bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Akupresur Lo4 (he kuk) dan Thai Cong terhadap Tingkat Nyeri Persalinan Kala I pada Ibu Bersalin
Authors: Anita Anita
Published: July 2019

The study of women in the first stage of labor using McGill Pain Questionnaire to assess pain found that 60% of maternity described pain due to uterine contractions was very severe (intolerable, unverable, extremely severe), 30% moderate pain. In multipara 45% of pain is severe, 30% is moderate pain, 25% is mild pain (Acute Pain Services (APS), 2007). The aim of this study was to determine the effect of acupressure on the level of labor pain at the first time in maternity. Type of quantitative research, research design Quasy experiment. The population of first-time maternity with a 4-6 cm opening numbered 45 women giving birth per month, a sample of 40 respondents. The one group pre - post-test research design with interventions with acupressure point combinations L04 (he kuk) and thai cong that were carried out during the first active phase was 4-6 for 40 times at the time of his joke. The results showed that the level of first stage pain in maternity before acupressure was 6.00, SD 1,219 and after acupressure was 5.05 SD 1,218, it was concluded that there was an acupressure effect on the level of labor pain (p-value=0,000). The application of L04 (he kuk) acupressure and Cong Thai can reduce labor pain in the first stage active phase of opening 4-6.
Kajian Potensi Kayu Manis dan Teh sebagai Pangan Antidiabetes
Authors: Putri S. Nawasari Indah
Published: July 2019

Diabetes mellitus is a metabolic disease characterized by hyperglycemia due to defects in insulin secretion, insulin action, or both. Type 2 Diabetes Mellitus (T2DM) can be controlled by healthy food and adequate physical activities. Some foods can be used for diabetes control such as cinnamon and tea. This paper determined to study cinnamon and tea researches as an antidiabetic food. All researches about cinnamon and tea as an antidiabetic were collected. It was found that cinnamon (Cinnamomum burmanii Blume) and tea (Camelia sinensis L) have many health potentials, such as antioxidants, antibacterial, antidiabetic. Cinnamon shows the ability to lower fasting blood glucose, HbA1c, and plasma lipids; altered postprandial glucose patterns, increased antioxidants and decreased plasma inflammatory markers. In the other hand, tea as the second most consumed drinks in the world could preventing or controlling diabetes with decrease digestive enzyme and intestinal GLUT activity, decrease gluconeogenesis gene expression, increase insulin sensitivity,Â  and protect beta pancreatic. Tea can prevent the risk of T2DM disease if consumed as much as 3 cups per day. It was concluded that both foods can be used to control type 2 diabetes mellitus if consumed in an adequate amount.Â
Kajian Budaya Konsumsi Cemilan Tradisional Kekerit setelah Melahirkan dalam Meningkatkan Kesehatan Ibu Nifas
Authors: Serilaila Serilaila
Published: July 2019

Kekerit which contains grains, rhizomes, and medicinal plants commonly consumed by the puerperal mother in Imigrasi PermuÂ  Village of Kepahiang Regency, it was believed to be useful to restore health. The study was to find out the culture of consuming kekerit snack on postpartum mothers to restore health. A qualitative study of ethnographic approaches was performed on mothers who had given birth at Imigrasi Permu Village in April-October 2017 to 7 core informants and 5 additional informants with a purposive sample and snowball techniques through an in-depth interview to data saturation. Data analysis was using an editing analysis model. The result showed that Kekerit was a snack consisting of 30-40 ingredients and become a cultural snack for postpartum mother that useful for warm the body, reduce bloating and appetite. Development of kekerit snack is needed with further research, socialization, and cooperation to improve the product quality so it is feasible to be good healthy food and using local wisdom.
Efektivitas Air Rebusan dan Air Perasan Lengkuas Merah (Alpinia purpurata K.schum) dalam Menghambat Pertumbuhan Trichophyton rubrum Jamur Penyebab Kutu Air (Tinea pedis)
Authors: Sulistianingsih Eka , Sugiarti Mimi
Published: July 2019

Tinea pedis is dermatophytosis in the feet, especially between the fingers and soles of the feet. Chronic fungal infections in the form of peeling and skin rupture are the main manifestations, accompanied by pain and itching. Antifungal drugs have limitations, such as a narrow spectrum of antifungals, adverse effects on certain tissues and resistance to certain antifungals. One of the plants that are used for treatment is red-angled Galangal (Alpinia purpurata K.Schum). The research objective was to compare the effectiveness of boiled water and red galangal juice (Alpinia purpurata K.schum) in inhibiting the growth of fungus Trichophyton rubrum which causes water flea (Tinea pedis). The research was experimental with a completely randomized design (CRD) design. The independent variable is red galangal juice (Alpinia purpurata K.schum) and red galangal boiled water (Alpinia purpurata K.schum) with a concentration of 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80 %, 90%, 100% and the dependent variable is the growth of fungus Trichophyton rubrum. Data analysis used the ANOVA test, followed by the BNT test (Smallest Real Difference) and T-test.The results showed that red galangal boiled water (Alpinia purpurata K.schum) did not have the ability to inhibit the growth of Trichophyton rubrum fungi. Red galangal juice (Alpinia purpurata K.schum) has the ability to inhibit the growth of fungi Trichophyton rubrum and the minimum concentration that can inhibit the growth of fungi Trichophyton rubrum is 10% with a mean inhibitory zone of 24.37 mm.
Analisis Kematian Larva Nyamuk Aedes agypti Akibat Pemberian Perasan Buah Nanas (Ananas comosus)
Authors: Tominik Victoria Ire , Haiti Margareta
Published: July 2019

