bluuebunny/crossref_metadata_2025 huggingface dataset:
Alternative Forms of Spirituality and the Socialization of a Self-Enhancing Subjectivity: Features of the Post-Secular Religious Space in Contemporary Romania
Authors: Gog Sorin
Published: January 2017

My paper focuses on the shift in religious values in post-socialist Romania and explores the emergence of alternative spiritual beliefs and practices among the younger generations socialized during the post-communist period. It analyses some of the changes that occurred in the wider traditional religious field and looks at the various spiritualized technologies of the self that produce a distinctive type of religious subjectivity and an immanent ethics of authenticity. By departing from the idea of an integrated religious community and from the relational understanding of religious transformation, the field of alternative spiritualities operates a radical break with traditional religion and emphasizes the possibility of spiritual self-realization and self-discovery. It is this process of the individualizing sacralization of the self that constitutes the object of various workshops, blogs, personal and spiritual development literature, courses, spiritual retreats and counselling services. My research looks at how innovative technologies of the self are developed within these spaces that emphasize creativity, wellbeing and a new understanding of subjective interiority that learns how to find in itself the resources it needs to live in a spiritualized ontology of the present.2
Steps on Life Change and Spiritual Transformation: The Project of the Self
Authors: Tobias Andrada
Published: January 2017

The aim of the present paper is to analyse how individuals in contemporary Romania come to adopt a new life-style centred on the self and how new forms of spirituality contribute to this project. In order to document how powerfully immersed alternative forms of spirituality (yoga practices, transcendental meditation, bioenergy, holistic medicine etc.) and subjectification techniques (personal development, motivational practices) look like for people in Romania, I have combined participant observations with semi-structured in-depth interviews. First of all I have reviewed the literature on spirituality and self-development and overviewed the specific techniques of subjectification. These techniques have thepowerto change the individual’s view of life and have elements that serve the neoliberalgovernmentality. To continue, I have attended courses and workshops centred on spiritual development to uncover the communalities between literature and discourses on change. I was mainly interested in analysing the discourse of trainers, speakers and religious guiders and outlining the participants’ experiences, while understanding how they utilise the knowledge and support given throughout these courses when trying to enhance their day-to-day lives and careers. 2
The Quest for the Spiritual Self: Anti-Capitalist and Neo-Liberal Forms of Spirituality in Contemporary Romania
Authors: Palaga Cristine
Published: January 2017

In line with socio-anthropological theories meant to deconstruct the secularization teleology (Berger, 1997; Luckmann, 1967; Shah, 2015), this paper aims to document recent transformations in the field of Spirituality and Religion. Inheriting the analytical dichotomy between neo-liberal and anti-capitalist forms of spirituality, introduced by Carette and King (2005), I aim to emphasize both the common points and the ruptures between the subjectification technologies used within transformative self-development and self-help programmes, on the one hand, and a form of alternative Neo-Pagan spirituality, which opposes the capitalist way of organizing social, economic, political and cultural life, on the other hand. The rupture between anti-capitalist and neo-liberal forms of spirituality rests on identifying the extent to which the spiritual domain is colonized by an economically mundane ideology, in which the subject is invited to look upon spirituality as an internal resource meant to satisfy all the tropes of the neo-liberal economic imagery: optimization, efficiency, amplified productivity, abundance and prosperity. In addition to the ethnographic justification of this theoretical construct that supports the existence of two opposed poles of constituting a spiritual self, I will adjoin the cultural relationship between spirituality and capitalism to the wider problem of secularization, by arguing that spirituality is a byproduct of late modernity and a leitmotif of the power technologies through which the neo-liberal subject is produced. 2
Viskoelastizität und Anisotropie von Kunststoffen: Ultraschallbasierte Methoden zur Materialparameterbestimmung
Authors: Bause Fabian , Claes Leander , Webersen Manuel , Johannesmann Sarah , Henning Bernd
Published: February 2017

In diesem Beitrag werden verschiedene Aspekte der ultraschallbasierten Messtechnik hinsichtlich der Materialparameterbestimmung an viskoelastischen Materialien behandelt. Zunächst wird ein viskoelastisches Materialmodell unter Berücksichtigung von Anisotropie und Kausalität erarbeitet. Nachfolgend werden zwei verschiedene Verfahren zur Charakterisierung von Materialparametern anhand von geführten Ultraschallwellen in zylindrischen und plattenförmigen Strukturen vorgestellt sowie Vor- und Nachteile diskutiert. Dabei wird ebenso auf die Betrachtung von Materialalterung eingegangen. Beispielhaft untersucht werden thermoplastische Materialien wie Polypropylen und Polyamid 6. Zur Charakterisierung starker Anisotropie wird auch auf glasfaserverstärkte Plattenstrukturen mit thermoplastischer Matrix eingegangen.
A Preliminary Design System for Turbine Discs
Authors: Ouellet Yannick , Savaria Christian , Roy François , Moustapha Hany , Garnier François
Published: January 2017

In order to improve product development cycle, design engineers use multidisciplinary analysis tools which allow for better productivity. This paper covers the development of new tools to improve the preliminary design phase of turbine disc, being a critical part of aircraft engines. First, a new single platform D&A (Design & Analysis) tool integrating commercial CAD (Computer Aided Design) and FEA (Finite Element Analysis) software processing in batch mode is presented. This integrated architecture leads to a real improvement, enabling a cohesive single integrated simulation environment that offers significant time reduction on user manipulation and execution. An optimization of disc geometry is then performed by using different optimization algorithms and configurations for a given disc parameterized model. The results show potential improvement over the current preliminary rotor discs for life and burst limited design. Finally, optimal curves obtained by developing HPT (High Pressure Turbine) disc reference charts, indicate how to get the minimum weight for given mechanical performance without running any structural analysis. These new tools supporting disc design have allowed improvement of disc life and durability leading to a reduction of preliminary design phase duration.
Simultaneous Modeling of Disease Status and Clinical Phenotypes To Increase Power in Genome-Wide Association Studies
Authors: Bilow Michael , Crespo Fernando , Pan Zhicheng , Eskin Eleazar , Eyheramendy Susana
Published: January 2017

Genome-wide association studies have identified thousands of variants implicated in dozens of complex diseases. Most studies collect individuals with...

