bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN ANTARA NYERI REUMATOID ARTRITIS DENGAN KEMANDIRIAN ADL PADA LANSIA
Authors: Kartini Kartini , Samaran Elisabeth , Marcus A 
Published: November 2019

Arthritis or commonly called rheumatism is a disease that attacks the joints and surrounding structures. Rheumatic disease in the community is often considered a trivial disease because it does not cause death, but if not treated quickly rheumatism can make limbs function abnormally, starting from bumps, stiff joints, difficulty walking, even lifelong disability. Objective: to find out there is a relationship between rheumatoid arthritis pain and independence of Activity daily living (ADL) in the elderly. Research Methods: This study used a quantitative research design with a cross sectional approach to reveal the relationship between independent variables (Rheumatoid Arthritis pain) and the dependent variable of Independent Activity daily living (ADL) at the same time and once a measurement. Statistical tests using chi-square consisted of 33 respondents. Results: From the results of the chi-square statistical test obtained p value = 0.047 (p <0.05) there was a relationship between rheumatoid arthritis pain and the independence of the elderly in the puskesmas classaman city of Sorong. Conclusion: There is a relationship between Rheumatoid Arthritis pain and the degree of independence in carrying out daily life activities in the elderly in the working area of ​​the Sorong City Community Health Center (p value = =, 047)
Keywords: Rheumatoid Pain Arthritis; Elderly ADL
Bibliography: 2002 – 2017
FAKTOR YANG MEMPENGARUHI BENDUNGAN ASI PADA IBU NIFAS
Authors: Oriza Novalita 
Published: November 2019

Pendahuluan : Kejadian Bendungan ASI yang disebabkan oleh pengeluaran air susu yang tidak lancar, karena bayi tidak cukup sering menyusu pada ibu nya. Data SDKI tahun2015 menyebutkan bahwa terdapat ibu nifas yang mengalami BendunganASI sebanyak 35.985 atau (15,60 %) ibu nifas. Tujuan : Untuk mengetahui faktor yang mempengaruhi bendungan ASI pada ibu nifas di Wilayah Kerja Puskesmas Rambung Merah Kabupaten Simalungun Tahun 2018.Metode : Desain penelitian adalah survei analitik kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 122 ibu nifas. Teknik pengambilan sampel menggunakan sistem accidental samplingsebanyak 92 responden. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik.Hasil : Seluruh variabel independen mempengaruhi bendungan ASI dengan nilai p-value < 0,05. Hasil uji regresi logistik yang paling mempengaruhi kejadian bendungan ASI adalah frekuensi menyusui dengan nilai sig. p = 0,000<0,25 dan nilai B (logaritma natural) terbesar yaitu 3,740.Kesimpulan : Faktor frekuensi menyusui, kondisi puting, perlekatan menyusui, posisi menyusui dan perawatan payudara memengaruhi kejadian bendungan ASI di wilayah kerja Puskesmas Rambung Merah Kabupaten Simalungun tahun 2018 dan variabel yang paling mempengaruhi kejadian bendungan ASI adalah frekeunsi menyusui. Diharapkan kepada petugas puskesmas agar lebih peduli dan meningkatkan informasi manajemen laktasi dan perawatan payudara
STUDI FENOMENOLOGI “PERMASALAHAN PASIEN BPJS
Authors: Loihala Maria , Samaran Elisabeth 
Published: November 2019

