bluuebunny/crossref_metadata_2025_split huggingface dataset:
ESTIMASI RESIKO DAN MODEL PENGEMBANGAN INTERVENSI KESEHATAN PADA PENDERITA TB PARU BERBASIS PSIKOEDUKASI
Authors: Amir Rahmi 
Published: February 2019

Penelitian ini merupakan penelitian dalam bentuk observasional dengan pendekatan case control study. Dimana yang menjadi populasi dalam penelitian ini adalah seluruh penderita TB Paru positif dan suspek TB Paru di wilayah kerja puskesmas Bilokka. Sedangkan sampel dalam penelitian ini dibagi atas dua yaitu sampel kasus 30 orang dan sampel kontrol sebanyak 60 orang dengan perbandingan antara kasus dan kontrol 1:2. Pengumpulan data melalui wawancara yang mengacu pada kuesioner dan observasi secara langsung, Analisis data menggunakan uji statistik bivariat dengan Odss Ratio melalui program SPSS Versi 19. Berdasarkan Hasil penelitian menujukkan bahwa estimasi faktor risiko yang terbukti sebagai faktor risiko kejadian TB Paru adalah kondisi ventilasi (OR 13,02,CI 95%:3,25-71,50). Dan yang bukan faktor risiko adalah kepadatan hunian (OR 1,36,CI 95%:0,22-1,39), lingkungan lembab (OR 1,89,CI 95%:0,19-1,27), perilaku merokok (OR 1,57,CI 95%:0,22-1,81), lama kontak (OR 1,93,CI 95%:0,38-2,61), dan perilaku stigma merupakan faktor protektif dengan (OR 0,32,CI 95%:0,27-3,63).
HUBUNGAN PARITAS, DUKUNGAN SUAMI DAN DUKUNGAN KELUARGA PADA IBU HAMIL DENGAN HIPEREMESIS GRAVIDARUM
Authors: Suwardi Suyanti 
Published: February 2019

Hiperemesis gravidarum adalah muntah yang terjadi sampai umur kehamilan 20 minggu, muntah yang begitu hebat dimana segala apa yang dimakan dan diminum dimuntahkan. Berdasarkan data Profil Kesehatan Indonesia tahun 2016. AKI adalah jumlah kematian ibu selama masa kehamilan, persalinan dan nifas yang disebabkan oleh kehamilan, persalinan, dan nifas atau pengelolaannya tetapi bukan karena sebab-sebab lai seperti kecelakaan atau terjatuh di setiap 100.000 kelahiran hidup. Tujuan Penelitian ini adalah unutuk mengetahui hubungan paritas, dukungan suami dan dukungan keluarga pada ibu hamil dengan hiperemesis gravidarum di klinik Siti Hajar R.,AM.Keb. Penelitian ini merupakan jenis penelitian survei analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah seluruh ibu hamil yang mengalami hiperemesis gravidarum di klinik Siti Hajar R.,AM.Keb sebanyak 35 responden yang diambil dengan teknik total populasi. Teknik analisa data dalam penelitian ini menggunakan metode chi-square (α=0,05). Hasil penelitian menunjukkan bahwa dari 35 ibu hamil menujukan ada hubungan paritas dengan hiperemesis gravidarum dengan nilai p=0,020 (p<0,05), di dapat ada hubungan dukungan suami dengan hiperemesis gravidarum dengan nilai p=0,020 (p<0,05) dan ada hubungan dukungan keluarga dengan hiperemesis gravidarum dengan nilai p=0,046 (p<0,05). Dapat disimpulkan bahwa ada hubungan paritas, dukungan suami dan dukungan keluarga di Klinik Siti Hajar R.,AM.Keb tahun 2018.
FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA ANEMIA PADA IBU HAMIL TRIMESTER II
Authors: Damanik Syahroni 
Published: February 2019

The World Health Organization (WHO) in 2015 is estimated as many as 52.5% of pregnant women in Southeast Asia who experience anemia. 3,4 in various countries, including Indonesia, reported that the incidence of anemia is still high. To prove determine the affecting factors to the occurrence of anemia in trimester II pregnant women at Kutalimbaru Health Center, Deli Serdang District in 2018. Tyfe of research design was an analytical survey with a cross sectional approach. The population of this study was trimester II pregnant women who had not come to Kutalimbaru Health Center in 2018 totaling 33 people (Accidental sampling.). The data used was primary data and secondary data. The instruments used were checklist and questionnaire with 12 questions. The data analysis were univariate, bivariate analysis using Chi-square test. The study found results of the study 33 respondents, there was no effect of knowledge with the occurrence of anemia in pregnant women in second trimester p value = 0.056 <0.05 with OR 5.417 (95% CI), there was an effect of parity with the occurrence of anemia in pregnant women in second trimester obtained p = 0.053 <0.05 with OR 6.286 (95% CI), there was a economic effect with the occurrence of anemia in pregnant women in second trimester obtained p value = 0.006 <0.05 with OR 13,000 (95% CI). There is no effect of knowledge with the occurrence of anemia in pregnant women in second trimester at Kutalimbaru Health Center, parity and economy with the occurrence of anemia in pregnant women in second trimester at Kutalimbaru Health Center.
DAMPAK PENGELOLAAN SAMPAH PADA KESEHATAN MASYARAKAT DI TPA
Authors: Emilda Emilda 
Published: February 2019

