bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN DUKUNGAN KELUARGA DENGAN AKTIFITAS SEHARI-HARI PASIEN GAGAL GINJAL KRONIK YANG MENGALAMI HEMODIALISA DI RSU IPI MEDAN TAHUN 2018
Authors: Sepadha Putra Sagala Deddy , Ruth Annike Sitompul Maria 
Published: December 2021

Gagal ginjal kronis merupakan suatu penyakit ginjal tahap akhir yang mengakibatkan gangguan fungsi ginjal yang bersifat irreversible dan menahun sehingga terjadinya penurunan kemampuan fungsi tubuh untuk mempertahankan metabolisme serta keseimbangan cairan dan elektrolit. Pasien gagal ginjal kronis akan mengalami kehilangan fungsi ginjal sampai 90% atau lebih, sehingga kemampuan tubuh untuk mempertahankan cairan dan elektorilit terganggu, sekresi menjadi tidak adequat dan fungsi hormonal terganggu sehingga mengakibatkan sindrom uremia atau azotemi (Rendy & Margareth, 2012 ; Parson, Toffelmire & Valack, 2006).Jenis penelitian ini kuantitatif menggunakan desain korelasional dengan jenis rancangan penelitian cross sectional. Dimana jumlah populasi sebanyak 98 responden, metodepengambilan sampel probability samplingtehnik purposive sampling sampel, besar sampel ditetapkan menggunakan rumus slovin didapati responden penelitian ini sebanyak 79 penderita gagal ginjal kronik yang menjalani terapi hemodialisa di RSU Imelda Medan Tahun 2018. Pengumpulan data menggunakan Instrumen dukungan keluarga (Berlin Social Support Scale (BSSS)) sejumlah 16 pertanyaan dan aktifitas sehari-hari Curtin & Mapes (2005) : Cook & Jassal (2008) sejumlah 38 pertanyaan, Tehnik pengukuran pertanyaan masing-masing menggunakan skala Linkert dalam bentuk kuesioner tertutup. Pengolahan data mengguanakan analisa data univariat dan bivariatmenggunakan uji statistik parametrik yaitu uji pearson corelation (pearson product moment) dengan p < 0.05, didapati hasil penelitian menunjukkan nilai probabilitas (p) untuk dukungan keluarga = 0.000, yang berarti ada hubungan secara signifikan dengan aktifitas sehari-hari (p<0.05). Hasil analisis diperoleh nilai correlation coefficient (r) = 0,835, menunjukkan hubungan sangat kuat dan berpola positif artinya semakin tinggi dukungan keluarga yang diterima maka aktifitas sehari-hari yang dimiliki pasien gagal ginjal kronis yang menjalani hemodialisa semakin baik
FAKTOR-FAKTOR YANG MEMPENGARUHI PARTISIPASI PRIA DALAM VASEKTOMI DI KECAMATAN SIDIKALANG TAHUN 2017
Authors: R Marbun Agustina , Hidayat Wisnu , Sembiring Risnawati 
Published: December 2021

Vasektomi adalah metode kontrasepsi bagi pria. Berdasarkan data yang diperoleh diketahui bahwa partisipasi pria dalam program keluarga berencana masih rendah. Penelitian ini merupakan penelitian observasional dengan rancangan case control study, yaitu membandingkan antara kelompok kasus dengan kelompok kontrol berdasarkan faktor predisposisi (pengetahuan, dan sikap), faktor pemungkin (ketersediaan layanan vasektomi dan keterjangkauan sarana kesehatan), serta faktor penguat (dukungan istri) yang memengaruhi penggunaan vasektomi di Kecamatan Sidikalang. Populasi dalam penelitian ini adalah semua suami yang menjadi akseptor vasektomi dengan jumlah 30 orang. Penelitian ini dilakukan bulan Maret sampai Juli 2017. Data diperoleh melalui wawancara dengan /J67responden dan dianalisis dengan uji regresi logistik berganda pada taraf kepercayaan 95%. Hasil penelitian menunjukkan bahwa faktor predisposisi (pengetahuan, sikap), faktor pemungkin (ketersediaan pelayanan vasektomi dan keterjangkauan fasilitas kesehatan) dan faktor penguat (dukungan istri) berhubungan dengan partisipasi pria dalam vasektomi. Variabel yang memberikan pengaruh paling besar adalah pengetahuan dengan Odd Ratio 70,00. Disarankan kepada PLKB untuk memberikan penyuluhan dan konseling tentang vasektomi KB kepada masyarakat.
PENINGKATAN KUALITAS HIDUP PADA PENDERITA GAGAL GINJAL KRONIK YANG MENJALANI TERAPI HEMODIALISA MELALUI STRATEGI KOPING DI RSU ROYAL PRIMA MEDAN TAHUN 2019
Authors: Giawa April , Novalinda Ginting Chrismis , Arniwati Tealumbanua  , Laia Ikhtiar , Cristian Manao Tedy 
Published: December 2021

