bluuebunny/crossref_metadata_2025 huggingface dataset:
O Espaço e a Economia da Ria de Aveiro
Authors: Sarmento Clara
Published: September 2017

O conceito de espaço explorado neste ensaio assenta numa lição normativa que alia à História, à Geografia e ao Folclore esse outro manual que, ensinando a Economia e a regulamentação legal de uma região, permite alcançar a constelação de saberes que fundam os fomentos políticos do futuro. Durante séculos, a economia da região lagunar da Ria de Aveiro esteve exclusivamente baseada na exploração dos seus recursos locais. A Ria de Aveiro, com a sua personalidade geográfica e vida marítima excepcionais, constituiu desde sempre um vasto campo de acção para essa entidade colectiva, entre o essencial, o folclórico e o inventado, que são as gentes ribeirinhas, suas práticas, usos e costu-mes: As terras dos arredores de Aveiro pela banda do lugar de Alqueidão e Vila de Ílhavo, etc, são terras cultiváveis e de boa qualidade muito plantadas de árvores de diferentes espécies e em algumas partes de pinheiros dos quais há maior abundancia nas maiores distâncias dos povoados. As que ficam da banda da vila do Vouga são também terras capazes de cultura ainda que tenham mistura de areia grossa, e muito plantadas de pinheiros. As terras baixas que estão da banda do Rio Vouga ladeando até Nossa Senhora do Bom Sucesso [das Areias.] são arenosas e muito plantadas de pinheiros e os maiores baixos delas junto ao Rio se inundam nas grandes cheias.
Data Envelopment Analysis
Authors: Pereira José Veiga
Published: September 2017

A avaliação das organizações e a deterntinação da performance obtida pelo exercício da gestão, tem sido uma preocupação constante de gestores e accionistas, embora com objectivos diversos. Nos dias de hoje, a questão coloca-se com maior acuidade quer pela competitividade acrescida quer pela dimensão e complexidade actual das empresas. Pretendemos com este trabalho fazer uma descrição da metodologia DEA - Data Envelopment Analysis - nas suas formulações iniciais mais simples. A metodologia do DEA, pretende obter uma medida única e simples de avaliação da eficiência, combinando um conjunto de outputs e de inputs relativos às diferentes unidades homogéneas que se pretendem avaliar.O método DEA é um método não paramétrico que pelas suas características é particularmente adequado à avaliação de unidades homogéneas não necessariamente lucrativas.Concluímos, em geral, que são úteis e constituem um avanço importante, as informações obtidas através do DEA mas que outros métodos, designadamente rácios e análises de regressão, podem dar um contributo importante para complementar aquela análise.
Globalização e Criminalidade Económica-Financeira
Authors: Carvalho Nuno Vieira de
Published: September 2017

Neste ensaio, exploram-se os temas da globalização e dos seus efeitos no crime em geral e no crime económico em especial, com destaque para a corrupção.
A Transmissão do Arrendamento para Habitação por Morte do Arrendatário
Authors: Falcão José Diogo
Published: September 2017

De acordo com o preceituado na alínea d) do art. 1051.º do Código Civil, o contrato de locação, tendo natureza intuitu personae, «caduca por morte do locatário», salvo convenção escrita em contrário (art. 1059.º n.º 1 do Código Civil).Porém, e reportando-nos, apenas, aos contratos de arrendamento para a habitação, a regra da caducidade do arrendamento por morte do arrendatário sofre um importante regime de excepção, constante nos arts. 85.º e seguintes do Regime do Arrendamento Urbano, aprovado pelo Decreto-Lei n.º 321-B/90, de 15 de Outubro (doravante designado por R.A.U.).
Practice Preferences using Resuscitative Endovascular Balloon Occlusion of the Aorta for Traumatic Injury Before and After the 2017 EndoVascular and Hybrid Trauma and Bleeding Management Symposium
Authors: DeSoucy Erik , Loja Melissa , Davidson Anders J , Faulconer Edwin R , Russo Rachel M , Simon Meryl A , DuBose Joseph J
Published: September 2017

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique to aid in resuscitative eff orts for hemorrhagic shock. The use of REBOA is not yet commonplace and there is little understanding of real-world practice patterns. The Endovascular and Hybrid Trauma and Bleeding Management Symposium is a large international conference specifically developed to discuss multidisciplinary, endovascular and hybrid approaches to hemorrhage management. We sought to evaluate provider opinions and practice patterns using REBOA for traumatic vascular injury before and after attending this conference. Methods: A detailed survey was completed by a variety of providers before and after the conference. The survey was composed of demographic information, and focused on practice patterns and opinions regarding the implementation of REBOA.Results: We received 186 survey responses (99 pre, 87 post). There was increased perception of feasibility for REBOA in all settings, with the largest increase for pre-hospital and austere military environments (53.5% pre, 67.8% post and 59.6% pre, 73.6% post respectively). While there was no consensus on tolerable occlusion times and indications for utilization, most participants felt that partial REBOA was the most viable technique for prolonging the benefi ts of REBOA, and more participants came to this conclusion after attending the conference (62.2% pre, 81.6% post, p = 0.006). Conclusions: REBOA is an exciting and important advancement in the management of life threatening hemorrhage; however, its implementation has not been codifi ed and there is much variation in practitioners’ understanding of its use. Continued investigation is needed to determine the appropriate indications, methods, and practical limitations of REBOA as a new hemorrhage management paradigm.
Vascular Damage Control Approach Using Direct Deployment of Self-Expandable PTFE Covered Stent as an Alternative to Intra-Arterial Shunt
Authors: Bankhead-Kendall Brittany , Patel Anish B , Taylor Jeffrey , Teixiera Pedro GR
Published: September 2017

