bluuebunny/crossref_metadata_2025 huggingface dataset:
PENERAPAN LOGIKA FUZZY MENGGUNAKAN METODE MAMDANI DALAM OPTIMASI PERMINTAAN OBAT
Authors: Raga Djara Inggrid , Widiastuti Tiwuk , Sihotang Dony M
Published: December 2019

Perencanaan pengadaan obat yang baik pada puskesmas diperlukan guna mendukung pelayanan kesehatan yang diberikan oleh puskesmas, dalam mengatasi masalah perencanaan permintaan obat agar sesuai dengan kebutuhan yang ada, penulis menggunakan metode fuzzy mamdani dalam optimasi permintaan obat, ada beberapa tahapan dalam fuzzy yaitu pembentukan himpunan fuzzy, aplikasi fungsi implikasi (aturan), komposisi aturan, penegasan (defuzzy) menggunakan metode MOM (Mean of Maksimum). Parameter yang digunakan ialah stok awal, penerimaan, persediaan, pemakaian, stok akhir dan permintaan. Perhitungan sistem dilakukan dengan menggunakan data obat selama 2 tahun, pengujian dilakukan sebanyak 1 tahun untuk membandingkan hasil permintaan puskesmas dan permintaan sistem. Dari hasil pengujian total permintaan sistem lebih kecil dibandingkan total permintaan Puskesmas, maka didapat optimasi sistem sebesar 7,623% untuk 3 data obat sehingga dapat meningkatkan efisiensi dana anggaran sebesar Rp. 3.168.223, sehingga dapat disimpulkan bahwa  metode Fuzzy Mamdani merupakan metode yang memberikan solusi yang optimal.
Trend Related To Compensation among Different Industries
Authors:   Faculty, School of Business Studies, Sharda University, Greater Noida, India., Agarwal* Dr. Nimmi , Pandey Prashant Kumar ,   Management Professional, Amity International Business School, Amity University, Noida, India., Pandey Praveen Kumar ,   Management Professional, School of Business Studies, Sharda University, Greater Noida, India.
Published: December 2019

The basic objective of this paper is to understand the key compensation and benefits trends across sectors in the Indian private market along with the fluctuations in the projected scenario and that of the actual environment. There is no to less number of studies which explains the trends of the compensation policy that is been prevailing in different industries and at different levels of the management which is acting as a gap which can be bridged through this study as it fills the gap of unawareness prevailing among the minds of the employees and the students. This study suggests that for the purpose of retaining the existing employees of the companies and to attract outlying talented people, the managers are increasing the level of annual increment rate and the annual variable pay rate. The insurance policy that is been provided by the employer during the years is showing that the companies are now focusing on the retention of the existing employees and also these things will attract the new talents into the company. The study is been conducted for analyzing the trends in Indian industries, but the results, in overall, can be implemented in any part of world because of the level of universal attribute of the results. This study is completely based upon the secondary sources of data such as the reports, newspapers, journals, websites, magazines, etc. In totality, 35 sources of data are evaluated for cumulating and analysis of the data. The results of the study are useful for the managers because it will help them in understanding the predominant pay drifts that are trailed by their current industry and other enterprises. Also, the management students will get the direction to choose their respective industry to enter for better exposure and compensation.
O que se entende por inclusão produtiva dos agricultores familiares? Um estudo de revisão bibliométrica
Authors: Sousa Diego Neves de
Published: December 2019

A temática “inclusão produtiva” tem ocupado lugar de destaque na agenda política nacional, sobretudo com a criação da Política de Desenvolvimento Territorial e do Programa Brasil Sem Miséria como estratégias para erradicar a pobreza no meio rural. Sobre o significado do referido termo, não há consenso na comunidade acadêmica e tampouco no meio governamental, o qual é abarcado implicitamente por inúmeras políticas públicas, sem que os policy makers se preocupem com o que realmente representa. Este artigo é uma revisão bibliométrica para analisar a produção científica sobre a temática “inclusão produtiva dos agricultores familiares” como forma de compreender o que os autores entendem acerca do referido assunto e quais são as asserções sobre os objetos empíricos que estão associados a ele e abordados nos estudos mapeados. Entre os resultados, evidenciou-se que não há uma definição conceitual clara e didática sobre o que se entende por inclusão produtiva dos agricultores familiares, prevalecendo a perspectiva do senso comum. Por sua vez, a fim de viabilizar estratégias para reduzir a pobreza e inserir os agricultores familiares em mercados, a inclusão produtiva tornou-se termo recorrente na pauta acadêmica e política, o que demonstra a significância desta temática para diversos grupos excluídos do meio rural.
Aprendizagens e reflexões na construção de um diagnóstico participativo em comunidades pesqueiras do rio Araguaia
Authors: Kato Hellen Cristina de Almeida , Sousa Diego Neves de , Silva Adriano Prysthon  da
Published: December 2019

