is a collaborative organization composed of members who are dedicated to teaching the discipline to learners of any level. The conference brings together members including physicians, administrators, behavioral scientists, researchers, residents, and students to learn from one another and improve the quality of family medicine education in the United States and Canada. Abstracts for all conference submissions can be found on the STFM website.1  Plenary speakers addressed topics related to health equity (Joanne Rooney, JD, LLM, EdD); discrimination and bias in the medical workplace (Roberto E. Montenegro, MD, PhD); and mentoring in family medicine (Beat Steiner, MD, MPH, STFM President). The STFM Committee on Medical Student Education reviewed the 14 completed educational research projects and selected six exemplary abstracts as the best of the conference. Criteria for inclusion included relevance to medical student education with a focus on family medicine education, study quality, and meaningful conclusions.
Five of the abstracts appear in this collection. One has been published in the intervening time.2

Society of Teachers of Family Medicine. 2019 Conference on Medical Student Education Conference Sessions. https://www.stfm.org/conferences/generalinformation/msearchives/. Accessed April 28, 2019.
Stumbar SE, Garba NA, Holder C. Let’s talk about sex: the social determinants of sexual and reproductive health for second-year medical students. MedEdPORTAL. 2018;14;10772. https://doi.org/10.15766/mep_2374-8265.10772
Camellia sinensis leaf extracts lacking catechins exert depigmentary effects through ERK-dependent, MiTF-mediated tyrosinase downregulationin melan-a cells and a human skin equivalent
Authors: Kim Donghyun , Park Nok , Hwang Jeong , Kim Jeongkee , Na Yong-Joo , Hwang Jae , Lee Chang , Yang Deok-Chun
Published: May 2019

Green tea from Camellia sinensis, a popular beverage worldwide, is also considered a herbal medicine. The bioactive compounds of green tea include polyphenols, polysaccharides, amino acids, and vitamins. Tea polyphenols are composed of various catechins such as epigallocatechin-3-gallate (EGCG), whereas polysaccharides include complex pectic substances and glycoproteins. Unfractionated C. sinensis leaf extracts show various pharmacological effects that are attributable to catechins, which include antimelanogenic properties. Most studies have focused on the biological function of catechins in green tea, and the effects of C. sinensis leaf extracts lacking catechins (CSLE-LC) have received little research attention. We examined the skin-whitening properties of the fraction lacking catechins. The melanin content in melan-a cells was significantly reduced, as has been shown for unfractionated C. sinensis extracts and catechins. We also elucidated the molecular mechanism underlying the antimelanogenic effects of CSLE-LC on skin melanocytes. Our results show that CSLE-LC acts through inhibition of MiTF and subsequent activation of extracellular-signal regulated kinase (ERK) to reduce tyrosinase protein levels. We confirmed the whitening ability of CSLE-LC using a human skin equivalent. Our findings provide the first evidence that CSLE-LC could exert efficient antimelanogenesis activity, and suggest that polysaccharides as well as catechins contribute to the whitening efficacy of C. sinensis leaf extracts.
Evaluation of independent predictors of in-hospital mortality in patients with severe trauma
Authors: Milenkovic Marija , Terzioski Zaneta , Hadzibegovic Adi , Stanisavljevic Jovana , Petrovic Ksenija , Nikolic Jovanka , Mihajlovska Mirjana , Bumbasirevic Vesna
Published: May 2019

Introduction/Objective. The aim of this study was to determine independent predictors and the best trauma scoring system (REMS, RTS, GSC, SOFA, APPACHE II) of in-hospital mortality in patients with severe trauma at the Department of Emergency, Emergency Center, Clinical Center of Serbia, Belgrade. Methods. Longitudinal study included 208 consecutive patients with severe trauma. In order to determine independent survival contributors, univariate and multivariate Cox regression analyses were performed. The power of above-mentioned scoring systems (measured at admission to the Emergency center) to predict mortality was compared using the area under the curve (AUC). Results. There were 208 patients (159 male, 49 female), with the average age of 47.3 ? 20.7 years. Majority of patients were initially intubated (86.1%) on admission to the emergency department, and 59.6% patients were sedated before intubation. After finishing of diagnostic procedures, 17 patients were additionally intubated, and, at that time, 94.2% patients were on mechanic ventilation. The majority of patients was traumatized in a car crash (33.2%), followed by falls from height (26.4%) and as pedestrians (22.6%). Patients had an average of 24.7 ? 21.2 days spent in intensive care unit. The overall case-fatality ratio was 17/208 (8.2%). In Cox regression analysis only elevated heart rate (HR = 1.03, p = 0.012) and decreased arterial oxygen saturation (SpO2) (HR = 0.91, p = 0.033) singled out as independent contributors to in-hospital mortality of patients with severe trauma. REMS (AUC 0.72 ? 0.64) and SOFA (AUC 0.716 ? 0.067) scores were found fair and similar predictor of in-hospital mortality, while APACHE II (AUC 0.614 ? 0.062) and RTS (0.396 ? 0.068) were poor predictors. Conclusion. Results of this study showed an important role of REMS, which appears to provide balance between the predictive ability and the practical application, and components of REMS in prediction of outcome in patients with severe trauma and that HR and SpO2 are independent predictors of in-hospital mortality.
Acute kidney failure and extramedullary lung infiltration as initial presentation of multiple myeloma - case report
Authors: Rabrenovic Violeta , Nikolic Bojan , Rabrenovic Milorad , Petrovic Milica , Milojevic Ana , Skuletic Vesna , Zivojinovic Dragan , Dulovic Dragan , Stojisavljevic Marko , Mirosavljevic Svetlana , Ristic Sasa , Pantovic Miloje , Petrovic Marijana , Obrencevic Katarina , Pilcevic Dejan , Rancic Nemanja
Published: May 2019

