bluuebunny/crossref_metadata_2025 huggingface dataset:
SPEAKING ANXIETY OF ENGLISH DEPARTMENT STUDENTS AT UNIVERSITY OF DARMA AGUNG MEDAN
Authors: Siagian Corry Ester Margaret , Duha Jenny Solita
Published: December 2020

The lecturer dominant proportion and students’ passivity in the classroom caused by many reason,  students’ speaking anxiety is one of the main reason. Feeling ashamed to speak out their mind is a matter of the most of English learners’ problems from time to time. Finding out the factors contributes to students reluctantly talking in English is worth searching in order to create a successful English speaking learning in the future. This present study aimed at investigating the speaking anxiety reasons of english department students of University of Darma Agung. To do so, the researcher asked 30 students to be participated in this qualitative study. They were required to fill out questionnaire and to be participated in an interview. This study revealed that the anxiety experienced by the students are due to three main reasons: 1) being afraid of bad respond; 2) feeling nervous and not dare to talk and 3) feeling afraid of making mistake, which are followed by other minor reasons for each main reason. The most occurred minor reason is students’ lack of vocabularies.
Surgical treatment of inguinal eventration in argentine terrestrial turtle (Chelonoidis chilensis) – case report
Authors: Troiano Juan Carlos , Blanco Diego Federico , Sclocco Matias Eugenio , Bava Francisco Antonio
Published: December 2020

Eventration is a separation of the musculoaponeurotic layers of the abdominal wall resulting in protrusion of abdominal contents, and characterized by the absence of the hernial sac and intact skin. We describe a case of chronic left sided eventration associated with deformity of the right femoral fossa in a 30-year-old female Argentine land tortoise. The animal was referred for evaluation of a soft and non-painful deformity of the left lumbar fossa and third degree lameness of the left posterior limb. Eventration of one bladder lobe and oviduct loops was diagnosed by ultrasonography. We describe the anesthetic protocol and the surgical technique used in the treatment with approach to the coelomic cavity through the prefemoral fossa, as well as the resolution of the abdominal wall defect.
Chronic kidney disease in dogs and cats – retrospective study and literature review
Authors: Scardoel Bruna , Gomes Simone G. R. , Martorelli Cinthia Ribas , Agopian Rafael Garabet
Published: December 2020

Chronic kidney disease (CKD) is defined as the structural and/or functional impairment of one or both kidneys of 3 or more months duration, and resulting in irreversible loss of renal functions. The International Renal Interest Society (IRIS) classifies CKD into 4 stages according to levels of serum creatinine and symmetric dimethylarginine (SDMA), Urinary protein/creatinine ratio and systemic arterial pressure are subcriteria used in stating the disease. We reviewed the records of 50 dogs and 67 cats diagnosed with CKD. The staging criteria was recorded in 39.5% of the dogs (n = 32), and 60.5% of the cats (n = 49). Stage 1 CKD was diagnosed in 10 dogs (12.4%), while stage 2, 3, and 4 were diagnosed in respectively 4 (4.9%), 7 (8.7%), and 11 (13.6%) of the dogs. In cats, Stage 1 CKD was diagnosed in 8 (9.8%), and stages 2, 3, and 4 were diagnosed in respectively 18 (22.2%), 13 (16%), and 10 (12,4%) of the cats.
AİLE HUKUKUNA İLİŞKİN UYUŞMAZLIKLARDA ARABULUCULUK
Authors: DAĞLIOĞLU Duygu
Published: December 2020

Bugünkü anlamıyla arabuluculuk faaliyetleri ülkemizde, 2012 yılında yürürlüğe giren Hukuk Uyuşmazlıklarında Arabuluculuk Kanunu (HUAK) ile birlikte yürütülmeye başlamıştır. HUAK, iki tür arabuluculuk öngörmekte ve bunlara dair düzenlemeler içermektedir. Bunlar ihtiyari arabuluculuk ve zorunlu arabuluculuktur. Kanun ihtiyari-zorunlu fark etmeksizin arabuluculuğa elverişli uyuşmazlıkları tanımlamaktadır. Tanımda uyuşmazlık türlerine saymak suretiyle yer verilmemekte, arabuluculuğa elverişli uyuşmazlıkların tespitinde kullanılacak ölçütler ifade edilmektedir. Bu sebepledir ki bazı uyuşmazlıkların arabuluculuğa elverişli olup olmadığı öğretide tartışma konusu edilmektedir. Öğretide arabuluculuğa elverişliliği tartışılan uyuşmazlıklardan biri de aile hukukundan kaynaklanan uyuşmazlıklardır. Bu çalışma da öğretideki tartışmalara katkı sunmak üzere; aile hukukuna ilişkin uyuşmazlıkların arabuluculuğa elverişliliği, arabuluculuğa elverişli uyuşmazlıkları saptamakta kullanılan ölçütler, HUAK kapsamında kabul edilen aile hukuku uyuşmazlıklar ve bunların zorunlu arabuluculuk uygulamasına konu edilip edilemeyeceği, HUAK kapsamında kabul edilmeyen aile hukuku uyuşmazlıkları konularını içermektedir.
İşletme ve İktisat Bölümü Öğrencilerinin Girişimcilik Eğilimlerinin ve İnovasyon Becerilerinin İncelenmesi: Kırşehir Ahi Evran Üniversitesi Örneği
Authors: MARUF Muhammed , TOPÇU Tuğçe
Published: December 2020