South Sumatra including 11 provinces experienced outbreaks. Aedes agypti is the main vector of dengue fever. Eradication by breaking the life cycle of Aedes agypti (larvae) mosquitoes which are not a health risk and environmentally friendly. Pineapple grows a lot in Indonesia, especially South Sumatra. Bromelin is an enzyme in pineapple which hydrolyzes peptide bonds in the protein content to amino acids. Parts of pineapple meat are used more while the skin and humps are wasted. Objective: to determine the effect of variations in concentration (100%, 75%, 50%, 25%) of pineapple juice (skin, meat, hump/stem) and the time of the death of Aedes agypti mosquito larvae. Research method: pure experimental, June-July 2018. The research subjects were 3000 Aedes agypti instar III larvae, population 2404 larvae, 2100 larvae samples, simple sampling random. Analysis of Pearson test data, One Way Anava test, post hoc LSD and post hoc Duncan, 95% confidence level. There was a relationship between the variation of pineapple juice concentration and larvae mortality with a sig (2-tailed) value of 0.001, insignificant meat and skin but skin and hump/stem or meat and hump/stem are significantly different from the number of mosquito larvae deaths in the first 12 hours of meat 97,67%, skin 96,83%, humps 87,17%. The higher the concentration of the more deaths of Aedes agypti mosquito larvae with the skin part has the same ability as meat and better than hump.
Hubungan Penggunaan Gadget dengan Perkembangan Sosial dan Emosional Anak Prasekolah di Kabupaten Lampung Selatan
Authors: Imron Riyanti
Published: July 2019

Anak-anak yang menggunakan gadget jumlahnyameningkat dua kali lipat dari 38 persen menjadi 72% antara 2011 dan 2013. Menurut Departemen Kesehatan RI 0,4 juta (16%) balita Indonesia mengalami gangguan perkembangan sosial dan emosional. Dari studi pendahuluan diperoleh databahwa anak yang penggunaan gadgetnya rendah, 67% menunjukkan perkembangan sosial dan emosional yang baik.Anak yang penggunaan gadgetnya tinggi, 71% mengalami hambatan perkembangan sosial dan emosional.Penelitian ini bertujuan untuk mengetahui hubungan penggunaan gadget dengan perkembangan sosial dan emosional anak prasekolah. Penelitian ini menggunakan desain analitik cross sectional. Jumlah sampel merupakan total populasi sebanyak 96 responden. Data penelitian dikumpulkan dengan menggunakan  kuisioner. Analisis data univariat menggunakan persentase dan analisis bivariat menggunakan uji chi square.Hasil analisis univariat menunjukkan penggunaan gadget rendah sebanyak 63% dan perkembangan sosial dan emosional baik sebanyak 50,6%. Hasis analisis bivariat dengan uji chi square menunjukkan nilai p=0,001 (p < 0,05), nilai ini menyatakan ada hubungan penggunaan gadget dengan perkembangan sosial dan emosional anak prasekolah. Kesimpulan dari penelitian ini adalah ada hubungan penggunaan gadget dengan perkembangan sosial dan emosional anak prasekolah.Dari penelitian ini diharapkan para pendidik dapat memberikan materi kepada orang tua saat kegiatan parenting tentang pentingnya mengontrol dan mengawasi anak-anaknya dalam penggunaan gadget menggunakan media yang menarik dan mudah dimengerti seperti leaflet, video, atau slide.
Pengaruh Pijat Oksitosin terhadap Produksi ASI pada Ibu Nifas
Authors: Asih Yusari
Published: July 2019

ASI tidak keluar adalah kondisi tidak diproduksinya ASI atau sedikitnya produksi ASI.Hal ini disebabkan pengaruh hormon oksitosin yang kurang bekerja sebab kurangnya rangsangan isapan bayi yang mengaktifkan kerja hormon oksitosin.Pijat oksitosin merupakan salah satu solusi untuk mengatasi ketidaklancaran produksi ASI. Tujuan penelitian ini untuk mengidentifikasi perbedaan produksi ASI pada  ibu nifas yang diberi perlakuan pijat oksitosin dan tanpa perlakuan di BPM Lia Maria Kecamatan Sukarame Bandar Lampung tahun 2017. Metode penelitian yang digunakan dalam penelitian ini adalah eksperimental dengan desain rancangan posttest dengan kelompok kontrol. Populasi pada penelitian ini adalah ibu nifas 3 jam postpartum di BPM Lia Maria berjumlah 80 orang. Sampel dalam penelitian ini diambil melalui cara  purposive sampling. Sampel berjumlah 32 orang yang terdiri dari 16 orang sebagai responden yang di intervensi dan 16 orang sebagai variabel kontrol.Instrumen penelitian yang digunakan berupa lembar observasi untuk mengamati produksi ASI pada hari ke 6 dan timbangan. Hasil Uji statistik menggunakan chi-square (x2) diperoleh p-value= 0,037 (p-value ≤0,05) yang berarti ada pengaruh signifikan antara pijat oksitosin terhadap produksi ASI pada ibu post partum di BPM Lia Maria Sukarame Bandar Lampung Tahun 2017.  Diharapkan hasil penelitian ini dapat meningkatkan kualitas pelayanan bagi tenaga kesehatan terutama bidan sebagai pelaksana sehingga dapat meningkatkan pengetahuan ibu akan pijat oksitosin dan dapat memotivasi ibu dan keluarga untuk melakukan pijat oksitosin dan memberikan bimbingan serta penyuluhan kepada ibu nifas tentang manfaat pijat oksitosin.
Pengaruh Mobilisasi Dini terhadap Pemulihan Kandung Kemih Pasca Pembedahan dengan Anastesi Spinal
Authors: Frayoga Frayoga , Nurhayati Nurhayati
Published: July 2019