Este trabalho tem o objetivo de sistematizar as experiências vivenciadas na construção de um diagnóstico participativo em comunidades pesqueiras do Rio Araguaia, retratando as aprendizagens e reflexões quanto a esse processo social. Nos procedimentos metodológicos, utilizaram-se diferentes técnicas para a sistematização dessa experiência conforme é preconizado por Holliday (2006). Entre os resultados, pode-se inferir que a sistematização da experiência aqui retratada permitiu ao leitor aprendizagens e reflexões sobre o detalhamento de ações de um trabalho de campo e a realização de um diagnóstico socioeconômico e tecnológico, com base em metodologias participativas, com grupos específicos, como pescadores, ribeirinhos e indígenas, o que pode ser adaptado a diferentes contextos de intervenção social.
ELASTIC AND SAFETY CLUTCHES RUBBER
INTERMEDIATE ELEMENTS IN THE FORM OF
AXIALLY ARRANGED CYLINDRICAL ROLLERS
Authors: Ioan Stroe
Published: December 2019

the paper presents the variant of an elastic and safety coupling that has intermediate elements in the form of cylindrical
rolls of elastic elements with different elasticities and rigidities. The cylindrical rollers are arranged on both semicouplings the functional contact being realized on the generator realized between the two cylindrical rollers. The
structure and the constructive form of the coupling are presented.Starting from the geometric model,the torque and the
elastic characteristic of the coupling are determined. The elastic and safety coupling with intermediate elements of
elastic rollers too the shocks and torsional vibrations of the mechanical transmission as well as the deviations of position
and form respectively the mounting errors.The theoretical and experimental characteristics of the coupling made with
elastic elements of different rigidity are determined.The final conclusions highlight the advantage of the new elastic and
safety coupling that combines the simple functions of the mechanical couplings by successfully replacing the use of the
combined couplings.
Estandarización de una reacción en cadena de la polimerasa en tiempo real (qPCR) para la detección de Strongyloides stercoralis en muestras de materia fecal
Authors: Campo-Polanco Laura F. , Hernández-Sarmiento José M. , Botero-Palacio Luz E. , Gutiérrez-Builes Lina A.
Published: December 2019

Introducción: el diagnóstico de estrongiloidiasis se realiza de rutina en los laboratorios clínicos; sin embargo, su detección se dificulta debido a la baja excreción parasitaria y la baja sensibilidad de las pruebas parasitológicas empleadas. Objetivo: diseñar y estandarizar una PCR en tiempo real (qPCR) para la detección de ADN de Strongyloides stercoralis en muestras de materia fecal. Materiales y métodos: se establecieron las condiciones de qPCR y se evaluaron: a) la especificidad analítica mediante análisis BLASTn de secuencias obtenidas de muestras positivas para Strongyloides stercoralis, b) sensibilidad analítica mediante diluciones seriadas de muestras que contenían larvas de Strongyloides stercoralis y c) la ocurrencia de reacciones cruzadas con otros parásitos e inhibidores de la amplificación. Resultados: se amplificó un fragmento de 101 pb del gen 18S del ARN ribosomal. El valor de Ct osciló entre 23 y 29, tomando un Ct ≤35 como el punto de corte para muestras positivas. El análisis BLASTn de las secuencias obtenidas mostró un porcentaje de identidad del 98% con secuencias 18S del ARN ribosomal de Strongyloides stercoralis reportadas en la NCBI. El límite inferior de detección de la qPCR fue 0,9 ng/µL. No se evidenció reacción cruzada con Ascaris lumbricoides, Trichuris trichiura, Uncinarias, Hymenolepis nana, Entamoeba histolytica/Entamoeba dispar, Entamoeba hartmanni, Giardia intestinalis e Iodamoeba bütschlii. No se detectaron inhibidores en las muestras de materia fecal. Conclusiones: la sensibilidad y la especificidad analítica de la qPCR comparado con el examen directo de heces son del 100%; sin embargo, aún no es posible interpretar su utilidad clínica.
Megalencephaly and Epileptic Encephalopathy: Bad luck or a common pathway?
Authors: P Ekeke , M Naik , KR Vats
Published: December 2019

Megalencephaly is a neuronal migration disorder characterized by an abnormally large brain. Numerous associated syndromes and various molecular mutations have been identified as an etiology for megalencephaly, however, SCN2A mutations have not been previously described. This report highlights a case of a term male megalencephalic neonate who presents with intractable seizures, who was found to have SCN2A gene variant that has now been identified as pathogenic. This patient expands our knowledge of the phenotypic spectrum of SNC2A mutations by adding consideration for macroscopic brain findings. Currently, we have no direct link between SCN2A mutations and megalencephaly, but our patient highlights the potential overlap in disease processes. It is possible that the biochemical disturbance associated with abnormal neuronal migration also affects the neuronal circuitry, thus increasing the propensity for electrical dysfunction and manifesting as seizures.
HUBUNGAN PENGETAHUAN DENGAN SIKAP ORANG TUA TERHADAP PENINGKATAN STIMULASI PERKEMBANGAN ANAK USIA 4-5 TAHUN
Authors: Hayati Erlina , Siregar GF Gustina
Published: December 2019

This article presents the results of research on the Relationship of Knowledge with Attitudes of Parents to Increased Stimulation of Development of Children 4-5 Years Old in XVIII Hamlet, PayaBakung Village, Hamparan Perak Subdistrict, Deli Serdang District in 2018 which aims to determine parents' knowledge of parental interest in stimulating . This research is an analytic survey that tries to explore how and why health phenomena occur. The population in this study were parents who had children aged 4-5 years as many as 30 people in VXII Hamlet, PayaBakung Village, Hamparan Perak District, Deli Serdang Regency. While the sampling technique in this study using total sampling technique is the number of population sampled as many as 30 people. From the results show that almost all parents who have children aged 4-5 years know how to stimulate good development for their children if children cannot experience delays that can be caused by lack of fulfillment in children, in which is the need to play. Childhood should be a period of play that is expected to foster maturity in growth and development, so that if the period is not used as well as possible, of course, it will eventually disrupt the growth of children.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KESEDIAAN IBU BERSALIN UNTUK PEMASANGAN IUD POST PLACENTA
Authors: Batubara Saiful , Utami Risqi
Published: December 2019