Introduction. Kidney failure in multiple myeloma is some-times initial symptomatology and a very serious complication with an unfavorable effect on the course and prognosis of the disease. Multiple myeloma is a disease characterized by the proliferation of plasmocytes in the bone marrow, and in rare cases, it can be extramedullary in various organs and systems. Pulmonary plasmacytoma localization is a rare extramedullary localization, especially when it represents one of the initial manifestations of multiple myeloma. Case report. We present a patient with progressive acute kidney failure who has started hemodialysis treatment. On chest radiography, a homogeneous shadow was observed along the left chest wall, and the multislice computed tomography (MSCT) pointed to the tumor formation in the pulmonary parenchyma in the projection of the left upper pulmonary lobe with signs of pleural infiltration, intercostal muscles, and V rib destruction. Laboratory examination indicated the presence of Bence-Jones proteinuria in the urine sample in addition to anemia syndrome and azotemia with hyperuricemia. After bronchoscopy and needle biopsy, diffuse infiltration of mature plasma cells was demonstrated in the cytological and histopathological findings of the lungs. The histopathological finding of bone marrow biopsy indicated multiple myeloma of Lambda type with infiltration of plasma cells ? about 70%. The hematologist determined a diagnosis of multiple myeloma BJ lambda III BCS, with extramedullary lung infiltration and acute kidney failure. Further treatment was continued according to the hematological protocol while performing intermittent hemodialysis. Conclusion. Sometimes, extremely rarely, and in completely asymptomatic patients with massive pulmonary infiltration observed initially, the differential diagnosis may also represent an extramedullary presentation of multiple myeloma, which should be considered.
Effect of the Perioperative Intravenous Lidocaine Infusion of 1.25 mg/kgBW/H on the Bowel Sound Recovery and Pain Intensity after Laparoscopic Cholecystectomy
Authors: Arif Syafri Kamsul , Rawung Yongki , Musba A. Muh Takdir , Tanra A. Husni
Published: May 2019

The purpose of this research is to assess the effect of perioperative intravenous lidocaine infusion of 1.25mg/kgBW/H on the bowel sounds recovery and pain intensity after laparoscopy cholecystectomy. The research used the experimental method, i.e. 42 patients who met the inclusive criteria and who would undergo laparoscopic cholecystectomy surgery under the general anesthesia, using the randomized double blind technique, and then were divided into two groups. The Treatment Group (KL, n = 21) received perioperative intravenous lidocaine infusion of 1.25 mg/kgB/H, while the control group (KN, n = 21) received the perioperative infusion of placebo of 0.9 NaCl. After the surgery, the assessments of the bowel sounds recovery time, the NRS scores at 2h, 6h, 12h, and 24h and the fentanyl requirement within 24 hours with PCA were conducted. The data were analyzed using the Chi square test, independent-t test, and Mann-Whitney test with p<0.05 to reveal the statistical significance. The research results indicated that the time of the bowel sounds recovery in KL group was 147.14 ± 24.928 minutes, faster than in KN group it was 322.86 ± 34.079 minutes (p=0.000). The postoperative NRS score at 2h and 6h in KL group was lower than the KN group with p=0,000, but there was no significant difference in the postoperative NRS score at 12h and 24h in both groups (p>0.05). The postoperative fentanyl requirement was lower in KL group (114.29 ± 31.196) mcg compared to the KN group (258.33 ± 27.764) mcg with p=0.000. The Perioperative intravenous lidocaine infusion of 1.25 mg/kgBB/h could speed up the bowel sounds recovery and reduce the pain intensity after laparoscopic cholecystectomy.
Low Self-esteem and its Relation with Psychological Distress among Dental Students
Authors: Radeef Ali Sabri , Faisal Ghasak Ghazi
Published: May 2019

Since self-esteem has been recognized to predict health and psychological well-being, it is crucial to assess the self-esteem and its relation with psychological distress. Methodology: This study was conducted among 257 dental students. The psychological distress was assessed using the 12-item General Health Questionnaire (GHQ-12) while self-esteem was assessed using the adult form of the Coopersmith Self-Esteem Inventory. Results: Female students had significantly lower self-esteem compared to male students (51.4 and 59.1 respectively). There is a strong negative correlation between psychological distress and self-esteem (r= -0.5, p<0.00). Students with psychological distress had significantly lower mean self-esteem score compared to those who are not distressed (43.07 and 60.03 respectively). Conclusion: Low self-esteem is higher among female students and self-esteem is negatively correlated to psychological distress among undergraduate students.
Improving the Level of Service of a Portion of 60-M Ring-Road in Erbil City
Authors: Qadr Dlzar B. , Mohammed Shorsh A. , Hasan Ibrahim A. , Mohammed Ali Rawand F.
Published: May 2019

This study aims to implement the factors that can improve the level of service of 60-M Ring-Road in Erbil, Kurdistan Region of Iraq. These factors are minimizing the traffic volume, providing a higher quality pavement, widening the road carriageway, and constructing bridges. The main objective of this paper is to increase the LOS of a specific road known as 60-m ring road from New City Mall to PAR hospital in Erbil city. For this purpose, the data on speed and traffic flow are collected using video camera to collect data to be reasonably analyzed with respect to the speed of the vehicles and set the LOS for the proposed road. The result shows that average speed in this study is 19 km/h, and this confirms that the LOS in this particular road segment is at F category. In addition, the calculated peak hour factor is 0.97 which is more than a typical value in urban area. Finally, the study revealed that the traffic volume on this specified road is too high.
Evaluation of Construction Delay of Public Projects in Erbil Governorate
Authors: Ali Noori Sadeq , Wali Khalil Ismail
Published: May 2019

