bluuebunny/crossref_metadata_2025_split huggingface dataset:
Computational fatigue durability of butt welds with cracks in the flanges of the solid-web girder of the railway bridge
Authors: Wichtowski Bernard 
Published: July 2019

In 2018, passed the 40th anniversary of the death of prof. Andrzej Fabiszewski (1924-1978), a forerunner of testing the quality of butt welds in exploited railway bridges. One of the first surveyed facilities was the viaduct on the Poznań-Szczecin line discussed in the article. A very bad state of welds was found and there were 61 internal cracks. In order to estimate the durability of the facility, strength tests of the steel of the structure were carried out and static calculations were made against standard and operational loads. The fatigue life of a crack in a flange joint of one girder was also analyzed. The results of these tests are included in the article.
Health education with hypertensive illiterates: experience report / Educação em saúde com hipertensos analfabetos: relato de experiência / Educación en salud con hipertensos analfabetos: relato de experiencia
Authors: César da Silva Pereira Lívia Augusta , Ferreira de Souza Monteiro Claudete , De Souza Melo Maria Da Conceição , Honorato de Queiroz Isabelly Cristina 
Published: July 2019

Objetivo: relatar a experiência de ação educativa em saúde junto a um grupo de idosos analfabetos com níveis pressóricos variantes. Metodologia: trata-se de estudo descritivo do tipo relato de experiência. A ação educativa foi realizada com 58 idosos não alfabetizados, na Unidade Básica de Saúde “Graciosa” em José de José de Freitas/Piauí/Brasil, no período de junho a dezembro de 2018. Utilizou-se por base o Arco de Charles Maguerez. Resultados: os idosos atuaram ativamente identificando problemas que prejudicam o controle dos níveis pressóricos, como: dificuldade de leitura do medicamento, uso incorreto da medicação, polifarmácia e não adesão ao tratamento. Após diagnóstico situacional, realizou-se palestra educativa sobre hipertensão arterial, autocuidado, alimentação saudável e organização dos medicamentos. Realizou-se também, visitas domiciliares para organização dos medicamentos por nome, cor e solicitado apoio familiar para administração. Considerações finais: Houve adesão dos idosos e familiares, bem como, notou-se a mudança de comportamento para um tratamento mais eficaz. A atividade permitiu ainda a identificação de pacientes que precisavam de acompanhamento mais especializado. A baixa escolaridade/analfabetismo é condição social limitante para leitura da receita médica, distinção dos medicamentos e sua correta ingestão, exigindo que a equipe elabore estratégias que permeiem o entendimento e adesão do paciente ao seu tratamento.Descritores: Educação em Saúde; Hipertensão; Estratégia Saúde da Família.
HUBUNGAN RIWAYAT MENONTON AUDIO VISUAL DENGAN USIA MENARCHE PADA SISWI DI SLTP KECAMATAN KEBUMEN KABUPATEN KEBUMEN TAHUN 2011
Authors: Indriyastuti Hastin Ika , Hakimi Muhamad , Ismail Djauhar 
Published: July 2019

One of the Millennium Development Goals (MDGs) is to improve maternal and child health. To improve maternal health starts from adolescent health to women of childbearing age. An important aspect of adolescent girls’ health is reproductive health, which is characterized by the occurrence of menarche (first menstruation). Menarche is influenced by many factors, such as factors of race, ethnicity, genetic, social, economic, medicine, health, and audio visual equipment. The effects of global information (audiovisual media) which is more accessible will lure children and teenagers to adopt bad habits such as watching blue films, pornographic VCDs, porn internet access, and porn scene via mobile.The aim of this research is to determine the relationship of the history of watching audiovisual to age of menarche among junior high school female students in Kebumen Sub-district of Kebumen District.A cross sectional survey design was used in this study. The Population was VII grade female students of 5.050 who had experienced menarche in the Junior High School Subdistrict Kebumen District Kebumen. Sampling methods use two-level clustering method. The first stage level at random cluster sample selection and the second level is a simple random elementary unit. Samples were obtained as many as 214 students selected at random proportionate sampling at each school. Data was collected through questionnaires, measurements of weight and height scales by meter. The data analysis by Chi Square test and used to know best models by logistic regression test.The results show that mean age of menarche was 11.8 years. Most of the students (58.4%) had a history of watching audio-visual equipment. There was a significant relationship of a history of watching audio-visual (p 0.001; RP = 2.57, 95% CI = 1.68 to 3.94), socioeconomic (p 0.0001; PR = 1.77, 95% CI = 1.25 to 2.49) to the age of menarche. There was no significant relationship between chronic disease (p 0.918) and nutritional status (p 0.448) and the age of menarche. The history of watching an audio-visual was associated with age of menarche, and had 5.14 times more likely than girls who never watched any audio-visual equipment. There needs to be education about reproductive health for adolescents and supervise the use of audio-visual media in accessing porn movies. Keywords: Audio Visual, menarche, Adolescent
HUBUNGAN ANTARA TINGKAT PEKERJAAN DENGAN USIA KEJADIAN MENOPAUSE DI DESA BUMIREJO KECAMATAN KEBUMEN
Authors: Indriyastuti Hastin Ika , Dewi Adinda Putri Sari , Shifa Miftah 
Published: July 2019