Intra Uterine Device post placenta is the installation in the first 10 minutes to 48 hours after the birth placenta plays a role in reducing maternal mortality through prevention of pregnancy, delaying pregnancy, and spacing pregnancies, the effectiveness of use up to 99.4% can prevent 5-10 years of pregnancy. This study aims to determine the factors associated with maternal willingness to post Post Placenta IUD. The study used a questionnaire with a population of third trimester pregnant women who examined their pregnancies and a sample of 98 people by purposive sampling. Analyze data with Chi Square. The results showed that the majority of pregnant women were not willing to do post placenta IUD installation of 58.2% which was influenced by age, parity, knowledge and support of the husband.
PENGARUH INHALASI SEDERHANA MENGGUNAKAN AROMATERAPI DAUN MINT (MENTHA PIPERITA) TERHADAP PENURUNAN SESAK NAFAS PADA PASIEN TUBERCOLOSIS PARU DI PUSKESMAS
Authors: Hutabarat Vitrilina , Sitepu Stefani Anastasia , Sinambela Megawati
Published: December 2019

Background: Simple inhalation is a method of treatment by giving the drug in the form of vapor directly to the respiratory tract to the lungs. Shortness of breath in pulmonary tuberculosis will be found in advanced disease, where the filtration is half the lung. This symptom is found in the lung parenchymal damage is extensive. Therefore found a way to reduce shortness of breath, one of them with simple inhalation using aromatherapy mint leaves (Mentha Piperita). This study aims to determine the effect of simple inhalation using aromatherapy mint leaves (Mentha Piperita) on decreasing shortness of breath in pulmonary tuberculosis patients. Method: This study uses one group pre-test and post-test design. In this study, the data were analyzed by the T-independent test. Result: Based on the T-independent test results, the treatment group shows that there is a simple inhalation using aromatherapy mint leaves (Mentha Piperita) to decrease breathlessness in pulmonary tuberculosis patients. Looking at the results of this study, simple inhalation using aromatherapy mint leaves (Mentha Piperita) can be used as a non-pharmacological therapy to reduce clinical symptoms of tuberculosis, namely shortness of breath.
ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN
Authors: Sinambela Megawati , Hasibuan Evi Erianty
Published: December 2019

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).
PENGARUH PIJAT OKSITOSIN TERHADAP PRODUKSI ASI PADA IBU POST PARTUM SECTIO CAESAREA DI RSU SEMBIRING DELITUA
Authors: Hadi Milvan , Sembiring Chrisma Mangku Ninina , Samura M. Dasril
Published: December 2019

Exclusive breastfeeding is very important for babies aged 0-6 months and must be given in thefirst hour. Exclusive breastfeeding is one of the most powerful influences on children's survival,growth and development. Despite the many benefits of breastfeeding, the coverage of exclusivebreastfeeding is still low. One of the causes of mothers not giving breast milk because the milkcomes out very little. So the mother gives formula milk. This study aims to determine theproduction of breast milk produced in mothers given oxytocin massage and analyze the effect ofoxytocin massage on breast milk production in post partum sectio caesarea mothers in sembiringdelitua hospital . The design of this study was quasy experimental design with a total sample of 32people with aaccidental sampling technique with the type of Posttest-Only Control Design. Theresults of the study showed that there was a significant the effect of Oxytocin Massage on BreastMilk Production.
HUBUNGAN ANTARA GANGGUAN PENDENGARAN DENGAN SERUMEN PADA LANSIA DI PUSKESMAS MEDAN JOHOR
Authors: Lukito Alamsyah
Published: December 2019

The human ear is a hearing organ that captures and changes sound in the form of mechanical energy into electrical energy efficiently and is passed on to the brain to be realized and understood. Serum that collects and forms masses will clog the ear canal, causing interference with the sound that results in hearing loss. The research that will be conducted is a study with a cross-sectional method with a sample of 52 people. The majority of respondents were men with a majority of elderly with an average age of 67 years. The results showed that respondents who had serumen were as much as 59.6% and those who had hearing loss were 63.5%. This shows that there is a relationship between hearing loss and the presence of serumen.
PENGARUH PUASA RAMADHAN TERHADAP INDEKS MASSA TUBUH PASIEN DIABETES MELITUS TIPE-2
Authors: Siregar Julahir Hodmatua
Published: December 2019