Delay is one of the greatest challenges facing the implementation of construction projects. The completion project time is considered one of the measure indicators for assessing the success of any project. Delays usually have negative impacts of financial and social to all parties involved in the projects. The aim of the study is to find the most important causes of delay by evaluating the common causes of delays in terms of frequency, severity, and important indices in implementation of public construction projects in Erbil Governorate related to owners, contractors, consultants, and external factors. The data gathered through conducting a questionnaire for perception various parties involved in implementation of public construction projects. For these purpose, 104 forms of questionnaire were distributed to various parts to identify the delay causes in accordance with their opinions. It was concluded that the most significant factors causing the delay in construction of public project in Erbil Governorate related to the owner were “variation orders by owner during the construction” which came in the first rank, while the cause of delay related to the consultant that came in the first rank was “unclear and inadequate details in drawings,” whereas the factor related to the contractor which came in the first rank was “selecting incompetent contractor.”
Cooperating Newton’s Method with Series Solution Method for Solving System of Linear Mixed Volterra-Fredholm Integral Equation of the Second Kind
Authors: Hasan Talaat I.
Published: May 2019

In this paper, for the 1st time, we use Newton’s method with series solution method (SSM) for solving system of linear mixed Volterra-Fredholm integral equations of the second kind (SLMVFIE-2). In this work, we use a new technique for studying the numerical solutions for SLMVFIE-2 which is Newton’s method with SSM, first solving this system using SSM and after that cooperation Newton’s method with SSM, suggesting an algorithm for the technique. The new results are achieved and some new theorems have proved for convergence of the method, several numerical examples are tested for illustrating the usefulness of the technique; the numerical results are obtained and compared with the exact solution, computing the least square error, and running times which are criterion of discussion. For programming the technique, we use general Matlab program.
ANALISIS KEMAMPUAN KOMUNIKASI MATEMATIS SISWA DITINJAU DARI GAYA BELAJAR KOLB
Authors: Daimaturrohmatin Daimaturrohmatin , Rufiana Intan Sari
Published: May 2019

Tujuan dari penelitian ini adalah untuk mendeskripsikan kemampuan komunikasi matematis siswa ditinjau dari gaya belajar Kolb. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif kualitiatif. Penelitian ini dilaksanakan di SMA Negeri 1 Jetis. Subjek penelitian berjumlah 38 siswa yang terdiri dari siswa kelas XI MIPA 1 dan XI MIPA 2. Dari 38 subjek penelitian dipilih 2 subjek pada masing-masing kelompok tipe gaya belajar Kolb. Pengambilan 2 subjek pada setiap gaya belajar dimaksudkan untuk memperkuat hasil penelitian dan membandingkan antara subjek satu dengan yang lainnya. Teknik pengambilan data yang digunakan adalah angket, tes uraian, dan wawancara. Angket digunakan untuk mengelompokkan subjek menjadi 4 kelompok tipe gaya belajar, tes uraian digunakan untuk menganalisis kemampuan komunikasi matematis, dan wawancara digunakan untuk memperkuat hasil jawaban tes uraian subjek. Selanjutnya, model interaktif digunakan dalam penelitian ini untuk menganalisis data yang telah diperoleh. Hasil dari penelitian ini menunjukkan bahwa kemampuan komunikasi matematis yang dikuasai oleh masing-masing tipe gaya belajar berbeda. Siswa dengan tipe gaya belajar konverger lebih dominan menguasai seluruh indikator kemampuan komunikasi matematis yang telah ditentukan. Sedangkan tiga tipe gaya belajar yang lain dominan dalam menguasai satu atau dua indikator kemampuan komunikasi matematis, yaitu (i) kemampuan menyatakan permasalahan dalam model atau simbol matematika dominan dikuasai oleh siswa dengan tipe gaya belajar diverger dan assimilator, (ii) kemampuan menjelaskan ide matematika dalam menyelesaikan permasalahan sesuai dengan kaidah matematika yang berlaku dominan dikuasai oleh siswa dengan tipe gaya belajar asimilator dan akomodator, sedangkan (iii) kemampuan dalam menyimpulkan hasil penyelesaian secara jelas dominan dikuasai dengan baik oleh siswa dengan tipe gaya belajar akomodator.
EFEKTIVITAS PENDIDIKAN KESEHATAN INDIVIDU DAN KELOMPOK DENGAN TINGKAT KEPATUHAN ASUPAN GIZI PADA PASIEN POST OPERASI DI POLI BEDAH RSUD DR HARJONO PONOROGO
Authors: Mujayanah Honi , Maghfirah Sholihatul , Purwanti Lina Ema
Published: May 2019