Geçmişi 18. yüzyılın başlarına dayanan girişimcilik günümüzde gereken çabayı ve zamanı harcayarak belirli riskler alınması sonucunda bireysel tatmin elde etme ve ekonomik olarak bir değer yaratma süreci olarak tanımlanabilmektedir. Girişimcilik yapısı itibari ile bir süreçtir ve girişimciliğin ülkenin refahı ve gelişimi üzerinde birçok etkisi bulunmaktadır. Diğer yandan+ inovasyon kelimesinin Türkçe olarak bir karşılığı bulunamamak ile birlikte yenilik olarak kullanılmakta ve belirli bir fikrin ortaya çıkması ile başlayan ve bu fikrin bireyler tarafından değer kazanması ile son bulan bir süreç olarak nitelendirilmektedir. İşletmeler rekabet avantajı sağlayabilmek ve kendilerini geliştirebilmek için sürekli bir yeniliğe ihtiyaç duyarlar ve buna bağlı olarak inovasyon, girişimcilerin vazgeçilmez araçlarından birisi olarak karşımıza çıkar. Bu bağlamda araştırmanın amacı; Kırşehir Ahi Evran Üniversitesinde eğitim görmekte olan işletme ve iktisat bölümü öğrencilerinin girişimcilik eğilimlerinin ve inovasyon becerilerinin incelenmesi ve bu iki kavram arasındaki ilişkinin ortaya konulmasıdır. Araştırma, tanımlayıcı nitelikte bir çalışma olup, nicel araştırma deseni kullanılmıştır. Araştırmanın evrenini Kırşehir Ahi Evran Üniversitesinden 348 işletme öğrencisi, 373 İktisat öğrencisi olmak üzere toplamda 721 öğrenci oluşturmaktadır. Çalışma araştırmaya katılmayı kabul eden 287 öğrenci üzerinde gerçekleştirilmiştir. Araştırmadan elde edilen verilerin analizi SPSS 22.00 paket programıyla yapılmıştır. Araştırmada gruplar arası ortalama farklılıklarının belirlenmesi amaçlanmıştır. Araştırma sonucunda kadın ve erkek katılımcıların girişimcilik düzeyleri arasında anlamlı farklılık olduğu gözlenmiştir. Buna bağlı olarak erkek öğrencilerin girişimcilik düzeyi daha yüksek bulunmuştur. Katılımcıların girişimcilik ve yenilikçilik düzeylerinin sınıflar arasında farklılık arz etme durumu da analiz edilmiş ancak sınıflar arasında anlamlı farklılık bulunamamıştır.
Spor ve Rekreatif Amaçlı Tesislerde Hizmet Kalitesinin Değerlendirilmesinde Demografik Değişkenlerin Rolü
Authors: OLCAY Atınç , SÜRME Metin , DAĞLIOĞLU Taner
Published: December 2020

Spor tesislerinin inşasından yönetimine kadar birçok farklı konuyu içeriğinde barındıran spor tesis işletmeciliği, mimari yapıları ve yönetim biçimleri ile eşsiz özellikler sunmaktadır. Topluma en iyi şekilde spor hizmeti verilmesinde spor tesislerinin niteliği kilit rol oynamaktadır. Bu kapsamda gerçekleştirilen çalışmada spor ve rekreatif amaçlı tesislerde hizmet kalitesinin değerlendirilmesinde demografik değişkenlerin rolü ortaya konulmuştur. Bu amacı gerçekleştirmek için daha önce farklı araştırmalarda kullanılan SERVQUAL Hizmet Kalitesi ölçeği ve sorularından faydalanılmıştır. Araştırmanın evreni Gaziantep’de bulunan 5 spor tesisine kayıtlı 750 kişi oluşturmaktadır. Araştırmanın örneklem grubunu ise Gaziantep’de spor ve rekreatif amaçlı tesislere giden 211 kişi oluşturmaktadır. Dolayısıyla araştırmada veriler kolayda örnekleme tekniği ile ulaşılmış 211 kişiden elde edilmiştir. Araştırma sonucunda güven boyutunun, en yüksek ortalamaya sahip olduğu görülmüştür. Bununla beraber spor ve rekreatif amaçlı tesislerin hizmet kalitesinin eğitim ve yaş değişkenine göre farklılık gösterdiği görülmüştür. Diğer taraftan spor ve rekreatif amaçlı tesislerin hizmet kalitesinin cinsiyet değişkenine göre farklılık göstermediği görülmüştür. Geçekleştirilen bu araştırmayla spor ve rekreatif amaçlı tesislerin hizmet kalitesi ortaya konmuştur. Söz konusu araştırmada hizmet kalitesi algısının yüksek olduğu görülmüştür. Spor ve rekreatif amaçlı tesislerin hizmet kalitesi güven, heveslilik, güvenilirlik, fiziksel görünüm ve empati olmak üzere toplam beş boyutta değerlendirilmiştir. Güven boyutunun, en yüksek ortalamaya sahip olduğu görülmüştür. Heveslilik boyutu, güven boyutundan sonra en yüksek ortalamaya sahiptir.
COVID-19 Pandemisine Yönelik Gerontolojik Müdahale Önerileri
Authors: KALELI Isıl
Published: December 2020

COVID-19 pandemisinde yaşa bağlı hastalık insidansı ve ölüm oranlarının artış gösterdiği; özellikle komorbiditenin bu artışı hızlandırdığı; kırılganlığı arttıran fiziksel, psikolojik ve sosyal etkenlerin, pandemi döneminde yaşlı bireyleri diğer yaş gruplarına göre daha çok etkilediği bilinmektedir. Yoğun bakıma yatış oranlarındaki artışın sebep olduğu yoğun bakım yatak doluluk oranlarındaki yükselme; sağlık hizmet kaynaklarına daha fazla ihtiyaç duymaları; üstelik virüs bulaş kaynağı olarak görülmeleri yaşlı bireylerin toplum tarafından damgalanmalarıyla sonuçlanmıştır. Tüm bu gerekçeler pandemi döneminde yaşlı bireylere yönelik intervensiyonları (müdahale) zorunlu hale getirmiştir. Bu makalede yaşlı bireylere yönelik yapılabilecek müdahaleler, dayandırıldıkları gerontolojik teoriler ışığında bireysel, toplumsal, sağlık bakım hizmet sunucuları ve karar vericiler açısından ele alınmıştır.
TÜRK MÜZİĞİ’NDE VİYOLONSEL EKOLLERİ
Authors: AKDAĞOĞLU Turgay
Published: December 2020

