bluuebunny/crossref_metadata_2025 huggingface dataset:
Work Stress Level and Caring Behaviour of Nurses
Authors: Lestari Retno , Kumboyono Kumboyono , Dyta Luthfia
Published: July 2022

Introduction: A nurse who experience burnout feelings will influence their motivation, and quality performance. This situation is probably affecting a decline in work quality towards the caring behaviour demonstrated by nurses to their patiens, particularly for a nurse who are working in the long-stay installation room facing directly to patient's problems. The purpose of this research is to identify the work stress level of nurse towards the nurse's caring behaviour in the long-stay installation room (IRNA) in general hospital in Malang.Method: This research used descriptive – correlational, the sampling was Non Probability Purposive Sampling with 93 nurses as the corresponds. The data was analyzed by operating Correlation Pearson, with a significance of p < 0.05.Result: The result found that there was a substantial correlation between the work stress level and the nurse's caring behaviour with p = 0.008 and r = -0.274, and it was a negative correlation.Discussion: It means that when the stress level of nurses will declined, the nurse's caring behavior automatically will beamplified. Conversely, if the stess level of nurses intensively increased, the nurse's caring behaviour become decreased. Thus, this research is needed to be analyzed further in order to asses the quality of caring behaviour by expanding the connected indicator and variable. It is aimed to improve the professionalism and quality of nurses in giving the best service to patients this research need to be continued further in order to asses the quality of nurse's caring behavior by expanding the variable, which is related to internal factors, such as knowledge, perception, emotion, ect and also connected to external factors, such as environment, both physically and non physically like: climate, human being, social economic, culture and ect.
The Grieving Process Experienced Family and Charges in Treating Children with Autism
Authors: Koesoemo Rizki Fitryasari Patra
Published: July 2022

Introduction: Children with autism will be a stressor to their family. This research aims to describe about family grieving process and family burden when taking care of their children with autism at Special Needs School Bangun Bangsa, Surabaya.Method: This research used descriptive phenomenology design with indepth interview method. The participant of this research was six member of a family who plays role as the main caregiver for autism child. This study employs the purposive sampling method. The data is gathered through interviews and fi eld notes that is then analyzed with the Collaizi technique. This research generated three themes.Result: The results illustrate families display the grieving process as a cycle. They feel a deep, permanent and long period of grief through in to five stages of grief: denial, anger, depression, bargaining and acceptance. The Grieving is come from the caregiver and the autism child. Large amounts of grief cause families in grief for a long period and this causes family burden. There are six family burden, psychological burden, physical burden, financial burden, social burden, time burden and thought burden.Conclusion: Finding of the research would hopefully be beneficial to professional health staff, especially psychiatric nurses to complete their ability in minimizing various negative impacts that the family may suffer from while taking care their autism children with autism through nursing care plans designs development, researches about family empowerment in burden managements and also a research to improve the Family Psycho-education Therapy and a specific Supportive Group Therapy modules for family with autism children.
The Reduction of Cholesterol with Cupping Therapy on Cholesterol Reduction in Patients with Hypercholesterolemia
Authors: Fikri Zahid , Nursalam Nursalam , Has Eka Mishbahatul Mar'ah
Published: July 2022

Introduction: Hypercholesterolemia is a risk factor causes of death at younger ages. Hypercholesterolemia may increase the risk of atherosclerosis, coronary heart disease, pancreatitis (pancreas inflammation in organs), diabetes mellitus, thyroid disorders, liver disease and kidney disease. Many patients with hypercholesterolemia using cupping therapy. Cupping therapy is alternative treatment process of throwing dirty blood from the body through the skin surface. The objective of this study was to determine the effect of cupping therapy to decrease cholesterol levels in patients with hypercholesterolemia.Method: Design used in this study was quasy experimental design. The population is all patients with hypercholesterolemia in the health center plaza Gresik. The total sample is 18 respondents, taken according to inclusion criteria. Independent variable is the cupping therapy. The dependent variable was the decrease in cholesterol levels. Data were collected using a questionnaire and observation of cholesterol. Data were analyzed using independent t-test and paired t tests with signi fi cance level α < 0.05.Result: The results show that cholesterol levels in patients with hypercholesterolemia treated groups decreased majority. Independent statistical analysis using t-test showed p = 0.001 and with the Paired t-test p value = 0.003.Discussion: This result means that there are significant effects of cupping therapy on cholesterol reduction in patients with hypercholesterolemia aged 45 years and over. Further research needs to be done in control diet, lifestyle and daily activities for the success of cupping therapy.
Peningkatkan Perilaku Pasien dalam Tatalaksana Diabetes Melitus Menggunakan Model Behavioral Sistemral Sistem Model
Authors: Aini Nur , Fatmaningrum Widati , Yusuf Ah.
Published: July 2022