Genome-wide association studies have identified thousands of variants implicated in dozens of complex diseases. Most studies collect individuals with and without disease and search for variants with different frequencies between the groups. For many of these studies, additional disease traits are also collected. Jointly modeling clinical phenotype and disease status is a promising way to increase power to detect true associations between genetics and disease. In particular, this approach increases the potential for discovering genetic variants that are associated with both a clinical phenotype and a disease. Standard multivariate techniques fail to effectively solve this problem, because their case–control status is discrete and not continuous. Standard approaches to estimate model parameters are biased due to the ascertainment in case–control studies. We present a novel method that resolves both of these issues for simultaneous association testing of genetic variants that have both case status and a clinical covariate. We demonstrate the utility of our method using both simulated data and the Northern Finland Birth Cohort data.
Association of Mesocotyl and Coleoptile Elongation with Seedling Vigor and Yield and its Components in Rice
Authors: T. Metwally  , M. M. A. Osman  , R. El-Namaky  , Haytham M. El Sharkawi
Published: February 2017

The present study was carried out at laboratory, greenhouse and experimental farm of Rice Research and Training Center (RRTC), Sakha, Kafr El-Sheikh, Egypt during 2014 and 2015 season to investigate the differences in some seedling vigor, yield and its attributes and Nitrogen (N) status in milled grain which measured on eight rice varieties i.e. Giza 171, Giza 177, Giza 178, Sakha 101, Sakha 102, Sakha 103, Sakha 104 and Gaori. The results revealed that the short stature genotypes Sakha101 and Gaori (91.0 and 77.95cm) gave shortest Mesocotyl length and plant height. Where as, the tall plants of Giza171, Sakha 102 (126 and 106cm) had comparatively long mesocotyl. Also, the data indicated that tall plants tend to produce long coleoptile while semi-dwarf or short genotypes produced short ones. Sakha 101 and Giza 178 rice cultivars recorded the highest values of panicles m-2, grains panicle-1, grain yield t ha-1, biomass production t ha-1 and harvest index. Nitrogen and protein content in milled grain was statistically higher in the genotype Gaori than other entries while the genotypes Sakha 101 and Sakha 103 uptake more nitrogen than the others. The results suggested that varieties of Giza177, Sakha102 and 104 are more tolerant to adverse conditions during seeding stage.
MANAGEMEN UNTUK MENCEGAH KOMPLIKASI JANGKA PANJANG PENYAKIT DIABETES MELITUS
Authors: Ponudurai Prabu
Published: February 2017

Diabetes mellitus (DM) adalah gangguan metabolisme yang progresif kronis yang ditandai denganÂ hiperglikemia terutama disebabkan absolut (Type 1 DM) atau relatif (Tipe 2 DM) hormon insulin defisiensi.Â Perkiraan Organisasi Kesehatan Dunia bahwa lebih dari 346 juta orang di seluruh dunia menderita DM. JumlahÂ ini kemungkinan akan lebih dari dua kali lipat pada tahun 2030 tanpa intervensi. Kebutuhan pasien diabetesÂ tidak hanya terbatas pada kontrol glikemik yang memadai, tetapi juga sesuai dengan mencegah komplikasi;Â Keterbatasan cacat dan rehabilitasi. Ada tujuh perawatan diri penting perilaku pada penderita diabetes yangÂ memprediksi hasil makan makanan yang sehat, aktif secara fisik, pemantauan gula darah, pengobatan yangÂ teratur, kemampuan menyelesaikan masalah yang baik, keterampilan gaya hidup sehat dan perilakuÂ pengurangan risiko diabetes. Semua tujuh perilaku ini telah ditemukan berkorelasi positif dengan glikemik yangÂ baik dari segi kontrol, pengurangan komplikasi dan peningkatan kualitas hidup. Individu dengan diabetes telahÂ memainkan peranan penting pada perkembangan dan perkembangan penyakit mereka dengan berpartisipasiÂ dalam perawatan mereka sendiri.Beberapa demografis, faktor dukungan sosialâ€ekonomi dan sosial dapatÂ dianggap sebagai kontributor positif dalam memfasilitasi aktivitas perawatan diri pada pasien diabetes, peranÂ dokter dalam mempromosikan perawatan diri adalah penting dan harus ditekankan.
HUBUNGAN HEAT STRESS DENGAN KELELAHAN PADA MAHASISWA SEMESTER I FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Ahmad Zakwan
Published: February 2017

Heat stress dapat dialami oleh siapa saja. Namun belum banyak penelitian yang meneliti efek dari heat stress terhadap kelelahan mahasiswa dan apakah terdapat perbedaan antara kelelahan yang dialami saat pagi hari dan sore hari. Oleh karena itu, sebuah penelitian telah dilakukan pada sampel yang terdiri dari 42 mahasiswa semester 1 Fakultas Kedokteran Universitas Udayana. Sebuah kuesioner skor kelelahan telah diberikan kepada mahasiswa untuk menilai tingkat kelelahan mereka selama waktu tersebut. Hasilnya telah dianalisis secara deskriptif dan analitik dan menunjukkan bahwa terdapat hubungan antara heat stress dengan kelelahan mahasiswa. Penelitian juga menunjukkan mahasiswa di sesi pagi memiliki skor kelelahan yang lebih tinggi daripada yang sesi sore. Hal ini menunjukkan bahwa heat stress yang terjadi pada mahasiswa di pagi hari lebih tinggi dibandingkan dengan sore hari.Â
KESIAPAN INFRASTRUKTUR PUSKESMAS TAMPAKSIRING I KABUPATEN GIANYAR BALI DALAM MENGIMPLEMENTASIKAN PROGRAM JKN
Authors: Agatha Riskadewi
Published: February 2017