The limitations of waste management in the Cipayung Landfill (TPA) causing a buildup of garbage up to more than 30 meters. This condition has a health impact on people in Cipayung Village. This study aims to analyze the impact of waste management at Cipayung Landfill on public health in Cipayung Village, Depok City. The research is descriptive qualitative. Data obtained by purposive sampling. Data was collected by interviews, observation and documentation. Based on interviews with 30 respondents, it was found that the most common diseases were diarrhea, then other types of stomach ailments, subsequent itching on the skin and coughing. This is presumably because the environmental conditions in the form of unhealthy air and water and clean and healthy living behaviors (PHBS) have not become the habit of the people. The results indicated that there were no respondents who had implemented all of these criteria. In general respondents have implemented 3 criteria, namely maintaining hair hygiene, maintaining skin cleanliness, and maintaining hand hygiene. While maintaining clean water storage is the most often overlooked behavior. To minimize this health impact, improvements in waste management in Cipayung landfill are needed along with continuous socialization and education to develop PHBS habits and the importance of maintaining a clean environment.
PENGARUH PELAKSANAAN K3 (KESEHATAN DAN KESELAMATAN KERJA) TERHADAP TINGKAT KECELAKAAN KERJA PEREKAM MEDIS
Authors: Apriyani Ria Khoirunnisa 
Published: February 2019

Kesehatan dan Keselamatan Kerja (K3) sangat penting bagi suatu perusahaan yang memiliki para pekerja, agar para pekerja dapat bekerja dengan produktif dan tercapainya target perusahaan. Tingkat kecelakaan di Pelayanan Kesehatan seperti di Rumah Sakit maupun di Klinik 41% lebih besar dari pekerja di industri lain. Penelitian ini bertujuan untuk mengukur besarnya pengaruh pelaksanaan K3 (Kesehatan dan Keselamatan Kerja) terhadap tingkat kecelakaan kerja perekam medis di Klinik Pratama Medika Antapani Bandung. Penelitian menggunakan metode deskriptif kuantitatif dengan rancangan cross sectional. Penelitian ini menggunakan total sampling yaitu sebanyak 10 responden. Teknik pengumpulan data yang digunakan adalah melalui kuisioner dan dilengkapi dengan studi litelatur yang memiliki relevansi erat dengan pokok permasalahan di Klinik Pratama Medika Antapani Bandung. Analisis data menggunakan analisis korelasi sederhana yang meliputi koefisien korelasi dan koefisien determinasi. Hasil uji statistik menunjukkan bahwa : (1) koefisien korelasi product moment simpangan distribusi frekuensi variabel K3 (Kesehatan dan Keselamatan Kerja) terhadap variabel tingkat kecelakaan kerja (0,99), (2) koefisien determinasi variabel K3 (Kesehatan dan Keselamatan Kerja) terhadap variabel tingkat kecelakaan kerja (98,01%), (3) sisanya 1,99% dipengaruhi oleh variabel lain yang tidak diteliti.
KEBERADAAN JENTIK AEDES SP BERDASARKAN KARAKTERISTIK KONTAINER DI DAERAH ENDEMIS DAN NON ENDEMIS DEMAM BERDARAH DENGUE
Authors: Arfan Iskandar 
Published: February 2019