Bu çalışma; Türk müziği icrâsında viyolonsel çalgısının kullanımının farklı ekollere bağlı olduğunu vurgulamak amacıyla hazırlanmıştır. Çalışma; Türk müziği tarihi açısından çok önemli bir geçmişi olmamasına rağmen birkaç icrâ ekolü oluşturacak kadar rağbet gören ve üzerinde durulan viyolonsel çalgısının Türk müziği icrâcılığındaki varlığını ortaya koyması bakımından önemlidir. Çalışmada kaynak tarama, analiz ve karşılaştırma gibi nitel yöntemler kullanılmıştır. Çalışmanın sonucunda, Türk müziği viyolonsel icrâcılığında bugüne dek açıkça irdelenmemiş olan viyolonsel ekollerinin ayırıcı özellikleri tespit edilmiş ve ekollerin günümüzdeki etkisi ortaya konulmuştur.
KONTRIBUSI UMAYYAH ANDALUSIA DALAM PENGEMBANGAN ILMU PENGETAHUAN
Authors: Supriadin J Irwan
Published: December 2020

The Andalusian Umayyad dynasty was a continuation of the Damascus Umayyad which was destroyed on the Iberian peninsula, the entry of Islam in Andalusia was first brought by the commander Tharif bin Malik at the suggestion of Musa bin Nushair to the Caliph al-Walid. After conquering Christian kingdoms in almost all regions of Andalusia, the rulers of the Umayyad dynasty focused their attention on the development of science and science which made big names like Ibn Rushd, Ibn Firnas and Ibn Hazm. The Andalusian rulers opened the palace doors as wide as possible for discussion activities, provided laboratories and made the palace a gathering place for art experts and writers from all over to pour works and artistic creations. The government's attention to scientists made Andalusia a beacon of civilization at a time when European society lived in darkness and ignorance. The progress that was made during the Umayyad Andalusian era which would later inspire the birth of the Renaissance era which was marked by the industrial revolution in Europe.
Sobre a tradução de enérgeia e entelékheia em Física III, 1-3
Authors: Ribeiro Luis Felipe Bellintani
Published: December 2020

Em se tratando da questão do movimento em Aristóteles, o par conceitual “potência e ato” não é apenas importante, ele praticamente esgota a própria definição de movimento, que, nos três primeiros capítulos do livro III da Física, passagem que se pode apelidar de "Tratado do Movimento", é definido como "o ato do ente em potência enquanto tal" (hetoû dynámei óntos entelékheia, hê(i) toioûton). Nessa definição a palavra grega traduzida por "ato" é entelékheia, mas ao longo das 161 linhas do "Tratado do Movimento" Aristóteles emprega 19 vezes o termo entelékheiae 21 vezes o termo enérgeia, sem fazer uma distinção clara – como de resto alhures também não faz – levando alguns tradutores à resignação diante de uma quase sinonímia e à tradução quase automática de ambos os termos gregos por um único termo do vernáculo, como "ato", “atualidade”, “efetividade”. Como traduzi-los afinal?
Asupan Purin Terhadap Kadar Asam Urat Pada Penderita Gout Arthritis Di Wilayah Kerja Puskesmas Ranotana Weru
Authors: Imbar Henry S. , Legi Nonce Nova , Pinunsanda Jualita Dorace
Published: December 2020

Gout or gout is a chronic arthritis caused by swelling and usually attacks the big toe. Factors causing gout arthrits are excessive uric acid products, obesity, diabetes accompanied by high blood pressure, excessive protein consumption, sex, and alcohol. The purpose of this study was to determine the relationship between purine intake and uric acid levels in patients with gout arthritis in the Ranotana Weru Public Health Center.

The method used in this study uses a cross sectional design on a total of 44 samples. The sample criteria are patients with symptoms of gout arthritis and can communicate well. Research sites in the Ranotana Weru Public Health Center in Manado in 2018. Data on age, sex, and occupation can be obtained through interviews using the informed consent form. Purine intake data can be obtained through interviews with the Semi Food Frequency Questinary (FFQ). Gout criteria are divided into two, namely normal and high bivariate data analysis using the chi square test.

The results of research on patients with high uric acid levels are 73% and 27% normal, asupa purin more 68%, 21% enough and less 11%. The conclusion from this study is that there is a chi square test relationship showing that intake of purines has a significant relationship between uric acid levels with a value of p = 0,000 (p = 0.05).
Pola Makan Dan Tingkat Pengetahuan Gizi Terhadap Resiko Kejadian Obesitas Pada Remaja Di SMA Kristen 1 Tomohon.
Authors: Djendra I Made , Langi Clift Christian Vincen , Purba Rudolf B.
Published: December 2020

Obest or obesity is the term used to show the accumulation of body fat that exceeds the normal limit. Excessive accumulation of body fat can often seem reluctant easily. People who are overweight are more receptive than normal weight people to external hunger cues, such as food taste and smell, or time to eat. Fat people tend to eat if they feel like eating, not eating when they are hungry. The type of research used was analytic observational research with cross sectional design. The population in this study were all students at Tomohon Christian High School 1 which was 1063 students. The sample was calculated in Slovak with a total of 43 students. Primary data is data about diet and the level of nutritional knowledge collected directly during the research. In this study most have a moderate level of knowledge with a total of 20 people (46.5%), a good level of knowledge of 20 people (32.6%), and less knowledge level of 9 people (20.9%).The results of the analysis using statistical test fisherexacttest with a value of p <0.05, which means there is a significant relationship between intake of levels of nutritional knowledge with obesity.
Pelatihan Mp-Asi Pangan Berbasis Lokal Dalam Peningkatan Pengetahuan Ibu Dan Status Gizi Pada Anak Dibawah Dua Tahun Di Wilayah Puskesmas Kabupaten Minahasa Tenggara
Authors: Momongan Nita R. , Sahelangi Olfie
Published: December 2020

Appropriate supplementary food breast milk should start at 6 months of age, but the reality in many infants under 6 months has been given food. According to data Riskesdas 2013, North Sulawesi Province of malnourished status of 3.7% (National 5.7%) and nutritional status less 12.8% (National 13.9%). Results of Nutrition Status Monitoring (2015) North Sulawesi Province, nutrition sufferer less 10.6%, for stunting case with very short category North Sulawesi Province 6.3%, and short category 15.%. The purpose of this research is to know mother knowledge and nutritional status of children under two yearsbefore and after getting training of local food-based supplementary food breast milk in South Minahasa Regency.The research type is quasi experiment with pre and post design control group design. This study was conducted in the area of ​​Puskesmas district South Minahasa in June to September 2017. The population in this study were all mothers with children aged 12 to 24 months. Total sample amounted to 70 samples consisted of treatment group 35 samples and control group 35 samples and how to determine the sample size by Simple random sampling. Bivariate analysis used different test of two groups in pairs and inter-group different test.