The use of intravascular shunts for damage control purposes has been well described both in the battlefield and in the civilian environment. In this report, we present a case in which a self-expanding polytetrafl uoroethylene (PTFE) stent graft was used as an alternative to traditional damage control intra-arterial shunt to successfully control bleeding and reestablish arterial flow in the aortoiliac segment. A 50-year-old male presented in extremis after sustaining multiple abdominal gunshot wounds. After resuscitative thoracotomy, laparotomy demonstrated transection of the right common iliac artery at its origin, destructive pancreatoduodenal injury with associated superior mesenteric vein injury, and multiple small bowel and colonic injuries. Because of the location of the injury at the aortoiliac junction, temporary intra-arterial shunt placement was not possible as no residual iliac cuff was available to secure a tie around the shunt proximally. A self-expanding PTFE stent graft was introduced and directed across the injury under direct visualization and deployed to bridge the defect from the aortic bifurcation to the right common iliac artery. After deployment, the stent was hemostatic and pulses were palpable in bilateral iliac and common femoral arteries. The associated intra-abdominal injuries were addressed and the abdomen packed and temporarily closed. Total operative time was 65 minutes. After a 4-hour period of resuscitation in the ICU, the patient became hemodynamically unstable and was re-explored. Diffuse bleeding was identified in all raw surfaces of the retroperitoneum, abdominal wall and chest wall. The area of the stent was hemostatic. The right colon was massively dilated from intraluminal bleeding, so a right hemicolectomy was performed. Despite resuscitative eff orts and more than 100 units of blood products the patient expired. In this report, we described the use of direct endovascular repair using a self-expanding PTFE stent graft in the aortoiliac location as an alternative to temporary intra-arterial shunt placement. This technique allowed quick hemostasis and reestablishment of arterial flow in an area in which traditional intra-arterial shunts would not be feasible.
“What’s in a Name?” A Consensus Proposal for a Common Nomenclature in the Endovascular Resuscitative Management and REBOA Literature
Authors: Williams Timothy K , Johnson Austin , Neff Luke , Hörer Tal M , Moore Laura , Brenner Megan , DuBose Joe , Rasmussen Todd
Published: September 2017

The emerging techniques of REBOA and other Endovascular Trauma Managment (EVTM) concepts has introduced new terminology to the medical vernacular. As research in this fi eld continues, the authors propose a common baseline nomenclature for the initial core essentials of EVTM concepts.
Contemporary Management of Blunt Thoracic Aortic Injury: Results of an EAST, AAST and SVS survey by the Aortic Trauma Foundation
Authors: DeSoucy Erik , Loja Melissa , Dubose Joseph J , Estrera Anthony , Starnes Ben , Azzizadeh Ali
Published: September 2017

Objective: To determine contemporary management practices for blunt thoracic aortic injury (BTAI) among trauma and vascular surgeons.Methods: A survey of Eastern Association for the Surgery of Trauma, American Association for the Surgery of Trauma and Society of Vascular Surgeons (SVS) membership regarding BTAI care was conducted.Results: 404 respondents included trauma (52.5%), vascular (42.6%) and other specialty providers (4.5%) primarily from North American (90.6%) academic teaching institutions (71.0%) / American College of Surgeons Level I trauma centers (58.9%). Most respondents managed one to fi ve BTAIs annually (71.6%). Preferred diagnostic modality was computed tomographic angiography (CTA) (99.8%), after which respondents stated they preferred to utilize personal  knowledge of the literature and experience (50.5%), the SVS guidelines (27.4%) or institution specifi c guidelines (12.8%) to guide subsequent management. Respondents primarily agreed on the treatment of intimal tears (SVS G1) with medical management. For intramural hematoma (SVS G2), management choice was divided between medical 46.6%) and thoracic endovascular aortic repair (TEVAR) (46.3%). Both groups defi ned TEVAR as treatment of choice for hemodynamically stable patients with pseudoaneurysm (SVS G3) (93.5%) and rupture (SVS G4) (82.2%), although a greater number of trauma surgeons preferred open repair (20.4%) than vascular counterparts (4.1%) in stable G4 patients. Preferred medical management goals varied between mean arterial pressure (37.3%) and systolic blood pressure (62.3%) targets. Preferences also varied in adjuncts for open repair (left heart bypass 56.5%; clamp and sew 46.1%; cerebrospinal fl uid (CSF) drainage 48.5%) and TEVAR (percutaneous puncture for arterial access 58.4%; open vascular exposure 65.5%, intravascular ultrasound 36.1%, CSF drainage 28.9%). Outpatient follow-up timing (2 weeks 37.0%, 1 month 37.2%) and initial type (clinical exam 36.6%, CTA 48.3%) also varied.Conclusions: The survey of trauma and vascular surgeons illustrates controversy regarding SVS G2 treatment, surgical adjuncts and follow-up. Additional study is required to identify optimal BTAI management.
Pengaruh Jarak Usia Kelahiran dengan Terjadinya Respon Sibling pada Anak Usia 2-4 Tahun
Authors: Triwijayanti Noviari , Sari Levi Tina
Published: September 2017