Kota Pontianak merupakan daerah Endemis DBD. Kontainer adalah Tempat Penampungan Air (TPA) atau bejana yang dapat menjadi tempat berkembangbiak nyamuk Aedes sp. Tujuan penelitian ini untuk mengetahui hubungan keberadaan jentik Aedes sp berdasarkan karakteristik kontainer di daerah Endemis dan Non Endemis Demam Berdarah Dengue. Jenis penelitian ini adalah observasional study dengan pendekatan cross sectional. Subjek penelitian yaitu seluruh kontainer pada 1 RT (rukun tetangga) daerah endemis dan 1 RT di daerah non endemis dengan total 83 rumah yakni 43 rumah/92 kontainer yang dapat di observasi di daerah endemis dan 40 rumah/121 kontainer yang dapat di observasi di daerah non endemis. Analisis dilakukan terhadap kedua wilayah secara bersamaan dengan total jumlah kontainer 213 buah. Hasil penelitian ini diperoleh bahwa ada hubungan keberadaan jentik berdasarkan jenis kontainer (p = 0,024) dan penutup kontainer (p = 0,042). Sedangkan variabel yang tidak berhubungan adalah bahan, warna dan volume kontainer. Instansi terkait memberikan penyuluhan kepada masyarakat tentang penyakit DBD dan karakteristik kontainer apa saja yang disenangi oleh nyamuk Aedes sp, seperti jenis kontainer yang disertai penutup kontainer. Bekerja sama dengan pihak setempat, seperti memberikan pelatihan modifikasi tempat penampungan air yang dilengkapi penutup, sehingga dapat digunakan masyarakat untuk mengurangi populasi jentik nyamuk tersebut.
PENERAPAN SISTEM INFORMASI GEOGRAFIS FAKTOR RISIKO PENYAKIT LEPTOSPIROSIS
Authors: Ganinov Ivan Tinarbudi , Huda Syaiful 
Published: February 2019

Leptospirosis merupakan zoonosis yang diakibatkan bakteri Leptospira sp. Sumber infeksi pada manusia biasanya akibat kontak secara langsung atau tidak langsung dengan urin hewan yang terinfeksi. Leptospirosis merupakan zoonosis yang paling luas tersebar di seluruh dunia, kecuali daerah kutub. Sejumlah 300.000 sampai 500.000 kasus Leptospirosis berat terjadi setiap tahun. Kabupaten Bantul merupakan daerah dengan kasus terbanyak penyakit Leptospirosis pada tahun 2015-2016 di D.I. Yogyakarta. Pada tahun 2017, kasus terbanyak terjadi pada 6 kecamatan di Kabupaten Bantul yaitu Kecamatan Pundong, Kecamatan Bambanglipuro, Kecamatan Banguntapan, Kecamatan Jetis, Kecamatan Pajangan, dan Kecamatan Sedayu dengan total kasus sebanyak 48 kasus. Dalam pengendalian penyakit Leptospirosis diperlukan suatu informasi yang secara terintegrasi mampu mengolah data spasial dan non spasial secara efektif dan efisien. Salah satu sistem yang dapat menjadi alternatif solusi yaitu Sistem Informasi Geografis. Jenis penelitian ini menggunakan penelitian deskriptif kuantitatif dengan rancangan penelitian studi kasus kontrol. Sampel dalam penelitian ini sebanyak 96 responden terdiri dari 48 responden kasus dan 48 responden kontrol. Metode analisis data dengan analisis spasial, analisis univariat dan analisis bivariat dengan uji Chi Square dengan tingkat kepercayaan 95%. Berdasarkan analisis bivariat menunjukkan bahwa semua variabel bebas mempunyai hubungan dengan variabel terikat yaitu keberadaan tikus di dalam maupun di luar rumah (p = 0,002), keberadaan hewan peliharaan (p = 0,012).
The Excitation State of Galactic Diffuse Molecular Gas, Investigated with ALMA Observations of Multi-transition Absorption Lines
Authors: Ando Ryo , Kohno Kotaro , Umehata Hideki , Izumi Takuma , Ishii Shun , Nishimura Yuri , Sorai Kazuo , Tosaki Tomoka , Taniguchi Akio , Tamura Yoichi 
Published: February 2019

Abstract
We report Atacama Large Millimeter/submillimeter Array (ALMA) observations of 243–263 GHz absorption lines from Galactic diffuse molecular gas seen against three extragalactic radio-loud objects, J1717-337, J1625-254, and NRAO530. No significant absorption features were detected in our new sensitive ALMA Band 6 (λ ≃ 1.2 mm) spectra (1σ ≃ 2–4 mJy beam−1 with a velocity resolution of 1 km s−1), despite the fact that the obtained spectra cover the line frequencies of c-C3H2, CS, H13CN, HCO, H13CO+, SiO, and C2H, and that the lower transition absorption lines of these molecular species have been detected in ALMA Band 3 (λ ≃ 3 mm) observations toward these three Galactic molecular absorption systems. By combining the upper limits of the higher transitions that we obtain in this study and the archival detections of the lower transitions, we constrain the excitation temperatures of these species in the Galactic diffuse medium to be below 10 K, in spite of their PDR-like chemical states, where elevated column density ratios of HCO to H13CO+ are previously reported. These constraints are in line with the widely accepted view of the diffuse molecular clouds, where the molecular excitation is almost in equilibrium with the cosmic microwave background, although its kinetic temperature can be a few tens of Kelvin. Molecular abundance patterns seem to be similar in the Galactic diffuse gas and nearby active galaxies observed with a kpc-scale beam, suggesting the importance of observations with a parsec-scale resolution, which can resolve individual molecular clouds.
ALMA Observations of Ethyl Formate toward Orion KL
Authors: Peng Yaping , Rivilla V. M. , Zhang Li , Ge J. X. , Zhou Bing 
Published: February 2019