Result of research and conclusion: There is significant difference of knowledge of Baduta mother before and after training of local food-based supplementary food breast milk. There was no significant difference in nutritional status of Baduta children before and after local food-based supplementary food breast milk.
Asupan Serat Dan Magnesium Dengan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe Ii
Authors: Paruntu Olga Lieke , Legi Nonce Nova , Djendra I Made , Kaligis Giantri
Published: December 2020

Diabetes mellitus is very influential on the quality of human resources and has a significant impact on health costs. This diabetes mellitus cannot heal but can only be controlled. Patients with diabetes mellitus are not able to produce enough insulin or do not use it effectively so that there is excess glucose in the blood. One of the factors that triggers glucose is an unhealthy diet such as rarely consuming fiber, as well as consuming micronutrients, including magnesium. The general objective of this study was to determine the effect of fiber and magnesium intake with fasting blood glucose levels in type 2 diabetes mellitus patients at Pancaran Kasih General Hospital GMIM Manado. This research method using cross sectional design by purposive sampling. Data collection about the intake of fiber and magnesium using the 24-hour recall and the results of the examination of fasting blood glucose levels were taken through the medical record of the patient. Analyst data using logistic regression analysis. Based on data analysis using Fisher's Exact Test, showed P value = <0.05 / P = 0.013 means that there is a relationship between fiber intake and fasting blood glucose levels. While the results of data analysis using Fisher's Exact Test, showed P value => 0.05 / P = 0.61, meaning that there was no correlation between magnesium intake and fasting blood glucose levels. It can be concluded that there is a relationship between fiber intake and blood glucose levels. There is no relationship between magnesium intake and fasting blood glucose levels.
Indeks Glikemik Bahan Makanan Dengan Kadar Glukosa Darah Pada Penderita Diabetes Mellitus Tipe 2 Di Puskesmas Ranotana Weru
Authors: Momongan Nita R. , Kereh Phembriah S. , Sriwartini Sasaw
Published: December 2020

The food glycemic index is a scale or number of foodstuffs that if consumed can have an impact on blood glucose levels so it can be used as a way to control blood glucose levels. The purpose of this study to determine the relationship of glycemic index of food with blood glucose level at diabetes mellitus type 2 in working area of Ranotana Weru Health Center. This research is an observational research using cross sectional research design with sample consist of 34 respondents who fill up the criteria of inclusion and exclusion. Data retrieval is done through interviews using food frequency questionnaire form (FFQ) and blood glucose levels obtained from the examination using autocek. Univariate analysis is done by frequency distribution and bivariate analysis using Fisher’s Exact Test. The results showed that of 34 respondents most of the respondents have blood glucose levels when the uncontrolled ≥180 mg/dl and consumed a high food glycemic indexs of 28 respondents (82,3%). While respondents have controled blood glucose levels of <180 mg/dl and consumed a low food glycemic index is 5 respondents (14,7%). Average blood glucose levels of respondents is 237,74% mg/dl. The statistical test is done obtained that there was correlation of food glycemic index with blood glucose level with value p = 0,000 (p <0,05). Conclusion, there is correlation of food glycemic index with blood glucose level in type 2 diabetes mellitus in working area of Ranotana Weru Health Center.
Asupan Zat Gizi Dan Tingkat Pendapatan Keluarga Terhadap Kejadian Stunting Pada Anak Usia 3-5 Tahun
Authors: Langi Grace K.L. , Harikedua Vera T. , Purba Rudolf B. , Pelanginang Janeke I.
Published: December 2020

One of the main challenges currently facing the health sector in Indonesia is chronic child malnutrition. Although many health developments and advances have been made in Indonesia over the past few years, the problem of stunting remains significant. The results of Basic Health Research showed that the prevalence of stunting in Indonesia in 2013 was 37.2%. The results of the Nutrition Status Assessment (PSG), in the province of North Sulawesi, the prevalence of stunting according to the TB / U index in 2017 increased by 31.4%. For Kotamobagu City the prevalence of stunting is 38.1%. To determine the relationship of nutrient intake and the level of family income to the incidence of stunting in children aged 3-5 years in the work area of ​​Upai City Health Center, Kotamobagu. This study used a cross sectional design with a sample size of 41 people. Measurement of variables was obtained from interviews using a questionnaire, 24-hour recall, and height measurements using microtoise. The results of this study indicate there is a relationship between iron intake with stunting, whereas energy intake has no relationship with stunting, protein intake has no relationship with stunting events, vitamin A intake has no relationship with stunting, and family income levels have no relationship with stunting. There is a relationship between iron intake and the incidence of stunting while the intake of energy, protein, vitamin A and the level of family income have no relationship with the incidence of stunting.
Media Video Makanan Terhadap Pengetahuan Dan Kepatuhan Diet Serta Pengendalian Kadar Glukosa Darah Pasien Diabetes Melitus Tipe Ii
Authors: Legi Nonce Nova , Pasambuna Muksin , Purba Rudolf B. , Kasiati Oktavia
Published: December 2020