Ramadan fastingis donefor one full month, must be done every Muslim Ummah including those suffering from chronic diseases such as Diabetes Mellitus, did not eat and drink during 13,5-14 hours. At the time off as ting that there will be changes such as: activity, diet, hours of work, activities at night as tarawih prayer and tadarus. Aim: odetermine the effect of Ramadan fasting on body mass indexin patients with type 2 diabetes mellitus. Methods: A prospective longitudinal study of the fasting month of Ramadan until the end of the fasting Ramdhan on 19 patients who had been diagnosed with type 2 diabetes at Adam Malik Hospital. The data collected by taking blood sample sat the beginning and end of the fasting of Ramadan fasting. Data were analyzed using paired T-test, wilcoxon. Results: Of the 19 patients with type 2 diabetes, as many as 13 respondents (68.4%) male sex with a mean age of 57.26 years. Statistical tests performed showed me significant value in BMI, Waist Circumference. Conclusion: There are significant value of BMI, Waist Circumference and blood fasting glucosain patients with type 2 diabetes before and after Ramadan fasting
THE CODE SWITCHING IN TEACHING AND LEARNING ENGLISH PROCESS FOR HEALTH INFORMATION MANAGEMENT STUDENTS AT DELI HUSADA DELI TUA HEALTH INSTITUTE
Authors: Br Bukit Herawati , Fitria Dila
Published: December 2019

Most of the students come from different areas, cultures and tribes. According to them, English is one of the difficult subject especially speaking comprehension. This situation makes them to use code switching. It also occur in English language learning. The main topic of this research focuses on psycholinguistic in the classroom teaching-learning process of foreign language, in this case English. Psycholinguistic roles in this research are limited to the code-switching processes which performed by the English lecturer that was happened intentionally or unintentionally in process of teaching and learning English for Health Information Management students at Deli Husada Deli Tua Health Institute. The lecturer made a code switching when she introduced new information or instruction. The switching also might occur when she translated what she has just said and when she introduced the interaction particles at the beginning of their utterances. Research results showed that Bahasa Indonesia or national language was one address of having code-switching and it had important role in English language learning. Although the English class should be formally full of the use of the learned language, switching process to Bahasa Indonesia took place naturally and the use of Bahasa Indonesia had psychological roles in order to improve learning motivation and full understanding for students.
HUBUNGAN SOSIAL EKONOMI DAN PERILAKU HIDUP BERSIH DAN SEHAT DENGAN KEJADIAN DIARE PADA BALITA DI DESA BARU KECAMATAN PANCUR BATU
Authors: GINTING SELAMAT
Published: December 2019

According to the World Health Organization (WHO) diarrhea is liquid bowel movements more than three times in 24 hours, and focuses more on the consistency of feces than the frequency of defecation. Diarrhea is still one of the main public health problems in Indonesia because of its high morbidity and mortality. This research method is a "cross sectional study" where data collection is only carried out in only one period or only done once in one study (Budiarto, 2004). The population is all mothers who have children under five who live in Baru Village, PancurBatu, Deli Serdang District, which is 480 people. The sampling technique is by random sampling method. The sampling technique uses a random sampling method using a formula so that the sample is 96 people. The research instruments used in this study are using questionnaires which are divided into two parts, namely the first to find out the characteristics of respondents and the relationships between variables and the most influential variables in the incidence of diarrhea. Bivariate analysis data found that there was a relationship between breastfeeding, income, healthy latrines, hand washing with the incidence of diarrhea where the value of p <0.005. and there is no significant relationship between education, employment and clean water use with the incidence of diarrhea p> 0.05. the community needs to understand about the incidence of diarrhea in infants and the factors that influence it so that they can make efforts to prevent the prevention of diarrhea independently by improving socio-economic behavior and clean and healthy living
ANALISIS KEBIASAAN MEROKOK TERHADAP KEJADIAN TUBERKULOSIS PARU DI WILAYAH KERJA PUSKESMAS PATUMBAK
Authors: Silalahi Novrika , Fransiska Santy
Published: December 2019

Tuberculosis and smoking is a major problem that have an impact to health problem in the world. Indonesia is one of the country with highest incidence of tuberculosis in the world, and one of the biggest three country that high in smoker consumers. Smoking is not the only one connected with health problem because of uninfected disease, but with higher risk of sickness and death cause of infected diseases, like tuberculosis patients in 2016 is 107 people and smoker with 571 people.Purpose of the reseach is to achieve the connection between smoking habituation with a lot of numbers patients tuberculosis in Health Center Patumbak year of 2017. Usingresearch analitic with case control. Thepopulation in this research come from the patients that seek medication in Health Center Patumbak as much as 89 people. The Purposive of the sampling is used in sampling technique. Gathering the data use interviews with questionnaire. The analysis result showing that majority of smoker 43,8%. The patient with tuberculosis is 80,9%. There’s connection between smoking habituation with tuberculosis.
HUBUNGAN PENDAPATAN DAN PENGETAHUAN KEPALA KELUARGA DENGAN KETERSEDIAAN JAMBAN SEHAT DI DESA GUNUNG MERLAWAN KECAMATAN TIGANDERKET KABUPATEN KARO TAHUN 2019
Authors: Mari Sembiring Bunga , Veronika Desi , Handayani Lubis Fithri
Published: December 2019

To improve public health in the form of disease prevention, and health recovery by the government and society is the development of basic sanitation. Any of them has access to basic sanitation that is healthy latrines. The purpose of this study was to determine the relationship of income and knowledge of family heads with the availability of healthy latrines . The method of this study used observational analytics with a cross sectional study design. The population in this study was the family Head of the gunung merlawan village as much as 60 households in Tiganderket District Karo Regency. Samples were taken according to the number of samples of 60 households with 230 inhabitants. with this sampling technique is total sampling. Statistical tests using the chi square test using SPSS 20. The results of the study showed that there was a relationship between the level of income of family heads with the availability of family latrines. And that there is a relationship of knowledge with the availability of healthy latrines. It is recommended to health officer in the working area of Puskesmas Tiga Nderket and the Head of Gunung Merlawan village to increase their role in counseling the community in the use of healthy latrines in Gunung Merlawan village, Tiganderket .
ANALISA PENGETAHUAN SIKAP DAN PERILAKU PENGANGKUT SAMPAH TERHADAP ASPEK KESELAMATAN KESEHATAN KERJA DALAM PENGOLAHAN SAMPAH
Authors: Samion Marzuki
Published: December 2019