Retensi urin umumnya terjadi setelah anestesi spinal dan pembedahan, dengan laporan kejadiannya antara 50% -70%. Akibat anestesi spinal,klien tidak mampu merasakan adanya kebutuhan untuk berkemih, penanganan kandung kemih yang belum pulih salah satunya adalah dengan terapi mobilisasi dini. Tujuan dari penelitian ini untuk mengetahui adakah pengaruh pemulihan kandung kemih sebelum dan sesudah pemberian terapi mobilisasi dini.Desain penelitian menggunakan rancangan penelitian quasi eksperimen dengan non equivalent with control grup. Dengan sample yaitu 16 responden dengan teknik purposive sampling. Alat pengumpulan data menggunakan lembar kuesioner dan metode analisa univariat dan analisa bivariat dengan uji chi-square.Hasil analisis pengaruh terapi mobilisasi terhadap pemulihan kandung kemih diperoleh sebanyak 7 (87,5 %) responden kelompok intervensi memiliki pemulihan kandung kemih yang cepat, sedangkan pada responden kelompok kontrol ada 1 (12,5 %) memiliki pemulihan kandung kemih yang cepat. Hasil uji statistic diperoleh nilai p value=0,003 (p value < α=0,01)ada pengaruh mobilisasi dini terhadap pemulihan kandung kemih pasca pembedahan dengan anastesi spinal. Dari hasil analisis diperoleh pula nilai OR= 49,000, artinya responden yang diberikan terapi mobilisasi mempunyai peluang 49,000 kali pemulihan kandung kemih lebih cepat dibandingkan responden yang tidak diberikan terapi mobilisasi dini, maka dapat disimpulkan bahwa adanya pengaruh pemulihan kandung kemih sebelum dan sesudah pemberian terapi mobilisasi dini.Dari hasil penelitian disarankan kepada rumah sakit dan perawat agar menjadikan mobilisasi dini salah satu terapi keperawatan untuk memberikan pemulihan kandung kemih yang lebih cepat pasca pembedahan .
Telehealth: Elektronik House Call System, Solusi Mengurangi Biaya Perawatan Kesehatan
Authors: Lestari Yuli , Subardiah P Ida
Published: July 2019

Tuntutan perawatan yang berkelanjutan di era modern semakin meningkat, untuk itu penyedia layanan kesehatan dituntut untuk dapat memberikan perawatan yang berkualitas. Perawatan transisi merupakan layanan yang dibuat untuk memanajemen pasien ketika di rumah atau saat rawat jalan. Bentuk layanan perawatan transisi yang sudah dikembangkan dalam bentuk system elektronik house call di beberapa Negara bagian dapat meningkatkan koordinasi dan kontinuitas perawatan, mengurangi pendaftaran kembali untuk rawat ulang, mengumpulkan umpan balik positif penyedia perawatan, dan menunjukkan manfaat keuangan melalui panjang pendek lama rawat, biaya lebih rendah dari rawat inap, dan dokumentasi yang lebih baik dari kompleksitas pasien.Program ini meningkatkan komunikasi antara penyedia perawatan primer berbasis rumah dan penyedia rawat inap dari semua disiplin ilmu dan memfasilitasi transfer tepat waktu dan akurat informasi pasien yang kritis sehingga biaya perawatan menjadi menurun.
Pelaksanaan Perawatan Metode Kanguru oleh Ibu yang Mempunyai Bayi BBLR pada Satu Puskesmas di Kabupaten Garut
Authors: Sukmawati Sukmawati , Mamuroh Lilis
Published: July 2019

Angka kematian bayi akibat BBLR di Puskesmas Sukamulya tahun 2016 sebanyak 9 kasus (66.67%) dan menduduki urutan pertama, metode kanguru merupakan salah satu tindakan keperawatan pada bayi BBLR karena selain mendekatkan hubungan emosional ibu dan bayi juga dapat menstabilkan suhu bayi. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan pelaksanaan perawatan metode kanguru oleh ibu yang mempunyai bayi BBLR di Puskesmas Sukamulya.Jumlah populasi dan sampel dalampenelitian ini sebanyan 29 orang. Rancangan penelitian menggunakan metode survey analitik dengan pendekatan cross sectional. Hasil penelitian didapatkan sebagian besar 19 responden (65,5%) melaksanakan metoda kanguru, sebagian besar 11 responden (76,6%) berpengetahuan cukup dan  sebagian besar sikap responden mendukung 15 responden (83,3%). Ada hubungan antara pengetahuan dengan pelaksanaan perawatan metode kanguru di Puskesmas Sukamulya tahun 2017 (p = 0,026 <alpha = 0,05). Ada hubungan antara sikap dengan pelaksanaan perawatan metode kanguru di Puskesmas Sukamulya tahun 2017 (p = 0,29<alpha = 0,05). Diharapkan pihak Puskesmas dapat memberikan penyuluhan kepada ibu yang mempunyai bayi BBLR sehingga dapat meningkatkan pengetahuan dan sikap yang mendukungdalam pelaksanaan metode kanguru.
Faktor Resiko Kejadian Stroke
Authors: Susilawati Fepi , SK Nurhayati
Published: July 2019

Di Indonesia  insiden stroke diperkirakan 800-1000 penderita setiap tahunnya dan merupakan Negara penyumbang insiden stroke terbesar di Negara Asia. Berdasarkan data  riskesdas 2013, Lampung di tahun 2013 prevalensi stroke 2,6 % , terdiagnosis oleh tenaga kesehatan 3,7 % sedangkan yang terdiagnosis hanya berdasarkan gejala ada 5,4 %. Stroke merupakan  menyebabkan kematian ketiga terbesar di Indonesia. Penelitian bertujuan untuk mengetahui faktor resiko kejaidan stroke. Penelitian menggunakan desain kuantitatif analitik, dengan populasi seluruh penderita stroke dan sempel berjumlah 96 responden.Analisis data dengan chi-squareα  95 % dan uji regresi logistik  dengan bantuansoftware computer. Hasil penelitian pada faktor resiko kejadian stroke,  dari 5 (lima) faktor yang merupakan faktor resiko ialah faktor resiko kejadian stroke adalah jenis kelamin (p=0,03) dengan OR = 0,4 dan Faktor makanan (p=0,00) dengan OR = 1,03, sedangkan yang bukan merupakan faktor resiko adalah trigliserida (p=0,2), umur (p=0,4) dan  tempat tinggal (p=0,4).   Kesimpulan ada pergeseran faktor resiko stroke karena faktor gaya hidup (lifestyle) karena Negara Indonesia saat ini berada pada masa transisi dari agraris menuju negara industri sehingga terjadi  pemerataan pembangunan diseluruh wilayah Indonesia. disarankan agar institusi memberikan tugas pada dosen untuk melaksanakan pengabdian masyarakat sesuai dengan hasil  penelitiannya.
Pengaruh Pemberian Aroma Terapi Rose dan Akupresur pada Ibu Menyusui Pasca Saesar Caesarea terhadap Kecukupan ASI pada Bayi
Authors: Susilawati Fepi , Halim Abdul
Published: July 2019