Changes in lifestyle from year to year increasingly experiencing developments in all fields, including influencing the type of food and consumption patterns and lifestyles. The increasing number of instant foods and drinks with high calorie, low fiber and high fat content increases the risk of developing metabolic and degenerative diseases. Coupled with a lifestyle that lacks physical activity. One of the metabolic and degenerative disorders that arise is diabetes mellitus. This type of research is a quasy experiment pre and post test one group design of 34 respondents. This research will describe the increase in knowledge, diet compliance and control of blood glucose levels in patients with diabetes mellitus at RSUP Prof. Dr. R. D. Kandou Manado. Data analysis for prior and after knowledge using the Wilcoxon test and the level of dietary compliance before and after using the Paired t-test. The results showed that the knowledge of the sample after being given nutritional counseling using food videos increased by 35.3%, from 64.7% to be better, the level of adherence to the patient's diet after being given nutritional counseling using food videos increased by 2.9% from 97.1% and sugar levels blood after being given nutritional counseling using food video media decreased from 261.8 mg / dL to 195.2 md / dL
PEMBERIAN ASI BERHUBUNGAN DENGAN DERAJAT STUNTING BAYI USIA 6-12 BULAN
Authors: Arini Diyah , Yuliastuti Christina , Putri Essa Nevya
Published: December 2020

Background: Mother's Milk (ASI) is the most important food and drink for babies. Additional food besides breast milk at an earlier age can increase morbidity. The degree of stunting is defined as a measure of nutritional status based on height by age in the z-score that is categorized into mild stunting, moderate stunting and severe stunting. Objective: To analyze the relationship between breastfeeding and the degree of stunting in infants aged 6-12 months in the Work Area of ​​the Kenjeran Health Center in Surabaya. Method: In this study using a correlation analytic research design with a cross sectional approach. The research population of all stunting infants in the working area of ​​the Surabaya Kenjeran Health Center was 325 infants in 4 Kelurahan including Kenjeran Kelurahan, Bulak Kelurahan, Kedung Cowek Kelurahan, and Sukolilo Kelurahan. The sample technique uses Probability Sampling by using Stratified Random Sampling as many as 97 babies. The research instrument used a questionnaire to determine breastfeeding. As well as measuring the degree of stunting using an observation sheet adjusted to the z-score table (body length / age). Results: The results showed that infants aged 6-12 months who experienced the worst degree of stunting consume milk partially. The Spearman rho test showed an association between breastfeeding and the degree of stunting ρ = 0,000 (ρ <α = 0.05). Conclusion: Breastfeeding is related to the degree of stunting, so that it can be socialized about the movement of the first 1000 days of life and counseling about providing complementary foods suitable for the age of the baby to cadres in the Work Area of ​​the Kenjeran Health Center in Surabaya.
TINGKAT KESUKAAN CHOUX PASTRY KERING DENGAN SUBSTITUSI TEPUNG IKAN GABUS
Authors: Asih Esthy Rahman , Arsil Yuliana
Published: December 2020

One of the local food ingredients that can be used as a source of protein is cork fish. Cork fish can be processed into flour, which can reduce damage and increase added value. This fish meal can be prepared into various snacks, one of which is a crispy choux pastry. Higher protein content with the substitution of cork fish flour in this crispy choux pastry has the potential to be a high-protein snack. This study aims to determine the sensory evaluation of crispy choux pastry formulation with cork fish meal substitution. The experimental design used in this study was CRD (Complete Randomized Design). The formulation of cork fish meal substitution in the production of crispy choux pastry is 0, 15, 30 and 45%. The resulted choux pastry was tested on the sensory evaluation at 30-semi-trained panellists. The results showed that the substitution of cork fish flour had a significant effect on the color, aroma and texture preference parameters. The substitution of cork fish flour in making crispy choux pastry by 15% is the best treatment with a color preference level value (5.80); taste (5,33); aroma (5,27); and texture (6.53).
Faktor-Faktor Yang Berhubungan Dengan Kejadian Ruptur Perineum Dalam Proses Persalinan Normal
Authors: Keintjem Femmy , Purwandari Atik , Lantaa Novia Alida
Published: December 2020

Latar Bekalang: Perdarahan postpartum menjadi penyebab utama 40% kematian ibu di Indonesia. Robekan jalan lahir merupakan penyebab kedua perdarahan setelah atonia uteri yang terjadi pada hampir persalinan pertama dan tidak jarang juga pada persalinan berikutnya. kejadian rupture perineum cukup tinggi di wilayah kerja Puskesmas Ranomut Kecamatan Paal II Manado.

Tujuan: Penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan kejadian ruptur perineum dalam proses persalinan normal.

Metode: Penelitian ini mengunakan desain penelitian retrospektif. Populasi dalam penelitian ini adalah semua ibu bersalin normal tahun 2016 di Puskesmas Ranomut Kecamatan Paal II Manado, dengan pengambilan sampel secara Total sampling. Analisa data menggunakan uji Chi square (X2).

Hasil: Penelitian diperoleh hubungan bermakna antara pertus presipitatus dan rupture perineum dengan p value 0,000 atau nilai p < 0,05, terdapat hubungn bermakna antara paritas dan rupture perineum dengan p value 0,005 atau nilai p < 0,05, dan terdapat hubungan bermakna antara BBL dan rupture perineum dengan p value 0,003 atau nilai p < 0,05.

Kesimpulan: Terdapat hubungan yang signifikan antara partus presipitatus, paritas dan berat badan lahir dengan kejadian ruptur perineum. Disarankan para bidan dapat mempertahankan mutu pelayanan kebidanan dalam menangani persalinan sesuai APN agar proses persalinan berlangsung dengan normal tanpa komplikasi.
Metode Kanguru Terhadap Fungsi Fisiologis Bayi Berat Lahir Rendah
Authors: Purwandari Atik , Tombokan Sandra GJ , Kombo Negin Lidya Clara
Published: December 2020

Latar Belakang: Bayi Berat Lahir Rendah (BBLR) adalah bayi yang lahir dengan berat badan kurang dari 2.500 gram tanpa memperhatikan usia gestasi. Kelahiran dengan BBLR disebabkan oleh banyak faktor meliputi faktor janin, ibu dan plasenta. Pada BBLR yang harus dilakukan pemeriksaan fungsi organ tubuhnya, sebelum mencapai berat yang cukup bayi BBLR memerlukan perawatan intensif dalam inkubator, biaya perawatan yang cukup tinggi dan membutuhkan tenaga kesehatan yang berpengalaman. Sebagai solusi pemberian perawatan metode kanguru (PMK). Perawatan bayi baru lahir dengan meletakkan bayi dada ibu (kontak kulit) sehingga suhu tubuh bayi tetap hangat.