AbstractThe obedience of consuming nutritious food is very important for post surgery patients to accelerate effectiveness of individual and group healt education with compliance level of nutrition intake in patient post minor operation in sugery poly hospital Harjono Ponorogo.The design of this research is descriptive. population the whole patients of post surgery in the surgery poly of Harjono Ponorogo Hospital. The total sample in the research 20 respondent. The technique sampling used purposive sampling conducted on 10 April-14 July 2017. The data collection used questionnaire, data displayed of percentage. The research result obedience of the nutrition intake of minor post surgery patient who were given individual education there p= 0,025<0,05, who were given group education there p= 0,102>0,05. The effectiveness of individual end group health education whit adherence levels of nutrition intakein minor post operation patient was 0,353>0,05 adherence to nutrition intake given individual health education was on more effective than adherence to nutrition intake provided by group healt education.The research result need the promotive efforts from the healt workerssuch as do illumination, health education or spread the health leaflet containing about the intake of nutrition after surgery.Key words: Obedience, Nutrition Post Surgery, at Surgery Poly Hospital Harjono AbstrakKepatuhan mengkonsumsi makanan bergizi penting bagi pasien post operasi untuk mempercepat penyembuhan luka dan mencegah adanya komplikasi luka. Tujuan Penelitian ini untuk mengetahuiefektivitas pendidikan kesehatan individu dan kelompok dengan tingkat kepatuhan asupan gizi pada pasien post operasi minor, di poli bedah RSUD Dr. Harjono Ponorogo.Desain penelitian deskriptif.Populasi penelitian adalah seluruh pasien post operasi minor di poli bedah RSUD Dr. Harjono Ponorogo. Total sampel penelitian ini 20 responden. Tehnik sampling menggunakan Purposive Sampling dilakukan pada tanggal 10 April-14 Juli 2017.Pengumpulan data menggunakan kuesioner, data ditampilkan dengan prosentase. Hasil penelitian menunjukan kepatuhan asupan gizi pasien post operasi minor yang diberikan pendidikan secara individu terdapat p= 0,025<0,05, yang diberikan pendidikan secara kelompok terdapat p= 0,102>0,05. Efektivitas pendidikan kesehatan individu dan kelompok dengan tingkat kepatuhan asupan gizi pada pasien post operasi minor terdapat p= 0,353>0,05 kepatuhan asupan gizi yang diberikan pendidikan kesehatan secara individu tidak lebih efektif dibandingkan kepatuhan asupan gizi yang diberikan pendidikan kesehatan secara kelompok.Hasil penelitian perlu adanya upaya promotif dari petugas kesehatan seperti melakukan penyuluhan, pendidikan kesehatan maupun penyebaran leaflet yang berisi tentang asupan gizi setelah operasi.Kata kunci: Kepatuhan, Gizi post operasi, di Poli Bedah RSUD Dr. Harjono
KEPATUHAN MINUM OBAT PADA PAIEN TB PARU
Authors: Rozaqi Malik Fajar , Andarmoyo Sulistyo , Rahayu Yayuk Dwi
Published: May 2019

AbstactDrug Compliance Drugs in Pulmonary TB Patients in the Work Area of Kunti Puskesmas and Puskesmas Kauman Kabupaten PonorogoBy: Malik Fajar RozaqiThe level of adherence in treatment is a dynamicacomplex phenomenon withaa variety of factors that impact on patient behavior in treatment. Inadequate health care, understanding, and compliance with amedication areathe main obstacles to findingaeffective solutions.aThis study aims to determine the adherence of medication to patients in pulmonary tuberculosis in the area of Puskesmas Kunti and Puskesmas Kauman Ponorogo RegencyThe studyadesign was descriptive, with a total population ofaall pulmonaryaTB patients of 37 patients. The sample sizeawas 37 patients and thearesearch method was using Total Sampling. Data collection usingaquestionnaire, data in show with percentage.From thearesult of thearesearch at Puskesmas Kunti 14 respondents and Puskesmas Kauman 23 respondents so total of 37 respondents concluded 17 respondents (45,94%) have high compliance attitude, 12 respondents (32,43%) have medium compliance attitude and 8 respondents (21, 62%) have low compliance attitudes.From the research it can be concluded that pulmonary tuberculosis patients have obedient attitude in the medication adherence of pulmonary tuberculosis. It is hoped that patients with pulmonary tuberculosis will increase their adherence in taking pulmonary TB drugs so that the treatment can be achieved.Keywords: Adherence, Drinking, Patient, Drugs, Pulmonary TBAbstrakKepatuhan Minum Obat PadaaPasienaTB Paru di Wilayah Kerja Puskesmas Kunti dan Puskesmas KaumanaKabupatenaPonorogoaOleh: Malik Fajar RozaqiTingkat kepatuhan dalam pengobatan merupakanasebuahafenomena kompleks yang dinamisdenganberbagaifaktoryang berdampak pada perilaku pasienadalamapengobatan. Pelayanankesehatanyang tidakmenyeluruh,pemahaman,dan kepatuhan pengobatan yang kurang menjadi kendala besar untuk menemukan solusiyangefektif. Penelitian ini bertujuan untuk mengetahui “kepatuhan minum obat pada pasien TB paru” di wilayah Puskesmas Kunti dan Puskesmas Kauman Kabupaten PonorogoDesain penelitian adalahadeskriptif, dengan populasi seluruh pasien TB paru sejumlah 37 pasien.aBesarasampel 37 pasien danametode penelitian menggunakan Total Sampling. Pengumpulan data menggunakan kuisioner, data di tampilkan dengan prosentase.Dari hasilapenelitian di Puskesmas Kunti 14 responden dan Puskesmas Kauman 23 responden jadi total sejumlah 37 responden disimpulkan 17 responden (45,94%) memiliki sikap kepatuhan tingggi, 12 responden (32,43%) memiliki sikap kepatuhan sedang dan 8 responden (21,62%) memiliki sikap kepatuhan rendah.Dari penelitian dapat di simpulkan bahwa pasien TB paru memiliki sikap patuh dalam kepatuhan minum obat TB paru. Diharapkan pasien TB paru lebih meningkatakan kepatuhan dalam minum obat TB paru agar pegobatan dapat tercapai. Kata Kunci: kepatuhan , Minum, Pasien, Obat, TB Paru
PENGARUH DURASI BERMAIN TERHADAP ADIKSI GAME ONLINE PADA REMAJA Di Warung Internet XGC Kecamatan Dolopo Kabupaten Madiun
Authors: Oktavian Nindar , Nurhidayat Saiful , Nasriati Ririn
Published: May 2019