Introduction: Diabetic treatment need a very long time that make most of patient doesn’t obey. One of the methods can be used to improve patient’s compliance is nursing care model Behavioral System by Dorothy E. Johnson with its interventions are motivation and education. The objective of this study was to analyze the differences between knowledge, attitude, practice, blood sugar fasting and 2 hours post prandial (PP) of diabetic patients.  Methods: This experimental research using randomized control group pretest posttest design. Sample used 30 persons divided into 2 groups. Motivation and education are given 4 times in period of 1 month by visiting to the patient’s house. Data were collected by questionnaires and observation then analyzed by wilcoxon with α < 0.05.Results: Results showed that after intervention, treatment group who haved good knowledge were 15 persons (100%), good attitude were 8 persons (53.3%), moderate were 7 persons (46.7%), good practice were 11 persons (73.3%), moderate were 3 persons (20%) and less was 1 person (6.7%). Blood sugar fasting and 2 hours post prandial (PP) decreased were 13 persons (86.7%). Analysis using wilcoxon showed that result was significant.Conclusion: It can be concluded that motivation and education can improve knowledge, attitude, practice, decrease blood sugar fasting and 2 hours post prandial (PP). It was suggested to optimalized education and giving motivation due to improving support and awareness of patient to implement diabetes mellitus treatment.
Strategi Peningkatan Mutu Pelayanan Keperawatan Berdasarkan Analisis Posisi Perilaku Caring Perawat dengan Jendela Pelanggan
Authors: Widiharti Widiharti , Sunaryo Sunaryo , Purwaningsih Purwaningsih
Published: July 2022

Introduction: In this era of globalization and free market, demand from the society for adequate health care is increasing and encouraging hospitals to provide the best services. Better services require continuous and perfect planning in service quality improvement. The goal of this study was to find the development strategy to improve the quality of nursing care based on analysis of nurses caring behaviors position using customer window.Method: This study used 30 samples to assess input, proses and output. Research site was in Bhakti Rahayu hospital Surabaya for 1 month. Research instrument was questionnaire. Research data was used to determine optimum strategy of operational research approach using a simple dynamic program.Result: The result showed that the optimum strategy throught the line of affordable cuost – good fasilities – sufficient caring behavior – sufficient administrative – sufficient infrastructure – reliable human resources had the greates value of 70.Conclusion it can be cancluded that not all ideal line have a high value.
Kejadian Ventilator Associated Pneumonia (VAP) pada Klien dengan Ventilasi Mekanik Menggunakan Indikator Clinical Pulmonary Infection Score (CPIS)
Authors: Rahman Dally , Huriani Emil , Julita Ema
Published: July 2022

Introduction: Ventilator Associated Pneumonia (VAP) is defined as nosocomial pneumonia that occurs 48 hours after using mechanical ventilation. The incident of VAP in Dr. M. Djamil Padang Hospital was still high when compared to other hospitals that reached only 9%. Nursing intervention that can be used to avoid VAP is endotracheal secretions suctioning. However, the results of the intervention has not been evaluated by using standardized measuring tool. The purpose of this study was to determine the description of signs differences of VAP on first and third day to clients with mechanical ventilation who were performed endotracheal secretions suctioning in ICU Dr. M. Djamil Hospital Padang 2011. Method: The type of this study was a descriptive analytic. The samples were 15 who had a mechanical ventilation during minimal 3 days. Respondents were derived by Accidental Sampling by using Simplified Version of CPIS as a measuring tool. The statistic test is paired t-test. Result: The result of this study showed that there was a significant difference of the signs of VAP on the first and the third day with p=0,048 (< 0.05). Discussion: There were significant difference on symptom of VAP in mechanically ventilated patient in day 1 and day 3. Simplified version of CPIS was sensitive in early determining VAP. Simplified Version of CPIS are expected to be included in standard procedures of patient management and assessment intervention of endotracheal secretions suctioning.
Regulasi Tekanan Darah pada Penderita Hipertensi Primer dengan Smoothie Pisang (Musa Paradisiaca)
Authors: Lestari Eni Puji , Bakar Abu , Hidayati Laily
Published: July 2022