Proses melahirkan Seccio Caesarrea (SC) menyisakannyeri, cemas dan lain-lain yang dapat menghambat produksi ASI. Aalah satu upaya untuk memperlancar produksi ASIadalah dengan melakukan aroma therapi dan akupresur selain  memberikan makanan bergizi. Aroma terapi dan akupresur dapat meningkatkan produksi ASI yaitu meningkatkan produksi oksitocin yang dilakukan dengan cara pemijatan pada titik tertentu. Tujuan penelitian untuk mengetahui pengaruh relaksasi aroma terapi rose dan akupressur pada ibu menyusui pasca SC terhadap kecukupan ASI bayi usia 1-3 hari yang dirawat di RSD May jend H.M Ryacudu Kotabumi tahun 2017. Jenis  penelitian quasi eksperiment, desain one group time series . Populasinya seluruh ibu menyusui pasca SC, Sampel berjumlah 105 orang dengan tehnik incidental dan quota sampling. Uji statistiknya  partial dalam analisis regresi (Uji F/Anova). Hasilnya adalah ada pengaruh aroma terapi rose dan akupressur pada ibu menyusui pasca SC terhadap kecukupan ASI bayi umur1-3 hari, derajad kepercayaan 0.05 didapat nilai α 0.00 < 0.05 dan R Square berbeda-beda pada titik akupressur (46,8 di  tangan), (38,0 di  kaki), 79,8 (leher dan punggung) serta 100 pada tangan, kaki, leher dan punggung.Sarannya hendaklah hasil penelitian dapat diaplikasikan dalam bentuk pemberian tindakan keperawatan sehingga bisa meningkatkan kualitas pelayanan keperawatan terutama pada perawat komunitas dan praktek mandiri keperawatan.
Pengembangan Karier dan Kepuasan Kerjaperawat: Studi pada Salah Satu Rumah Sakit di Kabupaten Pringsewu
Authors: Sunarsih Sunarsih , Ilyas Holidy , Nurhayati K Nurhayati K
Published: July 2019

Tenaga perawat dalam rumah sakit memiliki peran penting karena mereka berada di lini terdepan dalam pemberian pelayanan di rumah sakit dan memiliki intensitas komunikasi dengan pengguna jasa rumah sakit sangat tinggi, oleh karena itu pengembangan karier dan kinerja perawat akan banyak berpengaruh dan menentukan citra yang baik terhadap rumah sakit dan bagi perawat yang bersangkutan akan memberikan kepuasan dan semangat kerja yang tinggi. Penelitian ini bertujuan untuk mendiskripsikan kondisi pengembangan karier, kepuasan kerja perawat dan pengaruhnya di sebuah rumah sakit di Kabupaten Pringsewu. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan survei dan dokumentasi. Hasil penelitian menunjukkan bahwa pernyataan tentang pengembangan karier yang diajukan kepada 40 responden dapat dinyatakan bahwa lebih dari separuh responden atau 52,5% menyatakan setuju dengan pengembangan karier yang telah dilaksanakan dan tentang kepuasan kerja
dinyatakan bahwa lebih dari separuh responden atau 72,5 % menyatakan puas dalam melaksanakan pekerjaan yang dibebankan.

 
Stres Pasca Trauma pada Ibu Post Partum dengan Sectio Caesarea Emergency dan Partus Spontan
Authors: Amperaningsih Yuliati , Siwi Purwanti Nugrahanti
Published: July 2019

Angka persalinan sectio caesarea di Provinsi Lampung tahun 2013 menurut hasil Riskesdas sekitar 4,5%. Berbagai masalah psikologis yang dialami ibu bersalin di rumah sakit sangat memerlukan perhatian dan perawatan yang optimal dari seorang perawat/bidan dan keluarganya. Berdasarkan data rekam medis Rumah Sakit Mardi Waluyo Metro tahun 2016 terdapat 289 (78,3%) persalinan sectio caesarea dan 80 persalinan normal (21,68%) dari 369 persalinan. Tujuan dari penelitian ini adalah diketahui perbedaan kejadian stres pasca trauma pada ibu post partum dengan sectio caesarea emergency dan partus spontan. Jenis penelitian kuantitatif, desain penelitian analitik pendekatan cross sectional. Populasi semua pasien post partum primigravida  60 orang yang terdiri dari 30 ibu post partum SC emergency dan 30 ibu post partum normal, sampel 60 responden. Analisa data menggunakan ujit-Independen.Hasil penelitian menunjukkan rata-rata tingkat stress pasca trauma pada ibu yang melakukan persalinan dengan Sectio Caesaremergency adalah 16,7, dengan SD 4,95.  Rata-rata tingkat stress pasca trauma pada ibu yang melakukan persalinan dengan persalinan normal adalah 16.7, dengan SD 3,39. Ada perbedaan kejadian stres pasca trauma pada ibu post partum dengan sectio caesarea emergency dan partus spontan di Rumah Sakit (p-value 0,000). Disarankan dilakukan intervensi khusus seperti penyuluhan dan pendampingan  untuk menurunkan derajat stres pasca persalinan pada pada perempuan postpartum.
PENGARUH TERAPI BEKAM TERHADAP TEKANAN DARAH PENDERITA HIPERTENSI
Authors: Sormin Tumiur
Published: July 2019