Background: Program JKN, demanding public health centers as firstâ€line to provide adequate facilities. Community health center infrastructure readiness Siring I became one of the points that need to be considered to assess the readiness of health centers in the era of JKN. Purpose: The purpose of this study was to determine the readiness of Sukawati I PHC infrastructure in implementing JKN system. Methods: This was a descriptive research studies on qualitative. This study was conducted to examine the PHCinfrastructure readiness in implementing the Sukawati I JKN. It is seen by direct observation of the infrastructure and inâ€depth interviews Results: Building Health Center Sukawati I still do not meet the standard because although the building has a permanent and meet safety standards and ease of service delivery and the protection and safety of all persons, including persons with disabilities, children, and the elderly. Building clinics have not noticed the building function and comfort. This is evidenced by the presence of an improper use of the room. One common example is, immunization activities are often carried out in the employee break room while the health center already has a separate room for immunization activities. In addition to the immunization room lighting is less than the maximum. From the nonâ€building health center has 2 ambulances, 1 car mobile health clinics, a medical waste / nonâ€medical, emergency medical equipment, consumables, and sterilizer, but there is a shortage in the availability of emergency medicine and drug standards to handle 144 diseases that must be completed in PPK1 level. In addition there are constraints on the availability of laboratory equipment. From this study, it can beconcluded that a prominent factor in the implementation of infrastructure in health centers JKN Sukawati I nongedung facilities and buildings that are still not memadahi.
LAPORAN KASUS ABORTUS IMINENS JUNI 2015 FAKTOR RESIKO, PATOGENESIS, DAN PENATALAKSANAAN
Authors: Sanjaya Dharma Kiki
Published: February 2017

Introduction: One of the most complications in pregnancy it was a bleeding , that could happen to any the gestational age .Young in pregnancy , often connected with abortus , miscarriage , and loss of early pregnancy .Abortus is defined as the threat or spending the products of conception before a fetus can live outside the utery. Constitutes gestational age is less than 20 weeks or fetus weight less than 500 grams .Abortus imminens is pervaginam bleeding in pregnancy before 20 weeks without accompanied the release of the products of conception and dilatation of the uterus.Cases: Female patient , 31 years , the balinese ethnic coming to the emergency room the hospital with complaints pervaginam bleeding. Said to be initially were bleeding spots that its color red .Then there are black coloured bloodlump, there is no tissue.
PREVALENSI DAN DISTRIBUSI OSTEOARTRITIS LUTUT BERDASARKAN KARAKTERISTIK SOSIO-DEMOGRAFI DAN FAKTOR RISIKO DI WILAYAH KERJA PUSKESMAS SUSUT I, KECAMATAN SUSUT, KABUPATEN BANGLI PADA TAHUN 2014
Authors: Hasiibi Wan
Published: February 2017

An aging process will increase human morbidity caused by degenerative diseases and disability. Based on data in Policlinic of Rheumatology Sanglah Hospital in 2001-2002, Osteoarthritis was the highest case (37%) with proportion of Knee Osteoarthritis was 97%. In Susut I Primary Health Care, which is located in Bangli, Rheumatic placed the second rank from the list of top 10 diseases in 2013.Â This research used cross sectional descriptive method. Sample were elderly who are more than 50 years old and total of sample was 78 which are taken by multistage random sampling method from Banjar Susut Kaja, Susut Village, Susut Subdisctric, Bangli Regency, April 2014.Â The prevalence of Knee Osteoarthritis in elderly who are more than 50 years old in Susut Village in April 2014 was 62,8%. According to socio-demography characteristic , knee osteoarthritis occured more in respondents who are 50-70 years old (61.2%), women (57.1%), and had physical job (farmer, cattleman, labor and army) (65.3%). While, according to risk factors, knee osteoarthritis occured more in respondents who had underweight-normal body mass index (59.2%), with history of workload due to medium-hard (71.4%), with biomechanics factors where respondents who bring goods while worked (71.4%), and the weight of goods estimated more than 25 kg (79.6%), work frequencies with goods more than 4 times a week (53.1%), respondents who had work duration more than 17 years (91.8%), and respondents who had up and down pathway and also using stairs (77.6%). Knee osteoarthritis occured more in respondents without history of knee trauma (87.8%).Â
CT EKSPIRASI RESOLUSI TINGGI: KEGUNAAN DIAGNOSTIKNYA PADA PENYAKIT PARU DIFUS
Authors: Chantrhira Sakaran Gayathrie
Published: February 2017

CT ekspirasi resolusi tinggi merupakan pelengkap CT inspirasi resolusi tinggi dalam mendiagnosis penyakit paru yang difus. Teknik ini memperlihatkan adanya perubahan-perubahan dinamik pada penipisan paru yang dihubungkan dengan beberapa faktor, seperti: jumlah udara dalam alveoli, interstitium paru, dan volume darah dalam paru. Teknik ini sangat sensitif untuk mendeteksi sumbatan jalan nafas yang kecil. Dengan mengkombinasikan CT inspirasi resolusi tinggi dengan CT ekspirasi resolusi tinggi kita dapat lebih memahami mekanisme penipisan paru yang tidak homogen, serta bisa mendiagnosis penyakit paru difus dengan lebih baik.
GAMBARAN TINGKAT SOSIAL EKONOMI DAN KEBIASAAN MEROKOK PADA SISWA LAKI-LAKI SMA NEGERI 1 PEKUTATAN, KECAMATAN PEKUTATAN, KABUPATEN JEMBRANA TAHUN 2014
Authors: Satria Jayatama Agus
Published: February 2017