Gagal Ginjal Kronik merupakan suatu keadaan klinis kerusakan ginjal yang progresif dan irreversible dari berbagai penyebab dimana terjadi ketika tidak mampu mengangkut sampah metabolik tubuh atau melakukan fungsi regulernya (Toto Suharyanto, 2017). Kualitas hidup merupakan salah satu yang dimiliki oleh setiap individu. Jika pasien menghadapi masalah dengan positif maka kualitas hidupnya akan baik, dan jika pasien menghadapi masalah dengan negatif maka kualitas hidupnya akan memburuk (Pujiani, 2017). Strategi coping terbagi dalam dua jenis yaitu : Emotion-Focused coping dan Problem Focused Coping.Emotion focused coping memiliki tujuan untuk mengontrol emosional pasien dalam menghadapi stress (Agustina, 2013). Tujuan penelitian ini bertujuan untuk mengetahui Peningkatan Kualitas Hidup pada Penderita Gagal Ginjal Kronik yang Menjalani Terapi HemodialisaMelalui Strategi Koping Di RSU Royal Prima Medan. Desain penelitian ini menggunakan desain pre-eksperimen dengan rancangan one group pre-test post-test design. Sampel diambil dengan menggunakan teknik accidental sampling yaitu sebanyak 30 orang. Pengumpulan data menggunakan lembaran kuisioner. Analisa data menggunakan uji Wilcoxon sign rank test dengan signifikasi 0,05. Hasil penelitian uji Wilcoxon sign rank test pada hasil akhir di dapatkan nilai p = value 0,000 < α = 0,05 sehingga dapat diambil Kesimpulan bahwa adanya Peningkatan Kualitas Hidup Pada Penderita Gagal Ginjal Kronik Yang Menjalani Terapi Hemodialisa Melalui Strategi Koping Di RSU Royal Prima Medan. Saran untuk peneliti selanjutnya dapat meneliti bagaimana penigkatan kualitas hidup pada pasien stroke yang menjalani fisioterapi melalui strategi koping.
Correlation of regional stage of the neogene of the Central and Eastern Paratethys (Ukraine, Russia, Azerbaijan and Georgia) with the International stratigraphic chart
Authors: Gozhyk P. , Semenenko V. , Andreeva-Grygorovitch A. , Maslun N. 
Published: December 2021

Using integral methodical basis (bio, litho, cyclo- magnetostratigraphy), the authors prove the validity of the correlations Paratethys. The detailed analysis of the microplankton occurrence (plankton foraminifers, nannoplankton, dinocysts) in the Neogene sediments of the Central and Eastern Paratethys, new data obtained during the drilling of the Azov-Black Sea area, allowed to prove and establish the boundaries of the Neogene 10 associations of marine plankton (correlation levels). Besides biostratigraphic used sedimentological, seismic-, cyclo-, magnetostratigraphic, tectonic, morphostructural criteria. The influence of the structure on the stratigraphic manifestations of volcanism are analyzed, particularly mud. As a result were proved and the boundaries and scope of regional, local (installed diachronism) Neogene units of the Central and Eastern Paratethys within Ukraine. Correlation with coeval units of Neogene sediments Romania, Poland, Slovakia, Bulgaria, South Russia, Georgia, Azerbaijan, as well as with the international stratigraphic scale.
Interregional stratigraphic scale of the Neogene sediments of the Central and Eastern Paratethys Ukraine are presented.
The Impact of the COVID-19 Pandemic in Prenatal Care Clinics; Late Diagnosis?
Authors: YALÇIN Serenat , SAYAL Hasan 
Published: December 2021