The purpose of this research is to knowing correlation of knowledge, attitute and practice of garbage attendant laborers of aspects of occupational health and safety against waste processing at TPS in Pasir Pangaraian Rokan Hulu Riau. This research uses analytical method with cross sectional design. The population in this study were all Garbage attendant Laborers at TPS in Pasir Pangaraian amounted to 64 people with total sampling method. Data analysis using chi square test indicated that there is correlation between knowledge with occupational health and safety at TPS in Pasir Pengarain. Value p = 0.026 < 0,05 indicate that there is correlation between attitute with occupational health and safety at TPS in Pasir Pengarain. The value of p = 0.034 < 0.05 indicates that there is correlation between practice with occupational health and safety in TPS in Pasir Pengarain Conclusion: There is a relationship of Attitude, Knowledge and Practice with occupational health and safety at TPS in Pasir Pengarain.
FAKTOR DETERMINAN YANG BERHUBUNGAN DENGAN MOTIVASI KERJA PEGAWAI DI PUSKESMAS JUHAR KECAMATAN JUHAR KABUPATEN KARO
Authors: Kasim Felix , Ginting Astuti
Published: December 2019

The related factors that suspected to be employee motivation’s based on Frederick Herzberg's theory are intrinsic and extrinsic factors which consisting of achievement, reward, responsibility, work environment, superiors / subordinate communication, and supervision. The purpose of this research is to analyze the determinants of factors associated with employee motivation. This research is quantitative research with the survey is the method through an explanatory research approach. The research was conducted at Juhar Public Health Center, Karo District. The population of this research is 52 people and the sample is 52 people. Data analysis use univariate analysis, bivariate analysis with chi-square, and multivariate analysis use multiple logistic regression test. The results showed that factors related to employee motivation in Puskesmas Juhar, Juhar Sub-district, Karo Regency in 2018 were responsibility, subordinate-supervisor communication, and supervision, there was a significant correlation. The most dominant variable related to this research is the variable of responsibility and the value of PR = 9,122. Personnel responsible for their job has a high work motivation 9.1 times higher than irresponsible employees. Unrelated variables are achievement, reward and work environment. It is suggested to the irresponsible staff of public health center to better understand their duties and responsibilities as employees to be more motivated in working and program targets can be achieved.
FAKTOR YANG MEMENGARUHI RUJUKAN PASIEN PENGGUNA JKN-PBI KE FASILITAS KESEHATAN TINGKAT LANJUT DI PUSKESMAS PANCUR BATU KABUPATEN DELI SERDANG TAHUN 2019
Authors: Sinulingga Diana , Silalahi Linda , Ginting Sulastri Br
Published: December 2019

BPJS complains that the puskesmas still carry out unnecessary referral actions (non-specialized diseases) to hospitals. The purpose of this study is to analyze the factors that influence the referral of PBI JKN patient patients to advanced health facilities. This is quantitative research with survey method through cross sectional approach. The research was conducted at Pancur Batu Puskesmas Deli Serdang District. The study population was 18,459 people and the sample was 186 people with purposive sampling techniques. Data analysis used univariate analysis, bivariate analysis with chi-square, and multivariate analysis using multiple logistic regression tests. The results showed that the factors that influenced were knowledge, availability of infrastructure and information about referrals, p < 0.05. Variables that do not affect are distance, motivation, attitudes of health workers, p > 0.05. The variable that has the greatest influence in this study is the variable availability of infrastructure with the value of Exp (B) / OR = 6.810 means that respondents who stated that the availability of infrastructure in hospitals was adequate, had the chance to be referred to 6.8 times higher than respondents who stated the availability of infrastructure facilities in hospitals is inadequate. It is recommended that the Pancur Batu Puskesmas repair some Puskesmas infrastructure facilities that are considered incomplete and less satisfying for some patients so that patients do not ask for referrals for diseases that can be treated at the Puskesmas.
PENGARUH RANGSANGAN PUTING SUSU TERHADAP WAKTU KELAHIRAN PLASENTA PADA IBU BERSALIN KALA III DI KLINIK MENTA KECAMATAN PATUMBAK KABUPATEN DELI SERDANG TAHUN 2019
Authors: Boang Manalu Andayani , Putri Halawa Puspa Niat , Aini Siagian Nurul
Published: December 2019