SMOKING HABIT AND SOCIAL ECONOMIC LEVEL IN MALE STUDENT OF SMA NEGERI 1 PEKUTATAN, PEKUTATAN DISTRICT JEMBRANA REGENCY IN 2014ABSTRACTBackground: Smoking is one of the health problems in the world are still trying to handle. Smokers usually begins inteenager. The results of the study by the Health Department in 2008 showed that prevalence of smokers in Jembrana was 38.2%. Age of first smoking was highest in the age group 15 to 19 years is 44.1%. The purpose of this study is to describe the smoking habbit of students of SMAN 1 Pekutatan, District Pekutatan, Jembrana Regency in 2014.Â Methodology: This study was a descriptive cross-sectional study. Using a sample of men as many as 75 people who are students of SMAN 1 Pekutatan. Data was obtained using a questionnaire.Results: The results of the study of demographic characteristics, respondents aged 15 to 19 years, started smoking since high school (62.1%). The reason smoking as invited friends (69%), with the average number of cigarettes per day 7.07 rods in suction and filter cigarette smoking entirely. Smoking is the most common time with friends, the most common is the stall hangout with friends. More often get by buying cigarettes, and most parents do not know if they smoke. Respondents who receive a stipend of more than or equal to Rp 10,000, - most do not smoke and who get an allowance of less than Rp 10,000, - entirely non-smoking. Respondents whose parents smoke are also most of the smoke, and the respondents whose parents do not smoke do not smoke too largely.Conclusion: The proportion of smoking male students of SMAN 1 Pekutatan is 38.7%. The results of this study show everyday friends have a high influence on smoking behavior in adolescents. Male students that smoking spend 52,05% of their money to buy cigarettes.
TINGKAT KEPATUHAN PENGOBATAN DAN PERUBAHAN GAYA HIDUP SEHAT, PASIEN HIPERTENSI DI WILAYAH KERJA PUSKESMAS TEGALLALANG I, BALI TAHUN 2014
Authors: Valentinus Purwanto Andrew , Kartika Sari Ayu
Published: February 2017

Hypertension is one of the factor that cause heart disease, stroke, and death. Based on Riskesdas 2013, there were 25,8% people â‰¥ 18 years old who suffered from hypertension in Indonesia and 19,9% in Bali. There were 620 cases of hypertension in Puskesmas Tegallalang I and became the first cause of death in 2013 in Puskesmas Tegallalang I. The purpose of this study to know the overview of medication compliance and lifestyle modification in hypertensive patient in working area of Puskesmas Tegallalang I. This study is using descriptive cross sectional model. Datas were obtained by interview using a questionnaire to 41 sample. Based on the result of analysis, 87,8% have low compliance, 12,2% have medium compliance, and no one has high compliance. The result also shows 39% people decreased in consumption of tobaco, 4,9% decreased in consumption of alcohol, 36,6% decreased in consumption of coffee, 4,9% decreased in duration of watching television, 31,7% increase the frequency of sport in a week, and 34,1% increased in duration of sport. Most of the subject of this study have a low medication compliance.Â
PREVALENSI KELUHAN LOW BACK PAIN (LBP) PADA PETANI DI WILAYAH KERJA UPT KESMAS PAYANGAN GIANYAR APRIL 2015
Authors: Kaur Kiranjit
Published: February 2017

Latar Belakang: LBP merupakan gangguan muskuloskeletal yang banyak dikeluhkan oleh petani. Kegiatan yang dilakukan petani umumnya memerlukan posisi tubuh yang statis dan repetitif yang meningkatkan prevalensi keluhan LBP. Selain posisi kerja yang salah, umur, jenis kelamin, lama kerja, masa kerja, posisi kerja, riwayat merokok dan trauma juga merupakan faktor untuk terjadi LBP. Petani di wilayah cakupan kerja UPT payangan berjumlah sebanyak 4.883. Dilihat dari tingginya jumlah petani di wilayah tersebut angka kejadian LBP diperkirakan tinggi. Namun kenyataannya, dari 43.597 total kunjungan pasien ke balai pengobatan tahun 2014, angka kejadian LBP hanya 111.Â Tujuan Penelitian: Mengetahui prevalensi keluhan LBP pada petani di wilayah kerja UPT Kesmas Payangan tahun 2015.Metode Penelitian: Penelitianmenggunakan desain studi deskriptif cross-sectional untuk mengetahui prevalensi keluhan LBPpada petani yang tinggal dan bekerja di wilayah kerja UPT Kesmas Payangan.Populasi dari penelitian ini adalah semua petani yang berada di wilayah kerja UPT Kesmas Payangan. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner lalu dilakukan analisis secara univariat dan bivariat.Hasil:Sebanyak 68,6% (48 orang) responden mengeluh LBP. Perempuan (71%)lebih banyak mengalami LBP dibandingkan dengan laki-laki (66,7%). Kelompok usia dengan keluhan >45 tahun paling banyak mengalami LBP (73,3%). Sebanyak 63,6% petani yang memiliki waktu kerja kurang dari 5 jam dan sebanyak 70,6% petani yang bekerja lebih dari 5 jam mengalami LBP. Sebanyak 60% petani yang bekerja kurang dari 10 tahun mengalami LBP dan sebanyak 69,2% petani yang bekerja lebih dari 10 tahun mengalami LBP. Sebanyak 72,7% petani yang merokok mengalami LBP dan sebanyak 64,9% petani yang tidak merokok mengalami LBP. Keluhan LBP terbanyak dikeluhkan oleh petani yang sering melakukan posisi kerja membungkuk (68,6%). Sebanyak 93,75% petani yang tidak memiliki riwayat jatuh mengalami LBP. Perilaku tatalaksanan keluhan LBP yang dilakukan terbanyak adalah pemijatan (27,1%). Sebanyak 91,7% petani mengalami minimal disability dan sebanyak 8,3% petani mengalami moderate disability.Kesimpulan: Prevalensi LBP tertinggi ditemukan pada perempuan, dengan kelompok usia > 45 tahun, lama kerja â‰¥ 5 jam, masa kerja â‰¥ 10 tahun, memiliki riwayat merokok, sering melakukan posisi bungkuk, tidak memiliki riwayat trauma, perilaku tatalaksana keluhan dengan pemijatan dan mengalami minimal disability.
KEJADIAN OTITIS EKSTERNA PADA MASYARAKAT PENEBEL TABANAN DAN YANGAPI BANGLI YANG BERKUNJUNG KE BAKTI SOSIAL STAF MEDIS FUNGSIONAL TELINGA HIDUNG TENGGOROKAN FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA - RUMAH SAKIT UMUM PUSAT SANGLAH PADA TAHUN 2012
Authors: Teguh Aryanugraha Putu , Putra Setiawan Eka
Published: February 2017