Tujuan : Penelitian ini bertujuan untuk mengetahui pengaruh PMK terhadap fungsi fisiologis BBLR di RSUP Prof Dr. R.D Kandou Manado.

Metode : Jenis penelitian ini adalah pre experimental design yang dilakukan terhadap 25 sampel yang ditentukan secara purposive sampling. Pengumpulan data diperoleh dari hasil observasi sebelum dan setelah dilakukan PMK.

Hasil  : Analisa bivariat menunjukkan adanya pengaruh PMK terhadap fungsi fisiologis BBLR diantanya suhu badan sebelum diberikan PMK = 36,316 setelah diberikan PMK nilai mean untuk suhu badan = 36,684, nilai t = 13,677 (p = 0,000), denyut jantung sebelum diberikan PMK memperoleh nilai mean = 97,48 setelah diberikan PMK nilai mean untuk denyut jantung = 121,440, nilai t = 17,078 (p = 0,000), dan saturasi oksigen sebelum diberikan PMK memperoleh nilai mean = 88,080 setelah diberikan PMK memperoleh nilai mean untuk saturasi oksigen = 94,320, nilai t = 9,774 (p = 0,000). Analisis data menggunakan uji t berpasangan.

Kesimpulan : Berdasarkan hasil penelitan yang didapat diharapkan PMK yang dilakukan di RSUP Prof Dr. R.D Kandou Manado, bisa dijadikan sebagai tindakan rutin yang dilakukan kepada BBLR bila kondsi bayi memungkinkan dilakukan PMK, dan sebaiknya memiliki rumah singgah bagi ibu yang memiliki bayi yang masih dirawat, agar lebih mudah mengunjungi bayinya.
Promosi Kesehatan Reproduksi Terhadap Pengetahuan Remaja
Authors: Supit Joyce Angela Maria , Lumy Freike N , Kulas Els Ivi
Published: December 2020

Latar belakang: Tingkat pengetahuan kesehatan reproduksi merupakan salah satu faktor yang dapat memengaruhi perilaku seksual remaja pranikah. Fenomena akhir-akhir ini menunjukkan bahwa perilaku seksual pranikah remaja diberbagai provinsi semakin meningkat dikarenakan kurangnya pengetahuan remaja tentang kesehatan reproduksi. Permasalahan remaja tersebut memberi dampak sepertikehamilan, pernikahan usia muda, dan tingkat aborsi yang tinggi sehingga dampaknya buruk terhadap kesehatan reproduksi remaja.

Tujuan: Untuk mengetahui pengaruh promosi kesehatan reproduksi terhadap pengetahuan Remaja di SMP Negeri 4 Kecamatan Tomohon Barat Kota Tomohon.

Metode: Penelitian ini adalah rancangan quasi-eksperimental one group pre and posttest design yang dilakukan terhadap 59 sampel, dengan pengumpulan data menggunakan kuesioner yang dibagikan kepada responden sebelum dan sesudah diberikan promosi kesehatan reproduksi. Analisis data menggunakan Wilcoxon Signed Rank Test.

Hasil: Penelitian ini menunjukkan tingkat pengetahuan sebelum diberikan promosi kesehatan paling besar pada kategori kurang sebesar 59,3% dan setelah diberikan promosi kesehatan tingkat pengetahuan responden paling besar pada kategori baik sebesar 78%. Hasil analisis menunjukkan nilai p=0,01 (p<0,05).

Kesimpulan: Ada pengaruh pemberian promosi kesehatan reproduksi kepada remaja. Disarankan program pemberian promosi kesehatan reproduksi dapat dilakukan dengan berkelanjutan baik oleh pihak sekolah maupun pemerintah yang berwenang pada bidang kesehatan sehingga remaja yang rentan terhadap masalah-masalah kesehatan reproduksi dapat berkurang.
Riwayat Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita Usia 24-60 Bulan
Authors: Chyntaka Mayang , Putri Nanda Yansih
Published: December 2020

Penelitian ini bertujuan mengetahui hubungan Riwayat Pemberian ASI Eksklusif  Dengan Kejadian Stunting Pada Balita di Desa Pabean Ilir Kecamatan Pasekan Kabupaten Indramayu Tahun 2019. Metode penelitian yang digunakan adalah jenis penelitian survey menggunakan pendekatan crosssectional. Populasi ibu-ibu yang mempunyai balita usia 24-60 bulan di Desa Pabean Ilir Kecamatan Pasekan Kabupaten Indramayu yang berjumlah 435 orang dengan pengambilan sampel menggunakan tehnik accidental sampling berjumlah 66 orang. Hasil penelitian diperoleh bahwa hampir seluruhnya (90,6%) responden mempunyai riwayat pemberian ASI Eksklusif, lebih dari setengahnya(63,6%) balita usia 24-60 bulan tidak mengalami kejadian stunting. Dari analisis bivariat diketahui bahwa terdapat hubungan yang signifikan antara riwayat pemberian ASI Eksklusif terhadap kejadian stunting diDesa Pabean Ilir Kecamatan Pasekan Kabupaten Indramayu.
HUBUNGAN KEDALAMAN SUMUR BOR DENGAN KADAR BESI (Fe) DAN MANGAN (Mn) DI KELURAHAN MALENDENG KECAMATAN PAAL 2 KOTA MANADO
Authors: Misa Amina , Duka Risman S. , Layuk Semuel , Kawatu Yozua T.
Published: December 2020