Penyakit hipertensi masih merupakan tantangan besar di Indonesia dengan prevalensi yang tinggi.Hasil wawancara kepada penderita hipertensi yang sedang di terapi, 4 orang (60,66%) dari 6 orang pasien mengatakan belum tahu tentang  terapi bekam yang  disertai masage, teknik relaksasi dan belum tau prosedurnya.Jenis penelitian ini adalah eksperimen semu (quasi experiment) dengan menggunakan pendekatan pre-post testdesign. Populasi penelitian ini adalah seluruh penderita hipertensi tanpa komplikasi dan terdaftar sebagai pengunjung terapi bekam di Klinik Master Bekam Way Halim Bandar Lampung sebanyak 48 orang dan sampel penelitian sebanyak 40 orang. Teknik pengambilan sampel dengan accidental sampling.Uji statistik yang digunakan adalah Uji T-dependen untuk mengetahui ada tidaknya perbedaan tekanan darah sebelum dan sesudah perlakuan/intervensi (terapi bekam).  Hasil penelitian diperoleh bahwa responden terbanyak adalah diatas 35 tahun yakni 30orang (75,00%), terbanyaklaki-laki sebanyak 25 orang (62,50%),terbanyak berpendidikan dibawah perguruan tinggi sebanyak 26 orang (65,00%), dan  terbanyak bekerja sebagai wiraswasta yakni 21 orang (52,50%). Sebelum dilakukan terapi bekam, rata-rata tekanan darah sistolik adalah 152,50 mmHg dan rata-rata tekanan diastolik 85,25 mmHg. Sesudah terapi  bekam diperoleh hasil bahwa rata-rata tekanan darah sistolik adalah  134,25 mmHg dan rata-rata tekanan diastolik 80 mmHg. Berdasarkan uji statistik diperoleh hasil p-value sebesar 0,000, artinya  terdapat perbedaan tekanan darah sebelum dan setelah terapi bekam.
HUBUNGAN STATUS GIZI DENGAN SIKLUS MENSTRUASI PADA REMAJA DI BANDAR LAMPUNG
Authors: Amperaningsih Yuliati , Fathia Nurul
Published: July 2019

Asupan gizi yang tidak ade kuat menyebabkan ketidakteraturan menstruasi pada kebanyakan remaja putri. Berhubungan dengan menstruasi jumlah wanita anovulasi akan meningkat apabila berat badannya mengalami perubahan (meningkat atau menurun). Presurvey yang dilakukan pada siswi disalah satu MAN di Bandar Lampung didapatkan 4 (40%) siswi yang mengalami siklus menstruasi teratur dengan status gizi normal dan 6 (60%) siswi mengalami siklus menstruasi tidak teratur, 3 (30%) siswi diantaranya mengalami status gizi kurang dan 3 (30%) siswi lainnya mengalami status gizi lebih (obesitas). Desain penelitian menggunakan observasional analitik dengan pendekatan Crosss Sectional.Jumlah populasi 161,menggunakan teknikproportional random sampling dengan cara simple random sampling, didapatkan sampel 62 responden. Alat pengumpul data menggunakan lembar observasi dan lembar kuesioner, menggunakan metode analisa chi square.Hasil penelitian dari 62 orang responden, diketahui bahwa sebagian besar responden memiliki status gizi normal yaitu 38 responden (61,3%) dan mengalami siklus menstruasi teratur sebanyak 39 responden (62,9%). Hasil uji statistik Chi Square dengan derajat kepercayaan (CI) 95% dan nilai α (0,05) didapatkan hasil perhitungan ρ value (0,01) < α (0,05) yang menunjukan bahwa ada hubungan bermakna antara status gizi dengan siklus menstruasi pada remaja di Bandar Lampung. Disarankan untuk dilakukan penyuluhan pada para remaja putri untuk lebih menjaga status gizinya agar memiliki siklus menstruasi yang teratur.
PERBEDAAN PENGELUARAN ASI PERTAMA ANTARA PIJAT OKSITOSIN DAN BREAST CARE PADA IBU NIFAS DI WILAYAH NATAR LAMPUNG SELATAN
Authors: Asih Yusari , Mirah WS I Gusti Ayu , Setiawati Tiya
Published: July 2019

Berdasarkan data cakupan pemberian Asi ekslusif di Provinsi Lampung masih rendah (54,9%) dibandingkan dengan target Indonesia.Berdasarkan data di  puskesmaswilayah natar cakupan pemberian ASI hanya 62,3%, hasil ini dibawah target yaitu sebesar 80%. Hasil survei di wilayah Natar terdapat 8 ibu dari 40 ibu post partum yang tidak memberikan ASI kepada bayinya, 3 diantaranya karena putting susu tidak keluar, 5 diantaranya tidak memberikan ASI dikarenakan ASI sedikit dan memberikan  PASI sebagai gantinya. Masalah dalam penelitian ini adalah rendahnya cakupan pemberian ASI.Penelitian ini merupakan penelitian eksperimental dengan rancangan eksperimen menggunakan Quasy Eksperimen dengan pendekatan posttest Only Control Group Design dilakukan pada tahun 2018, populasi dalam penelitian ini adalah seluruh ibu post partum normal di BPM Siti Hajar. Teknik sampel penelitian ini menggunakan purposivesampling.Data yang diambil adalah data primer alat yang digunakan berupa ceklist dan lembar observasi. Analisis data yang digunakan adalah analisis univariat dengan rerata dan bivariat dengan Mann-Whitney. Hasil uji statistik dapat disimpulkan terdapat perbedaan signifikan pengeluaran ASI antara Pijat Oksitosin dan Breast Care dengan p-value 0,002. Diharapkan petugas kesehatan mengajarkan pijat oksitosin agar dapat memperlancar pengeluaran ASI.
Desenvolvimento e implementação de protocolo e das camadas de comunicação para robôs móveis educacionais
Authors: Valerio Netto Antonio
Published: July 2019