Abstract Background: As the rapid development of Internet technology, online games are also experiencing development. Online Game presents a more varied challenge compared to offline games, this makes the players feel at home and play long enough. Online game is seductive which means it can cause addiction, Addictive online game is marked by how far someone play excessive game so that can interfere its life everyday.Method: Design of research using Cross Sectional with a population of 78, a sample of 45 respondents using purposive sampling technique. Data collection using questionnaires with data processing using Chi Square test.Result: From the result of research from total 45 respondent 24 (53,3%) respondent playing game excessively, and 21 (47,7%) not excessive. And 24 (53.3%) respondents experienced addiction. Statistical analysis showed significant result with p-value 0,002 <0,05. Then H1 accepted which means there is influence between the duration of playing online games towards online game addiction.Conclusion: Playing games with a long duration is one of the factors causing online game addiction among teenagers. So there needs to be self-control of online game play behavior.Keywords:Game Online, Addiction, Teenagers Abstrak Latar Belakang: Seiring pesatnya perkembangan teknologi internet, game online juga mengalami perkembangan. Game online. Game Online menyajikan tantangan yang lebih bervariasi dibandingkan dengan game offline, hal ini membuat para pemain betah dan bermain cukup lama. Game online bersifat seduktif yang berarti dapat menyebabkan kecanduan, Kecanduan game online ditandai oleh sejauhmana seseorang bermain game secara berlebihan sehingga dapat mengganggu kehidupannya sehari-hari.Metode:Desain penelitian menggunakan Cross Sectional dengan jumlah populasi 78, sampel 45 responden dengan menggunakan teknik purposive sampling. Pengumpulan data menggunakan kuesioner dengan pengolahan data menggunakan uji chi square.           Hasil: Dari hasil penelitian didapatkan dari total 45 responden 24 (53,3%) responden bermain game secara berlebihan, dan 21 (47,7%) tidak berlebihan. Dan 24 (53,3%) responden mengalami adiksi. Analisis statistika menunjukkan hasil yang signifikan dengan p-value 0,002 < 0,05. Maka H1 diterima yang artinya ada pengaruh antara durasi bermain game online terhadap adiksi game online.Kesimpulan: Bermain game dengan durasi waktu yang cukup lama menjadi salah satu faktor penyebab adiksi game online di kalangan remaja. Sehingga perlu adanya kontrol diri terhadap perilaku bermain game online.Kata kunci: Game Online, Adiksi, Remaja
ASUHAN KEBIDANAN CONTINUITY OF CARE PADA NY I MASA “HAMIL SAMPAI DENGAN KELUARGA BERENCANA “DI PRAKTIK MANDIRI BIDAN SETYAMI NGASINAN PONOROGO
Authors: Oftarica Jenny , Faridah Siti , Hidayati Nur
Published: May 2019

Untuk mencegah akan terjadinya komplikasi dan kematian, perawatan kehamilan adalah salah satu factor yang perlu diperhatikan saat menjalani persalinan dan untuk menjaga pertumbuhan serta kesehatan bagi janin. Pelayanan waktu standart dianjurkan dengan tujuan untuk ibu hamil ataupun janin supaya terjamin dan terlindungi, yaitu berupa deteksi dini akan adanya factor resiko, pencegahan dan penanganan, komplikasi kebidanan. Metode Penelitian yang digunakan adalah deskriptif kualitatif. Dimulai dari pengumpulan data subyektif dan data obyektif, rencana asuhan, penetapan diagnosa, implementasi asuhan dan evaluasi. Tujuan Umum dari penelitian ini adalah  Terlaksanannya asuhan kebidanan secara Continuity Of Care pada Ibu Hamil menggunakan pendekatan manajemen kebidanan serta pendokumentasian dengan SOAP.Ny. I dalam usia 23 tahun mendapatkan asuhan kebidanan selama masa kehamilan. Pendampingan dimulai pada tanggal 25 Juli 2018 sampai pada tanggal 20 September 2018. NY. I G1P00000 UK 40 minggu 3 hari bersalin secara sectio caesarea atas indikasi post date. Tanggal 11 Agustus 2018 tepat pukul 13.40 WIB Ny.I melahirkan secara section caesareadengan bayi yang berjenis kelamin laki-laki, dengan BB 3000 gr, PB 48 cm. Bayi tersebut lahir dengan sehat dan tidak ada kelainan. Dalam kunjungan neonates sudah dilakukan sebanyak 2 kali, dimana bayi menyusu adekuat, BAB dan BAK secara teratur, dalam batas normal bayi mengalami kenaikan berat badan. KB alami MAL digunakan oleh Ny.I.Asuhan kebidanan dengan cara Continuity of Care sangat diharapkan untuk mendapatkan baik wawasan terkait kehamilan, Persalinan, Nifas, Bayi Baru Lahir dan juga Keluarga Berencana (KB), hal tersebut sangat diharapkan oleh pasien,  keluarga dan masyarakat. Hal tersebut diharapkan dapat mengantisipasi, mencegah dan menanggulagijika terjadi kegawatdaruratan serta dapat mengurangi angka morbilitas dan mortalitas masyarakat.
PENGARUH INTRINSIK REWARD, EKSTRINSIK REWARD DAN PUNISHMENT TERHADAP DISIPLIN KERJA KARYAWAN PADA DINAS PEKERJAAN UMUM KABUPATEN PONOROGO
Authors: Liana Evi , Farida Umi , Sumarsono Hadi
Published: May 2019