Indonesia is a tropical country which in some places have there own temperature and humidity criteria factors predisposing to otitis externa is usually triggered by the growth of fungi that are responsible for the onset of otitis externa. The research was conducted in two places, namely in the village of Penebel Tabanan and the village of Yangapi Bangli. The aim to determine the prevalence of otitis externa, especially in people who follow social events in the village Penebel and Yangapi. This research was carried out by quantitative descriptive design with a population that is affordable and Yangapi Penebel villagers who come to charity ENT Division Sanglah Hospital. The incidence of OE in the village Penebel was 6 of 66 patients and in the village Yangapi was 3 of 96 patients. Variants OE in the village of the same Penebel lot of male patients men and women with a lifespan of 41 years and above, whereas the incidence in the village OE Yangapi more on men with an age range 21-30 years. At this research showed otitis externa patients who come to social event in both villages were 9 people from 162 patients who came to the social event ENT Division Sanglah Hospital.
MENGENALI GEJALA TINITUS DAN PENATALAKSANAANNYA
Authors: Purwita Agustini Dewi
Published: February 2017

Telinga berdenging atau dikenal dalam bahasa medis sebagai tinitus, banyak dikeluhkan sebagai suatu bising atau bunyi yang muncul di kepala tanpa adanya rangsangan dari luar. Adapun keluhan yang dialami ini seperti bunyi mendengung, mendesis, menderu, atau berbagai variasi bunyi yang lain. Tinitus bukanlah penyakit atau sindroma, tapi hanya merupakan gejala yang mungkin berasal dari satu atau sejumlah kelainan.Sebetulnya suara yang terdengar oleh telinga tersebut belum tentu bersifat kelainan atau patologis. Jika orang sehat yang terbukti telinganya normal, berada dalam ruang kedap (anehoic chamber), maka ia akan dapat mendengar berbagai macam suara yang berasal dari berbagai organ tubuhnya sendiri yang memang bekerja setiap saat, contohnya: pernapasan, kontraksi jantung, dan aliran darah. Kenyataannya, dalam kehidupan sehari-hari, suasana yang memungkinkan suara fisiologis atau normal tersebut terdengar oleh seseorang sangat jarang tercipta dan bahkan dalam kamar yang sunyi di malam hari sekalipun. Hal ini dikarenakan, bunyi masking dari lingkungan dengan berintensitas bunyi sekitar 25 â€“ 30 dB. Tinitus baru menjadi gejala jika suara organ tubuh intensitasnya melebihi bunyi masking lingkungan tadi.Tinitus kerap diderita terutama orang pada kelompok usia pertengahan dan usia tua. Menurut data statistic dari pusat kesehatan di Amerika, sekitar 32% orang dewasa pernah mengalami tinitus pada suatu saat tertentu dalam hidupnya, dan 6 % nya sangat menganggu dan cukup sulit disembuhkan. Di Inggris, 17% populasi juga memiliki masalah tinitus. Sayangnya di Indonesia belum ada data statistic yang memadai, namun berdasarkan pengalaman empiris, penderita tinitus cukup banyak dan sering ditemui di tempat praktek, klinik, maupun rumah sakit. Meski tinitus bukanlah keadaan yang membahayakan, munculnya gejala ini pada hampir kebanyakan orang sangat mengganggu dan sering mempengaruhi kualitas hidup dan pekerjaannya.
PREVALENSI HIPERTENSI PADA MASYARAKAT USIA 18-59 TAHUN DI WILAYAH KERJAPUSKESMAS TAMPAKSIRING I KABUPATEN GIANYAR BALI TAHUN 2013
Authors: Viki Dwipayana Gusti Agung Bagus
Published: February 2017

Background: Hypertension is a cardiovascular disorder that is estimated to cause approximately 13% of total deaths worldwide. The disorder is associated with a variety of risk factors, i.e risk factors that can not be modified as well as the risk factors that can be modified. From the reports of Puskesmas Tampaksiring I in 2012, hypertension was in top ten disease and the prevalence is increasing every year. At the beginning of the survey, 30 respondents were selected randomly, and found the prevalence of hypertension is quite high at 40%, compared to the prevalence in the Gianyar regency of 28.2%. Based on this, the authors conducted a study to determine the prevalence and risk factors distribution of hypertension on community aged 18-59 years in the working area of UPT Puskesmas Tampaksiring I.Methods: The study was conducted in the working area of Puskesmas Tampaksiring I, District of Tampaksiring, Gianyar, in November 2013. This study is a cross-sectional descriptive study with a total sample of 92 respondents who are the people in the working area UPT Puskesmas Tampaksiring I was 18-59 years. Data were obtained through a questionnaire which consisted of a number of questions as well as height and weight measurements were conducted by researcher.Results and Suggestions: The results showed that the prevalence of hypertension in the population aged 18-59 years in Puskesmas Tampaksiring I of 41.3% (CI 31.79 to 51.51). Hypertension more experienced by males (47.8%), age group 54-59 years old (65.6%), had a family history of hypertension (55.6%), never smoked (55.6%), the group that never consume alcohol (42.9%), coffee consumption (47.4%), a group that has a high stress level (100%), the group with mild physical activity (44.2%), and the obese group (64.9 %). Given the high prevalence of hypertension in the community, it is necessary to take measures a more effective counseling and other health promotion to increase public knowledge about hypertension and risk factors.Keywords: hypertension, risk factors, age, gender, genetics, smoking, physical activity, obesity, stress, coffee, alcohol
FAKTOR-FAKTOR YANG MEMPENGARUHI KETERLAMBATAN DIAGNOSIS DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS ABANG I, KABUPATEN KARANGASEM BALI TAHUN 2015
Authors: Subramaniam Kumudini
Published: February 2017

