bluuebunny/crossref_metadata_2025_split huggingface dataset:
GAMBARAN PELAKSANAAN INFORMED CONSENT BIDAN PRAKTIK MANDIRI (BPM) DALAM PELAYANAN KEBIDANAN DI KOTA SEMARANG
Authors: Mulyanti Lia , Chafidoh Chafidoh , Damayanti Fitriani Nur 
Published: December 2018

Latar Belakang : Pada era sekarang ini muncul berbagai tuntutan hukum kepada dokter dan rumah sakit mengenai hak pasien dalam menerima pelayanan kesehatan yang menyeluruh. Menurut pasal 18 ayat (1) huruf b dan d Permenkes No.1464/MENKES/PER/X/2010 tentang ijin dan penyelenggaraan praktik bidan, menyatakan bahwa bidan dalam memberikan pelayanan harus memberikan informasi dan meminta persetujuan tindakan. Pelayanan kebidanan mulai dari kehamilan, persalinan, nifas, bayi baru lahir,dan keluarga berencana. Dari hasil studi pendahuluan yang dilakukan ke BPM didapatkan beberapa BPM yang memiliki informed consent dan dalam pengisiannya tidak lengkap hanya berisikan identitas dan sedikit BPM memiliki informed consent dan dalam pengisiannya lengkap. Hal tersebut dipengaruhi beberapa faktor antara lain terlalu banyaknya pasien, bahkan tidak adanya pasien yang datang ke BPM untuk periksa. Tujuan : Untuk mengetahui gambaran pelaksanaan informed consent pada Bidan Praktek Mandiri (BPM) dalam pelayanan kebidanan di Kota Semarang. Metode : penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Subyek penelitian adalah 40 BPM di Kota Semarang yang diambil secara propotional random sampling. Pengumpulan data menggunakan kuesioner dan observasi. Uji statistik menggunakan analisis univariat. Hasil : Sebanyak 2,5% responden melakukan informed consent dengan baik, 7,5% responden melakukan informed consent dengan cukup, dan 90% responden melakukan informed consent dengan kurang. Simpulan : Sebagian besar BPM dalam pelaksanaan informed consent adalah kurang. Kata Kunci : Informed Consent, Pelayanan Kebidanan
Short-term CBT of mixed anxiety-depressive disorder
Authors: Lahutina Sofiia Ivanivna 
Published: December 2018

Epidemiological studies indicate that anxiety and depressive disorders are the most common mental health problems, without timely and effective help, they can have a pronounced negative impact on the quality of life of a person. Cognitive-behavioral therapy is one of the most researched and effective psychotherapeutic methods for treating depression, anxiety disorders, PTSD, eating disorders, and many others. The purpose of this article is to show the effectiveness of short-term cognitive-behavioral psychotherapy of mixed anxiety and depressive disorder. The clinical case presented in this article illustrates a person whose mental disorder caused somatic symptoms, reduced life quality. The introduction of cognitive-behavioral therapy in national protocols of treatment of mental disorders will improve the quality of life, facilitate faster re-socialization and rehabilitation of patients.
Constraints And Challenges Faced By Women Entrepreneurs In Emerging Market Economy And The Way Forward
Authors: Agrawal Reena 
Published: December 2018

It is well acknowledged fact thatentrepreneurship is an engine of economic growth and social development. Women entrepreneurship though has been growing around the world, but the evidences suggest that women entrepreneurscontinue to be adversely affected by the numerous socio-economic issues in the male dominated business societies, which hugely undermine the morale of women entrepreneurs.The current study was taken up to investigate the working of twenty sevenwomen entrepreneurs working on micro and small levels, in different areas of Uttar Pradesh (India), who have created employment opportunities for thousands of people living at grass root level and also created new prospects for the rural artisans in theirregion. The study aims to explore the various the obstacles faced by the women entrepreneurs working in different areas of Uttar Pradesh (India),analyze the impact of the prevailing constraints and challenges on the progress of these women entrepreneurs, and recommend the aspects that he to be looked into by the policy makers, to address the issues and challenges. It is also anticipated that the findings will bring to light valuable insights, which might be used by the policymakers, organization and institutions who intend to assist more and more entrepreneurs, especially women entrepreneurs, to venture into businesses. The study revealed multifarious constraints and challenges faced by the women during their entrepreneurial journey. In the current study we have tried to classify these constraints into four broad categories: Socio-Cultural Issues; Economic Issues; Psychological Issues and Managerial Issues.
IMPLEMENTASI SISTEM PAKAR PADA PASIEN PENDERITA TUBERKULOSIS POTENTIAL DROP OUT DI RUMAH SAKIT CUT MEUTIA ACEH UTARA
Authors: Darnila Eva , Ula Mutammimul , Mauliza Mauliza , Ermatita Ermatita , Pahendra Iwan 
Published: December 2018