Objective: Coronavirus Disease 2019 (COVID-19) pandemic has an effect on the healthcare system and prenatal care units as well. Our goal is to identify the points where antenatal care was interrupted during the COVID-19 pandemic, as well as the reasons for disruption, and to discuss possible measures in this regard.
Methods: This study is a retrospective cross-sectional study which compiles cases who presented to our perinatology clinic for a period of 6 months after the COVID-19 infection was first detected in our country and were diagnosed late, despite the fact that they could have been diagnosed earlier based on their condition.
Results: The study included 22 cases of delayed diagnosis. When the reasons for missing the antenatal follow-ups of the cases were examined, nine of them (40.9%) were afraid of being infected in the hospital environment, eight of them (36.3%) could not follow the procedures due to long-distance travel restrictions, four of them (18.1) were on the contact list during the antenatal follow-up period, and one of them (4.5%) escaped the follow-up to because their doctor was infected.
Conclusion: COVID-19 outbreak has been found to drastically minimize the number of face-to-face visits. Prenatal care facilities were also found to be underutilized during the pandemic, possibly due to travel limitations, fear of infection, and contaminated healthcare staff. As a result, efforts to improve maternal health programs are suggested. A variety of information, education, and communication materials can be created to raise awareness about the care of pregnant women during COVID-19 pandemic.
ANALISIS PENERAPAN TOTAL QUALITY MANAGEMENT DALAM MENJAGA KUALITAS PRODUK AIR MINERAL DALAM KEMASAN MEREK SABINA PADA PT. SABINA TIRTA UTAMA SAMARINDA
Authors: Ramadani Filda 
Published: December 2021

This researcher is motivated by analyzing the application of Total Quality Management well in a in industrial company in maintaining the quality of the products produced at PT. Sabina Tirta Utama, Through the application of TQM it is expected that the company can provide satisfaction to customers with the result produced. The formulation of the problem in this study is divided two into: (1) Analyzing the application of TQM in maintaining the quality of the products produced at PT. Sabina Tirta Utama. (2) Whether the quality produced is in accordance with standard SNI. This study ams to find out how the application of TQM at PT. Sabina Tirta Utama and to find out the quality the products produced at PT. Sabina Tirta Utama.Intense competition will require companies to provide quality product to consumers. But the company’s concern is not limited to the quality of the product produced, but also on aspeets of the process, human resources (HR) and the environment. PT. Sabina Tirta Utama is a company that produces bottled mineral water in Samarinda and faces competition in a business that is growing increasingly. One of the methods carried out by PT. Sabina Tirta Utamain order to remain competitive by implementing Total Quality Management (TQM) . through an obsession toward quality, teamwork, continus system improvement, education and training, unity of purpose, and employee involvement. TQM is a system to achive the goals of an organization, one of which is maintaining product quality.Based on the result of interviews and observations, implementation of TQM in maintaining the quality of bottled mineral water products at PT. Sabina Still has reject products every month and teamwork is still careless in packing. Then As the result quality of bottled mineral waterproduced by PT. Sabina Tirta Utama has met the standard.
Inter-seasonal and inter-annual variations of mean and eddy atmospheric energetics over India
Authors: RAJEEVAN M. , RAY K. C. SINHA 
Published: December 2021

Using daily upper air data from 1000 to 250 hPa of 20 stations during the period 1983-87 , the inter-sasonal and inter-annual variations of vertically intearated mean and eddy sensible and latent heat fluxes over India were examined. Vertically intearated meridional, sensible and latent fluxes (both mean and eddy fluxes) were generally southwards over the country except over northeastern parts. Large seasonal variation of mean sensible heat and latent heat flux values occur in association with the seasonal shifts of Hadley circulation. Maximum sensible heat fluxes were observed during pre-monsoon season over northern parts of India. Maximum latent heat fluxes were observed over central parts of India during monsoon season. Eddy fluxes were two order smaller than fluxes due to mean flow during all seasons. Maximum eddy fluxes occur in winter and are accomplished by large scale transient eddies. The eddy fluxes were practically negligible equatorwards of 15°N. Seasonal variations of fluxes over low latitudes were, however, different from the zonal pattern of annual cycle obtained by Oort (1971).

There were significant differences in meridional mean and eddy flux values between 1983 (a good monsoon year) and 1987 (a bad monsoon year). During 1983 (1987) the sensible heat flux values due to transient eddies were equatorwards (polewards) during the premonsoon as well as monsoon seasons. Similarly during monsoon season of 1983 larger northward mean sensible and latent heat fluxes were observed. In addition there were significant differences in vertical structure of zonal sensible and latent heat fluxes between 1983 and 1987 also.
Present operational long range forecasting system for southwest monsoon rainfall over India and its performance during 2010
Authors: PAI D.S. , SREEJITH O.P. , NARGUND S.G. , MUSALE MADHURI , TYAGI AJIT 
Published: December 2021