Nipple stimulation is an action or treatment given to the nipples in the form of subtle stimulation in the palmar part of the fingers which are carried out alternately which produce the hormone oxytocin naturally, causing the uterus to contract which can prevent postpartum bleeding and accelerate the process of releasing the placenta. This study aims to determine the effect of nipple stimulation on the time of birth of the placenta in the third maternity period. The method used is a quasi-experimental method with a sample of 20 respondents taken by accidental sampling technique. Data analysis using bivariate analysis with t-test independent test statistic. The results showed that the average birth time of placenta in mothers given nipple stimulation was 5.23 minutes, while those not given nipple stimulation 7.02 minutes. Based on the statistical test, it was found that there was an effect of nipple stimulation on the birth time of the placenta in the third stage of maternity with a value of ρ Value 0.002. Suggestions in this study are expected in the management of active management in the third stage to provide stimulation of the nipples to accelerate the birth process of the placenta.
RESPON REMAJA TERHADAP PERINGATAN BAHAYA MEROKOK DALAM BENTUK TEKS DAN GAMBAR PADA KEMASAN ROKOK
Authors: Syahputri Damanik Yunita , Handayani Lubis Fithri
Published: December 2019

Health warning in the images Pictorial Health Warning on cigarette packs could actually preventincreasing number of victims of novice smokers. Because of the figures packs of smokingcigarettes, smokers beginners will think again about resume the smoking habits. The research goalis to find response to the warning of the dangers of smoking adolescents in the form of text andpictures on cigarette packs. This research method is qualitative research wich descriptiveexploratory design. Selection participant in this study using a snowball sampling technique. Datawere collected by interview. Data analysis is done manually, where the first researcher to make atranscript of the interview obtained from listen to repeated recording and remarks interview flew(filed notes). Results showed that all the informant knows about the contents of a messagewarning of the dangers of smoking on cigarette packs. No teenagers can name correctly and cleartext content and image are printed on cigarette packs. Teens are afraid of the warning bud didnot make teens stop smoking. This can be caused by the delivery of information is not frequentlyand continuously get by teenagers per day according to the needs and purchasing power of theyouth. It can also because by teens fear whens buying cigarette with the packaging and store itwill likely be examined and acknowledged by parents and supervisors orphanage. It is hoped allparties contribute to preventing and addressing smoking behavior in the adolescent. The approachto preventing and addressing smoking approaches such as providing information about thedangers or negative effects of smoking, but touches affectional necessary.
ANALISA KESALAHAN DALAM MENGGUNAKAN TENSES OLEH MAHASISWA MANAJEMEN INFORMASI KESEHATAN DI INSTITUT KESEHATAN DELI HUSADA DELI TUA TAHUN 2018
Authors: Br Bukit Herawati , Fitria Dila
Published: December 2019

We can find the term Error Analysis in language. These errors could be valuable sources forteaching. We as learner must be able to know about tenses so that it can make miscommunicationone another. Students often confused about tenses. They assume tense as a significant burden.The error term is the fact that students always make mistakes in using tenses, and it is a problemthat the researcher finds. The researcher wants to find out both the students’ progress and everystudent’s level in understanding tenses. The method of this research used quantitative method.Kinds of errors made by first-grade students of Health Information Management in using tensesare omission 50% (omission of pure present tense 50%). The percentage errors of using tensesare simple present 50%, pure past 35%, and simple future tense 15%. The students should payattention seriously in learning tenses because tenses are part of grammar.
СРАВНИТЕЛЬНЫЙ АНАЛИЗ РОССИЙСКО-ЕВРОСОЮЗОВСКОГО И РОССИЙСКО-КИТАЙСКОГО ПРИГРАНИЧЬЯ
Authors: Simonyan R.
Published: December 2019

Сферой жизненных интересов России является взаимодействие с сопредельными государствами, в котором важная роль принадлежит приграничным регионам, являющимися и форпостами страны, и посредниками в сотрудничестве. Выполнение этих функций придаёт этим регионам специфические черты, объединяющие их в особую группу, научный и общественный интерес к которой постоянно возрастает.

The sphere of vital interests of Russia is interaction with neighboring States, in which an important role belongs to the border regions, which are both outposts of the country, and mediators in cooperation. Performing these functions gives these regions specific features that unite them into a special group, the scientific and public interest in which is constantly growing.
ПРИНЦИПЫ СТРАХОВАНИЯ И ОХРАНЫ ЗДОРОВЬЯ В РОССИИ И ФИНЛЯНДИИ
Authors: Molchanova E. , Panchenko A.
Published: December 2019

Целью данной статьи является сравнительный анализ основных принципов страхования и охраны здоровья населения в России и Финляндии как ведущего направления социальноэкономической политики государства. Для достижения поставленной цели выполнена оценка эффективности функционирования национальных систем здравоохранения с помощью методики проекта Глобальное бремя болезней (ГББ) и индикатора потерянные годы здоровой жизни (DALY). Выявлены наиболее перспективные программы в области медико демографической политики, в том числе социальные инновации в сфере общественного здоровья.

The purpose of this article is the comparative analysis of the basic principles of insurance and public health care in Russia and Finland as leading direction of social and economic policy of the state. For achievement of a goal assessment of efficiency of functioning of national health care systems by means of a project technique the Global Burden of Diseases (GBD) and the indicator disability adjusted life years (DALY) is executed. The most perspective programs in the field of medicopopulation policy, including social innovations in the sphere of public health are revealed.
СОВРЕМЕННЫЕ ТЕНДЕНЦИИ СОЦИАЛЬНО-ЭКОНОМИЧЕСКОГО РАЗВИТИЯ ПРИГРАНИЧНОГО РЕГИОНА - МУРМАНСКОЙ ОБЛАСТИ
Authors: Skufina T.
Published: December 2019

Рассмотрение тенденций развития Мурманской области обладает неизменной актуальностью в силу динамизма внешней среды, включая как макроэкономические условия, так и внешнеполитические, и управленческие факторы влияния. Цель рассмотреть современные особенности социальноэкономической динамики Мурманской области в контексте новых макроэкономических условий и управленческих факторов. Рассмотрена динамика статистических показателей, отражающих состояние человеческого капитала Мурманской области, специфику производственных процессов в регионе, рассмотрены некоторые вопросы управления на региональном уровне.