Menopause is one of phases experienced by women. It is a biological condition when women do not experience menstruation anymore. The age of menopause is different between one woman to another. There are some factors influencing menopause such as the first time when experiencing the menstruation (menarche), physiological and job condition, the number of children, the contraception usage, smoking, social economic condition, weather, and the height of geographic condition. The objective of the research is finding out correlation between Job level with age of menopause occurrence in Bumirejo Village KebumenThis study is to find out correlation between Job level with age of menopause occurrence in Bumirejo Village Kebumen.This is an analytic correlation research using cross sectional approach. The population consisted of 511 of 45-55 years old women in Bumirejo in 2014. The samples are 128 respondents taken by purporsive sampling technique. The research instrument is questioner. The data analysis technique is Chi Square test with significant level 0.05.This study shod that there are 72 respondents (56.3%) had heavy job and 56 respondents (43.8%) had easy job. Respondents who experienced normal menopause = 95 respondents (74.2%), earlier menopause = 21 respondents (16.4%) and slow menopause = 12 respondents (9.4%). There is a significant correlation between Job level with age of menopause occurrence with X2 count > X2 table (14.693 > 5.991). Keywords : job level, menopause
PENGETAHUAN TENTANG PENANGANAN KEGAWAT DARURATAN PADA SISWA ANGGOTA HIZBUL WATHAN DI SMA MUHAMMADIYAH GOMBONG
Authors: Yuda Hendri Tamara , Suwaryo Putra Agina Widyaswara 
Published: July 2019

Kejadian gawat darurat dapat diartikan sebagai keadaan dimana seseorang memerlukan pertolongan segera karena apabila tidak mendapat pertolongan dengan segera maka dapat mengancam jiwanya atau menimbulkan kecacatan permanen. Banyak kita temui siswa yang mengalami suatu kecelakaan baik itu berupa patah tulang, pingsan, terkilir, dan lain-lain diberikan perlakuan yang sama bahkan ada kesalahan dalam memberikan pertolongan. Kondisi ini tentu saja sangat membahayakan apabila berakibat memperparah keadaan penderita. Hal tersebut tentu saja tidak sesuai dengan prinsip penanganan kecelakaan.Tujuan penelitian, Untuk mengetahui tingkat pengetahuan siswa anggota Hizbul Wathan SMA Muhammadiyah Gombong tentang penanganan kegawat daruratan.Penelitian ini merupakan penelitian deskriptif kuantitatif dalam bentuk persentase, untuk menggambarkan kondisi variabel. Populasi dalam penelitian ini adalah seluruh anggota Hizbul Wathan SMA Muhammadiyah Gombong sejumlah 33 siswa. Teknik sampel dengan menggunakan teknik sampling jenuh yaitu teknik penentuan sampel bila semua anggota populasi digunakan sebagai sampel yaitu 33 siswaHasil penelitian menunjukan tingkat pengetahuan responden tentang penanganan kegawatdaruratan dengan kriteria baik 6,06 %, cukup 15,15 % dan kurang 78,79 %. Kata kunci; pengetahuan, siswa, kegawatdaruratan
KONTRIBUSI FUNGSI KELUARGA TERHADAP PENCEGAHAN PENULARAN HIV AIDS PADA KALANGAN REMAJA DI DESA SAMPANG SEMPOR KABUPATEN KEBUMEN
Authors: - Marsito , Saraswati Rina 
Published: July 2019