Sibling response is competition in order to get love and care of one or both parents. The birth distance of a child is an important factor in the emergence of sibling response, because short spacing births of child tends to rise sibling negatif response. The puspose of this study was to identify the effect ofÂ  age distance of birth to the sibling responses in 2-4 years old children. Method : Research design wascross sectional. Research sample was 26 respondent at BPS Mutiah Bendo Village Ponggok District of Blitar, at July 9th to July 20, 2012, its choosed with tota sampling. Data collected by using a structured interview and observation statements in the questionnaire. Analysis using T-Test, with â‰¤0.05 significant level. Result :The result showed that most of the respondents gave negativ responses for the short spacing of births, with p = 0,023. Discussion : There was an effect of space of birth with the sibling responses in children age of 2 â€“ 4 years by 61,5% of the respondents, and sibling negative response in children age of 2 â€“ 4 years by 71,4 % of the respondents.
Pengaruh Pendidikan Kesehatan Tentang Pijat Bayi terhadap Praktik Pijat Bayi
Authors: Wati Ajeng Mahardika , Renityas Nevy Norma
Published: September 2017

Massage baby was done to smooth the surface of the skin performed by the hand which aims to produce effects of neurons, the muscles, respiratory systems and circulating blood and limpha.The aim of this research is to find out about babies health is the educational practices massage ain on an infant by the baby. Method: Research design was pretest-postest without control group designs. Research sample was 20 mother who have babies age 0-12 months in the BPS kirana, Jatinom Village, it choosed with purposive sampling. Analysis using wilcoxon, with significant level â‰¤0.05 Result: The results showed that health education of baby massage influence baby massage skill, with wilcoxon signed rank test obtained p-value 0,000. Discuss: With education about the expected health massage parents babies have knowledge and skills of massage infants it can massaging her baby independently and right.
Hubungan Pola Asuh Orang Tua Otoriter dengan Kemandirian Anak Usia Pra Sekolah
Authors: Asnida Zulfa Okta , Madantia Apsa
Published: September 2017

One of the roles of the parents is to make the children independent, which means increasing the childrenâ€™s ability in fulfilling their needs or with a little help from the others. In general, as common knowledge, parents usually use authoritarian parenting in raising their children. The purpose of this study was to determine the correlation of parents using authoritarian parenting way with the independent of 3- 5 years old preschool children.Method: The research designed using cross sectional analytical correlation. The subject of this research was all of the parents who have 3-5 years old preschool children in Berlian Desa Bendorejo District of UdanawuÂ  collected by total sampling technique and analized using chi square technic Result: The results of this research showed that respondents with authoritarian parenting way tend to have children with low self-reliance of 38.9 %. Meanwhile, respondents with non- authoritarian parenting way tend to have children with high self-sufficiency of 38.9 % . The results of Chi-square test showed p value = 0.025 . From the data analysis it was obtained the value of the significance level was 0.025. Discussion: Based on these results it could be concluded that there was a correlation between of parents using authoritarian parenting way with the independent of 3-5 years old preschool children. It was expected that the respondents provided appropriate parenting way for the children in developing their independent.
Pengaruh Pendidikan Kesehatan terhadap Sikap Ibu Menyusui dalam Pemberian MP-ASI pada Bayi Usia 0-6 Bulan
Authors: Sa'diyah Anis , Agustina Ika
Published: September 2017

The first solid food given after pulverized to form liquid but more filling than milk. Breastfed babies do not need solid foods before they are 6 months old. If baby food other than breastmilk companion early on (before the age of 6 months) it will increase the risk of diarrheal diseases and other infections. Method : Research design was Pre-Experimental One-Group Pre-test-post test design. Research sample 28 respondents at Children Care District Sanankulon Regency Village Bendowulung Blitar, its choosed with total sampling. Data collected by questionnaire. Analysis using Wilcoxon. Result : The results showed Berdasarkan uji statistik Wilcoxon didapatkan nilai sig = 0,005. Discussion : Based on the results of these studies are expected to respondents to be more active in improving the understanding of complementary feeding through electronic mass media and so respondents can improve the provision of complementary feeding in children aged 0-6 months.
Perubahan Persepsi Remaja Setelah diberikan Pendidikan Kesehatan Menggunakan Media Audio Visual tentang Faktor Resiko Diabetes Melitus Tipe 2
Authors: Diah CT Maria , Cahyo S Tri , Martiningsih Wiwin
Published: September 2017

Wrong Perception is one of the risk factors of Diabetes Mellitus (DM) type 2 will make adolescent to do unhealthy lifestyle that leads to DM disease. Increasing knowledge through health education is expected to increase the perception. The purpose of research was to analyze adolescentâ€™s perceptions changing after was given health education using audio visual media about risk factors of type 2 Diabetes Mellitus. The method in this research was experimental research with Quasi-Experimental design pretest-posttest. The sample consisted of 128 respondents, 64 respondents in control group and 64 respondents in the experimental group. Sampling was done by purposive sampling. The results showed an increasing perceptions average 2.31 in control group. In experimental group increased a perceptions average 3.44. Further analysis showed that health education using audio-visual media is more effective in improving perceptions. The conclusion of this research showed that using audio-visual media is more effective to increase the perception. Audio-visual media provide a more attractive appearance, so that there is a dynamic movement to attract the attention. The research recommended an increasing in preventive and promotive diabetes type 2 through health education and activities around school (SMU).
Produktivitas Lansia di Karangwredha Puntodewo Kelurahan Tanggung Kecamatan Kepanjen Kidul Kota Blitar
Authors: Asrori Yusup
Published: September 2017