Dinas Pekerjaan Umum merupakan unsur pelaksana otonomi daerah di bidang pekerjaan umum, penataan ruang, perumahan, energi dan sumber daya mineral yang di pimpin oleh kepala dinas yang berkedudukan di bawah dan bertanggungjawab kepada Bupati melalui sekretaris daerah. Tujuan penelitian ini adalah menguji: (1) Pengaruh Intrinsik reward terhadap Disiplin kerja karyawan pada Dinas Pekerjaan Umum (2) Pengaruh ekstrinsik reward terhadap Disiplin kerja karyawan pada Dinas Pekerjaan Umum (3) Pengaruh Punishment terhadap Disiplin kerja karyawan pada Dinas Pekerjaan Umum (4) Pengaruh Intrinsik reward, Ekstrinsik reward, Punishment terhadap Disiplin kerja karyawan pada Dinas Pekerjaan Umum. Populasi dalam penelitian ini adalah keseluruhan pegawai Dinas Pekerjaan Umum dengan sebanyak 301 pegawai. Teknik sampling yang dipakai adalah metode purposive sampling dengan hasil akhir sebanyak 65 sampel. Penelitian ini bersifat kuantitatif dengan menggunakan teknik analisis regresi linier berganda. Hasil pada penelitian ini menunjukkan bahwa: Intrinsik reward, Ekstrinsik reward dan Punishment memiliki nilai F hitung sebesar 7,477 sehingga F hitung > F tabel (7,477 > 2,74) dengan nilai sig 0,003 < 0,05 sehingga dapat dikatakan ketiga variabel bebas dalam penelitian ini secara bersama-sama berpengaruh signifikan terhadap Disiplin Kerja Karyawan.
PENGARUH KECERDASAN EMOSIONAL TERHADAP TINGKAT PEMAHAMAN AKUNTANSI DENGAN KEPERCAYAAN DIRI SEBAGAI VARIABEL MODERATING
Authors: Dewi Enggar Tri permata , W Khusnatul Zulfa , Hartono Arif
Published: May 2019

Penelitian ini bertujuan untuk menguji pengaruh kecerdasan emosional terhadap tingkat pemahaman akuntansi dengan kepercayaan diri sebagai variabel moderating. Penelitian ini dilakukan di universitas muhammadiyah ponorogo karena kecerdasan emosional merupakan sebuah materi yang belum dikembangkan diuniversitas muhammadiyah ponorogo apalagi jika mahasiswa masih memiliki tingkat kepercayaan yang belum stabil, sehingga membuat belum maksimalnya dalam proses pembelajaran. Data yang digunakan dalam penelitian ini diperoleh dari penyebabaran kuisioner yang diberikan kepada mahasiswa prodi akuntansu angkatan tahun 2013 yang masih aktif perseptember 2017. Tehnik pengambilan sampel menggunakan sampling jenuh. Hasil penelitian menemukan bahwa kecerdasan emosional berpengaruh negatif signifikan terhadap tingkat pemahaman akuntansi, hal ini dikarenakan mahasiswa yang malas untuk mencoba kembali disaat gagal dalam memahami akuntansi dan adanya persaingan sesama mahasiswa menyebabkan berkurangnya  semangat  belajar mahasiswa. Hubungan kecerdasan emosional terhadap pemahaman akuntansi yang diperkuat oleh kepercayaan diri, mahasiswa yang memiliki kepercayaan diri yang tinggi akan mampu meningkatkan semangat belajarnya sehingga dapat memahami akuntansi
PENGARUH KESADARAN, KUALITAS PELAYANAN, KEWAJIBAN MORAL, PENGETAHUAN PAJAK, DAN PERSEPSI SANKSI PERPAJAKAN PADA KEPATUHAN PEMBAYARAN PAJAK KENDARAAN BERMOTOR DI KABUPATEN PONOROGO
Authors: CAHYANTI EKA PUTRI , WAFIROTIN KHUZNATUL ZULFA , Hartono Arif
Published: May 2019

Tujuan penelitian ini untuk mengetahui pengaruh kesadaran, kualitas pelayanan, kewajiban moral, pengetahuan pajak, dan persepsi sanksi perpajakan pada kepatuhan pembayaran pajak kendaraan bermotor di Kabupaten Ponorogo. Data yang digunakan dalam penelitian ini adalah data primer yang bersumber dari kuesioner yang disebarkan kepada responden.Metode analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier berganda. Proses analisis data menggunakan software SPSS versi 16,0. Populasi yang digunakan dalam penelitian ini adalah wajib pajak kendaraan bermotor yang terdaftar di Kantor Samsat Kabupaten Ponorogo. Sampel terpilih sebanyak 100 responden dengan teknik accidental sampling. Tahap dalam penelitian ini meliputi statistik deskriptif, Uji Validitasas dan Relibilitas, Uji Asumsi Klasik, Analisis Regresi Linier Berganda dan Uji Hipotesis.Hasil pengujian hipotesis petama menunjukkan bahwa variabel kesadaran wajibypajak berpengaruh dan signifikanyterhadap kepatuhan pembayaranypajak kendaraan. Pengujian hipotesis kedua menunjukkan bahwa variabel kualitasypelayanan berpengaruhyterhadap kepatuhan pembayaranypajak kendaraan bermotor. Hasil pengujian hipotesis ketiga menunjukkan bahwa variabel kewajiban moralyberpengaruh terhadap kepatuhanypembayaran pajak kendaraanybermotor. Hasilypengujian hipotesis keempat menunjukkan bahwa variabel pengetahuanypajak berpengaruh terhadap kepatuhanypembayaran pajak kendaraanybermotor. Hasil pengujian hipotesis kelima menunjukkan variabel persepsi sanksiyperpajakan berpengaruh terhadapykepatuhan pembayaran pajakykendaraan bermotor. Hasil pengujian hipotesis keenam menunjukkan bahwa variabel kesadaranywajib pajak, kualitasypelayanan, kewajiban moral,ypengetahuan pajak, danypersepsi sanksi perpajakan berpengaruhyterhadap kepatuhan pembayaranypajak kendaraan bermotor.
PENGARUH CITRA MEREK (BRAND IMAGE), KUALITAS PRODUK, DAN DESAIN PRODUK TERHADAP KEPUTUSAN PEMBELIAN PADA PRODUK BATIK MUKTI
Authors: SUMARSONO HADI , SANTOSO ADI
Published: May 2019