Introduction: Hypertension is a major problem that often happen in Indonesia. Hypertension can cause many complications. In Indonesia almost patients with hypertension got farmacologic therapy, but there is no difference. Banana smoothie is one of nonfarmacologic therapy that can be used to lower blood pressure. The purpose of this study was to analyze the effect of banana smoothie on regulation in patients with primary hypertension.Method: This study used quasy experimental design. The population in this study were patients with primary hypertension in Kedungturi village Taman Sidoarjo. The sampling technique used nonprobability sampling type of purposive sampling. The total number of sample were 16 respondents who were selected based on inclusion and exclusion criteria.Result:The Result of paired t-test at the systolic blood pressure and diastolic blood pressure in experiment group showed p value = 0.000. Independent t test between experiment group post-test and control group post-test showed p value = 0.000 for systolic blood pressure and p value = 0.002 for diastolic blood pressure. This result showed that there was a difference value of pretest and post-test systolic and diastolic blood pressure. With the result of independen t-test we know that there is a difference value between exsperiment and control blood pressure.Discussion: This study explain that there was significant effect of banana smoothie to regulate blood pressure in patients with primary hypertention. Banana smoothie can regulate the blood pressure because of high kalium substance. The function of kalium is to reduce the effect of natrium so the blood pressure can down. It can be conclude that banana smoothie can regulate the blood pressure in patients with primary hypertention. In further day patients with hypertension can choose banana smoothie to regulate their blood pressure.
Praktik Kolaborasi Perawat-Dokter dan Faktor yang Memengaruhinya
Authors: Martiningsih Wiwin
Published: July 2022

Introduction: Collaboration is basically discuss about togetherness, cooperation, sharing tasks, equality, responsibility, and accountability. Purpose of this research was to learn the collaboration practice beetwen nurses and physician and the factors affecting. Method: Design of this research was correlational and comparational study, and population were the physician who work in Ngudi Waluyo Blitar hospitals, intensive cooperation with the nurse in the room, not holding structural positions and not studying, there are 19 peoples taken by total population and nurses who work in Ngudi Waluyo hospitals, not holding structural positions (Head of Division or Head of Section), having relationship with the physician and the samples were 31 peoples taken by probability proportional to size (PPS). Methods of data collection by giving questionnaire about the characteristics of respondents (nurses and physician) and practice of collaboration scale. Data characteristics and attitudes of nurses and physicians about the practice of collaboration is analyzed with descriptive statistics, to know the differences between nurses and physicians attitude using mann whitney u test. To know affecting characteristic with nurses and physician attitude by multivariate analysis. Result: Results of mann whitney test p value is 0.611, which means that there is no difference between nurses and physician attitude in practice collaboration, and result of multivariate analysis the influence of nurse characteristics (age, education, functional potition, length of working) with attitude are 0.460 or 46%, while 54% influenced by other factors, and the influence of physician characteristics (age, education, length of working) with attitude are 0.435 or 43.5%, while 56.5% influenced by other factors. Discussion: Further need to study other factors that influence and research by observation the impact of collaboration between the nurse with physician on the service quality.
Psychological Respons (Anxiety And Depression) and Biological Respons (Cortisol, Ifn-Γ And Tnf-Α) in Ischemic Stroke Patients by Home Care Holistic Model Approach
Authors: Widarti Luluk , Mahfoed Moh. Hasan , Kuntoro Kuntoro , Sudiana Ketut
Published: July 2022

Introduction: The patient with stroke often experience on psychological disorder such as anxiety and depression that lead to biologycal aspects such as on cytokin. The objective of the study was to analyse the corelation between psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ dan tnf-α) in ischemic stroke patients by home care holistic model approach.Method: This study applied an experimental research with quasy experimental design. The study was conducted in the area of Surabaya by selecting ischemic stroke patients after being hospitalised at ”A-Seruni room, Medic IRNA, Dr. Soetomo hospital”. A sample of size 40 was patients divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires and observation technique, while Cortisol level, IFN-γ and TNF-α levels were measured by using ELISA quantitative technique. The data was analyzed by using Levene’s test for homogeneity of variance, t-test and correlation test.Result: The statistical analysis shows there was a significant difference between psychological response in control group after intervension with p = 0.000 for anxiety, and p = 0.000 for depression. For biological response, there is a significant difference p = 0.007 for cortisol and p = 0.000 for TNF-α. However, there is no significant difference in IFN-γ with p = 0.425. The correlation test result shows there was signi fi cant correlations between anxiety and biological responses such as Cortisol with r = 0.724 and p = 0.038; IFN-γ with r = 0.475 and p = 0.034; TNF-α with r = 0.592 and p = 0.006. Furthermore, there was positive correlation between depression and biological responses such as Cortisol with r = 0.705 and p = 0.033; IFN-γ with r = 0.454 and p = 0.044, TNF-α with r = 0.561 and p = 0.010.Conclusion: Holistic home care could improve the psychological responses by decreasing anxiety and depression level and also could improve biological responses by decreasing Cortisol, IFN-γ and TNF-α level in ischemic stroke patients.
Self Concept, Social Support, and Anxiety in Dealing with Fractured Patient
Authors: Kurniawati Dini
Published: July 2022