Productivity Elderly elderly is still capable of doing the job or activity that can make money, goods or services. The purpose of the study was to describe the productivity of the elderly in the Village Puntodewo Karangwerda Kepanjenkidul Blitar District of Responsibility. Method: Research design was Â descriptive design. The population in this study is all elderly in Karangwerda Puntodewo Kelruhan Kepanjenkidul Blitar District of Responsibility. Research samples was 55 elderly. Data collection was conducted by questionnaire at May 22nd until May 31th, 2014.. Result: The Results showed that from 55 elderly, 29,1%work and 10,9% elderly does not work. Agriculture and trade become the foundation of elderly workers. The average of Â salary received by elderly month work at Rp 552 181, -. Income derived mostly from the elderly to use the money for everyday needs such as eating, drinking, capital of the store, working the fields, giving pocket for grandchildren as much as 67% . While seniors who use the money for the benefit of such family and save for medical expenses at any time if the pain was 33% .
Tekanan Darah Pasien Stroke yang Mendapat Latihan Range of Motion (ROM) di Ruang Bougenvile RSD Mardi Waluyo Blitar
Authors: Mariana Aldonna
Published: September 2017

Range Of Motion (ROM) is an action that can be perfomed on stroke patients to prevent muscle and joint stiffness. The purpose of this study was to describe blood pressure in stroke patients who received exercise Range Of Motion (ROM) in the RSD Mardi Waluyo Blitar. Method: Research design was descriptive design. The population in this study is that stroke patients treated in Bougenvile RSD Mardi Waluyo Blitar in 2013 as many as 590 and the average monthly total of 49 stroke patients. Research sample was 33 patients. Its choosed by Â using purposive sampling technique. Data collection is done by measuring blood pressure and exercise to train Range Of Motion (ROM). Time data collection was done on April 1st until Â 26th , 2014. Result: The results showed that blood pressure in stroke patients after getting a training Range Of Motion (ROM) 39.4% (13 respondents) had increased, 30.3% (10 respondents) had decreased and consistent after getting a training Range Of Motion (ROM). Discussion: Recommendations from this study are expected to be more vigilant in monitoring stroke patients trained Range Of Motion (ROM).Â
Gambaran Tingkat Kemandirian Lansia dalam Pemenuhan ADL (Activity Daily Living)
Authors: Wulandari Ratna
Published: September 2017

The influence of the aging process can a variety of problems both physically, mentally and economically so as to affect the fulfillment of the ADL (Activity Daily Living). The level of ability of the elderly in activity can be measured by the level of independence of elderly in performing 6 basic activities include bathing, dressing, toileting, moving, continence and eating.. Method: The research design was description design. The population was 80 elders in UPT PSLU Blitar, the sample was 44 by purposive sampling technique. Data were collected byÂ  interviews guided. Result : The results showed that 86.4% 6 independent activities, 11.4% 5 activities, and 2.3% 4 activities. Elderly that has a high level of independence is has physical and psychological health and sufficient prima. Discussion : By getting a good health the elderly can perform any activity in their everyday lives. It is expected that the results of this study, carers must keep the safety of elders in activities to prevent deterioration in elderly activities which could be due to fall or hurt.
Hubungan Karakteristik Perawat dan Bidan dengan STIGMA pada Orang dengan HIV/AIDS (ODHA) di Puskesmas Talun Kabupaten Blitar
Authors: Sudarsono Sudarsono
Published: September 2017

HIV/AIDS (Human Immunodeficiency Virus / Acquired Immune Deficiency Syndrome) has long been an issue along with the continued attention of various circles around the world, especially the health sector. The purpose of this study was to determine the characteristics of the relationship with the health workers in health centers stigma on people living with HIV Talun Blitar regency. This study used a cross-sectional study design with a population of 36 respondents that all the research sample. Collecting data using questionnaires. Analysis of data using statistical test Pearson and Spearman rho correlation with p ï‚£ 0.05. There is no relationship between education and stigma on people living with HIV, with a value of p = 0.367 in Spearman rho correlation test. There is a relationship between long working with the stigma on people living with HIV, with p = 0.046 in correlatioan Pearson test. There is a relationship between knowledge of HIV/AIDS stigma on people living with HIV, with p = 0.035 in correlatioan Pearson test. Need more attention from policy makers at government level for programs of prevention of transmission of HIV/AIDS among health workers, by providing a uniform and continuous training to all health workers.
Faktor Risiko Osteopenia pada Remaja
Authors: Purwanti Lina Ema , Prasetyo Enggar , Nurhidayat Saiful
Published: September 2017

Introduction: Osteopenia is a condition which means the bone mineral density (BMD/Bone Mineral Density) is lower than the normal peak BMD but not low enough to be classified as osteoporosis. Risk factors that can lead to osteopenia are smoking, drinking softdrinks, less activity, dieting, rarely affected sun and drinking alcohol. This study aimed to identify the risk factors of asteopenia on adolesences. Method: The study design used descriptive. The sample used was a high school student Magetan total of 100 respondents were collected by random sampling. Data were collected with questionniare and analyzed with procentage. Result: From the results of a study of 100 respondents was obtained from less activity factors 5 respondents (5%), rarely exposed to sunlight obtained 32 respondents (32%), dieting factor obtained 34 respondents (34%) smoke got 49 respondents (49%), drink alcohol obtained 18 respondents (18%),and drink softdrink obtained 40 respondents (40%) at risk for osteopenia. Discussion: From the results it can be concluded that smoking is the highest risk factor in the incidence of osteopenia among adolescent. Nicotine contained in cigarettes can reduce absobsi calcium in the bones and cause a decrease in bone density. For any subsequent researchers are expected to conduct research about the relationship of smoking with risk factors for adolescent osteopenia .
Effektivitas Disaster Training terhadap Peningkatan Pengetahuan, Sikap dan Keterampilan Perawat dalam Kesiapsiagaan Penanggulangan Bencana Letusan Gunung Kelud di Kota Blitar
Authors: Anam Agus Khoirul , Winarni Sri , Susatya Budi
Published: September 2017