The existence of a technology that identifies and controls patients with potential drop out TB disease which is increasingly rapid will be a top priority, especially for the health team in following up the success of treatment. In this study, an expert system was used to diagnose patients with potential Drop Out tuberculosis by using a Case Based Reasoning model to see patients with potential Droup Out. For variable names used are pulmonary smear patients (+), new patients, pulmonary smear (-) / ro (+), new patients, extra pulmonary, relapsed patients, re-treatment, default patients, re-treatment patients, failed patients and others -other. The last detection process is taken from the highest value obtained in the diagnosis of all the symptoms that have been witnessed. Based on the results of the application of the Expert System on Potential Drop Out Tuberculosis Patients at Cut Meutia Hospital in North Aceh based on the case code 31 with a detection system for the AFB (+) Lung Patient with its detection symptoms, the patient coughs with phlegm for 2-3 weeks or more. the results of sputum examination, patients who have been treated with TB drugs less than 1 month and TB patients on sputum examination, patients who have been treated with TB drugs less than 1 month, TB patients stop the treatment and TB patients return to the facility health service facilities with the highest case value of 0.6111 of all detection systems that have been tested.Keywords: Expert system, CBS, TB
Hemşirelerin Robotik Cerrahi Konusundaki Görüşlerinin İncelenmesi
Authors: OKGÜN ALCAN Aliye , SOYER Özlem , YAVUZ VAN GİERSBERGEN Meryem , SOLAK Müjgan , YOLTAY Hatice Eda 
Published: December 2018

Amaç: Cerrahide robot kullanımı dünya genelinde giderek artmaktadır. Robotik cerrahinin avantajları, dezavantajları, klinik sonuçları ve ekonomik boyutu tartışma ve araştırma konusu olmaya devam etmektedir. Literatürde hemşirelerin robotik cerrahi hakkında görüşlerini inceleyen çalışmalara rastlanmamıştır. Bu nedenle bu çalışma, hemşirelerin robotik cerrahi konusundaki düşüncelerini belirlemek amacıyla yapıldı. Yöntem: Tanımlayıcı tipte olan bu çalışmanın verileri Eylül–Kasım 2015 tarihleri arasında araştırmacılar tarafından oluşturulan veri toplama formu ile internet üzerinden toplandı. Çalışmanın örneklemini, çalışmaya katılmayı gönüllü olarak kabul eden ve aktif olarak internet kullanan 286 hemşire oluşturdu. Verilerin analizinde ortalama, standart sapma, sayı ve yüzde kullanıldı.Bulgular: Çalışma kapsamına alınan hemşirelerin %92,7’sinin kadın ve yaş ortalaması 34,6±8,1 yıldır. Hemşirelerin %90,6’sı daha önce robotik cerrahi terimini duyduklarını, %34,6’sı robotik cerrahi hakkında yeterli bilgiye sahip olduklarını belirtti. Hemşirelerin %68,9’u gelecekte ameliyat olması gerekirse robotik cerrahi yöntemini tercih edebileceğini belirtti. Hemşirelerin %73,4’ünün robotik cerrahi sırasında kendisini nasıl hissedeceği, %57,7’sinin ise robotik tele-cerrahiyi tercih etme konusunda kararsız oldukları belirlendi.Sonuç: Hemşirelerin çoğunun robotik cerrahi konusunda farkındalığının yüksek olmasına rağmen sınırlı bilgi sahibi olduğu ve kendilerinin robotik cerrahi ile ameliyat olma durumunda bu yöntemi tercih edebilecekleri görüldü. Sağlık teknolojisinde meydana gelen gelişmelerden biri olan robotik cerrahi konusunda hemşirelerin bilgilerinin güncellenmesi ve hemşirelerin bu konudaki görüşlerinin belirlenmesine yönelik daha geniş kapsamlı çalışmaların yapılması önerilmektedir.
Simülasyon Uygulamasının Kadın Sağlığı Ve Hastalıkları Hemşireliği Dersi Eğitimine Etkisine İlişkin Öğrenci Görüşlerinin Belirlenmesi
Authors: Arslan Gürcüoğlu Esra , Uzun Aksoy Mehtap , Pelit Aksu Sıdıka , Şentürk Erenel Ayten 
Published: December 2018