Badan Penyelenggara Jaminan Sosial atau BPJS adalah lembaga yang dibentuk untuk menyelenggarakan program jaminan sosial di Indonesia berdasarkan Undang-undang Nomor 40 Tahun 2004 dan Undang-undang Nomor 24 Tahun 2011.Masih banyak masyarakat yang belum tahu teknis mendapatkan pelayanan sesuai dengan aturan main BPJS Kesehatan. Tujuan penelitian untuk menganalisis pengaruh pemanfaatan Jaminan Kesehatan Nasional terhadap kepuasan pasien rujukan luar Papua di wilayah kerja BPJS kota Sorong Tahun 2018.Desain penelitian yang digunakan adalah penelitian kualitatif. Metode penelitian kualitatif dengan menggunakan pendekatan fenomenologi. Populasi dalam penelitian ini adalah semua Pasien BPJS Di Wilayah Kerja BPJS Kota Sorong. Sampel dalam penelitian ini menggunakan sampel titik jenuh.Hasil penelitian menunujukkan permasalahan pasien BPJSdi wilayah kerja BPJS Kota Sorong yaitu masalah rujukan yaitu rujukan berjenjang yang cukup ribet, ruang inap yang sering penuh, sistem kerja yang lambat yaitu ketidaktahuan sistem informasi online dan antrian panjang akibat sistem kinerja yang lambat, kurangnya sosialisasi, serta lambatnya proses verifikasi klaim yang diajukan fasilitas kesehatan pada BPJS Kesehatan.
Uji Validitas Dan Reliabilitas Kuesioner Pengukuran Kompetensi Sistem Informasi Keperawatan: NICAT Dalam Bahasa Indonesia
Authors: Guna Stephanie Dwi , Nita Yureya 
Published: November 2019

Integrasi Teknologi Informasi (TI) di bidang kesehatan terbukti meningkatkan kualitas pelayanan kesehatan dengan meningkatkan patient safety serta mempercepat waktu layanan. Salah satu inovasi TI di bidang kesehatan yaitu rekam medik elektronik (electronic health record). Rekam medik jenis ini sudah umum digunakan di negara maju namun masih jarang digunakan di negara berkembang termasuk Indonesia. Sebelum pengimplementasian suatu sistem informasi baru di pelayanan kesehatan, perlu dipastikan bahwa user dapat mengoperasikannya dengan baik sehingga hasil dari sistem tersebut optimal. Perawat sebagai tenaga kesehatan dengan jumlah paling banyak di suatu pelayanan kesehatan seperti Rumah Sakit merupakan user terbesar bila rekam medik elektronik ini diterapkan. Oleh karena itu diperlukan suatu alat untuk mengukur kemampuan atau literasi sistem informasi keperawatan (SIK). Salah satu alat ukur kompetensi SIK yaitu NICAT (Nursing Informatics Competency Assessment Tool) yang memiliki 3 bagian serta 30 item pertanyaan. Penulis melakukan alih bahasa pada kuesioner ini, kemudian melakukan uji validitas dan reliabilitas. Jumlah sampel pada penelitian ini yaitu 233 perawat di salah satu Rumah Sakit Pemerintah di Pekanbaru, Indonesia. Hasil uji validitas pada 30 item dengan r tabel 0.128 menunjukkan r hitung diatas nilai tersebut dengan Cronbach’s Alpha 0,975. Dapat disimpulkan kuesioner pengukuran kemampuan SIK (NICAT versi Bahasa Indonesia) telah valid dan reliabel sehingga dapat digunakan mengukur kemampuan SIK perawat Indonesia.
Analisis Penyebab Konstipasi Pada Ibu Hamil Di Wilayah Kerja Puskesmas Payung Sekaki Pekanbaru
Authors: Hanim Busyra 
Published: November 2019

Constipation is one of the incoveniences that pregnant women often complain about. If not managed properly constipation can cause serious complication. 40% of pregnant women have experienced constipation. In Pekanbaru constipation is experienced by about 4-30% of pregnant women. The purpose of this study was to analyze the causes of constipation in pregnant women in The Payung Sekaki Puskesmas Work Area Pekanbaru. The study was conducted on 96 respondents in the Work Area Payung Sekaki Puskesmas Pekanbaru taken by purposive sampling technique. This research is quantitative with descriptive design. The results showed that constipation in pregnant women in The Payung Sekaki Puskesmas Work Area was caused by consumption of Fe tablets of 71 poeple (74%), risky eating patterns of 71 poeple (74%), squating position when defecating of 40 poeple (42%), physical activity/sports of 46 poeple (48%), and the habit of delaying the desire to defecate of 50 poeple (52%). Suggestions for health workers in the Payung Sekaki Health Center in Pekanbaru to study in full identify the cause of constipation complained in order to provide appropriate education in managing this discomfort.
High dynamic resistance elements based on Josephson junction array
Authors: Arutyunov Konstantin , Lehtinen Janne Samuel 
Published: November 2019