O artigo descreve o desenvolvimento de um protocolo de comunicação sem fio para robôs móveis e a implementação das suas camadas de comunicação que incluem a base instalada no computador; o software embarcado no dispositivo rádio-base e o software embarcado no próprio robô móvel. Trata-se de um robô de pequeno porte fabricado no Brasil que possui software e hardware livres. Sua aplicação é para área de edutainment onde desenvolvedores podem criar atividades práticas e didáticas para serem utilizadas no aprendizado de lógica de matemática e linguagem de programação. São apresentados os testes de campo e a validação do sistema.
A política de cotas e de permanência: uma análise do triênio 2015-2017 do IFFar Campus Santo Ângelo.
Authors: Adams Elias
Published: July 2019

A política de cotas ampliou o acesso a grupos estatisticamente excluídos da educação pública federal, mas ela efetivamente está democratizando o acesso à educação pública? Baseado em uma pesquisa realizada no IFFar Campus Santo Ângelo busca-se apresentar os dados de inscrições nos processos seletivos, o percentual de matrículas e de evasão no triênio 2015-2017. A pesquisa analisou documentos públicos por meio de estatística descritiva. Constatou-se a dimensão da lacuna entre a demanda por educação profissional e tecnológica e a atual capacidade do Estado em atendê-la. A pesquisa também destacou o percentual de pessoas que não conseguem êxito nos processos seletivos, cuja maior incidência é entre pessoas com renda inferior 1,5 per capita, egressos de escola pública e autodeclarados pretos pardos e indígenas. Por outro lado, os indicadores de permanência são maiores entre os cotistas egressos de escola pública e os alunos com renda per capita de até 1,5 salários mínimos; já entre pretos pardos e indígenas, o percentual de evasão é maior do que entre os demais, incluindo cotistas ser recorte racial.
A formação inicial do professor de química em uma instituição de EPT: experiências nas aulas de cálculo e geometria analítica
Authors: Carvalho Denis Ribeiro , Nunes Moraes Naires de Cassia
Published: July 2019

O presente artigo visa a retratar a experiência vivida na disciplina de Cálculo e Geometria Analítica desenvolvida no Curso de Licenciatura em Química do Instituto Federal Farroupilha - Campus Alegrete. Buscamos revelar a importância de se incentivar propostas metodológicas diferenciadas, principalmente em uma instituição de Educação Profissional e Tecnológica, tendo em vista o elevado grau de complexidade das disciplinas exatas no processo formativo dos alunos de graduação. Ressalta-se que estudar e pensar meios para descomplicar o ensino da disciplina de Cálculo é essencial para obter um aprendizado mútuo significativo entre aluno e professor. Assim, pretendemos envolver o leitor em torno da reflexão sobre as contribuições positivas vivenciadas em uma turma de ensino superior, para que, assim, o leitor reflita e utilize como possível material de apoio durante a realização de seu planejamento semestral ou anual. Para isso, ao longo do trabalho, realizamos uma síntese do contexto em que se insere a formação de professores em Instituições de Educação Profissional e Tecnológica, seu compromisso social, seus avanços e possíveis aprimoramentos.
Trends and Contribution of Savings of Different Types of Institutions towards Gross Domestic Product in India During the Post-reforms Era
Authors: Reddy P. Sudharsana , Sekhar Mamilla Raja , Gopalakrishnan M. Muthu
Published: July 2019

Accessibility to financial services is viewed as a vital determinant of economic and
social development of any nation, particularly in a low income country like India. The
availability of financial services and financial products is expected to permit household
sector to be able to align income and expenditure pattern across time, to ensure themselves
against income and expenditure shocks. Access to financial services increases the
ability of individuals and households to have access to basic services like education
and health simultaneously addressing the issues of poverty reduction. Domestic savings
on the other hand play a critical role in financing the development of any economy by
providing necessary resources for investment, boosting financial markets and stimulating
the economic growth. Mobilization of savings from the household sector can have a
significant impact on the growth by increasing the investment, productivity and enhancing
the quality of human capital.
However, household savings have been increasing consistently during the post
reform period; the financial savings are grown at a less pace when compared to physical
savings of the household sector. There are varied reasons for the slow growth of
financial savings of the household sector, they are lack of accessibility to the financial
services, lack of awareness, regulatory agencies stringent guidelines, low incomes of
the households, high vulnerability of financial markets etc., are some of the reasons.
An Analysis on Attrition Rate and Job Satisfaction of Employees in Insurance Sector
Authors: Singh Srajan Kumar , Misra Arun Kumar , Awasthi Anil Kumar
Published: July 2019

Man has found out himself many things to make himself and his near dear ones happy.
Insurance is one such invention of man. It is not just the reluctant entry and the periodical
reminders for paying the premium and the last receipt of the claim money which may look
large or a mere pittance depending upon the policy was in force earning handsome bonus
or increase in capital. Insurance industry is one of the better tools to protect personal
benefits as well as economical benefits to country. Insurance benefits society as a whole,
not just who hold insurance. It is one of the largest industries in the field of employment
too. Insurance industry has given employment to millions of employees.
It has been well said that great achievements come with great responsibility and so
with great ups and downs. This sector has witnessed high attrition rate and lower degree
of job satisfaction in its employees. The purpose of this paper is to identify the factors
causing these problems and to suggest some possible solutions.
Practical Model of Motivation and Welfare of Third Party Contractual Workers through Application of Maslow’s Need Hierarchy
Authors: Verma Deepak , Banerjee Richa , Jaiswal Bimal
Published: July 2019

Contractual workers who work for the contractors and work as third-party workers for
the principal employers are the latest trends in the labour market. To cut the labour cost
principal employers hire such workers through the contractors with minimal
responsibilities towards such workers. Though there are fewer responsibilities of
employers towards such workers but ultimately these workers work for the principal
employers to accomplish the organizational objectives. Thus there is a need to keep
such workers to be motivated as well. The Need Hierarchy motivational theories given
by Abraham Maslow can be used to design the motivational programme for the contractual
workers.
An Analysis of Export Financing of Indian Handicraft Industry
Authors: Agarwal Abhinav , Jain Manjula
Published: July 2019