Diabetes Mellitus (DM) Type 2 is one of disease that has attraction around the world in which one of the main problem is the delay in the diagnosis of the disease. The delay in the diagnosis of DM can also be found in Abang I Health Centre. In the year of 2014, there is a total of 34 new cases of DM and 74% were diagnosed DM for the first time since has come with complications such as gangrene, retinopathy, and nephropathy. However, no information or previous research that may explain the reason why this delay occurred in Abang I Health Centre. This study aims to determine the factors that influence the delay in diagnosis of type 2 diabetes mellitus in the working area of Abang I Health Centre, Karangasem District. This study is a qualitative study with in-depth interviews among six patients that already had complication for the first time when diagnose with DM and focus group discussion (FGD) among four healthcare workers in Abang I Health Centre that has relationship with the service given to DM patient. The results showed that the factors affecting the delay in diagnosis of type 2 diabetes mellitus in the working area of Abang I health centre consists of limitation of knowledge among the community about diabetes mellitus, the negative perception of diabetes mellitus among the community, misperception of early medical examination, lack of trust among the community towards the quality of health care service, diabetes mellitus is not of the priority for health care and lack of recommendation for the early detection of diabetes mellitus from the health care workers. Based on the findings, the healthcare centre should increase the promotion of health about DM disease through media communication and education (KIE) that is easily accessed by the community besides adding non-infectious diseaseinto one the main priority work agenda in Abang I Health CentreÂ
ETIOLOGI EFUSI PLEURA PADA PASIEN RAWAT INAP DI RUMAH SAKIT UMUM PUSAT SANGLAH, DENPASAR, BALI TAHUN 2013
Authors: Dwianggita Priscilla
Published: February 2017

Penelitian ini bertujuan untuk mengetahui apa saja penyebab efusi pleura pada pasien rawat inap di Rumah Sakit Umum Pusat Sanglah, Denpasar, Bali tahun 2013.Â Penelitian ini menggunakan rancangan penelitian deskriptif retrospektif dengan teknik pengambilan sampel systemic random sampling. Penelitian dilakukan dari bulan Agustus-September 2014. Sampel penelitian ialah 107 pasien efusi pleura yang dirawat inap selama tahun 2013. Dikumpulkan data sekunder berupa rekam medis pasien kemudian diolah dan disajikan dalam tabel distribusi frekuensi dan diagram pie.Dari 107 pasien yang diteliti, didapatkan penyebab efusi pleura, yaitu malignansi (34.6%), pneumonia (15%), TB paru (10.3%), demam berdarah (dengue haemorrhagic fever/DHF) (4.7%), komplikasi post-thoracotomy (2.8%), systemic lupus erythematous/SLE (0.9%), gagal jantung kongestif (congestive heart failure/CHF) (15.9%), gagal ginjal kronis (chronic kidney disease/CKD) (9.3%), sirosis hepar (3.7%), dan hipoalbuminemia (2.8%). Jenis cairan eksudatif (68.2%) lebih banyak ditemukan daripada transudatif. Efusi pleura eksudatif banyak disebabkan oleh malignansi (50.7%), sedangkan pada efusi pleura transudatif ialah gagal jantung congestif (50%).Dapat disimpulkan bahwa terdapat 10 penyebab efusi pleura yang ditemukan pada pasien efusi pleura selama tahun 2013 dengan penyebab terseringnya adalah malignansi. Hasil penelitian ini diharapkan dapat dipergunakan sebagai data awal untuk penelitian selanjutnya.
PREVALENSI DAN DISTRIBUSI FAKTOR RISIKO DEPRESI PADA LANSIA DI WILAYAH KERJA PUSKESMAS TAMPAKSIRING I KABUPATEN GIANYAR BALI 2015
Authors: Aryawangsa Anak Agung Ngurah , Putu Ariastuti Ni Luh
Published: February 2017