Air merupakan salah satu kebutuhan pokok manusia sehingga sangat perlu dilaksanakan pengawasan kualitas air. Air tanah sering mengandung Zat Besi (Fe) dan Mangan (Mn) yang melebihi kadar maksimum yang diperbolehkan, adanya kandungan Besi (Fe) dan Mangan (Mn) dalam air menyebabkan warna air berubah menjadi kuning-kecoklatan setelah beberapa saat kontak dengan udara. Penelitian ini bertujuan untuk mengetahui Hubungan Kedalaman Sumur Bor dengan Kadar Besi (Fe) dan Mangan (Mn) di Kelurahan Malendeng Kecamatan Paal 2 Manado. Metode penelitian yang digunakan adalah analitik observasional dengan rancangan penelitian cross sectional menggunakan uji statistik Chi-Square. Sampel dalam penelitian ini berjumlah 33 sumur bor. Variabel bebas yang diteliti adalah kedalaman sumur bor. Hasil penelitian ini menunjukkan untuk kedalaman sumur bor < 20 meter ada 12, sumur bor > 20 meter ada 21. Kadar Besi (Fe) tidak memenuhi syarat 3% dan Mangan (Mn) yang tidak memenuhi syarat 39%. Hasil uji Chi Square menunjukkan untuk kedalaman sumur bor dengan kadar Besi (Fe) p = 1 sedangkan untuk kedalaman sumur bor dengan kadar Mangan (Mn) p = 0,465 maka Ho diterima berarti tidak terdapat hubungan yang bermakna antara kedalaman sumur bor dengan kadar Besi (Fe) dan Mangan (Mn) di Kelurahan Malendeng Kecamatan Paal 2 Manado. Diharapkan agar masyarakat lebih memperhatikan kondisi air yang memenuhi syarat kesehatan.
THE IMPORTANCE OF DISMENOREA HANDLING EFFORTS IN ADOLESCENT NOT PRESENT AT SCHOOL
Authors: Wolff Cathy Jessica M. , Yauri Indriani
Published: December 2020

Background: Dysmenorrhea is stiffness or spasms in the lower abdomen that occur before, during, or during menstruation, which can interfere with daily activities. When pain arises various kinds of treatment efforts will be done by some women either using drugs or without drugs. Experiencing dysmenorrhoea for women certainly can be detrimental and can cause discomfort when going to do daily activities, especially in young women who are generally a student. With good handling efforts by young women will certainly reduce the absence rate at school. Aims : of this study was to determine the relationship between efforts to manage dysmenorrhoea in adolescent girls with absence from school. Method: The research design used was descriptive quantitative using a cross sectional approach. The research sample using purposive sampling techniques amounted to 50 respondents. Data analysis uses chi-square test. Results : of the analysis obtained a value of 0.001 for non-pharmacological efforts by young women towards absence from school and 0.030 for pharmacological efforts by young women towards absence from school with significance value α <0.05, which means there is a significant relationship between efforts to manage dysmenorrhoea in adolescent girls with absence attend school. Conclusion: This research can be used as a reference material for parents, medical personnel especially that it is very important for young women to know about dysmenorrhoea as well as handling efforts that need to be done. And it is recommended to health workers and the school to take part in providing counseling about dysmenorrhoea and its treatment efforts. For further research in order to see things that can be investigated that have not been listed in this study. An example is the socioeconomic factor, and attitude.
IMPACT OF EDUCATION ON PATIENT ANXIETY BEFORE CATARAC OPERATION IN EYE HOSPITAL NORTH SULAWESI PROVINCE
Authors: Warouw Herman J. , Tambuwun Semuel , Pandeirot Graciela M.
Published: December 2020

Background. Anxiety is a problem that often occurs in the preparation of cataract surgery patients in the hospital. In some cases the surgery is delayed due to patient anxiety. This study aims to determine the effect of education on patient anxiety in the preparation of the implementation of cataract surgery in the Eye Hospital of North Sulawesi Province. Method: This research is an experimental study using a One Group Pretest-Posttest design to compare patient anxiety before and after education. The number of samples used is 27 people obtained using purposive sampling technique. Data collection is done by filling out the questionnaire and then analyzed using the Wilcoxon Signed Rank Test. Results: The data showed that the anxiety of patients before being given education was 88.9% having moderate anxiety, 88.9% and after being given the greatest education (59.2% category of mild anxiety. Statistical test results showed there were differences in anxiety between before and after provided education to patients with cataract surgery preparations, with a P-value = 0,000 (α <0.05) Conclusion: there is an influence of education on patient anxiety in the preparation of cataract surgery at the North Sulawesi Province Eye Hospital. It is expected that patients before surgery need to be given education or information clearly so that patients do not feel anxious in the operation.
INCREASED KNOWLEDGE OF WOMAN ADOLESCENT ABOUT ABORTUS PROVOCATUS CRIMINALIS AFTER IN HEALTH EDUCATION
Authors: Wuisan Fernanda Sharen Maissy , Moningka Lucia , Tamunu Esther N.
Published: December 2020

Background: Abortion provocateurs criminalis is an abortion that occurs due to actions that are not legal or not based on medical indications. The incidence of abortion in Indonesia according to the BKKBN every year there is an increase of about 15% and of that number 800,000 of them are carried out by young women who are still sitting in school. Data found in SMK Cokroaminoto, Manado City, 5 female students who dropped out of school due to pregnancy out of wedlock and 2 of them took shortcuts by aborting provocateurs criminals. Objective: This study is to determine the effect of health education on the level of knowledge of adolescent girls about abortion provocateurs criminals. Method: The research design used was a pre-experimental method with a one-group pretest-posttest method in which the design features were not compared to a control group. The study population was female teenagers grade X and XI at SMK Cokroaminoto Manado, amounting to 49 people. The sampling technique used was Total Sampling, as many as 31 people. Results: Analysis with the Wilcoxon signed-rank test. The test results have a significant effect on health education about abortion provocateurs criminal on the level of knowledge of young women (α ≤ 0.05 ie p-value = 0,000). Conclusion: Health education about abortion provocatus criminals increases the knowledge of young women. Suggestions are expected that young women can increase awareness to prevent abortion of provocateurs criminalis.
KNOWLEDGE AND ADOLESCENT ATTITUDE OF SMK COKROAMINOTO MANADO ABOUT REPRODUCTIVE HEALTH
Authors: Umar Susanti V. , Tandiayuk Monica S. , Djaafar Nurseha S.
Published: December 2020