Disaster preparedness is a series of efforts made to anticipate the disaster through organizing as well as the steps effectively and usefull.Â  Identification of factors influencing nursing preparedness is beneficial in the preparation of government programs related to nursing preparedness in disaster management and nurses understand the factors that need to be considered.This study aimed Â to identify the efectivenessÂ  of disaster training to enhance knowledge, attitude and skill nurses in disaster management.Methode :This research is pre experimental Â pretest posttest design . The number of samples is s 30Â  nurses who were in the Disaster-prone Region Kelud in Blitar district and the study was conducted on Oktober 16. Result of analysis used wilcoxon significancy 0,000 ( p< 0,05 ) Â that shows the dfference influencing knowledge, attitude and skill nurses after Disaster Training . Discussion: Disaster Training is very important to improve nursing preparedness in facing disaster. Nurse assocation and goverment must be able to give good support for disaster nurse.
Gaya Berpacaran Remaja di Sekolah Menengah Atas Kota Blitar
Authors: Setijaningsih Triana
Published: September 2017

Dating is the period between the approaches of the two opposite sex individuals, characterized by mutual personal recognition both strengths and weaknesses of each individual. The purpose of the research is to describe the style of adolescence dating in Senior High School Blitar. The method in this research uses descriptive design. The population in this research is the students of Catholic Senior High School Blitar, academic year 2013/2014 aged 17-19 years, a great samples taken is as much as 74 students using systematic random sampling technique. Data collecting is done proving questionnaires. Times data retrieval is performed on 11 to 31 March 2014. Data categorized using the formula according Sutomo by the cut of point, and explained with statistic techniques mode. The result of this research showed the most demanding style adolescence is intimate as 88%. The amount of any teen dating stle is at most two kinds of style as much as 42%. So that adolescence have a relationship that is based on the style of sincerity, warmth, intimacy between opposite sex to maintain a longstanding love affair. Need to do further research on the factors that influence the style of adolescence in dating.
Hubungan antara Olahraga dengan Tingkat Keparahan Hipertensi di Poliklinik Jantung RSUD Dr R. Koesma Tuban
Authors: Sumiatin Titik , Wahyurianto Yasin , Ningsih Wahyu Tri
Published: September 2017

Hypertention according WHO is systolic pulse > 140mmHg and dyastolic pulse >90mmHg which chronicle way. Complication of blood vessels is caused by hypertention, it causes Coronary hearth attack, Infark miokard, Stroke, and Renal failure (Gunawan, 2001). Based on early survey on 10 â€“ 14 march 2009th, there are 14 (25,4%) of 55 patiens are hypertention. Goal of research is to know relation between exercise and the mortal of hypertention at Poliklinik Jantung RSUD Dr. R Koesma Tuban. Design of research is analytic with cross sectional method. Population of research are 56 respondens and sample of research are 48 patient with hypertention. Sampling technique used stratified random sampling. Instrument to collecting data used questioner and observation, then tested by Spearman rank correlation test. Result of research is there isÂ  connention between the exercise with the mortal hypertention level at Poliklinik Jantung RSUD Dr. R Koesma Tuban. It shown from 48 patient with hypertention. They are average exercise regularly and have low hyperlention level, in percentage 100%. The things give evidence that there is connection between the exercise with the mortal hypertention level. So, H1 is reseived in rank infact (0,000 < 0,05) and Ïspearman value = 0,000 significant 0.05. Exercise is important for hypertention. Because from research, exercise regularly can absorb and make lose Chollestrole precipitation in arthery.
Studi Fenomenologi : Pengalaman Keluarga terhadap Pemasungan dan Lepas Pasung pada Anggota Keluarga yang Mengalami Gangguan Jiwa di Wilayah Kerja Puskesmas Bantur Kabupaten Malang Propinsi Jawa Timur
Authors: Suswinarto Dwi Yogyo , Andarini Sri , Lestari Retno
Published: September 2017

The Confinenment action to the mental disordes suffer is the action done by the society to limitedÂ  the sufferâ€™s mobilitas or activities its done based on the hopeless of the family whichÂ  the medical effort can not made the suffer betterÂ  than before. The economic burden is not small, additional with stigma from the society and the lessÂ  optimal of mental health services base on family. Society and medicalâ€s crew.The result of this researchplore the family experience towar the confinement and re confinement of the disorderâ€™s family members in job area of Bantur Community health service of Malang Regency, East Java Province.The research methodology of this thesis use qualitative research (purposive sampling)about 6 sample. The process of data taking used the deep interview with semi structure helping by interview guide and fieldmemorize, its found 7 theme; 1) The cause of mental disorder, 2) The attitude change, 3) The Familyâ€™s comment on this situation, 4) The society stigma, 5) Confinement re confinement, 6) The confinement release, 7) The suffer family and society recovery.According the family conclusion the cause of disorder mental are pfisic condition and social pressure , and the moment of confinement â€“free-reconfinement happened of the society coment toward the situation stigma of the society and unoptimally the medical service. The free of confinement happened because of the family readiness,society and medical service and government involment. The rehabilition of the suffer after free from the confinement need the support from the family, society, community health service and related government.Â Â
Gambaran Disfungsi Seksual pada Pasien Diabetes Melitus Tipe II di Poli Penyakit dalam RSUD Mardi Waluyo Kota Blitar
Authors: Rahayu Sukma Puji , Sepdianto Tri Cahyo , Mulyadi Arif
Published: September 2017