The paper attempts to study the RBI initiative with respect to Export financing for
boosting Indian Exports. It is of great importance that the country’s exports be stepped
up, so as to reduce the trade and current account deficits to sustainable levels. Apart
from export incentives provided to exporters, RBI and Government should also ensure
that the exporters are provided credit facilities at a reasonable rate of interest. The paper
covers the existing financing policies of the RBI and also on issues relating to various
difficulties being faced by exporters with regard to availability of credit, factoring and
other procedural issues in their dealings with banks and financial institutes.
Death Penalty In India: A Critical Analysis
Authors: Tiwari Vandana
Published: July 2019

The death penalty is a legal process whereby a person is put to death by the state as a punishment for crime. Death punishment has always been the part of criminal justice system not only in India but also in the whole world from the very ancient time till present time. Still there has been a global trend towards the abolition of death/capital punishment. The attitude of Supreme Court of India towards death penalty has been considerably changed since last 68 years. Law commission of India has also realised various reports on this issue. Through this Article various aspects related to death penalty has been discussed.
Analysis of Microcalcifications Using Block Wise Local Binary Pattern and Independent component analysis in Mammograms
Authors: Paramkusham Spandana , Rao Dr. Kunda M.M. , Rao Dr. BVVSN Prabhakar
Published: July 2019

In India, the average age of developing a breast cancer has undergone a significant shift over last few decades. Most prominent features that indicate breast cancer are microcalcifications. Microcalcifications are tiny calcium deposits deposited on skin and non-palpable. Automatic analysis of microcalcification helps specialist in having more precise decision. The paper presents an approach that involves classification of microcalcifications into benign/malignant in mammograms. Texture features such LBP and statistical features are extracted from ROIs with microcalcification and independent component analysis is applied to reduce the feature set. These feature set is fed to artificial neural networks to classify the ROIs into malignant and benign calcifications.
A New Triterpenoid from the leaves of Centella asiatica
Authors: Singh Vikas , Mishra Nishi
Published: July 2019

From the leaves of Centella asiatica, a new ursane triterpenoid (1), 2α,3β, 23 trihydroxyurs-5,12-diene-28-oic acid, along with four known compounds, was isolated. The structure of the new compound (1) has been deduced from the spectral analysis using 1D and 2D-NMR and HR-ESI-MS.
Image Processing for the Detection of Diabetic Retinopathy and Diabetic Macular Edema
Authors: Sri R. Manjula , Rao K.M. M.
Published: July 2019

Diabetic retinopathy (DR) and diabetic macular edema (DME) are common microvascular retinal diseases in patients with diabetes. The diabetic patients may have a sudden and devastating impact on visual acuity, in the long run leading to blindness. Advanced stages of DR are characterized by the growth of abnormal retinal blood vessels secondary to ischemia. These blood vessels grow in an attempt to supply oxygenated blood to the hypoxic retina. At any time during the progression of DR, patients with diabetes can also develop DME, which involves retinal thickening in the macular area. In the present paper, algorithms are developed to detect DR and DME. For detecting DR the abnormalities in the retina blood vessels are detected by classifying the common abnormalities namely microaneurisms, hard exudates, heammorages and cotton wool spots. DME is detected by finding the nearness of Hard exudate to macula. The macula and hard exudates are localized using image processing techniques. Severity of DME is assessed based on the nearest exudates, their area and color
analysis. The algorithm is tested with 65 DR and DME images with severity index 0, 1 and 2 from MESSIDOR database.
Beliefs, Perceptions and Barriers related to Cancer among Gynecologic Cervical Cancer
(CaCx) Patients in Uttar Pradesh, India
Authors: Gautam Manjulika , Singh Udai Pratap , Khurana Rohini
Published: July 2019

The present paper is based upon the case studies which explore the psycho-social characteristics of Cervical Cancer (CaCx) patients being treated at RMLIMS, Lucknow. The beliefs and perceptions of the patients regarding causes, symptoms, treatment and its outcome, transmission, other’s perception, and recurrence have been analysed. The terms being used by the patients to refer to their disease, the symptoms they have experienced and the mechanism of disease manifestation according to them have also been presented. The
demographic data of the patients (n=25) has been analysed and the relationship between age group, annual family income and education level of the patients and the beliefs has been studied. The correlation coefficient (r) and p-values thereof indicate that there is no significant relationship between the age group, annual family income and education of the patients with the beliefs they have. it can be concluded that there are certain other factors
that influence the belief system of the Cervical Cancer (CaCx) patients.
Dog Tapeworm : Social Ignorance and Serious Health Issues
Authors: Srivastava Prof ( Dr) J.K.
Published: July 2019

Since last 2-3 decades the trend of keeping dogs as pet in Indian homes is noticed as on increase. One of the reasons is the increasing in the number of nuclear family configuration. People
find dogs as good domestic companion for the purpose of safety as well as entertainment. It is noticed that around 95% of these pet lovers are unaware about hazards associated with these pets. They do not follow the standard norms of pet raising and health considerations and remain ignorant about the safety of their family as well as the society. Most common and fatal disease associated with dogs are bladder worm disease i.e. Hydatidosis . This life threatening disease is caused by a tapeworm parasite Echinococus granulosus, which is a natural parasite of dogs and transmit due to unhygienic habits and handling. About 2-3 million people are suffering due to dog tapeworms through out the world , which lead to the monetary loss of $ 750,000,000=00 every year. In India due to lack of health education and awareness and very casual approach in handling such pets lead to increase in the disease incidence rate. Our regulatory norms are not rigid and because of that pet registry rate is very low. Besides we are not following strict compliance of medical guidelines to keep these animals free from such a dangerous infections. Unhygienic handling and unregulated disposal of dogs fecal content
contributes for the spread of hydatid disease in innocent children and adults. In a recent discussion with medial experts it was noticed that the frequency of this disease is increasing day by day. Considering above facts it is necessary to frame very effective social and legal regulatory norms to control the un-noticed spread of the infection in society.
Chromosomal Aberration in Natural Populations of Isoetes coromandelina L. (f.)
Authors: Shukla Santosh Kumar , Singh Vivek
Published: July 2019