Introduction: The self-concept on fractured-patient is the way of the patient views himself as a whole. The view may cause the patient to feel less confident and may lead the patient to experience anxiety. Such condition requires serious attention in the form of social support. The objective of this research was to identify the association of the self-concept, social support, and anxiety in dealing with fracturedpatient.Methods: This research employed correlational design. The samples of this research were in-patients who suffered from femur fractures, underwent treatments for at least three days, aged 25–45 and were conscious and, willing to be involved in the research. The technique used in this research was purposive sampling.Result: Results of the research, when analyzed statistically using the regression analysis, revealed that the correlation between the self-concept and anxiety generated rx1y = –0.476 with p = 0.007 (p < 0.01). Furthermore, the correlation between social support and anxiety generated rx2y = –0.531 with p = 0.003 (p < 0.01) while the correlation among self-concept, social support, and anxiety generated F = 4,758 at p = 0.009 (p < 0.01). The determination coeffi cient (R2) = 0.293 while the figures of the effective contribution (EC) were as follows: the effective contribution (EC) of the self-concept to anxiety was 1.051%, while the effective contribution (EC) of the social support to anxiety was 28.216%.Conclusion: The higher the one’s self-concept, the lower the anxiety level would be, and vice versa. The same thing applied to the relation between social support and anxiety. The higher the social support one got, the lower the anxiety level would be. The correlation between self-concept and social support and anxiety in dealing fractured patient existed. Self-concept contributed to anxiety. According to the behavioral theories, anxiety arouses from one’s fear of being rejected or not being accepted in terms of interpersonal relationship. Therefore, the high self-concept (high self acceptance) lowers the fear for rejection (anxiety).
Adaptif Conservation (Acm) Model in Increasing Family Support and Compliance Treatment in Patient with Pulonary Tuberculosis in Surabaya City Region
Authors: Kholifah Siti Nur , Minarti Minarti , Yumni Hilmi
Published: July 2022

Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, ﬁeld trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM.Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as inﬂuential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients.Discusion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication
Paramater on Maternal Delivery Referral Process
Authors: Zubaidah Zubaidah , Hakimi Mohammad , Wahab Abdul
Published: July 2022

Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufﬁcient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital.Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test.Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were signiﬁcantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insigniﬁcant statistically.Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition.
The Improvement of Family Coping in Taking Care of Patient Mental Disorder with Spiritual Therapy; Direction, Obedience and Acceptance (Doa)
Authors: Yusuf Ah. , Putra Suhartono Taat , Probowati Yusti
Published: July 2022

Introduction: Mental disorder remains a stigma in society, even until now. A family who have a member with mental disorder, will experience continues objective and subjective burden, experience serious stress for a lifetime, which may cause ineffective coping.Method: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, has been taking care there twice, in minimum, lived in Surabaya. The samples were chosen by allocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test.Result: Results in this study showed that there was signiﬁcant change in total of family coping (p = 0.040), maintaining family integration, cooperation and an optimistic deﬁnition of the stuation (p = 0.009), maintaining social support, self esteem, and psychological stability (p = 0.230), understanding the medical situations through communication with other parents and concultation with medical staff (p = 0.025).Discussion: The provision of family therapy with spiritual approach (DOA) can increase family coping in taking care of patient with mental disorder.
The Effect of Family Therapy with Spiritual Approach Toward Family’s Health Belief Model in Taking Care of Patient with Schizophrenia
Authors: Yusuf Ah.
Published: July 2022