Chronic complications of diabetes mellitus was the most common autonomic neuropathy resulted in sexual dysfunction. The aim of research was to described the sexual dysfunction in patients with type 2 diabetes mellitus at Poli Penyakit Dalam Mardi Waluyo Hospital Blitar. The research method used descriptive design. The population in this study were patients with type 2 diabetes mellitus who visited in poli penyakit dalam in Mardi Waluyo Hospital Blitar in April as many as 856 people, and a sample of 86 people were taken using purposive sampling technique. Collecting data used the FSFI questionnaire for womens and IIEF for mens. These results indicate that the majority of patients with type 2 diabetes mellitus sexual dysfunction. In patients 75% of women experience sexual dysfunction. At 74% of men with erectile dysfunction, 88% experienced orgasm dysfunction, 85% experienced sexual desire dysfunction, 86% experienced a satisfying sexual dysfunction, 89% overall satisfaction dysfunction. The suggestion in this research was expected FSFI and IIEF questionnaire could be used as a tool to monitor the presence of sexual dysfunction in Blitar.
Kejadian Depresi pada Lansia di Posyandu Lansia RW I Pagesangan Surabaya
Authors: Sugeng Ika Larasati
Published: September 2017

Depression in elderly is a problem wich commonly following defect of health status in elderly. Elderly failure of role change, health status, and loss has to be aware. Since it will be the trigger of depression toward elderly. The aim of this study was to indentify the depression case in elderly in POSYANDU LANSIA of RW I Pagesangan Surabaya. The research was descriptive study, with 60 elderly as samples which joined as member of its program. The results showed 29 people (48.3%) were not depressed, 22 people (36.7%) were light depressed, and 9 people (15%) were mid depressed. Several elderly said that no one of their family care of them anymore. So they feel lonely and useless. The elderly who can adapted well to their changes of role, phycis, psychological, and environment would be able to solve their stress and would not be on the depression situation. The correlation of stress and depression was involved by social supports which could be used by the elderly to maintain face the stressors.
Post-Traumatic Stress Dissorder pada Penyintas Erupsi Gunung Kelud berdasarkan Impact of Event Scale-Revised (IES-R) di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar
Authors: Anam Agus Khoirul , Martiningsih Wiwin , Ilus Ilus
Published: September 2017

Post-Traumatic Stress Disorder (PTSD) adalah respon individu terhadap suatu peristiwa/suatu kondisi yang dapat menimbulkan gejala-gejala, berupa re-experiencing (teringat kembali), avoidance (penghindaran), hyperarousal (peningkatan kewaspadaan berlebihan). Tujuan penelitian adalah menggambarkan PostTraumatic Stress Disorder Pada Penyintas Erupsi Gunung Kelud Berdasarkan Impact of Event Scale-Revised (IES-R) Di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar. Metode dalam penelitian ini menggunakan rancangan deskriptif. Populasi dalam penelitian adalah semua penyintas erupsi gunung Kelud di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar sebanyak 280 orang, dan besar sampel yang diambil adalah 42 orang menggunakan teknik simple random sampling. Pengumpulan data dilakukan dengan memberikan kuesioner IESR. Waktu pengambilan data dilakukan pada 11 Maret 11 April 2015. Hasil penelitian di Dukuh Kali Bladak menunjukkan bahwa responden yang mengalami PTSD sebanyak 66,6% mulai dari beberapa hingga banyak gejala, dengan sebagian besar masyarakat pernah mengalami peristiwa erupsi Gunung Kelud. Rekomendasi penelitian ini diharapkan dinas kesehatan/ masyarakat dapat menurunkan gejala Post Traumatic Stress Disorders dari seseorang yang menunjukkan banyak gejala menjadi tidak ada gejala pada penyintas erupsi Gunung Kelud melalui terapi debriefing di Dukuh Kali Bladak Kecamatan Nglegok Kabupaten Blitar.
Perbandingan Ketuntasan Perawatan Klien Perilaku Kekerasan antara yang Menerima Komunikasi Terapeutik Perawat dan Pekerja Sosial (Sebuah Studi di UPT Rehabilitasi Sosial Eks Psikotik Pasuruan)
Authors: Ariani Tutu April
Published: September 2017

Mental health is the emotional and sosial maturity of a person which is accompanied by a compatibility with himself and his surroundings. One of the deviant behavior of clients with mental disorders are violent behavior. The management of violent behavior can be done with therapeutic communication. The right therapeutic communication can be used to reduce the level of violent behavior. This study aimed to determine comparison completeness of client care with violent behavior who receive therapeutic communication between the nurses and sosial workers. Methods: The research design used in this research was the kind of research the comparative analysis with cross sectional approach. The sample in this research consisted of 16 clients violent behavior, 3 nurses, and 7sosial workers in UPT RSEP Pasuruan. The Sampling technique in this research was purposive sampling. The data analysis used Chi-Square test. Results: Based on the research result client violent behavior who receive therapeutic communication nurses with complete catagory were 3 people (18,8%), and not complete category were 5 people (31,3%). While the violent behavior of respondents who receive therapeutic communication with sosial workers complete catagory were 5 people (31,3%), and not complete catagory were 3 people (18,8%). Chi-Square test result in comparison completeness client care violent behavior who receive therapeutic communication between the nurses and sosial workers, the p value = 0,317 more than the tariff of significance (0,05). Conclusion: It was concluded that there was no difference in complete treatment of violent behavior between nurses and sosial workers in UPT RSEP Pasuruan
Pengetahuan Siswa SLTA tentang Bantuan Hidup Dasar
Authors: Wulandari Ning Arti
Published: September 2017