The number of HIV AIDS cases reached seven cases in Sempor subdistrict in 2014. That was a rather high number in each subdistrict in Kebumen district. In Sampang village, the number of adolescence around 1186 people (15,5%) in 2010. This existence showed that it was very high in Sampang village, in addition to create the risk of disease occurrence due to the deviation of less healthy behaviors that can lead to the occurrence of free sex. This study aimed to correlate the contribution of family function towards the prevention of HIV AIDS transmission among adolescents in Sampang village. This study used descriptive correlation study design with cross sectional approach to the variables consisted of independent variables, such as age, sex, the contribution of family affective function, family social function, family economic function, family reproductive function, and family health care function. Dependent variable consisted of the prevention of HIV AIDS transmission among adolescents in Sampang village, Sempor. The sample number was 150 adolescents aged 13 to 21 years. This study used univariat and bivariate analysis with chi square test. Results showed that sex was not correlated with the prevention of HIV AIDS transmission (p = 0.120); there was relationship between age and the prevention of HIV AIDS transmission (p = 0.000); there was correlation between the contribution of family affective function with the prevention of HIV AIDS transmission (p = 0.000); the contribution of family social function was correlated with the prevention of HIV AIDS transmission (p = 0.000); the contribution of family economic function was correlated with the prevention of HIV AIDS transmission (p = 0.000); the contribution of family reproductive function was correlated with the prevention of HIV AIDS transmission (p = 0.000); the contribution of family health care function was correlated with the prevention of HIV AIDS transmission (p = 0.000). Thus, the family functions must be optimized in role to educate teens to avoid the deviation of less healthy behaviors. How the role of community nurses can optimize the task of the family functions through coaching to the vulnerable families of behavior deviation among adolescents. Keywords: family function, and the prevention of HIV-AIDS transmission of adolescents
HUBUNGAN PENATALAKSANAAN PASIEN PASCA OPERATIF DENGAN ANESTESI UMUM TERHADAP LAMA WAKTU PEMINAHAN KE RUANG PERAWATAN DI INSTALASI BEDAH SENTRAL RSUD KEBUMEN
Authors: Santoso Dadi , - Herniyatun , Devi Pangestika Flita 
Published: July 2019

Perawatan pasca operasi merupakan tahap lanjutan dari perawatan pre dan intra operatif, Pada fase ini aktivitas keperawatan mencakup mengkaji efek anestesi, memantau tanda-tanda vital, efektifitas jalan nafas, serta mencegah komplikasi yang mungkin timbul akibat pembedahan dan berfokus pada peningkatan penyembuhan pasien, sampai evaluasi selanjutnya. Untuk mengetahui bagaimana hubungan penatalaksanaan pasien pasca operatif dengan anestesi umum terhadap lama waktu pemindahan ke ruang perawatan di Instalasi Bedah Sentral RSUD Kebumen . Jenis penelitian ini merupakan penelitian kuantitatif dengan pendekatan observasional cross sectional dan menggunakan uji Spearman Rank, Sampel yang digunakan terdiri dari 46 responden dengan menggunakan random sampling dalam memilih sampel. Variabel independent dalam penelitian ini adalah penatalaksanaan pasien pasca operatif dengan anestesi umumvariabel dependentnya adalah lama waktu peminahan ke ruang perawatan. Dengan uji statistik Spearman Rho menunjukkan bahwa koefisien korelasi antara penatalaksanaan pasien pasca operatif dengan anastesi umum terhadap lama waktu pemindahan ke ruang sebesar -0,281. Angka koefisien korelasi adalah 0.059 dengan melihat nilai probabilitas (Sig) 0,059 > 0,05 sehingga dapat disimpulkan bahwa hubungan kedua variabel tidak signifikan berarti tidak ada hubungan antara penatalaksanaan pasien pasca operatif dengan anastesi umum terhadap lama waktu pemindahan ke ruang perawatan.Tidak ada hubungan antara penatalaksanaan pasien pasca operatif dengan anastesi umum terhadap lama waktu pemindahan ke ruang perawatan. Kata kunci : Penatalaksanaan pasien pasca operatif,Anestesi umum, Lama waktu pemindahan.
HUBUNGAN DUKUNGAN SUAMI DENGAN LAMA PERSALINAN KALA II PADA PRIMIGRAVIDA DI PUSKESMAS
Authors: Mutoharoh Siti , Na'mah Lutfia Uli , Asifah Atik Nur 
Published: July 2019