Penelitian ini bertujuan untuk mengetahui pengaruh Citra Merek (Brand Image), Kualitas Produk, dan Desain Produk Terhadap Keputusan Pembelian pada Produk Batik Mukti Rahayu di Kabupaten Magetan. Populasi dalam penelitian ini adalah seluruh pembeli Batik Mukti Rahayu di Kabupaten Magetan, menggunakan 50 responden dengan tehnik Accident Sampling. Analisis yang digunakan adalah regresi linear berganda.Hasil dari analisis ini adalah : 1) Citra Merek (Brand Image) tidak berpengaruh negative terhadap keputusan pembelian Produk Batik Mukti Rahayu. 2) Kualitas Produk berpengaruh positif dan signifikan terhadap keputusan pembelian Produk Batik Mukti Rahayu. 3) Desain Produk berpengaruh positif dan signifikan terhadap keputusan pembelian Produk Batik Mukti RahayuKata Kunci: Citra Merek (Brand Image), Kualitas Produk, Desain Produk, dan Keputusan Pembelian
PENGARUH KOMPETENSI, MOTIVASI KERJA, BEBAN KERJA, DAN PELATIHAN TERHADAP PRODUKTIVITAS KERJA SUMBER DAYA MANUSIA KOPERASI SERBA USAHA ANAK MANDIRI PONOROGO
Authors: JUMANTORO REIGION , FARIDA UMI , SANTOSO ADI
Published: May 2019

Penelitiaan ini bertujuan untuk mengetahui pengaruh kompetensi, motivasi kerja, beban kerja, dan pelatihan terhadap produktivitas kerja sumber daya manusia Koperasi Serba Usaha Anak Mandiri Ponorogo. Teknik pengambilan sampel yang digunakan adalah sampling jenuh, semua anggota populasi pada penelitian ini digunakan sebagai sampel penelitian, sehingga semua sumber daya manusia yang berjumlah 32 orang yang dijadikan responden. Teknik analisis regresi linier berganda dan uji hipotesis dengan taraf signifikan 5% merupakan teknik analisis data yang digunakan pada penelitian ini. Hasil pengujian menunjukan bahwa: (1) antara variabel kompetensi dengan produktivitas kerja sumber daya manusia terdapat pengaruh yang positif dan tidak signifikan; (2) antara variabel motivasi kerja dengan produktivitas kerja sumber daya manusia terdapat pengaruh yang positif dan signifikan; (3) antara variabel beban kerja dengan produktivitas kerja sumber daya manusia terdapat pengaruh yang positif dan tidak signifikan; (4) antara variabel pelatihan dengan produktivitas kerja sumber daya manusia terdapat pengaruh yang positif dan signifikan. Hal ini menunjukan bahwa motivasi kerja dan pelatihan mempengaruhi secara positif dan signifikan terhadap produktivitas kerja sumber daya manusia sedangkan kompetensi dan beban kerja mempengaruhi secara positif dan tidak signifikan terhadap produktivitas kerja sumber daya manusia dan variabel yang paling dominan yang mempengaruhi produktivitas kerja sumber daya manusia adalah variabel motivasi kerja.Kata kunci: Kompetensi, Motivasi Kerja, Beban Kerja, Pelatihan, dan Produktivitas Kerja.
ANALISA KALOR BAKAR BRIKET BERBAHAN ARANG KAYU JATI, KAYU ASAM, KAYU JOHAR, TEMPURUNG KELAPA DAN CAMPURAN
Authors: Handoko Rio , Fadelan Fadelan , Malyadi Muhamad
Published: May 2019

Biomassa merupakan bahan alami yang biasanya dianggap sebagai limbah dan sering dimusnakan dengan cara dibakar. arang adalah hasil pembakaran bahan yang mengandung karbon yang terbentuk padat dan berpori. Briket arang adalah arang yang diolah lebih lanjut menjadi bentuk briket (penampilan dan kemasan yang menarik) yang digunakan untuk keperluan energi sehari-hari. Nilai kalor yang paling besar dan tinggi nilai kalornya terdapat pada briket tempurung kelapa dengan rata-rata 6971,866 kal/gram. Pada kadar abu terendah terdapat pada briket asam dengan kadar abu 0,41%. Pada kadar air nilai kadar air terendah terdapat pada briket asam dengan rata-rata 5,1795%. Kadar zat menguap yang paling rendah nilai zat yng menguap terdapat pada persamaan briket johar dengan rata-rata 21,718%.
HPLC-DAD profiling and antioxidant activity of the n-butanol extract from aerial parts of Algerian Crithmum maritimum L.
Authors: Boutellaa Saber , Zellagui Amar , Öztürk Mehmet , Bensouici Chawki , Ölmez Özge Tokul , Menakh Mouna , Duru Mehmet Emin
Published: May 2019