Amaç: Araştırma kadın sağlığı ve hastalıkları hemşireliği dersinde simülasyon yöntemi ile uygulama yapan öğrencilerin, simülasyon eğitiminin teorik ders ve klinik uygulama becelerileri üzerine etkisine ilişkin görüşlerini belirlemek amacıyla yapılmıştır.Yöntem: Tanımlayıcı tipteki araştırma bir devlet üniversitesinde kadın sağlığı ve hastalıkları hemşireliği dersi alan toplam 103 öğrenci üzerinde yapılmıştır. Öğrencilerin ders programı sırasıyla teorik eğitim, senaryolar eşliğinde simülasyon eğitimi ve klinik uygulama olarak yürütülmüştür. Öğrencilere klinik uygulama öncesi simülasyon laboratuvarında, 32 saat senaryolar eşliğinde simülasyon eğitimi verilmiştir. Veriler klinik uygulamanın bitiminde, 14 sorudan oluşan anket formu aracılığıyla toplanmıştır. Verilerin değerlendirilmesinde, nicel değişkenler için ortalama ve standart sapma, nitel değişkenler için sayı ve yüzde değerleri kullanılmıştır.Bulgular: Öğrencilerin yaş ortalamaları 21,13±2,16 ve %84,5’i kadındır. Öğrencilerin %87,4’ü simülasyon eğitimi almanın klinik uygulamaya hazırlanmalarını olumlu etkilediğini, %95,1’i klinik uygulamada özgüveni, %80,6’sı klinik uygulamadan memnuniyetlerini olumlu yönde etkilediğini belirtmiştir. Öğrencilerin simülasyon eğitiminin klinik uygulama başarısına dair düşünceleri sorulduğunda ilk üç sırada, eksikliklerini önceden görmelerini sağladığını (%75,7), klinik başarılarını arttırdığını (%72,8) ve hata yapma riskini azalttığını (%61,2) ifade etmişlerdir. Öğrencilerin %93,2’si simülasyon eğitiminin yaygınlaştırılması gerektiğini ve %71,8’i teorik bilgilerini uygulamaya daha iyi aktarabildiklerini bildirmiştir. Ancak, öğrencilerin %59,2’si kritik karar verme sürecine katkı sağlamadığını, %64,1’i sınav başarısını olumlu etkilemediğini, %70,9’u ekip içi işbirliğini arttırmadığını bildirmiştir.Sonuç: Öğrencilerin çoğunluğu simülasyon eğitiminin klinik uygulama, beceri ve dersi kavrama durumları üzerine olumlu etkisi olduğunu ve büyük bir çoğunluğu simülasyon eğitiminin yaygınlaştırılması gerektiğini bildirmiştir. Ancak öğrencilerin çoğu simülasyon eğitiminin kritik karar verme süreci, ekip içi iş birliği ve sınav başarısı üzerine olumlu etkilerinin olmadığını bildirmişlerdir.
Investigation of the Tempering Effect during Nitriding*
Authors: Hoja S. , Hoffmann F. , Steinbacher M. , Zoch H.-W. 
Published: December 2018