Abstract
Orion KL is one of the prime templates of astrochemical and prebiotic chemical studies. We wish to explore more organic molecules with increasing complexity in this region. In particular, we have searched for one of the most complex organic molecules detected in space so far, ethyl formate (C2H5OCHO). This species is the next step in chemical complexity after the simplest member of esters (methyl formate, CH3OCHO). The mechanisms leading to its formation are still poorly known. We have used high angular resolution (∼1.″5) ALMA observations covering a large bandwidth from 214 to 247 GHz. We have detected 82 unblended lines of C2H5OCHO (49 and 33 of the trans- and gauche-conformers, respectively). The line images showed that C2H5OCHO arises mainly from the compact ridge and the hot core-southwest regions. The derived rotational temperatures and column densities are 122 ± 34 K, (0.9 ± 0.3) × 1016 cm−2 for the hot core-SW, and 103 ± 13 K, (0.6 ± 0.3) × 1016 cm−2 for the compact ridge. The comparison of spatial distribution and abundance ratios with chemically related molecules (methyl formate, ethanol, and formic acid) indicates that C2H5OCHO is likely formed on the surface of dust grains by addition of CH3 to functional-group radicals (CH2OCHO) derived from methyl formate (CH3OCHO).
A Curved 150 pc Long Jet in the Double-peaked Emission-line AGN KISSR 434
Authors: Kharb P. , Vaddi S. , Sebastian B. , Subramanian S. , Das M. , Paragi Z. 
Published: February 2019

Abstract
Double-peaked emission lines in the narrow- and/or broad-line spectra of active galactic nuclei (AGNs) have been suggested to arise as a result of disky broad/narrow-line regions, jet–medium interaction, or the presence of binary supermassive black holes. We present the results from 1.5 and 4.9 GHz phase-referenced very long baseline interferometry (VLBI) observations of the Seyfert type 2 galaxy KISSR 434, which exhibits double-peaked emission lines in its optical spectrum. We detect a steep-spectrum (α < −1), curved and long (∼150 pc) jet in the VLBI images of KISSR 434. The jet curvature could be a result of precession rather than ram pressure bending from a rotating interstellar medium. Precession could in turn arise as a result of a warped accretion disk or the presence of a binary black hole with a separation of 0.015 pc, not accessible to present-day telescopes. An examination of the emission-line ratios with the MAPPINGS III code reveals that AGN photoionization is likely to be responsible for the observed line ratios and not shock ionization due to the jet. A light (with jet-to-ambient medium density ratio of η ∼ 0.01) and fast (with speed

) precessing jet in KISSR 434 may have stirred up the emission-line gas clouds to produce the observed splits in the narrow-line peaks but is not powerful enough to shock-ionize the gas.
Bell-instability-mediated Spectral Modulation of Hadronic Gamma-Rays from a Supernova Remnant Interacting with a Molecular Cloud
Authors: Inoue Tsuyoshi 
Published: February 2019

Abstract
Supernova remnants (SNRs) are believed to be the site of galactic cosmic-ray acceleration. However, the details of the cosmic-ray acceleration are still not well understood. Gamma-ray observation is a promising method to study cosmic-ray acceleration in the SNRs, because a hadronic gamma-ray can trace high-energy cosmic-rays above ∼GeV energy. Conventional theory predicts that the hadronic gamma-ray shows a flat νF

ν
spectrum from the pion-creation threshold energy to the maximum energy of diffusive shock acceleration. In this paper, by employing numerical simulations that solve a hybrid system of the magnetohydrodynamics of a molecular cloud and diffusive propagation of cosmic-rays, we demonstrate that the hadronic gamma-ray spectrum can be harder than the conventional one and that the modulated spectrum becomes consistent with observations. The modification mechanism is explained as follows: The cosmic-rays accelerated at the supernova blast wave shock propagate into a clump of a molecular cloud. The cosmic-ray streaming in the cloud induces the so-called Bell instability that induces Alfvén waves in the cloud. The induced magnetic field fluctuations prevent further cosmic-ray incursion by diminishing the diffusion coefficient for the cosmic-rays below ∼1 TeV energy. This mechanism reinforces recent claims of a similar spectral modification by magnetic field amplification around a molecular cloud by Inoue et al. and Celli et al.
Légitimité et légitimation de l’État
Authors: Nouët Clotilde 
Published: February 2019