At present, India Meteorological Department (IMD) issues various monthly and seasonal operational forecasts for the south-west monsoon season using models based on latest statistical techniques with useful skill. Operational models are reviewed regularly and improved through in house research activities. For the forecasting of the south-west monsoon season (June – September) rainfall over the country as a whole, a newly introduced statistical ensemble forecasting system is used. In addition, models have been developed for the forecast of the monsoon season rainfall over four geographical regions (NW India, NE India, Central India and South Peninsula) of the country and forecast for the rainfall over the second half of the monsoon season over the country as a whole. Models have also been developed for issuing operational forecast for the monthly rainfall for the months of July, August & September over the country as a whole. Operational forecasts issued by IMD for 2010 south-west monsoon rainfall have been discussed and verified. In addition, the experimental forecasts for the season rainfall over the country as a whole based on bothstatistical and dynamical models received from various climate research institutes within the country other than IMD arealso discussed.
The operational monthly and seasonal long range forecasts issued for the 2010 southwest monsoon season for the country as a whole were accurate. However, forecasts for the season rainfall over the 4 geographical regions (Northwest India, Central India, Northeast India and south Peninsular India) were not accurate as the forecast for South Peninsular India overestimated the actual rainfall and that for northeast India underestimated the actual rainfall. The experimental forecasts for the season rainfall over the country as whole from various climate research institutes within the country showed large variance (91 % - 112% of LPA).
Mastopexia e Implante. Resultados a Largo Plazo
Authors: Moretti Ernesto A. , Chanchí David , Alarcón Dario , Settecasi Julietta , Camargo Jonathan 
Published: December 2021

En vista que la cirugía de aumento mamario viene en ascenso en las ultimas décadas, es un reto para el cirujano plástico obtener buenos resultados con mínimas incisiones. Una de las preguntas de nuestras pacientes en el momento de realizar la consulta sobre aumentar el tamaño del busto y corregir la ptosis es sobre la cicatriz resultante. Temen abordajes grandes y heridas visibles que entorpezcan la apariencia estética de la mama. El desafío es colocar el implante y subir la mama al mismo tiempo.
Dependiendo el grado de ptosis se utilizan diferentes técnicas quirúrgicas, desde cicatrices periareolar, verticales y en T invertida.
Planteamos en nuestra presentación previa (1), un nuevo procedimiento quirúrgico de mastopexia con abordaje periareolar superior y colocación de implante para el manejo de ptosis mamaria leve a moderada.
Clasificación holística de la hipertrofia de labios menores
Authors: Carbone Alejandro , Blugerman Guillermo , Schavelzon Diego , Gaspar Adrián , Araujo María José 
Published: December 2021

La hipertrofia de los labios menores o ninfas es una característica física bien descripta en muchos trabajos quirúrgicos previamente publicados. En muchos casos puede provocar sintomatología clínica o social que motivan la consulta de las pacientes.
Aunque no existe un estándar anatómico establecido con respecto al tamaño de los labios menores para ser considerados “normales” la mayoría de los autores considera que dicha normalidad se basa en el concepto de que los labios mayores deben estar al mismo nivel o por debajo del borde de los labios mayores, y que deben converger superiormente y cubrir parcialmente el clítoris cuando se examina a la paciente en una posición anatómica, es decir, con las piernas levantadas.
Las características anatómicas y el aspecto externo de estas estructuras en muchas pacientes interfieren con la higiene personal las relaciones sexuales e incomodan durante el uso de ropas ajustadas por lo que cada vez mas mujeres llegan a nuestra consulta tratando de encontrar una solución a lo que consideran un problema.
La mayoría de las pacientes manifiestan que el aspecto de sus genitales afecta su autopercepción femenina y ese grado de afectación dependerá en mucho de la comparación entre pares o a través de las revistas o material visual de contenido sexual explícito.
Correlation Administration of Informed Consent with Self Efficacy of Pre Heart Catheterization at RS jantung Hasna Medika
Authors: Purbasari Dwiyanti , Yunita Nani , Wahyuni Uni 
Published: December 2021

Coronary artery disease or CAD is one of the heart disease that the heart couldn’’t pump the blood effectively. That condition leading to ineffective blood perfussion in to the organ. CAD could be detected by coroner catheterization. The first thing to do before performing that is informed consent, besides for communication process between doctor and patient, also impacted on patient thrust in form of self efficacy. Someone with low self efficacy assume them self couldn’t do anything. therefore need a study to know correlation between informed consent and patient self efficacy pre coroner catheterization.
This study is quantitative study with descriptive corelational design and cross sectional study. Sample choosen by total sampling method. This study performed in 15 until 30th June 2017 with 30 respondent The result of this study is most of the respondent (23 respondent) completed informed consent, 18 respondent (60%) have positive self efficacy. Spearmen rank statistical study show there is correlation between informed consent and patient self efficacy with pre operative heart catheterization in Hasna Medika Hospital showed by p = 0,0336 (α = 0,05).
Beside taht, the correlation between two variable have possitive correlation with mediate correlation that showed by r = 0,384. Informed consent raise patient self efficay in pre operative heart catheterization
The Role Of Partnership Of Integrated Service Post Cadre In The Continuity Of Pregnancy Visit Based On Perception Of Pregnant Women In The Working Area Of Sendang Community Health Center Cirebon District
Authors: Dwiyanti Purbasari  
Published: December 2021