Keadaan darurat bisa terjadi kapan saja, di mana saja dan kepada siapa pun. Situasi ini mengharuskan masyarakat untuk mengetahui bagaimana melakukan pertolongan pertama kepada para korban yang berada dalam situasi darurat (Diklat PPNI Jawa Timur, 2015). Di Indonesia, siswa SLTP dan SLTA yang tergabung dalam organisasi Palang Merah Remaja bekerjasama dengan Palang Merah Indone- sia untuk memberikan materi bantuan hidup dasar dari henti jantung dan henti napas. Tujuan peneliti adalah untuk mengidentifikasi pengetahuan siswa di sekolah SLTA untuk memberikan bantuan hidup dasar. Metode: Desain penelitian adalah deskriptif. Sampel penelitian adalah 96 responden, diambil secara purposive sampling. Penelitian ini dilakukan pada 5 Mei 2016 di STIKes Patria Husada Blitar sebelum pelatihan bantuan hidup dasar untuk SLTA oleh Badan Eksekutif Mahasiswa STIKes Patria Husada Blitar. Pengumpulan data dengan kuesioner. Hasil: Hasil penelitian menunjukkan bahwa 73 responden (76%) memiliki pengetahuan yang kurang, 17 responden (17%) memiliki pengetahuan yang cukup dan 6 responden (7%) memiliki pengetahuan yang baik dalam bantuan hidup dasar. Diskusi: Institusi Pendidikan kesehatan dapat melakukan pengabdian masyarakat dengan memberikan pelatihan tentang bantuan hidup dasar dengan metode yang lebih menarik dengan teori dan simulasi.
Pengaruh Assertif Training Therapy terhadap Kemampuan Mengelola Emosi Anak Sekolah (USIA 9-11 Tahun) di SDN Woromarto 1
Authors: Nita L Laviana , Yosie Puput
Published: September 2017

Assertive Training Therapy represent a training technique to teach and familiarize individuals behave assertively in relationships with other people, able to control himself, feel free and fun, able to respond to love things and express love and affect people who are very meaningful in their life. The objective of this research was to know the effect of Assertive Training therapy to the ability to manage emotions of school children (age 9-11 years). The research design used Quasy Experimental with the population of 32 children with purposive sampling technique. The research instruments used observation and questionnaires with statistical test of Mann Whitney ï² < ï¡ with result 0,02 < 0,05 that means H0 rejected means there was difference between control group and intervention group, and also the existence of influence on intervention group. Based on the data indicated that most of children before conducted intervention had aggressive behavior, but after the giving of intervention of Assertive Training Therapy the children behavior changes becomes assertive. This because during the intervention children taught the way to express feeling correctly by conducted therapy of four sessions. Parents and teachers were expected to understand what the child feels in managing emotions to assist children in expressing the desire that the child feels in a way of Assertive Training Therapy that includes 4 sessions.
Gambaran Pengetahuan Mahasiswa tentang Pengurangan Risiko Bencana di Kampus D-III Keperawatan Blitar
Authors: Widyaningtyas Kiki
Published: September 2017

Pengurangan risiko bencana adalah konsep dan praktik mengurangi risiko-risiko bencana melalui upaya-upaya sistematis untukmenganalisis dan mengelola faktor-faktor penyebab bencana. Tujuan penelitian untuk menggambarkan pengetahuan mahasiswa di Kampus D III Keperawatan Blitar tentang pengurangan risiko bencana. Metode penelitian ini menggunakan rancangan dekriptif. Polulasi dalam penelitian ini adalah seluruh mahasiswa di Kampus D III Keperawatan Blitarsejumlah 290 mahasiswa. Sampel dalam penelitian ini adalah seluruh mahasiswa tingkat 1 sejumlah 91 mahasiswa. Teknik pengambilan sampel menggunakan quota sampling. Pengumpulan data dilakukan dengan cara memberikan kuesioner. Waktu pengambilan data dilakukan pada tanggal 12 Mei 2015. Hasil penelitian menunjukan sebesar 85,7% (78 responden) memiliki pengetahuan baik,dan sebesar 14,3% (13 responden)memiliki pengetahuan cukup. Rekomendasi dari penelitian ini adalah institusi pendidikan mengadakan evaluasi dan mengambil kebijakan dalam penyusunan program terkait pengurangan risiko bencana dan manajemen penanggulangan bencana, serta mahasiswa diberikan kesempatan untuk mengembangkan ketrampilan dan pengalaman dalam hal penanggulangan bencana baik di dalam institusi maupun di luar institusi.
Peer Group Support untuk Menurunkan Tingkat Depresi pada Lansia di UPT PSLU Blitar
Authors: Prayogi Bisepta
Published: September 2017

Indonesia has entered an era where the population structure is elderly and estimated that in 2020 the number of elderly reach 28.8 million (11.34%) peoples with a life expectancy of 71.1 years old. As people getting old, aging and physical changes are unavoidable. This changes can lead to mental disorders. Depression is one of the many common mental disorders in the elderly due to aging. Based on data in Canada, 5-10% of elderly living in the community are depressed, while those living in the institutional environment of 30-40% have depression and anxiety. One effort that can be done to deal with depression in the elderly is to use intervention Peer Group Support. Methods: This research used Pre-Experiment with the one group pre-post test design. The total sample was 30 respondents taken by purposive sampling. The data were analyzed by Paired T Test,with significance value of 0.05. Results:based on test result of the paired t test, there was differences in level of depression before and after peer group support (p=0,001). Discussion:with the provision of peer group support interventions,it could reduce the level of depression in the elderly at UPT PSLU Blitar.
Gambaran Kesiapsiagaan Pedagang Pasar dalam Penanggulangan Bencana Kebakaran di Pasar Legi Kota Blitar (Disaster Nursing Research)
Authors: Anam Agus Khoirul , Winarni Sri
Published: September 2017