Dukungan suami pada proses persalinan belum sepenuhnya dapat dilakukan di fasilitas kesehatan atau di wilayah nusantara. Pada saat sekarang ini dukungan suami pada proses persalinan merupakan salah satu prinsip dasar dari asuhan sayang ibu, yaitu dengan mengikutsertakan suami dan keluarga selama proses persalinan dan kelahiran bayi. Dukungan suami di Puskesmas Kemranjen II ini sudah cukup bagus karena rata-rata dari sepuluh persalinan tujuh didukung oleh suaminya dan tiga sisanya tidak didukung. Dukungan yang dimaksud adalah dukungan instrumental, dukungan penilaian, dukungan informasional, dan dukungan emosional.Tujuan penelitian ini untuk mengetahui apakah ada hubungan antara dukungan suami dengan lama persalinan kala II pada primigravida. Penelitian ini menggunakan teknik purposive sampling dari populasi 30 orang. Responden berjumlah 30 orang. Jenis penelitian adalah observatif. Cara pengumpulan data dengan pengisian lembar observasi. Penelitian ini menunjukan dukungan suami yang baik berjumlah 25 responden (83,3%), dukungan suami yang cukup berjumlah lima responden (16,7%). Berdasarkan hasil analisis dengan fisher exact test, diperoleh nilai signifikansi sebesar 0,000 (p=0,000<0,05), sehingga dapat disimpulkan bahwa dukungan suami berhubungan signifikan. Kata Kunci: dukungan, persalinan kala II
STUDI FENOMENOLOGI : RESILIENCE KELUARGA PENDERITA SKIZOFRENIA DI PUSKESMAS BANTUR
Authors: Widiastutik Wahyu , Winarni Indah , Lestari Retno 
Published: July 2019

This research discusses the resilience dinamics of schizophrenia sufferer with a relapse which aims to explore the feeling of the family about the resiliece dinamics of schizophrenia sufferer with a relapse. This research metodology uses qualitative approach which involves 6 participants. The data analysis uses interpretative phenomenological analysis. The informative method uses in-depth interview technique with their parents and other relatives. The participantss are people who take care of and understand the condition of patient.The result of the research make 9 themes namely : (1) the family of the sufferer knew schizophrenia as a thougt illness; (2) the family feel uncomfortable; (3) they believed that the supernatural power causing the illness; (4) they try hard to cure the sufferer by alternative treatment; (5)the family have crisis life; (6) they regarded all misery which was experienced as God-given; (7) the family feel the care of health and environment officers; (8) they Raise from the fall; (9) they accept all condition. Keywords : family resilience, schizophrenia, relapse
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO
Authors: Suwaryo Putra Agina Widyaswara , Wihastuti Titin Andri , Fathoni Mukhamad 
Published: July 2019

Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room
PUBLIC STIGMA TERHADAP ORANG DENGAN GANGGUAN JIWA DI KABUPATEN KEBUMEN
Authors: Asti Arnika Dwi , Sarifudin Sahrul , Agustin Ike Mardiati 
Published: July 2019

Indonesian Basic Health Research Data (2013) showed that the prevalence of people with mental disorders in Central Java is 3.3% of the entire population and Kebumen district ranked as the second region with 773 people were detected as mental disorders in 2012. People with mental disorders experienced self stigma and also public stigma from the community in the form of labels, prejudice and discrimination (Corrigan, 2005). The purpose of this study is to describe the public stigma given by the community to the people with mental disorders in Kebumen district. This was a quantitative study with descriptive analytic method and survey approach, conducted in March 2016 in Rogodono village, Buayan, Kebumen district. The sample were 207 people taken by proportional random sampling technique. The study used demographic characteristics questionnaire and ODGJ public stigma questionnaire that modified from the Perceived Stigma of Substance Abuse Scale (PSAS) questionnaire by Luoma (2010). The data analysis used univariate descriptive. The results show that most of the respondents were female (59.4%), with an age range 41-50 years (32.4%), elementary education (49.3%), working as laborers (47.8%) and provide public stigma of prejudice (87.43%). Public stigma effect on healing and the incidence of recurrence clients with mental disorders in the community. It is important for nurses to do health promotion and education in order to improve the cure rate and lower the recurrence rate clients with mental disorders in the community Keywords: Descriptive Analytical, Mental Disorder, Public Stigma
RELAKSASI BENSON DAN TERAPI MUROTTAL SURAT AR-RAHMAAN MENURUNKAN KADAR GLUKOSA DARAH PUASA PADA PENDERITA DIABETES MELITUS TIPE 2 DI KECAMATAN MAOS
Authors: Purwasih Esti Oktaviani , Permana Iman , Primanda Yanuar 
Published: July 2019