Abstract
Nitriding is a widely used treatment to increase the performance of unalloyed and alloyed steels. Because nitriding majorly affects the hardness of the surface region of the material it is common to perform a quenching and tempering treatment before nitriding in order to get a suitable core hardness and microstructure for application. The hardness from pre-heat treatment is nearly not affected by the following nitriding process if the temperature of tempering exceeds the nitriding temperature more than ca. 30 °C. Nevertheless in some cases where a high nitriding depth, i. e. 0.8 mm and more, is necessary, the nitriding parameters temperature and time can affect the material's state, which was achieved by tempering, even though the nitriding temperature is lower than the temperature of the tempering treatment.
The current investigations concern the tempering behaviour of typical nitriding and heat treatable steels. In nitriding experiments with different treatment temperature and time the stability of the pre-heat treatment state was investigated and the Hollomon-Jaffe parameter was used to describe the effect of temperature and time on the material's properties. Furthermore it was shown, that the Hollomon-Jaffe parameter is also suitable to predict the tempering effect of a long time nitriding process.
UPAYA DALAM MENINGKATKAN MOTIVASI BELAJAR SISWA PADA MATA PELAJARAN PENDIDIKAN KEWARGANEGARAAN MELALUI PENGUNAAN ALAT PERAGA CHART DI KELAS XII IPA 3 SMA NEGERI 2 SINTANG
Authors: Jeni Ananias 
Published: December 2018

Penelitian ini bertujuan untuk meningkatkan motivasi belajar siswa, kemampuan memahami serta menerapkan konsep dalam kegiatan belajar mengajar di Kelas. Masalah pokok dalam penelitian tindakan kelas ini adalah “Upaya Dalam Meningkatkan Motivasi Belajar Siswa Pada Mata Pelajaran Pendidikan Kewarganegaraan melalui pengunaan Alat Peraga Chart di Kelas XII IPA 3 SMA Negeri 2 Sintang”. Adapun masalah yang dihadapi guru adalah kurangnya motivasi belajar siswa.Adapun pembahasan yang dikembangkan adalah upaya memotivasi belajar siswa melalui pengunaan alat peraga chart yang sangat berpengaruh dalam kegiatan belajar mengajar dan keberhasilan siswa untuk menerima materi yang disampaikan. Penelitian tindakan kelas ini dilaksanakan pada Kelas XII IPA 3 SMA Negeri 2 Sintang. Kegiatan penelitian tindakan Kelas dilaksanakan sebanyak 2 siklus tindakan.Prosedur pada setiap tindakan ialah :(1) Perencanaan, (2) Pelaksanaan, (3) Observasi dan (4) Refleksi.Kata Kunci: Motivasi Belajar, Pendidkan Kewarganegaraan, Alat Peraga Chart.
Pipe industry today and tomorrow (as per results of the XXIII-rd International scientific and practical conference “Pipes-2018”)
Authors: Lifanov V. Ya. 
Published: December 2018

On September 17–19, 2018, the XXIII International scientific and practical conference “Pipes-2018” took place. 305 administrators and specialists from 123 organizations – developers, manufacturers and consumers of pipe products, as well as manufacturers of modern technological, testing and diagnostic equipment, including 15 representatives of foreign countries, took part in the conference. At the plenary session 13 actual reports were delivered, which became a basis of further well-reasoned dialog of scientific organizations with pipes manufacturers and biggest consumers. In the report of PAO “Gasprom” Head of Department Mr. P.V. Krylov “Technical development of Russian pipe companies for solving tasks of PAO “Gasprom” an information was quoted about application of domestic pipe products in Russian and international projects.Director of NO FRTP Mr. I.A. Malyshev acquainted the conference participants with pipes consumption dynamics in Russia by main market segments and possibilities of its growth. Items of industry’s science role increase in creation and mastering of new innovation kinds of pipe products were highlighted. Also measures undertaken by FRTP to protect EAES market against improper competition and items of improving instruments for the market protection In the report of the First Deputy-Chairman of RSPP Committee for technical regulation, standardization and correspondence estimation Mr. A.N. Lotsmanov items of the RSPP Committee participation in the work of import substitution and international cooperation. A special section was devoted to modern requirements in the standardization area and correspondence confirmation.At four theme sections 65 main reports were presented. Problems of innovation technologies and equipment for pipe steel production, billets quality for coil and sheet products were discussed. Items of protection against corrosion and increase of operational reliability, development and application of modern test and diagnostic equipment were also discussed.
Mathematical simulation of BF hot blast temperature influence on variations of silicon content in hot metal
Authors: Semenyuk P. P. , Velikotsky R. E. , Rumyantseva N. A. 
Published: December 2018