Introduction: Schizophrenia is the problem with kognitive, mal-adaptive thought and behavior. Family who have a member with mental disorder can experience serious conflict, become an objective and subjective burden, blame each other, get involved in hostility among family members. Various negative effect faced by family can caused by wrong family’s health belief model about Schizophrenia, hence the failure on choosing the treatment and taking care of patient at home. Someone with severe stress will seek comfort and strength from God. But so far, the most effective spiritual models to improve the health belief model of the family in caring for patients with schizophrenia has not been found.Methods: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, chosen by alocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test.Results: There were significant changes in total of family’s health belief model (p=0,004), there was significantly change in aspects of (1) perceptions about bene fi ts (p=0,009), (2) perception about barriers (p=0,035) and perception about self efficacy (p=0,002). There were no significant changing in perception about susceptibility and severity (p=0,052).Conclusion: Family believes that all events experienced by the patient and the family is God's will, hoping the patient can be more independent, and believe mental disorders can be changed for the better. The conclusion of this study is that family therapy with a spiritual approach can improve the health belief model of the family in caring for patients with mental disorders.
The Experience of Plwha Who Get Social Support Undergoing in Daily Life in Malang
Authors: Setyoadi Setyoadi
Published: July 2022

Introduction: HIV/AIDS is a chronic disease that are different from other diseases, because of the problems caused so complex that they need social support. Support groups (self help groups) can help identify and use resources more adaptive coping. The purpose of this study to gain a deep understanding of people living with HIV experience of social support.Method: This study used qualitative methods of descriptive phenomenology with depth interviews with eight participants were diagnosed with HIV/AIDS who live in Malang Raya. Data were analyzed with a thematic analysis of transcripts of the interviews and obtained 11 themes.Result: The results showed that the three themes of HIV infection risk factors, namely: socioeconomic risk, behaviour risk, adjustment of growth and development, a theme related to the response associated with a diagnosis of HIV/AIDS namely psychosocial responses, the two themes of spiritual meaning in life is change and designing the future, a theme of support came from the social support, two themes concerning the effect of social support received is controlled health and health care, and the three themes of the support he expected, namely: health care, a form of support, and empowerment.Discusion: It is important to develop a community nurse role of social support groups in the context of nursing care and economic empowerment of people living with HIV. The recommendation based on this study is health nurses need to make a home visit program and facilitate the provision of working capital loans (micro fi nance) in PLWHA.
Model Of Emergency Department Nurse Performance Improvement Based on Association of Individual Characteristic, Organization Characteristic and Job Characteristic
Authors: Bogar Maria Margaretha , Nursalam Nursalam , Dewi Yulis Setiya
Published: July 2022

Introduction: Nursing care is integral part of health care and having important role in management of patient with emergency condition. The purpose of this research was to develop nurse performance improvement model based on individual, organization and job characteristics association in Emergency Department of RSUD dr TC Hillers Maumere. Method: This was an explanative survey by cross sectional approach held on July -August 2012. Respondents in this study were 22 nurses and 44 patients were obtained by purposive sampling technique. Data were analyzed by partial least square test and signi fi cant t value > 1.64 (alpha 10%). Result: Results showed that individual characteristic had effect on nurse performance (t = 7.59), organization characteristic had effect on nurse performance (t = 2.03) and job characteristic didn’t have effect on nurse performance (t = 0.88). Nurse performance had effect on patient satisfaction (t = 6.54) but nurse satisfaction didn’t have effect on nurse performance (t = 1.31), and nurse satisfaction didn’t have effect either on patient satisfaction (t = 0.94). Discussion: This research concluded that individual characteristics which in fl uence nurse performance in nursing care were ability and skill, experience, age, sex, attitude and motivation. Organization characteristic that influence nurse performance was reward while job characteristic that include job design and feedback didn’t influence nurse performance in nursing care. Nurse performance influenced patient satisfaction but nurse satisfaction didn’t influence patient satisfaction and nurse performance.
The Use of Web-Based Information System in Adolescents
Authors: Ernawati Hery , Hapsari Elsi Dwi , Lusmilasari Lely
Published: July 2022