Indonesia has a lot of potential natural and non-natural disasters. Non-natural disasters which often happened are fire disasters. One of them was market fire. In January 2015 until April 2015, there was an increasing more than 50 on fire in bigger traditional market and 90 smaller traditional market in all over indonesia. The purpose of this research was to describe the marketeer preparedness of fire disaster management of Legi market Blitar city. The research method used descriptive design. The population in this research was a marketeer Legi Kota Blitar about 584 marketeer and the sample was 58 marketeer taken by purposive sampling technique. The data collection was conducted by questionnaire. The results showed that the lack of preparedness of marketeer in the fire disaster still less as much as 60.3% (35 marketeer). It was caused by there was no information of manner about the preparedness of fire disaster, no training, didnâ€™t have the telephone number of fire department, no simple fire extinguishers, could not use a fire APAR or hydrant, and unable to perform first aid to fire victims. Recomendation of BPBD departement necessary gave education and training about fire disaster preparedness, especially in the market so it could decrease the risk of fire disaster in Legi market Blitar city.
Gambaran Pengetahuan Korps Sukarela (KSR) Prodi D-III Keperawatan Blitar tentang Post Traumatic Stress Disorder (PTSD)
Authors: Sagita Mefasa Nutfa
Published: September 2017

Post Traumatic Stress Disorder (PTSD) is an anxiety disorder due to excessive trauma an incident/experience scary/awful, unforgettable and unpleasant. The purpose of the research was to describe the knowledge of Volunteer Corps (KSR) of Prodi D-III Nursing Blitar on Post Traumatic Stress Disorder (PTSD). Method: The research method used descriptive design. The population in this study was all members of KSR level 1 in Prodi D-III Nursing Blitar who had passed KSR training, and the sample was 93 people taken by total sampling technique. Result: The result showed that the knowledge of Volunteer Corps (KSR) of Prodi D-III Nursing Blitar on Post Traumatic Stress Disorder (PTSD), 62.4% (58 respondents) had a good knowledge of Post Traumatic Stress Disorder (PTSD), 26.9% (25 respondents) had sufficient knowledge of Post Traumatic Stress Disorder (PTSD), and 10.8% (10 respondents) had less knowledge on Post Traumatic Stress Disorder (PTSD). Discussion: the knowledge gained from the training of KSR they once did and the information obtained from the KSR training, and other information, either formally or informally. Although most members of KSR did not have experience in dealing with PTSD, they had a good knowledge gained from training KSR and the acquired information. And conversely though it had good knowledge, they were not always able to handle PTSD because they did not have enough experience to deal with PTSD.
Tingkat Kecemasan Remaja Putri yang Mengalami Masa Pubertas di SMP Negeri 1 Selorejo Kabupaten Blitar
Authors: Saputri Fenika Aulia Permatasari
Published: September 2017

The anxiety occurred in adolescents one of whom are the result of physical changes. Besides, emotional and social chages also affected the psychology of adolescents who experience puberty. The purposeof this study was to determine the level of anxiety of young women who experience puberty at SMPN 1 selorejo district Blitar. Method: the research method used descriptive design. The entire population was female students (early teens) VII grade in SMP Negeri 1 Selorejo Blitar in accordance with the inclusion criteria 53 students.The sample was 53 students used purposive sampling technique. The data collection used the instruments of the Zung Self-Rating Anxiety Scale (SAS/SARS) modified researchers to support this research. The data was taken on 13 April 2015. Changes at puberty of adolescent girls were menstruating on early age of 12 years in category of mild anxiety. Recommendations from this study were expected that the school was able to maintain a state of anxiety with the effectiveness of UKS and other facilities for adolescent girls to exchange opinions in order to reduce the anxiety and able to cope with mild anxiety from getting to a higher level
Faktor-Faktor yang Mempengaruhi Kecemasan Ibu menghadapi Persalinan Sectio Caesarea (SC) di RSUD R.a. Basoeni Kab. Mojokerto
Authors: Irawati Dian
Published: September 2017

Melahirkan normal atau operasi caesar akan menimbulkan efek psikologis bagi ibu dan keluarganya. kecemasan ibu menjalani operasi caesar biasanya terkait dengan semua prosedur yang harus diikuti dan ancaman kehidupan savety karena semua jenis prosedur bedah dan tindakan anestesi (Carpenito, 2001. Penelitian ini bertujuan untuk menentukan faktor-faktor yang berpengaruh kecemasan ibu menjalani operasi caesar. Penelitian. itu penelitian kualitatif dengan Populasi lintas cectional adalah ibu menjalani operasi caesar di Rumah Sakit RA Basoeni sebanyak 37 orang dan 27 sampel diambil secara simple random sampling data yang dikumpulkan dengan kuesioner data dianalisis dengan menggunakan regresi logistik Hasil: Tidak ada yang signifikan pengaruh usia pada kecemasan ibu menjalani operasi caesar, tidak ada pengaruh yang signifikan dari paritas pada kecemasan ibu menjalani operasi caesar, ada pengaruh yang signifikan dari komplikasi kelahiran pada kecemasan ibu menjalani operasi caesar, tidak ada pengaruh yang signifikan dari jenis di caesar kecemasan ibu menjalani operasi caesar, ada pengaruh yang signifikan dari suami yang menyertai kecemasan ibu menjalani operasi caesar, dan bersama-sama faktor-faktor ini 62,5% mempengaruhi kecemasan ibu menjalani operasi caesar. Bidan harus memberikan kesempatan kepada suaminya dan keluarga untuk menemani ibu selama persiapan bagian casarean untuk mengurangi kecemasan.