Uncontrolled diabetes might generate the physical and psychological complication. The objective of this study was to analyze the effect of Benson’s relaxation and murottal “Ar-Rahmaan” to the fasting blood glucose (FBG) and stress score. This research was quasi experimental study with two group pre test-post test control group design. The research has been done in the Health Care Center of Maos and “Graha Amanah” Clinic of Maos. Sample technique used total sampling, with 60 according to the inclusion criteria. The respondents were divided into control group and intervention group. Every group had 30 respondents. The intervention group was given Benson’s relaxation and murottal, menwhile the control group was given the Benson’s relaxation only. This intervention was done twice a day, in the morning and in the afternoon, for 7 days.The results showed the difference of the FBG level before and after intervention between groups (p value=0,000; Z score=- 4,097;Mean+SD intervention group= -66,300+45,672;Mean+SD control group= -23,766+13,438). Benson’s relaxation and murottal therapy could decrease FBG significantly.
HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN PERKEMBANGAN MOTORIK PADA BAYI
Authors: Nurlaila N , Riyatun Kholifah , Iswati Ning 
Published: July 2019

Motoric development is the beginning of intelligence and social emotion on the baby. Environment factors hold the main role of growth and development on baby, one of them are nutritional aspects. Administration of adequate nutrition would influence growth and development on baby optimally. This purpose of research to know the relationship between exclusive breastfeeding with motoric development in the baby. This study used the correlative description with the cross-sectional approach. As much 35 respondents joined with the criteria inclusion age baby at 6-18 months. Purposive sampling technique applied in this study. Collecting data used questionnaire named Denver II. Data analysis using Chi- Square correlation test. The result based on Chi-Square correlation test, showed significance p = 0.000. It means that there was the relationship between exclusive breastfeeding with motoric development in the baby. The conclusion, there was the relationship between exclusive breastfeeding with motoric development in the baby. The nurse should conduct health promotion about the enhancement of exclusive breastfeeding and mother attitude into the baby development
PENGARUH TINDAKAN KEPERAWATAN REDUKSI LUKA TEKAN TERHADAP PENURUNAN RISIKO LUKA TEKAN
Authors: Widodo Wahyu , Rosa Elsye Maria , Kurniasari Novita 
Published: July 2019

Decubitus is a very serious problem especially for patients who hospitalized for long time with limited activity. Decubitus can increase the duration of hospital stay so that will increase the burden, especially the cost of hospitalization along with length of stay in hospital. This research of purpose to know the influences of nursing intervention to reduce pressure sore to reducing risk of pressure sore at RSU PKU Muhammadiyah Purworejo. This research design used “Pre and post test without control group " with intervention reduction of risk pressure ulcer. This research is conducted in July 2016 with consecutive sampling method of 40 patients. Observations of pressure sore level on bed rest patiens done before and after treatment. The evaluation was done with wilcoxon ranks test and continued with cross tabulation for each treatment. The results showed a significant increase in risk of injury scores by 31 respondents, p = 0,000 <0.05. While the result of cross tabulation showed decreased risk of injured press on each level consisting of: high risk from 18 respondents down to 12 (66,7%) with baring and mass action. For the medium category there are 18 respondents 18 respondents dropped to 13 (72.1%) into low risk. As for the very high risk of 2 respondents who experienced a decrease in risk as much as 1 respondent while 1 other respondent remained, action at very high risk of wound care done according to grade I wound press. Likewise for low risk categories did not change, this is due to limited number of samples taken. The conclusion of this study is a decrease of risk pressure sore after applied preventive action for reduction of pressure sore in bed rest patients. The action apllied wound dressing, combination of massage and reposition, also health promotion.