Introduction: Knowledge about reproductive health is very important for adolescents. They can make informed decision on their reproductive health. One of important media that serve as the source of information on reproductive health in adolescents is website. The objective of this study was to find out the relationship between the use of web-based information and knowledge about reproductive health in adolescents.Method: A Cross Sectional was conducted from February 2013 to April 2014, involving the Tenth and Eleventh Grade students of SMA, SMK, MA in Ponorogo Regency. The study was conducted in schools with computer facilities and internet connection, involving 210 adolescents, who were selected using Simple Random Sampling technique. The data was collected by questionnaire. Data analysis was conducted in univariate, bivariate with using Spearman Rank test, and multivariate ways using logistic regression test.Results: The study showed that mean website access frequency and duration for information about reproductive health by adolescents were 1.36 times a week and 1.65 hours; knowledge about reproductive health was 58,1% in low category; and no relationship was found between the use of web-based information system and knowledge about reproductive health in adolescents, even though there was an increasing trend in the frequency and duration of website visits for information related to reproductive health in adolescents.Discussion: The use of web-based information system does not have a significant relationship with knowledge about reproductive health in adolescents. Further research is necessary to explore the same subject with a different method, which is not selecting the respondents in the first meeting and use a closed questionnaire to select the respondents. This way, the adolescents will feel free and open to the researcher.
The Readiness of Students to Learn Interprofessional Teamwork in Antenatal Care
Authors: Fuadah Dina Zakiyyatul , Hapsara Sunartini , Sedyowinarso Mariyono
Published: July 2022

Introduction: Indonesia as a developing country have a higher Maternal Mortality Rate (MMR). The prevention efforts is developing interprofessional collaborative practice (IPCP) in the level of health care. Collaboration attitudes should start from education level through interprofessional education training and simulation for student. The objective of this study was to analyze the effect of interprofessional education training toward the readiness of students to learn interprofessional teamwork in antenatal care.Methods: Quasi-experimental design (pre test and post test without control) with Time-Series Design. Participants used in this study were students of five semester in STIKes Karya Husada Kediri year of 2011/2012 and the number of samples are 60 students. Technique sampling using simple random. The data collected by used questionnaires Readiness Interprofessional Learning Scale (RIPLS) and checklist observations using Teamwork Score (TWS). Anova, Friedman test, and Kruskal Wallis was used to statistically analyzed the data.Results: Readiness to learn interprofessional teamwork indicates the value of p = 0.001 thats means there are significant differences between the readiness before and after training IPE. Delta test showed that p value > 0.05 so there is no difference between the three programs study on readiness to learn interprofessional teamwork in antenatal care.Discussion: Interprofessional education training using simulation methods can affect the readiness of nursing, midwifery and nutritionist students for learning interprofessional teamwork in antenatal care.
Les temps des forêts et de leur observation
Authors: Bontemps Jean-Daniel
Published: July 2022

Le temps forestier s’est singulièrement diversifié et enrichi au cours des dernières décennies, entrant en résonance avec le développement anthropique et la crise environnementale. La découverte de phénomènes de grande échelle opérant à des échelles extrêmes a ainsi consacré un temps profond et un temps réel des forêts. Cette nouvelle appréhension a été permise par l’émergence et l’évolution des systèmes d’observation et de suivi systématique des forêts. Si ces derniers ont évolué très rapidement à l’échelle humaine, tirant parti des progrès de la statistique de sondage, de la télédétection et de leur hybridation, un regard historique montre qu’ils restent néanmoins en retard permanent sur les phénomènes réels à l’œuvre dans les forêts. Des processus globaux et d’intensité marquée comme les changements de croissance, les transitions forestières, ou les perturbations environnementales permettent ainsi de l’illustrer. Savoir construire une vision des futurs pour ces systèmes d’observation est un enjeu technologique et sociétal majeur face au changement climatique. Les forêts ont toujours été de notre temps. Les systèmes d’observation doivent aussi le devenir.
Influence de la disponibilité alimentaire et du climat sur l'abroutissement : utilisation de la méthode d'Aldous dans la réserve nationale de chasse et de faune sauvage de La Petite Pierre
Authors: Rietsch Apolline , Saïd Sonia
Published: July 2022

L’abroutissement est le principal enjeu lié à la présence d’ongulés sauvages en contexte sylvicole, qui peut dans certains cas compromettre l’ensemble du renouvellement forestier. Par conséquent, la recherche d’indices ou de méthodes permettant de mieux appréhender cet enjeu dans la réflexion de l’équilibre ongulés-forêt est devenue aujourd’hui une problématique majeure et très demandée par les gestionnaires. Cette étude s’appuie sur des relevés d’abroutissement et de recouvrement des espèces végétales selon la méthode Aldous sur la réserve de La Petite Pierre (Alsace, France) et vise à modéliser la pression d’abroutissement exercée par les ongulés sur les principales espèces végétales du territoire. Les résultats obtenus mettent en avant l’effet de la disponibilité alimentaire, du gel et de la température estivale sur l’intensité d’abroutissement des espèces ligneuses. Sur la Réserve nationale de chasse et de faune sauvage de La Petite Pierre, ils permettent d’identifier un seuil de recouvrement des ronces nécessaire, en-dessous duquel des dégâts d’abroutissement conséquents peuvent apparaître.
THEORETICAL STUDY OF THE EFFICIENCY OF USING A SPECIAL CUTTER TOOL HOLDER WITH AN ORIENTED POSITION OF CENTER OF RIGIDITY
Authors: Vakulenko Serhii
Published: July 2022