Background: Knowledge of reproductive health for adolescents is very important. Based on the nursing problems at the Cokroaminoto Manado Vocational School found in interviews with 5 female students, it shows that female students do not yet know about problems that often occur in reproductive health such as sexually transmitted diseases (STDs) and how to maintain healthy hygiene reproduction. Objective: This study was to determine the relationship of knowledge with adolescent attitudes about reproductive health at SMK Cokroaminoto Manado. Method: This type of research is analytic with a cross-sectional approach using a total sample technique to obtain 30 female teenage respondents at the time of the study. The statistical technique used is the Chi-square test with significance value ≤0.05. Measuring instruments used are knowledge and attitude questionnaires. Results: The test results obtained by the Pearson Chi-square test obtained value x ² = 15,200 with p (asmp.sig) = 0.001 <0.05 means significant, so H0 is rejected and Ha is accepted. Conclusion: There is a relationship between knowledge and adolescent attitudes about reproductive health at SMK Cokroaminoto Manado. Suggestions for young women to seek more information about reproductive health so that the knowledge of adolescent girls increases.
EATING PATTERNS AND NUTRITIONAL STATUS OF CHILDREN'S AGE PRE-SCHOOL IN PUSKESMAS MELONGUANE TALAUD ISLANDS
Authors: Mamahit Adi Yeremia , Karame Vera , Niomba Misra A.
Published: December 2020

Background: Nutritional status in children aged 1-5 years is still a major health problem in the world including the country of Indonesia. Indonesia is a developing country that still faces considerable nutritional deficiencies. World Health Organization (WHO) estimates that 54% of causes of death in infants and toddlers are based on poor nutrition. Aims are to determine the relationship between eating patterns with the nutritional status of pre-school age children in the Public Health Center in the Melonguane sub-district. Methods: This research uses correlation analytic research with cross-sectional approach. This research was carried out in the Melonguane Community Health Center, Melonguane District, Talaud Regency. Sample as many as 33 pre-school age children (3-5 years). Based on statistical tests using the Chi-Square test with indigo ρ = 0.007 smaller than the value of α = 0.05, which means the null hypothesis is rejected. Conclusion: Most pre-school age children in the work area of ​​the Melonguane Health Center in the District of Melonguane have a good diet. Most pre-school-aged children in the Melonguane Community Health Center area of ​​Melonguane District have normal nutritional status. There is a relationship between eating patterns with the nutritional status of pre-school-aged children in the working area of ​​the Melonguane Community Health Center, Melonguane District, normal nutritional status.
KNOWLEDGE OF A FAMILY AFTER EDUCATION IN HOSPITAL PRE HOSPITAL STROKE EDUCATION HANDLING AT PANCARAN HOSPITAL OF MANADO
Authors: Isworo Isworo , Tumurang Marjes , Sarimin Dorce , Marasi Dwita , Rondonuwu Rolly
Published: December 2020

Background: The lifestyle of Indonesian people that shifts towards an instant and fast food lifestyle affects the health of everyone, coupled with factors such as lack of physical activity, fast food consumption and the impact of stress, which can trigger factors stroke that can lead to death. Aims: This study is to determine the effect of health education on the handling of pre-hospital stroke emergencies on family knowledge. Method: This research is a pre-experimental design using a one-group pre-test-post-test design. The population in this study amounted to 120 family members and 30 samples were determined using the purposive sampling method. Respondents were given treatment in the form of health education about the handling of pre-hospital stroke emergencies. The measured variable is family knowledge before and after treatment and measured using a questionnaire that has been tested for the validity and reliability of the instrument, by processing data using editing, coding, processing, and cleaning techniques. Data analysis is presented in tabular form and tested with the Wilcoxon Signed Rank Test. Results: The Wilcoxon Signed Rank Test statistical test showed family knowledge before and after treatment with pValue = 0,000 (α = 0.05). Conclusion: health education has a significant effect on family knowledge about the handling of pre-hospital stroke emergencies. Suggestions from this research, health workers can provide health promotion in the form of providing health education or ongoing training in order to add insight to families about emergency care.
THE IMPORTANCE OF HEALTH EDUCATION REDUCE STRESS LEVEL IN CATARACS OPERATION CLIENTS IN MANADO EYE HOSPITAL UPTD
Authors: Gansalangi Ferdinand , Rumengan Kezya , Tangka Jon W. , Bobaya Janbonsel
Published: December 2020

Introduction: Cataracts occur as a result of the opacification of the lens of the eye which decreases vision ability until blindness. The risk of blindness caused by cataracts can be cured through surgical removal of cataracts. Cataract surgery is a stressor for patients with cataracts. One of the measures to reduce stress levels before surgery is to prepare the patient's mentality. Mental preparation of patients can be done through Health Education. Health education in preoperative patients is provided with the aim of providing information relating to preoperative preparation. Purpose: The purpose of this study is to determine whether there is an influence of health education on stress levels in pre-cataract surgery clients at UPTD Manado Eye Hospital. Method: The design of this study used a quasi-one-group pre-post-test test and accidental sampling technique of 30 respondents and data analysis using the Wilcoxon Signed Rank Test. Results : The results of the study showed that there was a significant influence on health education on stress levels in pre-cataract surgery clients with a p-value of 0,000, meaning that the P-value α ≤ 0.05. Discussion: According to researchers, health education plays an important role in reducing stress levels in someone who will undergo cataract surgery. By providing preoperative health education the client will obtain clear information about the illness and the operating experience that will be faced so as to reduce the level of stress on the preoperative client. Referring to the opinion of Induniasih and Ratih (2017), that health education is all efforts to educate, provide information, knowledge, skills to improve the quality of health, both at the individual, group, and community level.
Conclusion: The conclusion of this study is that health education can reduce the level of stress a person faces in cataract surgery. Suggestions for further researchers can do research with different methods or types of research or conduct research on the same topic with different samples that can represent the population, so they can compare the results of research.