La théorie habermassienne de la « démocratie radicale » développe-t-elle une conception conséquente de la souveraineté populaire ? Celle-ci permet-elle de penser, outre les fondements légitimes du pouvoir, les conditions de son exercice ? On se propose ici de mettre au jour les continuités et les ruptures qui affectent la pensée politique de Habermas en nous intéressant à sa théorie des rapports entre légitimité et légitimation.
A Case Study Approach: Developing Critical Thinking Skills in Novice Pediatric Nurses
Authors: Jones Dolores C , Sheridan Mary Ellen 
Published: February 2019

ABSTRACT
Background: The development of critical thinking skills in pediatric nurses is imperative to ensure quality nursing care is delivered. Many new graduates have had limited exposure to pediatric nursing.
Method: The case study method is an approach to develop competencies with real or hypothetical situations.
Results: Case studies provide an interactive teaching-learning strategy that can be applied to novice pediatric nurses in a variety of settings
Conclusion: By using case studies, nurse educators responsible for the professional development of new graduates, help expand learners' critical thinking as they assume increased responsibility for pediatric nursing care.
“Playing for Bragging Rights”: A Qualitative Study of Students' Perceptions of Gamification
Authors: Wingo Nancy P. , Roche Cathy C. , Baker Natalie , Dunn Donna , Jennings Matthew , Pair Lisa , Somerall D'Ann , Somerall William E. , White Tracie , Willig James H. 
Published: February 2019

Background:
Nursing faculty sought to promote students' engagement with course material and their peers by using Kaizen, an online educational game. The purpose of this qualitative study was to learn more about nursing students' perceptions of team competition in an educational game and whether the game promoted their engagement with educational material in one fundamental nursing course.

Method:
Qualitative data collection included focus groups, observations of students, documents showing leaderboards and game participation, and “status of competition” e-mails. Data were transcribed and coded to determine emerging themes.

Results:
Four themes emerged from data analysis: learning in teams, motivators to play, learning course content, and suggestions for game improvement.

Conclusion:

Students were overwhelmingly positive about using a gamified platform for its educational rewards. They perceived that playing the game increased their knowledge retention, and they believed it helped them improve their test-taking skills.

[
J Nurs Educ
. 2019;58(2):79–85.]
Factors Influencing a 24-Hour Time-Budget for Wintering Atlantic Brant
Authors: Heise Jeremiah R. , Williams Christopher K. , Castelli Paul M. 
Published: February 2019

Abstract
The wintering period is often a limiting time for waterfowl. To understand the behavioral dynamics of Atlantic brant Branta bernicla hrota wintering along coastal New Jersey, USA, we conducted observations across the full 24-h diel period in an effort to construct an accurate time-budget model for the wintering population. In most behavioral studies, it is only possible to collect diurnal and crepuscular behavior data, forcing the assumption that these data are representative of nocturnal behavior in order to model the full 24-h diel period. We collected behavior data in 5,902 instantaneous observational scans across 4 time periods (morning crepuscular, diurnal, evening crepuscular, and nocturnal) from the third week in October to the third week in February 2009–2010 and 2010–2011. Brant primarily allocated time toward swimming (43.5%), feeding (26.4%), resting (15.4%), and flying (7.7%); these proportions differed significantly across times of day. Brant exhibited decreased flight (4.8% vs. 9.3%) and feeding (22.3% vs. 29.6%) and increased resting behavior (24.4% vs. 10.5%) nocturnally compared with diurnal periods. We further modeled explanatory environmental variables, hunting effects (open vs. closed seasons, locations open vs. closed to hunting), and time of day (diurnal and nocturnal only) on wintering behaviors. Feeding, resting, and swimming behavior presence were most influenced by a predictive model of (Hunt Season × Hunt Location × Period) + (Tide × Period). Flight behavior presence were most influenced by a predictive model of (Hunt Season × Hunt Location × Period) + (Tide × Temperature). There is an interactive effect of hunting pressure and period of day on observed activity; therefore, our results demonstrate that not accounting for nocturnal variation in behavior can lead to biases when extrapolating to energy expenditure models. Additionally, hunting areas proved to be nocturnally valuable because these areas contain valuable energy resources that may be unavailable diurnally, and our observations show that brant will shift their activities around hunting pressures to make use of these areas.