In this study, phenolic compounds from Crithmum maritimum L. n-butanol soluble fraction were quantified and identified spectrophotometrically and by using HPLC-DAD technics. They equally investigated for their antioxidant potential utilizing six in vitro assays: DPPH•, ABTS•+, O2
•−, Bleaching of β-carotene in linoleic acid, CUPRAC and Ferric reducing power. High amounts of total phenolics and flavonoids were recorded: 161.57± 0.479 μg GAeq.mg−1 and 31.56± 0.291 μg Qeq.mg−1 respectively. Nine compounds among them hydroxicinnamic acid and hydroxybenzoic acid derivatives, coumarins and flavonoids were identified. Chlorogenic acid known for their various pharmacological properties was detected as major compound of the extract. Rutin, vanillin, trans-2-hydroxycinnamic acid, ellagic acid, ferrulic acid, 6,7 dihydroxy coumarin, methyl 1,4 benzoquinone and trans-cinnamic acid were also detected. The extract was found to exhibit strong antioxidant capacities in all systems. Based on these results, it is right to conclude the n-butanol extract is promising source of natural antioxidants.
Anticoagulant Activity of Some Ficus carica Varieties Extracts Grown in Algeria
Authors: Belattar Hakima , Himour S.
Published: May 2019

The hemostatic system is a complex balanced system that triggers clot formation to prevent blood loss after trauma. To block abnormal bleeding and maintain intravascular blood in a liquid state, in this study we investigated the possible anticoagulant effect of leaves and fruits extracts from some fig varieties grown in Algeria by determining the quick time (QT). The blood samples of the healthy individuals were used. For in vitro coagulation assays, the clotting times obtained in the presence of polyphenols in different extracts of F.carica samples indicate that they exert a high anticoagulant activity on the exogenous pathway of coagulation. Moreover, the polyphenolic extract of ‘Roudane’ variety presented a substantial increase in coagulation. Based on these preliminary results, it can be suggested that the fig polyphenolic extracts (FPE) of this varieties have anticoagulant activity that could be useful in preventing blood clots.
Experimental setup for light-to-heat NIR conversion measurements of gold nanoparticle solutions
Authors: Uzunov Nikolay , Bello Michele , Melendez-Alafort Laura , De Nardo Laura
Published: May 2019

In recent years, there is a constantly increasing interest in the application of nanoparticles for cancer diagnosis and cancer therapy. In this respect, the most promising nano-objects at present are the gold nanoparticles. A very convenient and powerful property of these objects is their ability to increase their temperature under electro-magnetic irradiation with certain wavelength. In our research we have directed our efforts toward particular nano-objects specifically sensitive to electromagnetic radiation in the near-infrared region (NIR). In order to study the photothermic properties of the solutions of gold nanoparticles in the NIR we constructed a specific electronic setup consisting of a laser system with interchangeable laser diodes with different wavelength NIR light, a thermally-insulated cuvette-holder compartment with temperature measuring probes and a NIR spectrometer to control the stimulated fluorescence emission of the nanoparticle solutions. The temperature measurement compartment with the thermal-insulated cuvette holder was designed to maintain the solutions’ temperature at a fixed value right before the moment of laser irradiation. To maintain the measurement setup at a fixed temperature before the irradiation we used a thermal stabilized system based on two Peltier cells with electronic temperature control. The temperatures of the ambient air and the temperature of the cuvette walls were continuously measured in order to make corrections about the temperature dissipation during the irradiation.
A New Approach to Evaluate Fabric Hand Based on Three-Dimensional Drape Model
Authors: Hussain Azmat , Zhong Yueqi , Naveed Tayyab , Yu Zhicai , Xi Zhang , Ge Wu
Published: May 2019

Fabric quality and performance is assessed subjectively by the customer using an important and complex phenomenon of fabric hand. Objectively, it is evaluated with complicated and expensive instruments, such as Kawabata Evaluation System for Fabrics (KES-F) and Fabric Assurance with Simple Testing (FAST). The present research explores a non-touch objective approach, i.e., three-dimensional (3D) drape model to estimate fabric hand. Fabric hand prediction was testified on different commercial fabrics spanning a wide range of areal weight, thickness, yarn count, and fabric density. Fabric objective ranks based on drape indicators using principal component analysis (PCA) were compared with subjective ranks of fabric hand. Additionally, fabric drape is evaluated three dimensionally and a new drape indicator drape height (DH) is proposed. The cosine similarity results have proved fabric drape as an objective alternate to fabric hand.
The Effect of Electric Field on Nanofibers Preparation in Cylindrical-Electrode-Assisted Solution Blowing Spinning
Authors: Zheng Wenxing , Zheng Wenyu , Wang Xinhou
Published: May 2019

Cylindrical-electrode-assisted solution blowing spinning (CSBS) is a novel nanofiber preparation method. The electric field of CSBS not only is one of the main innovations of this technology but also plays a key role in the preparation of nanofibers. In this article, the electric field of CSBS and the influences of electric field on the preparation of nanofibers were studied systematically for the first time by simulations, theoretical analyses, and experiments. This paper innovatively established the coaxial capacitor model for studying the CSBS electric field. The effects of electric field on the preparation and morphology of CSBS nanofibers were theoretically investigated by using this model. The theoretical formulas that can express the relationships between the various electric field variables were obtained. The electric field strength distribution, voltage distribution, and the relationships between the electric field parameters of CSBS were obtained by finite element simulations. The simulations’ results show that reducing the diameter of cylinder (DC) or increasing the voltage increase the electric field strength of the jet surface. Experimental results reveal that increasing voltage or reducing DC can reduce the diameter of nanofibers. The experimental and simulation results prove the correctness of the theoretical research conclusions. The theoretical and simulation conclusions of this paper lay a theoretical foundation for further study of CSBS electric field. The experimental conclusions can directly guide the controllable preparation of CSBS nanofibers.