The problem of influence of sinter production technological factors on silicon content and particularly variations of Si (ΔSi) in hot metal is actual for the up-to-date metallurgy.Traditional methods and plans of studies of BF heat running at present are considered less precise and effective comparing with up-to-date methods of mathematical and computer simulation, since the last provide an ability to forecast and optimize numerous parameters of BF process.A complex mathematical analysis of dependence between hot blast temperature and ΔSi by application of the universal mathematical model, specially elaborated and adapted for industrial conditions of sinter plant operation of Alchevsk steel-works was the task of the study.Influence of hot blast temperature (X-Factory) on minimization of ΔSi (Y-Factory) studied. Complex mathematical analysis was carried out using statistical data collected during 65 months of Alchevsk steel-works blast furnace of 3000 m3 operation. Results of calculation of influence of hot blast temperature on ΔSi by application of the universal mathematical model presented. Minimization of ΔSi when optimizing hot blast temperature reached. Accuracy of calculation using the elaborated model was more 99% of actual operational statistic.
Complex study of deformation mode of working stand of pipes cold rolling mill
Authors: Rakhmanov S. R. , Povorotniy V. V. 
Published: December 2018

Elaboration of main concepts of working stands reconstruction, providing an increase of their operation strength and improving of rolled pipes quality and at the same time a decrease of metal intensity is an actual task. Solving of the task will result to a great extent in expanding of technological possibilities and increasing of productivity pipe cold rolling mills.Results of complex study of deformation mode of working stands of pipe cold pilger mills of different designs presented. Influence of working stands parameters both existing and of rational designs on quality of rolled pipes determined. The study determined, that thanks to application of roller installation with ring roll passes and new bearings an expansion of technological possibilities of ХПТ 32 mill reached. Increase of rolled pipes quality was reached by utilization in the drive line of ХПТ 32 mill a modernized working stand of rational design, which has a high operation reliability and an increased rigidity.
Continuidad y líneas de fuga en la literatura boliviana contemporánea
Authors: Torres Alexander 
Published: December 2018

González Almada, Magdalena. (2017). Relaciones de poder, imaginarios sociales y prácticas identitarias en la narrativa boliviana contemporánea 2000-2010. Córdoba: Universidad Nacional de Córdoba.260 págs.
Dada la reciente difusión a nivel internacional de la escritura literaria boliviana, esta publicación de la doctora en letras argentina, Magdalena González Almada, es oportuna y necesaria tanto para entender el panorama en que se encuentra inserta actualmente la literatura boliviana como herramienta teórica que puede facilitar una mayor divulgación de un campo literario que cada vez más se está perfilando más allá de sus fronteras nacionales.
Faktor Risiko yang Berhubungan dengan Kejadian Hipertensi pada Wanita Usia Reproduktif di Wilayah Kerja Puskesmas Langsa Lama Kota Langsa
Authors: Agustina Winda , Oktafirnanda Yuka , Wardiah Wardiah 
Published: December 2018