Isoetes L. is a cosmopolitan genus of heterosporous lycopods which is worldwide in
distribution. During the present research work, natural and crop field populations of Isoetes from Bilaigarh were compared for their. This has been done in order to study the effect of agricultural chemicals on the chromosomes of Isoetes taking the root mitosis as the biological assay system. No such study has been done in case of Isoetes as far as the available literature is concerned.
Optimisation of Human resource Management through Process Re-engineering
Authors: Tripathi Jaya
Published: July 2019

In a world of rapid flexibility, organisations must change their priorities from a traditional
focus on planning and control to emphasise speed, innovation, flexibility, quality, service
and cost. The Human Resource team has to demonstrate their commitment to meet these
key business drivers. A major problem confronting Human Resource managers today is to
increase line management and employee productivity, provide higher more value-adding
levels of Human Resource service and internal customer responsiveness and at the same
time reduce costs. What is needed is a Human Resource team that is customer-focused and
market-driven in its external relations with customer and process-focused and teamoriented
in its internal operations. Only such a Human Resource team can look at the way
work is performed across the organisation and seek to make Human Resource processes
more logical, effective and efficient. Such an effort is at the heart of Human Resource
Optimisation and Process Re-engineering.
Business Process Reengineering (BPR) advocates the fundamental examination and
redesign of business processes, recognizing that the legacy of scientific management has
been the excessive fragmentation of work practices in organisations today. This is reflected
in the hierarchical structuring of organisations around functional departments, with
individual and departmental goals displacing overall organizational performances.
Organisational performance is a result of the effectiveness and efficiency of the actions
that an organisation. Effectiveness refers to the achieved outcomes in relation to strategic
objectives/goals and customer requirements. Efficiency refers to how economically the
organisation's resources are utilized by an activity such as a business process that produces
a given output or that delivers a given service. These two fundamental performance
dimensions highlight the external and internal reasons for pursuing a specific course of
action; that is, effectiveness with a primary focus on customers, and efficiency with a
primary focus on internal operations and processes. The research explains the reliance of
business process reengineering (BPR) in the improvement of performance in Human
resource in the organization. Here, the research try to validate the significance of successful
business process reengineering (BPR) process can also construct the successful
organization.
Manipolazioni metasemiche del patrimonio
Authors: De Rossi Antonio , Dini Roberto
Published: July 2019

The construction of a renewed habitability of the contemporary Alpine space requires a profound critical revision of the ways of looking and of the cultures concerning the theme of re-use of the built heritage. Over the last few decades, a sort of crystallization of imaginaries, operational practices and development ideas has emerged around the two terms of re-use and heritage and their ways of interaction, which today is likely to be an obstacle to the construction of new development scenarios for the Alpine region. Trying to imagine new values and meanings of the concepts of reuse and heritage, however, requires the questioning of those patrimonialization cultures that have served as the ultimate framework for the project of the Alpine space. The essay reconstructs those design processes that, starting from a renewed productive vision of the mountain, attempt today to overcome a hypostatized vision of the conventional cultural landscape produced by the patrimonialist paradigm, to embrace a transformative attitude of the heritage based on the materic character of the basic elements of the Alpine space. In particular we want to underline how the contemporary design culture in the Alps is directed to the development of synthetic languages aimed at capturing the stratified and diachronic dimension of the built landscape through metasemic cognitive and interpretative practices. It is an attitude that, against a background of the change in perspective brought about by climate change and environmental issues, allows the maximization of the opportunities and physical resources recovered in the place, perfectly in line with the aptitude for the continuous re-use of the Alpine civilizations of the past, which focuses on the awareness of participating in a constructive process of transformation of the long lasting Alpine territory.
Rinnovare il patrimonio. Learning from contemporary artists
Authors: Cepollaro Gianluca
Published: July 2019

Three contemporary art projects suggest some useful reflections to introduce a discontinuity in the ways of thinking about the transformation of existing spaces going beyond the misunderstood oppositions as “old” and “new”. In Trentino, the artworks by Collective OP, Anna Scalfi Eghenter and Michele De Lucchi show how art and culture are extraordinary means for social innovation but also for promoting new architectural practices based on reduce, reuse and recycle that may be kept in mind for the development of further initiatives.
Efficacia dell’arte, strategie di rete e approccio trasformativo a paesaggio e patrimonio alpino
Authors: d’Incà Levis Gianluca
Published: July 2019

Ever since 2011, Dolomiti Contemporanee (DC) has been operating on the contemporary identity of the mountain, and on the state of the Landscape, as well as the cultural, historic, and architectural Heritage inside the region of UNESCO’s Dolomites. Its research takes shape in the reactivation of large, issue-heavy industrial archaeology sites and compounds: former factories, former social villages, iconic architectural creations, with a great historical or aesthetic value, abandoned and underutilized, immersed in the powerful nature of the Dolomitic region. DC works on the redefinition of the mountain’s identity, building re-innovative and thematic critical images. In this sense, we refuse to recognize as an acceptable identity for the Alpine landscape the hotchpotch of stereotypical reductions which deliver a bland and reified vision of it, one that almost always involves plain and simple economic and touristic exploitation of the asset, to the detriment of its real potential’s nourishment. DC’s practice puts at the centre the need for re-enhancement and functional re-use of a few exceptional sites, which must be re-processed and re-activated. It is a responsible necessity of care and an opportunity for the regeneration of extraordinary underdeveloped sources of potential at the same time. Contemporary art, innovation culture, network strategies, those are some of the “techniques” through which such sites, so important in the past and now lifeless, are tackled, and morphed into cultural and artistic production centres, finally operative again, engines able to represent and provide new value to the territory.