The theoretical study of vibration resistance of the turning process is effectively carried out using modern mathematical modeling tools, which are characterized by sufficient accuracy of the relationship between input actions or disturbances and the dynamic response of the metal-cutting machine tools. To study and analyze the dynamic processes of a potentially unstable lathe support system during turning, it is important to form a calculation scheme for the processing process and a mathematical model of studies system. The implementation of such a model, which determines the influence of the elastic and dynamic characteristics of a special tool holder with an oriented center of rigidity on the relative vibrations of workpiece and cutter, in general on the main indicator of machine tools dynamic system quality - vibration resistance, is presented. The analytical dependences of tool holders elastic characteristics influence on tool-support system static characteristic, which allow determining its reduced stiffness parameters in main coordinate system directions are presented. Based on the simulation studies results of the cutting process vibration resistance is possible to determine the most rational tool holder elastic parameters, in which the vibration resistance of turning will be relatively increased, taking into account various combinations of the potentially unstable system elastic characteristics of the machine tool carriage during turning. The use of an additional tool holder reduces the overall rigidity in the direction of the cutting force vector and in the direction normal to the workpiece’s surface, while simultaneously increasing the vibration resistance of cutting process due to the reduction of the “coordinate links” negative influence between cutter vibrational movement and the cutting process.
SIMULATION MODELING OF 2.5D MILLING DYNAMICS BY END MILLS
Authors: Petrakov Yuriy , Sikailo Maxim
Published: July 2022

A mathematical model for simulation modeling of 2.5D end milling is presented. The model takes into account the loop closed of the cutting process in the elastic machining system through the feedback in the form of elastic shifts along the coordinate axes. The dynamics of the system are represented by a single-mass model with two degrees of freedom. A block diagram of the milling process using transfer functions, which reflects the cross-links of the real machining system. It is shown that the main cause of regenerative oscillations is cutting along the trail from the previous pass. The mathematical model is compiled in state variables, which allows the use of numerical methods for simulation modeling. The linearization coefficients relate the cutting force to the feed per tooth of the mill and the cutting depth. An application program has been created that uses a time-frequency approach to modeling the 2.5D milling process. Therefore, it is possible to observe dynamic processes both in the form of transient characteristics in time and in the form of amplitude-frequency characteristics in the form of a Nyquist diagram. An application program has been created, which makes it possible to observe processes in time in an interactive mode, thanks to the built-in virtual oscilloscope. It provides the possibility of a simulation experiment to determine the influence of all the initial data of the system on the dynamics of its behavior. The results of the influence of the cutting mode for determining the boundary of stability in the coordinates of the cutting speed – feedrate are presented. It is shown that a modified stability criterion according to the parameters of the Nyquist diagram on the complex plane can be used to estimate the stability of the machining system. The created application program allows to determine the chatter-free cutting mode and in practice is an important tool for the programmer-technologist when assigning the cutting mode to the control program 2.5D milling on CNC machine.
AIRFLOW SIMULATION AT THE UKRAINIAN ANTARCTIC STATION
Authors: Tsybulnyk Serhii , Nakoryk Viktoriia , Rupich Serhii , Pivtorak Diana
Published: July 2022