Chain of superconductor-insulator-superconductor junctions based on Al-AlO

x

-Al... lift-off fabricated nanostructures was measured at ultra-low temperatures. At zero magnetic field the low current bias dynamic resistance can reach values ~1011 W. The system has been proved to provide a decent quality current biasing circuit enabling observation of Coulomb blockade and Bloch oscillations in ultra-narrow Ti nanowires associated with quantum phase slip effect.
Emission from a Pulsar Wind Nebula: Application to the Persistent Radio Counterpart of FRB 121102
Authors: Yang Yu-Han , Dai Zi-Gao 
Published: November 2019

Abstract
The properties of fast radio bursts (FRBs) indicate that the physical origin of this type of astrophysical phenomenon is related to neutron stars. The first detected repeating source, FRB 121102, is associated with a persistent radio counterpart. In this paper, we propose that this radio counterpart could arise from a pulsar wind nebula powered by a magnetar without surrounding supernova ejecta. Its medium is a stratified structure produced by a progenitor wind. The model parameters are constrained by the spectrum of the counterpart emission, the size of the nebula, and the large but decreasing rotation measure (RM) of the repeating bursts. In addition, the observed dispersion measure is consistent with the assumption that all of the RM comes from the shocked medium.
Patient Compliance With Outpatient Prophylaxis: An Observational Study
Authors: Colwell Clifford W , Pulido Pamela , Hardwick Mary E , Morris Beverly A 
Published: November 2019

abstract
The need for prophylaxis against venous thromboembolic disease following lower-extremity joint replacement is well documented and accepted. Although low molecular weight heparin is approved for inpatient and extended prophylaxis beyond the hospital environment, orthopedic surgeons must determine the duration of injectable low molecular weight heparin based on the period of venous thromboembolic disease risk and on patient compliance with self-administration of medication at home. Lack of confidence in patients' ability to self-administer injections may contribute to hesitancy in prescribing injectable prophylaxis. This observational study evaluated the effectiveness of a self-injection education program. Findings demonstrate that when properly instructed, patients safely and efficaciously self-administer low molecular weight heparin at home. With shorter hospital stays, self-administration of low molecular weight heparin may optimize the clinical outcomes of orthopedic patients.
Choosing to Write the Paper Format Thesis
Authors: Morris Heather M , Tipples Graham 
Published: November 2019

ABSTRACT
Graduate students today may be faced with the option of writing either a traditional format thesis or a paper format thesis. In contrast to the traditional format in which the text body consists of four or five chapters, the body of the paper format thesis can be comprised of an introductory chapter, two or more papers written as publishable manuscripts, and a conclusion. In this article, an overview of the paper format thesis is presented and contrasted with the traditional format thesis. The description of the paper format thesis is followed by its advantages and disadvantages for writers and readers. It is by weighing all possible pros and cons, as well as considering one's individual situation, that the graduate student will be able to decide which format of thesis to write.
Stromal Rejection After SMILE for the Correction of Astigmatism After Graft
Authors: Hashemi Hassan , Aghamirsalim Mohammadreza , Asgari Soheila 
Published: November 2019

PURPOSE:
To describe a case of stromal rejection in a 46-year-old man after small incision lenticule extraction (SMILE) for the correction of residual astigmatism following deep anterior lamellar keratoplasty (DALK).

METHODS:
Case report.

RESULTS:
Nine years after an uneventful DALK in the left eye, the patient (uncorrected distance visual acuity [UDVA] = 20/200, corrected distance visual acuity [CDVA] = 20/32, and refraction = −3.25 −4.25 × 165°) underwent SMILE using the VisuMax femtosecond laser platform (Carl Zeiss Meditec, Jena, Germany). The next day, the UDVA, CDVA, and refraction were 20/40, 20/32, and −1.25 −0.50 × 15°, respectively. One week later, the patient presented complaining of pain, photophobia, and blurred vision; at this time, there was a reduction in UDVA to 20/400 and CDVA to 20/63. With a diagnosis of stromal rejection, the patient was treated with corticosteroids (sub-Tenon injection and oral). Five months later, UDVA was 20/40, CDVA was 20/25, and refraction was −1.25 −0.75 × 90°. The graft had completely cleared.

CONCLUSIONS:
SMILE can be an effective alternative for the correction of astigmatism after DALK, but the risks of inflammatory responses and graft rejection call for caution.