Seiring dengan peningkatan derajat kesehatan dan kesejahteraan penduduk akan berpengaruh pada peningkatan usia harapan hidup yang menyebabkan terjadinya peningkatan jumlah populasi lanjut usia (lansia). Pada lansia, terjadi proses penuaan, hal ini menyebabkan perubahan pada fisik dan mental seorang individu. Di samping itu terjadi pula perubahan lingkungan sosioekonomi seperti berhenti bekerja, kehilangan orang yang dicinta, dan sebagainya yang dapat mengakibatkan lansia menjadi lebih rentan untuk mengalami masalah depresi. Kejadian depresi pada lansia seringkali diabaikan akibat kurangnya perhatian dari keluarga atau sanak saudara, padahal dampak depresi pada lansia sangat buruk dan apabila tidak tertangani dapat mengurangi kualitas hidup dan meningkatkan angka kematian. Melihat pentingnya masalah ini, penulis melakukan penelitian untuk mengetahui gambaran faktor risiko kejadian depresi pada lansia di wilayah kerja Puskesmas Tampaksiring I sebagai langkah advokasi dalam usaha peningkatan program-program promotif dan preventif dalam menghadapi permasalahan lansia di wilayah kerja Puskesmas Tampaksiring I. Penelitian ini merupakan penelitian deskriptif cross-sectional yang dilakukan pada bulan April-Mei 2015. Sampel dalam penelitian adalah lansia berusia 60 tahun keatas dengan jumlah sampel sebanyak 90 orang yang dipilih secara acak pada desa di wilayah kerja Puskesmas Tampaksiring I Kabupaten Gianyar dengan menggunakan teknik multistage random sampling. Data diperoleh dengan melakukan wawancara terhadap responden menggunakan kuesioner terstruktur. Hasil penelitian menunjukkan bahwa prevalensi depresi pada lansia sebesar 23,3%. Kejadian depresi cenderung dialami oleh laki-laki (30,6%), kelompok usia â‰¥ 70 tahun (30,6%), tingkat pendidikan rendah (24,4%), tidak bekerja (25,4%), tingkat penghasilan perbulan rendah (41,2%), tidak menikah (50%), memiliki penyakit kronis >2 (28,6%), dan tidak memiliki riwayat keluarga depresi (23,9%). Prevalensi lansia dengan depresi cenderung lebih tinggi pada lansia laki-laki, kelompok usia 70 tahun ke atas, berpendidikan rendah, tidak bekerja, berpenghasilan perbulan rendah, tidak menikah, memiliki penyakit kronis >2, dan tidak memiliki riwayat keluarga depresi.Kata kunci: depresi, lansia, Puskesmas Tampaksiring I, Desa Tampaksiring, Desa SandingÂ
Program Pengasuhan Positif untuk Meningkatkan Keterampilan Mindful Parenting Orangtua Remaja
Authors: Pajar Mubarok Pathah
Published: January 2017

Deal with children in adolescence stage, parents often showing impatience behavior, unable to control him/herself, complaining when faced with difficulties in parenting and do not listen attentively toward child’s problems. This study aimed to determine the effectiveness of mindful parenting program to improve parenting skills in a positive way. The research method used a quasi-experimental design with measurement technique was Interpersonal Mindfulness in Parenting Scale. The subjects were 28 parents of students of class VII SMPN 15 Bandung. The results showed that the effect of mindful parenting programs has improved significantly on three skills in aspect of positive parenting included listening attentively, emotional awareness of self and children, and self-regulation in the parenting relationship. But for the other two aspects, namely acceptance of self and children without judgment, and the love of self and children the results are less significant.
Hubungan antara Kepribadian, Kesiapan Organisasi untuk Berubah dan Kriteria Universitas Kelas Dunia
Authors: Hami Azhar El
Published: January 2017

Changes in the organization is important to retain its existence and continues to grow. This study attempted to see the connection between personality factors (the big five factor), organizational change readiness and the criteria of World Class University at University X. Based on the analysis of qualitative and statistical tests associated with the third link variable, then showed that the personality and organizational change readiness have an important role for the achievement of world class criteria university. This research showed that personality profiles of  extraversion and openess to experience as well as aspects of the vision of change and acceptance phase to be decisive for the index of world class university. This result seems to be supported by the presence of the relationship between extraversion profile with aspects of the vision of change and acceptance. The profile of openness to experience also correlated with aspects of vision of change and acceptance.
Pendekatan Bermain untuk Menurunkan Perilaku Menghindar pada Anak yang Mengalami Trauma Pengobatan
Authors: Sumiati Sumiati , Sulianti Ambar
Published: January 2017

Trauma is emotional response that involve intense fear, helplessness, or horror. Trauma raises three reactions i.e. disrupt memory, avoidance behavior and emergence of physical disorders. Children love games. This study aimed to test the effect of the playing approach against avoidance behaviors in a child with treatment trauma due to chronic disease. This study used a quasi experimental by Single Subject Randomized Time Series Design. The research subject was a seven years old child who suffering chronic Lyme disease with a fist size swelling in her face who showed avoidance behaviour trauma. Lego, drawing, folding, and story telling have been choosen as playing approach. The avoidance behaviour were observed consists of treatment avoidance and laboratory avoidance. The data were analyzed using descriptive statistical analysis in the form of graphs. The results shown that playing method had lowering effect in both avoidance behaviors.
Perbedaan Konsumsi Hedonis pada Mahasiswa Universitas Syiah Kuala Ditinjau dari Jenis Kelamin dan Asal Fakultas
Authors: Riadhah Cut Aya , Rachmatan Risana
Published: January 2017

This research aims to study the difference of hedonic consumption among syiah kuala university students in term of gender and faculties. The technique sampling used were purposive and quota sampling with 360 students consisted of 180 male and 180 female from 12 faculties. The data were collected using hedonic consumption scale constructed by researcher based on Hirschman and Holbrook theory (1982). Coefisien reliability of this research was (α)= 0,873. Hypothesis was tested by using Independent Sample T-Test which showed significance value 0,000 (p<0,05) and One Way Anova which showed significance value 0,000 (p<0,05). Result shows that there was different hedonic consumption between male and female students of Unsyiah in which female indicated higher hedonic consumption than male student. Besides,  students of dentistry faculty indicated higher hedonic consumption than the other faculties.
Peran Budaya Organisasi terhadap Disiplin Kerja Karyawan Direktorat Produksi PT Krakatau Steel (Persero) Tbk Cilegon
Authors: Pribadi Muhammad Luhung , Herlena Benny
Published: January 2017

This research aims to study the effect of organizational culture toward  employee work discipline at Directorate Production PT Krakatau Steel (Persero) Tbk Cilegon. The subjects of this research are 115 employees from several divisions at Directorate Production of PT Krakatau Steel (Persero) Tbk Cilegon. The data were collected through cluster sampling technique. Instrument used are  organizational culture scale, and work discipline scale. Data were  analized using correlational test regression analysis technique. The result show that there is significant correlation of organizational culture for employee work discipline at Directorate Production PT Krakatau Steel (Persero) Tbk Cilegon. It is shown by correlation coefficient of regression analysis as R=0,534, with effective contribution R square (R2)= 0,285 or 28,5%, and significance level p = 0,000. Thus, it proves the hypothesis in this research is accepted.
Hubungan antara Self Efficacy dengan Flow Akademik pada Siswa Akselerasi SMPN 1 Sidoarjo
Authors: Purwati Eni , Akmaliyah Mashubatul
Published: January 2017