Consideration of trends in the development of the Murmansk region has a constant relevance due to the dynamism of the external environment, including both macroeconomic conditions and foreign policy and management factors of influence. The aim is to consider the modern features of the socioeconomic dynamics of the Murmansk region in the context of new macroeconomic conditions and management factors. The dynamics of statistical indicators reflecting the state of human capital of the Murmansk region, the specifics of production processes in the region are considered, some issues of management at the regional level are considered.
МИГРАЦИОННЫЕ НАМЕРЕНИЯ МОЛОДЕЖИ АРКТИЧЕСКИХ ПРОМЫШЛЕННЫХ ГОРОДОВ
Authors: Simakova A.
Published: December 2019

В докладе представлены результаты оценки миграционных намерений молодежи, проживающей в арктических промышленных моногородах. В этих моногородах уже запущен процесс диверсификации экономики, проводятся соответствующие реформы для реализации которых необходима активная молодежь, поэтому актуальным остается вопрос ее удержания.

The report presents the results of the assessment of young people migration intentions living in the Arctic industrial singleindustry towns. These singleindustry towns have already launched the process of economic diversification, and relevant reforms are being carried out. Active youth is necessary for the implementation of reforms, so the issue of its retention remains relevant.
ОЦЕНКА ЧЕЛОВЕЧЕСКОГО ПОТЕНЦИАЛА ПРИГРАНИЧНЫХ ТЕРРИТОРИЙ НА ПРИМЕРЕ ВИТЕБСКОГО РЕГИОНА
Authors: Salakhova Y.
Published: December 2019

Рассмотрены теоретические аспекты категории человеческий потенциал . Выявлены факторы повышения качественного уровня человеческого потенциала, основные направления инвестиций в человеческий потенциал на макро и мезо уровнях. Определена его роль в развитии приграничных территорий.

Theoretical aspects of the category human potential are considered. The factors of improving the quality of human potential, the main directions of investment in human potential at the macro and meso levels are identified. Its role in the development of border areas is defined.
ОПЫТ СТРАТЕГИЧЕСКОГО ПЛАНИРОВАНИЯ В УПРАВЛЕНИИ РАЗВИТИЕМ МАЛЫХ И СРЕДНИХ ГОРОДОВ РЕГИОНОВ ЕВРОПЕЙСКОГО СЕВЕРА РОССИИ
Authors: Sekushina I.
Published: December 2019

Рассматриваются вопросы стратегического управления социальноэкономическим развитием муниципальных образований. Проанализирован опыт стратегического планирования в малых и средних городах регионов Европейского Севера России, выявлены главные проблемы, препятствующие эффективной его реализации.

The issues of strategic management of socioeconomic development of municipalities are considered. The experience of strategic planning in small and mediumsized cities of the regions of the European North of Russia is analyzed, the main problems that impede its effective implementation are identified.
ТЕОРЕТИЧЕСКАЯ ТУРИСТСКАЯ ЛИМОЛОГИЯ: РАЗВИТИЕ НАУЧНЫХ ВОЗЗРЕНИЙ
Authors: Aleksandrova A.
Published: December 2019

Статья посвящена вопросам генезиса и развития теоретических подходов в туристской лимологии. Выделены главные этапы и проблематика в развитии отечественных и зарубежных исследований. Особое внимание уделяется туристской аттрактивности политико административных границ и приграничных территорий.

The article discusses the genesis and development of theoretical approaches to tourism limology. The main stages and issues in the development of research in Russia and abroad are emphasized. The author pays special attention to the tourist attractiveness of administrative borders and borderlands.
КРИТЕРИИ ОЦЕНКИ КАЧЕСТВА ПРЕДОСТАВЛЕНИЯ ГОСУДАРСТВЕННЫХ ЭЛЕКТРОННЫХ УСЛУГ ДЛЯ БИЗНЕСА И ТРАНСГРАНИЧНОГО СОТРУДНИЧЕСТВА
Authors: Marushko D. , Vashchilo A.
Published: December 2019

В статье предложены подходы по оценке качества предоставления государственных электронных услуг для бизнеса и трансграничного сотрудничества. Предложения ориентированы на использование системы оценок, предназначенной для проведения анализа количества оказанных государственных электронных услуг и уровня удовлетворенности их потребителей с целью выявления стратегических направлений дальнейшего их развития.

In the article approaches according to quality of providing the public electronic services for business and crossborder cooperation are offered. Proposals are focused on the use of the system of estimates intended for carrying out the analysis of number of the provided public electronic services and level of satisfaction of their consumers for the purpose of identification of the strategic directions of their further development.
ОСОБЕННОСТИ ПРИГРАНИЧНОГО СОТРУДНИЧЕСТВА НА ПОСТСОВЕТСКОМ ПРОСТРАНСТВЕ В КОНТЕКСТЕ РЕГИОНАЛЬНЫХ ПОЛИТИЧЕСКИХ ПРОЦЕССОВ
Authors: Belashchenko D. , Kotov M.
Published: December 2019

В статье рассматриваются некоторые особенности приграничного сотрудничества на постсоветском пространстве. Особое внимание авторы уделяют влиянию наиболее важных региональных политических процессов: украинский кризис, смена лидеров и режимов в ряде стран СНГ, евразийская интеграция.