[
J Refract Surg
. 2019;35(11):737–739.]
Corneal Viscous Properties Cannot Be Determined From Air-Puff Applanation
Authors: Francis Mathew , Matalia Himanshu , Nuijts Rudy M.M.A. , Haex Bart , Shetty Rohit , Sinha Roy Abhijit 
Published: November 2019

PURPOSE:
To assess whether corneal viscous properties are measureable with air-puff applanation in patients.

METHODS:
The study had 312 normal eyes, 107 fellow eyes of patients with keratoconus, and 289 keratoconic eyes. The Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany) deformation data for all eyes were analyzed using two models. First, a standard linear solid model (SLM) assumed the cornea was an elastic material only. Second, a two-compartment Kelvin-Voigt model (KVM) assumed the cornea was a visco-elastic material. Corneal stiffness and viscosity were calculated. Further, the deflection amplitude was phase shifted virtually relative to the air-puff applanation force to assess whether the KVM was capable of detecting corneal viscous properties from air-puff applanation. This was similar in concept to measured viscoelastic deformations in other soft tissues. The hysteresis area was also calculated with deformation (cornea and whole globe) and deflection (cornea only) amplitude. The greater the magnitude of the hysteresis area, the greater was the magnitude of corneal viscosity (µc).

RESULTS:

Both the SLM and KVM reported similar magnitudes of corneal stiffnesses (correlation coefficient > 0.99). However, for a given model, corneal stiffness was significantly different between normal, fellow, and keratoconic eyes (
P
= .001). From the KVM, the corneal viscosity was different between groups (
P
= .001) but was small in magnitude (order of 10
−9
). The deflection hysteresis area was also small in magnitude (order of 10
−6
). In contrast, the KVM detected significant corneal viscosity only when the deflection amplitude was virtually phase shifted with respect to the air-puff applanation force.

CONCLUSIONS:
No significant corneal viscous response was detected in patients who had air-puff applanation.

[
J Refract Surg
. 2019;35(11):730–736.]
Géographes d’al-Andalus
Authors: Tixier Du Mesnil Emmanuelle 
Published: November 2019

L’Espagne, comme la Sicile, est l’une de ces rares terres qui furent un temps intégrées au monde islamique et qui ne le sont plus. Al-Andalus s’est effectivement rétractée comme une peau de chagrin durant les huit siècles de son existence, depuis l’arrivée des conquérants arabo-musulmans au début du viiie siècle jusqu’à la chute de Grenade entre les mains des rois catholiques à la fin du xve siècle.

Nous avons voulu interroger la littérature géographique médiévale de langue arabe, afin de savoir si cette discipline, qui se propose, dans le sillon de la géographie antique, de décrire les hommes et les pays, était à même de rendre compte de l’évolution du territoire. Cela nécessite d’analyser le discours même de la géographie, de comprendre ce que les auteurs médiévaux entendaient mettre au centre de leur propos. Or, depuis le tournant de l’An Mil, c’est dans l’Occident du monde musulman que furent composés les traités les plus importants. Du xe au xive siècle, les principaux géographes, dont al-Bakrī au xie siècle et al-Idrīsī au xiie siècle, sont originaires d’al-Andalus ou sont en partie liés à son histoire. Placés aux premières loges, ces géographes ont rédigé des ouvrages décrivant l’ensemble de l’œkoumène, et plus particulièrement le dār al-islām, le domaine de l’Islam, au sein desquels la place dévolue à l’Espagne musulmane diffère sensiblement au gré des contextes. Par-delà les permanences d’un discours visant à affirmer l’intemporalité d’une terre, quelle histoire peut-on faire du discours géographique ? Peut-il rendre compte du recul de l’Islam dans la péninsule Ibérique ? Enfin, que choisissent ces auteurs de privilégier dans le tableau d’une terre dont le nom reste signifiant en Orient comme en Occident ?
La mémoire des coraux
Authors: Bessat Frédéric 
Published: November 2019

Très sensible aux conditions climatiques et océaniques, le corail construit des squelettes calcaires qui gardent en mémoire les variations des milieux régionaux et locaux. Pour cette raison, il témoigne des conditions dans lesquelles il a vécu. L'étude de colonies coralliennes massives permet donc d'accomplir un formidable voyage dans le temps.