The location of the Ukrainian Antarctic Akademik Vernadsky station leads to several problems related to the need to ensure the livelihood and safety of people. The infrastructure of Vernadsky station is affected by significant climatic loads during the year, such as wind, rain, snow and low temperatures. The destruction or even significant damage to the infrastructure of the Antarctic station can endanger the lives of people who are on it due to the inability to evacuate. The purpose of the study is to determine the fields of wind load distribution within the Antarctic Vernadsky station. This is necessary in order to identify the infrastructure objects that are most affected by wind loads. SolidWorks computer-aided design software environment allows you to build geometric models of objects of varying complexity. That is why this system was chosen to model the infrastructure of the Ukrainian Antarctic Vernadsky station. Simulation modeling of wind load was performed in the computer-aided engineering software of finite element analysis ANSYS. Geometric models of the infrastructure objects of the Ukrainian Antarctic Vernadsky station were created. Simulation modeling of the station under wind load conditions was performed. It is shown that in the case of wind from the mainland, the elements of the station's infrastructure that receive the main wind load are the main building and the VST-200. It is determined that the presence of a pile foundation affects the velocity vector fields, so this element should not be neglected when performing further research. It is shown that practically all objects of the station's infrastructure lead to significant turbulent vortices. Geometric models of the infrastructure objects of the Ukrainian Antarctic station Academician Vernadsky were created. Simulation modeling of the station under wind load conditions was performed. It is shown that in the case of wind from the mainland, the elements of the station's infrastructure that receive the main wind load are the main building and the RVS-200. It is determined that the presence of a pile foundation affects the velocity vector fields, so this element should not be neglected when performing further research. It is shown that almost all infrastructure objects of the station lead to significant turbulent tails when they flow around.
THE PROBLEM OF PLASTIC WASTE POLLUTION IN THE WORLD OCEAN
Authors: Baranova Antonina , Novozhilova Tatiana , Litovka Anna , Bilousov Maksim
Published: July 2022

The most important environmental problem facing the world's oceans is pollution. Ocean pollution refers to the direct or indirect release of substances or energy into the marine environment causing such adverse effects as harm to living resources, harm to human health, disruption of marine activities, including fishing, and degradation of seawater quality. Plastic is the largest, most harmful and most persistent part of marine litter, accounting for at least 85 percent of total marine litter. They cause lethal and sublethal effects in whales, seals, turtles, birds and fish, as well as in invertebrates such as bivalves, plankton, worms and corals. Their consequences include confusion, starvation, drowning, rupture of internal tissues, suffocation and deprivation of oxygen and light, physiological stress and toxicological damage. Plastics can also change the global carbon cycle through their impact on plankton and primary production in marine, freshwater and terrestrial systems. Today, the total annual economic losses due to damage to the maritime industry, including cleaning costs, are estimated at 6 to 19 billion US dollars. As this estimate does not include the cost of degrading ecosystem goods and services through marine litter, it is likely to significantly underestimate the overall economic loss. The combination of cheap fuel and improper waste collection and recycling has led to estimates that by 2040 the expected mass of plastic leaks into the oceans could reach $100 billion. These figures point to significant losses for the market and underscore the need for urgent action. Ways to solve the problem of pollution of the world's oceans include reducing the production of plastic, increasing recycling volumes and starting the production of a benign, non-harmful to the human body and the environment type of plastic, use of paper or wooden tubes in coffee shops. In addition, a complete transition from polystyrene bags to carrier bags is required.
INVESTIGATION OF THE INTENSIFICATION OF SEPARATION PROCESSES USING THE HEAT OF EXHAUST GASES
Authors: Vytiaganets Valentin , Bairachnyi Volodymyr , Pitak Inna , Baranova Antonina
Published: July 2022

The useful use of heat for the above cases is primarily related to the use of heat from the exhaust gases. It should be stressed that in all cases it is necessary to return the maximum amount of waste heat to the process. Part of the heat is usually returned to the working chamber with heated air (up to 300 - 500 oC). In some cases, it is possible to use a certain amount of gas heat for drying and heating the raw material, the finished product and/or for heating the process water used in the processing; the use of heat from gases to produce steam and other parameters for the necessary heating of the blast furnace. All of this opens up the possibility of achieving very high end results for energy plants. However, as a rule, the exhaust gases are characterized by fairly high concentrations of fine solid particles (fine removals), which must be effectively removed in the separator because in most cases they prevent the efficient use of heat from the exhaust gases. Thus, efficient separation of fine removal is crucial for heat recovery of exhaust gases, especially for high-performance units. The ways to intensify the separation processes in industrial waste were investigated and made practical conclusions. Based on known literature data and results of own experiments, some questions of separation of fine removal are considered. The basics of the separation mechanism are formulated, which are reduced to elucidating the causes and patterns of movement of small particles to the separating surface across the main stream. The mechanisms of separation of small particles due to turbulent diffusion are analyzed in detail, the possibility of realization of the mechanism of separation on the basis of thermophoresis is estimated. The initial parameters and criteria that characterise the particle separation process have been established. A formula for assessing the particle separation rate is derived and the effect of the specified criteria on this value is analyzed. The analysis of the above dat a resulted in practical conclusions on ways to intensify the separation processes under industrial conditions.