Background: The Maternal and Child Health Program is a priority part in efforts to improve health status in Indonesia. The 4th pregnancy visit coverage is one of the evaluation indicators in the fifth Millennium Development Goal (MDGs). In the scope of the MDGs it was stated that the target in 2015 was 95% (Basic Health Research, 2013). The frequency of antenatal care at least 4 times during the pregnancy period is 83.5% (Basic Health Research, 2013). Meanwhile, the Sendang Community Health Center has 155 integrated service post cadres the frequency of 1-1-2 or fourth antenatal visits at Sendang Community Health Care Cirebon Regency in January - March 2015 by 23%.
Purpose: This study aims to analyze the role of integrated service post cadre partnerships in the continuity of pregnancy visit based on perception of pregnant mother at the Sendang Community Health Center in Cirebon Regency.
Method: The type of research used is correlational with a prospective approach. The study population was all pregnant women who performed first pregnancy visit at the Sendang Community Health Center. The total sample is 76 people with total sampling technique. Primary data was obtained using a questionnaire, while secondary data was obtained from the ANC cohort register. Secondary data is entered into the checklist. Data was collected during the period from March to August 2015 in the work area of ​​Sendang Community Health Center, Cirebon district. Statistical tests use Spearman's Rho Correlation with a significance level of 95% or 0.05 and two tailed.
Result: The results showed that most (81.6%) respondents played active partnerships in pregnant women both before, during and after integrated service post days in antenatal care based on perceptions of pregnant women, more than half of respondents (55.2%) made continuous pregnancy visits according to the schedule from first to fourth pregnancy visit, there is a weak positive correlation between the role of partnerships of integrated service post cadres in the continuity of fourth pregnancy visits based on the perception of pregnant women in the work area of ​​Sendang Community Health Center in Cirebon District (ρ value = 0.003; α = 0.05).
Conclusion: The role partnerships of integrated service post cadres is one of the supporters in the fourth pregnancy visit of pregnant women to carry out pregnancy examinations. Therefore, there is an increase in the management of integrated service post cadres through coaching, giving motivation and appreciation, as well as evaluating their participation in ANC services by health workers and local health center leaders. In addition, home visits and counseling are needed for pregnant women and their families since the beginning of pregnancy in an effort to increase fourth visits during pregnancy.
THE INFLUENCE OF BENSO’S RELAXATION TECHNIQUE IN DECREASING THE BLOOD PRESSURE OF HYPERTENSION PATIENTS AT INTEGRATED COACHING POST FOR NON-COMMUNICABLE DISEASES IN LINGGAJATI VILLAGE, KUNINGAN DISTRICK
Authors: Ating Sutanti  , Jaenudin  , H.Sodikin  
Published: December 2021

In Kuningan District hypertension patients in puskesmas entered diurutan to 5 patterns of disease all age groups (Profile Kab.Kuningan 2016) .The purpose in this research is to identify the influence of Benson’s Relaxation technique in decreasing the blood pressure of hypertension patiens.
This research uses quasi experimental design with one group pretest-posttest design model. The sample technique in this study used total sampling which amounted to 32 respondents, research instrument using aneroid spyghmomanometer and stethoscope, data collection using observation. Data analysis using Normality test and paired sample t test. Research location at at integrated coaching post for non-communicable diseases in Linggajati Village, Kuningan District in June-July 2018.
The results showed that the mean systolic blood pressure before and after the Benson relaxation technique was 163,12mmHgbecome 150,47 mmHg, mean diastolic blood pressure before and after relaxation technique Benson was93,28 mmHgbecome 87.19mmHg. The mean systolic blood pressure fell 12.66 mmHg and the diastolic blood pressure was 6.09 mmHg. Value p value 0,000.
The conclusion of this research isthe influence of Benson’s Relaxation technique in decreasing the blood pressure of hypertension patiens at integrated coaching post for non-communicable diseases in Linggajati Village, Kuningan District with significance p value 0,000 (<0,005). For people with hypertension is expected to use Benson relaxation techniques to maintain blood pressure stability so as to reduce the use of pharmacological therapy.