Cet ouvrage est le produit d'une recherche de terrain menée en Polynésie française, en particulier à Moorea et à Mururoa, et complétée par un travail de laboratoire. L'auteur cherche à caractériser les relations pluriséculaires entre, d'une part, la température de l'air et l'eau, l'activité solaire et les anomalies hydro-climatiques, d'autre part, les empreintes physiques, chimiques et biologiques laissées dans (et par) les squelettes coralliens. L'apport méthodologique tient notamment dans le développement d'une technique d'acquisition d'images par tomographie et le traitement des clichés, assurant une lecture plus fine et plus fiable des cernes d'accroissement du corail. Par ailleurs, le recours à une « analyse couplée » de mesures physiques et géochimiques sur des échantillons de taille variable précise le potentiel de reconstitution paléoclimatique de ce matériel.

L'utilisation de plus en plus fréquente des biomarqueurs coralliens conduit la communauté scientifique à réfléchir sur leur fiabilité. Les signaux isotopiques, chimiques et physiques correspondent-ils uniquement à l'enregistrement des données climatiques ?

Les récifs coralliens, et en particulier les colonies massives, représentent des archives incomparables du passé. En ce sens, ils deviennent des outils de prédilection pour l'étude des paléoenvironnements aux latitudes intertropicales et surtout pour l'établissement de modèles climatologiques prédictifs. En outre, des analyses approfondies et appliquées, qui assurent une meilleure compréhension du fonctionnement des écosystèmes récifaux, dont certains sont parfois déjà fortement dégradés, doivent permettre d'en améliorer la gestion et, en conséquence, de préserver les enjeux socio-économiques cruciaux de ces régions.
L'industrialisation contemporaine des Pays-Bas
Authors: Fischer André 
Published: November 2019

Les années 1945-1975 sont marquées, aux Pays-Bas, par la priorité absolue accordée au développement des activités industrielles. L'ampleur des mutations qui en résultent, tant au niveau de l'économie nationale qu'à l'échelle des régions, est telle que les Pays-Bas offrent alors l'exemple, assez original, d'un pays développé en cours d'industrialisation.

L'accent est mis sûr l'industrialisation des régions périphériques, celles qui font l'objet des politiques de stimulation et de restructuration, politiques étroitement liées à l'aménagement du territoire. L'objectif majeur de la recherche développée ici est de confronter l'action territoriale des pouvoirs publics, la stratégie spatiale des grandes entreprises industrielles, la nature des problèmes à résoudre dans les diverses régions.

L'industrialisation régionale se heurte à bien des difficultés : les effets de l'ouverture du marché néerlandais, l'insuffisante efficacité des aides publiques, une certaine discordance entre les politiques néerlandaises et les orientations proposées par la Commission des Communautés européennes, la mise en pratique d'une stratégie spatiale très sélective de la part des grandes entreprises. D'abord surtout quantitative, l'industrialisation est de plus en plus qualitative, ce qui accroît les difficultés des régions périphériques. A partir des années 1972-1974, les activités tertiaires prennent le relais de l'industrie comme moteur principal du développement régional.
Othering and Recognition: National Ideologies in Donor-Recipient Encounters in Hungarian Co-Ethnic Philanthropy
Authors: Zakariás Ildikó 
Published: November 2019

The paper analyses minority — kin-state relations in the context of philanthropy initiated from Hungary, supporting ethnic Hungarian minority communities abroad. It focuses on the role of national ideologies and their reproduction in philanthropic interactions. Relying upon postcolonial theories of giving and helping, as well as theories of recognition it shows that the working of such national ideologies are intimately tied to donor-recipient binary positions, hierarchies and power relations. By providing the value system behind solidarity, national ideologies may carry the potentials of recognition of recipients. However, such ideologies simoultaneously offer assymmetric positions for participants of helping interactions, Othering recipients, and implying their misrecognition. These processes, with a major emphasis on recipient perspectives will be described in the paper, based on qualitative data collected between 2009 and 2014 in three philanthropic programs, promoting Hungarian language education, and supporting Hungarian language teachers, schools and children and their families in Moldavia (Romania) and Transcarpathia (Ukraine).