The article discusses some features of crossborder cooperation in the postSoviet space. The authors pay special attention to the influence of the most important regional political processes: the Ukrainian crisis, the change of leaders and regimes in a number of CIS countries, and the Eurasian integration.
Electrochemical sensors as simple and cheap devices for rapid
determination of various species in environmental samples
Authors: Suljkanović Mersiha , Grabarczyk Malgorzata , Wardak Cecylia , Adamczyk Marzena , Pietrzak Karolina
Published: December 2019

The electrochemical methods are very good tool for determination of trace concentrations of various species in water samples. The analysis carried out using these methods are usually simple, fast and also the cost of the required equipment is much lower comparing to other instrumental methods. Furthermore, the electroanalytical methods are easy to automate and computerize. Among five major groups of these methods (potentiometry, voltammetry, coulometry, conductometry and dielectrometry), potentiometry and voltammetry attract the greatest attention of researchers. In this paper, experimental results of research related to development of procedures (voltammetric and potentiometric) for the determination of elements in environmental water samples were presented. Due to their common occurrence in environment and possible toxic effects on living organisms, vanadium and nitrate ions were selected for investigation. Optimization of voltammetric procedure for V(V) determination were carried out in matrix containing different surfactants and humic acids, using lead film electrode as a working electrode. Results showed that only nonionic surfactant Brij-35 did not interfere with the voltammetric signal. Other surfactants as well as humic acids reduced the signal, and possibility of their elimination with suitable resins were also investigated. Potentiometric measurements were consisted of preparation and determination of analytical properties of nitrate ion-selective electrodes with solid contact. The results showed that among three different membrane composition, the best response was achieved by membrane containing: Ni(Phen)2, THTDPCl, PVC and NPOE in the ratio of 1:2:33:64 wt. %, respectively. With the detection limit of 2.8 × 10-6 mol L-1, the working concentration range from 5 × 10-5 to 1 × 10-1 mol L-1 and a slope of -55.1 mV per decade, this electrode showed good selectivity to sulfate, acetate, carbonate, dihydrogen phosphate, fluoride and chloride ions, and also good potential reversibility.
A multi-parameter miniature photometric analyser for fully automated environmental water monitoring
Authors: Paesani Daniele
Published: December 2019

Nowadays, the increasing demand for constant in-situ monitoring of clean water, wastewater and sea water requires the deployment of automated platforms capable of on-line autonomous sampling, extended unattended operation and of multi-analyte detection. The Micro Loop Injection Analyser (μLIA) system hereby presented relies on integrated additively manufactured opto-fluidic components which allow for increased performance solutions to be implemented cost-effectively and in miniaturised footprints, targeting a wide spectrum of applications which ranges from in-situ environmental monitoring and field water testing to industrial process analysis. Preliminary tests of the μLIA unit have shown good reproducibility and stability of the system and a good performance of its self-calibration routines.
Maintenance issues of the vacuum sewer system
Authors: Obradović Dino , Šperac Marija , Marenjak Saša
Published: December 2019

A sewer system is an indispensable part of every settlement which contributes to the protection of the environment and people. There are many types of sewer systems. In addition to the standard sewer systems (mixed, separated, etc.), there are the alternative, non-standard systems, and one of them is a vacuum sewer system. In order for a sewer system to function correctly and to perform its tasks successfully, it needs to be maintained properly and regularly. Generally speaking, maintenance is considered to be a series of activities performed in order to achieve that constructed buildings allow an adequate use and functionality for the purpose they were designed for. Considering these systems are relatively new and still rarely used, there is no general practice or rules for use and maintenance of the same, and, most importantly, there is no user experience or people responsible for managing the work and maintenance. The paper will present the general characteristics and parts of vacuum sewer systems. Maintenance recommendations will be given, and maintenance costs specified making reference to the literature available to the authors.
Application of electrocoagulation for water conditioning
Authors: Posavčić Hana , Halkijević Ivan , Vuković Živko
Published: December 2019

Water conditioning is a method of removing altering minerals, chemicals and contaminants from a water source and it is carried out on facilities equipped with the corresponding electro-mechanical equipment. Although efficient, conventional processes typically use several complex devices connected to a single functional unit, which are often expensive to maintain and occupy large areas. Therefore, the aim of this paper is to present the electrocoagulation (EC) method as an alternative to conventional water conditioning processes. The examples of previous studies of the EC process application is presented in this paper. The focus of the paper is to investigate the influence of the certain operational parameters such as pH, temperature, electrode material, etc., on the efficiency of pollutant removal such as Escherichia coli and elevated concentrations of iron, arsenic, manganese, ammonia and others. Further, an economic analysis is made, which, from an economic point of view, shows when it is feasible to use the EC in the conditioning process. Furthermore, a case study of electrocoagulation process for Total Nitrogen (TN) removal is presented. According to results, 69.7 % of TN was removed with aluminum electrodes after 240 minutes. For this case, total operating costs were 7.60 €/m3.