Academic Flow is a condition where person feel comfortable, able to concentrate, has inner motivation, and also able to enjoy doing academic activity. Self efficacy is believe inside someone has the ability to decide correct behavior to achieve desired success. Purpose of this research is to know the correlation between self efficacy and academic flow on student acceleration. Self efficacy is acknowledged as the trigger which pushes someone learning activity until they had flow condition. This research is correlational quantitative with a subject 24 acceleration students. The result of the study showed correlation between self efficacy and academic flow on acceleration students positive linear, which is mean the higher self efficacy the higher academic flow. High self efficacy able to control the behavior to maintain the effort to do the assignment which make easy to reach the academic flow.
PEMANCARAN SINYAL AKUSTIK BUATAN UNTUK MERESPON TINGKAH LAKU IKAN BANDENG (Channos sp.) PADA SKALA PERCOBAAN
Authors: Cahyadi Agus
Published: February 2017

Salah satu fungsi gurat sisi pada ikan adalah mendeteksi gerakan antar sesama ikan yang diakibatkan oleh faktor lingkungan maupun fisiologi ikan. Tujuan penelitian ini adalah merespon tingkah laku sekumpulan ikan bandeng terhadap sinyal akustik buatan atau SAB. SAB merupakan sinyal yang dibangkitkan dari perubahan fase akustik sebagai nilai perbedaan waktu tunda (delay) yang terjadi pada saat ikan bergerak secara fluktuatif. Melalui penelitian eksperimen, SAB diujicobakan pada skala percobaan dengan mengaktifasi SAB pada perioda 0.01 - 0.19 detik dan amplituda–nya adalah 34.6 dB. Pengujian statistik dilakukan untuk dua variabel, yaitu intensitas akustik kuat dan intensitas akustik normal. SAB pada intensitas akustik kuat menunjukan respon yang agresif terhadap tingkah laku kumpulan ikan bandeng pada skala percobaan. One of linea lateralis function of fish is to detect the motion among fishes which caused by environment factor or fish physiology. The goal research is to respond the schooling fish behavior that artificial acoustic signal or SAB. SAB generated from shifted phase acoustic is delayed time occur at fish swims fluctuate. SAB is tested on experimental scale with activating SAB at 0.01 to 0.19 periods and its amplitude is 34.6 dB. Statistic test is conducted for two variables, namely peak and normal intensity of acoustic. They are peak acoustic intensity and normal acoustic intensity. SAB at peak acoustic intensity showed aggressive respond to milkfish schooling behavior on experimental scale.
The best of both worlds
Authors: Archer Brent , Olvera Ramona
Published: February 2017

This article explores two theoretical perspectives on aphasia. The first tradition we consider could be labeled ‘classical aphasiology’. Several beliefs run through studies published within this paradigm. Our field's history as a medical specialty committed to etic modes of understanding fosters a construal of aphasia as an impairment caused by brain injury. Since researchers are informed by neuropsycholinguistic theories of linguistics, they tend to view the person diagnosed with communication disability as an individual processor of language. An early association with positivism fostered the assumption that experiments in carefully controlled environments, which try to negate the effect of contextual variables as much as possible, can generate insights about how best to view and remediate adult neurogenic language disorders. Our second area of focus here is a newer approach developed over the last 25 years or so. Fields such as anthropology (Goodwin, 2004), ethnography (Simmons-Mackie and Damico, 1999a) for an overview), phenomenology (Fourie and Murphy, 2011), conversation analysis (Damico, Oelschlaeger, and Simmons-Mackie, 1999), grounded theory (Andersson and Fridlund, 2002; Hersh 2001) and systemic functional linguistics (Armstrong and Mortensen, 2006) are all examples of disciplines that have provided the lenses and other tools used by workers in what we will call ‘qualitative aphasiology’. A number of beliefs guide qualitative investigations of aphasia. An emic stance, as articulated by anthropologists and similar analysts, compels writers to describe aphasia in terms of the interpretations regarded as meaningful by people and families living with aphasia producing valuable, holistic understandings of this disorder. Sociolinguistic models of communication ensure that researchers conceive of language as a system for co-constructing social reality. A situated approach to understanding meaning-making necessitates a conceptualization of human beings as interactants whose behavior helps to shape, and is in turn shaped by, the contextual variables relevant in everyday life. Our analysis will elucidate some consequences of these two sets of beliefs. In particular, we demonstrate how epistemological orientation (speech pathology as an etic, medical enterprise vs. speech pathology as an emic, anthropological enterprise) impacts the characterization of aphasia itself and how ideas about the appropriate unit of analysis (individual processors vs. social builders) are linked to varying working definitions of language.
Managing Children with Bronchopulmonary Dysplasia
Authors: Baranov A. A. , Namazova-Baranova L. S. , Volodin N. N. , Davydova I. V. , Ovsyannikov D. U. , Ivanov D. O. , Boytsova E. V. , Yatsik G. V. , Antonov A. G. , Ionov O. V. , Ryndin A. U. , Grebennikov V. A. , Soldatova I. G. , Chubarova A. I.
Published: January 2017

Bronchopulmonary dysplasia is one of the most significant early childhood chronic respiratory diseases. The article features modern approaches to preventing, diagnosing and treating broncho-pulmonary dysplasia, as well as ways of preventing complications and undesirable disease outcomes in patients older than 3 years. Members of professional associations — Union of Pediatricians of Russia and Russian Association of Perinatal Medicine Specialists — have summarized the experience of managing this category of patients at leading Russian pediatric centers according to the principles of evidence-based medicine and have provided scientific and practical data corresponding to the world level of knowledge with regard to the present problem.