World Health Organization (WHO) menetapkan hipertensi sebagai faktor resiko nomor tiga etiologi kematian didunia. Menurut data SDKI tahun 2012, hipertensi termasuk kedalam 10 penyakit terbesar di Rumah Sakit Rawat Inap. Menurut data Dinas Kesehatan Langsa Tahun 2015 yang mengalami hipertensi sebanyak 8.036 jiwa (42,60%). Dan pengidap hipertensi tertinggi ada pada Wilayah Kerja Puskesmas Langsa Lama yakni sebanyak 3.439 jiwa (78,12%). Metode Penelitian ini menggunakan penelitian survei analitik dengan menggunakan desain penelitian Case Control. Populasi dalam penelitian ini sebanyak 74 responden. Sampelnya sebanyak 50 responden yang terdiri dari 25 responden kasus dan 25 responden kontrol. Hasil penelitian yang didapat berdasarkan hasil uji statistik Binary Logistic adalah kegemukan dan keturunan merupakan faktor resiko yang berpengaruh dengan kejadian hipertensi di Wilayah Kerja Puskesmas Langsa Lama kota Langsa. Kesimpulan ; Meningkatkan Promosi Kesehatan di Puskesmas Langsa Lama Kota Langsa dapat meningkatkan kualitas pelayanan dan melakukan pencegahan dengan melakukan pemeriksaan tekanan secara berkala.Kata Kunci : Faktor Risiko, Hipertensi, Wanita Usia Reproduktif
Hubungan Pengetahuan dan Sikap Ibu Nifas tentang Perawatan Payudara dengan Pelaksanaan Perawatan Payudara di Klinik Pratama Niar Medan
Authors: Prawita Ade Ayu , Salima Marda 
Published: December 2018

Pendahuluan;Pengeluaran ASI yang tidak lancar dapat mempengaruhi ibu tidak dapat memberikan ASI Ekslusif kepada bayinya. Menurut data yang di peroleh dari infodatin ASI tahun 2014, jumlah persenan bayi yang mendapatkan ASI Ekslusif di Indonesia yaitu 54,3%. Dari angka tersebut, Provinsi Sumatera utara menempati urutan ke-4 cakupan bayi yang memperoleh ASI Ekslusif terendah yaitu sejumlah 28.459 (41,3%), Maluku 3.332 (25,9%), Sulawesi Utara 6453 (34,7%) dan Jawa Barat 195.323 (33,7%).Tujuan; Untuk mengetahui hubungan enabling dengan pelaksanaan Perawatan Payudara pada ibu nifas di Klinik Pratama Niar Medan Tahun 2017.Metode; Penelitian ini menggunakan desain survei analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah seluruh ibu nifas sebanyak 30 orang dan sampel yang digunakan adalah seluruh ibu nifas post partum hari ke 3 sampai hari ke 4 yang ada di Klinik Pratama Niar Medan denganjumlahsampel30 responden. Hasil; Hasil penelitian menunjukkan mayoritas responden berpengetahuan kurang (43,3%), bersikap negatif (60,0%), dan pelaksanaan perawatan payudara yang melaksanakan (30%). Hasil uji statistik menunjukkan variabel pengetahuan mempunyai p value sebesar 0,020 dan variabel sikap mempunyai p value 0,001.Kesimpulan; Dapat disimpulkan bahwa ada hubungan pengetahuan dan sikap dengan pelaksanaan perawatan payudara di Klinik Pratama Niar Medan tahun 2017.Saran; Diharapkan penelitian ini dapat dijadikan sebagai bahan masukan bagi Klinik PratamaNiar Medan lebih meningkatkan penyuluhan dan memotivasi ibu nifas tentang Perawatan Payudara.
Analisis Penyebab Ketidaktepatan Waktu Pelaporan Insiden Keselamatan Pasiendi RSU Bunda Thamrin
Authors: Rangkuti Dyna Safitri Rakhelmi , Silaen Mangatas , Jamalludin Jamalludin 
Published: December 2018

Pendahuluan Keselamatan pasien rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman yang meliputi asesmen risiko, identifikasi dan pengelolaanhal yang berhubungan dengan risiko pasien, pelaporan dan analisis insiden Tujuan Penelitian ini bertujuan untuk menganalisis penyebab ketidak tepatan waktu pelaporan insiden keselamatan pasien di RSU Bunda Thamrin Metode Desain penelitian ini adalah penelitian kualitatif dengan menggunakan pendekatan study fenomenology. Informan dalam penelitian ini adalah, Direktur, perawat, ketua KPRS dan champion tim KPRS Hasil penelitian menunjukkan bahwa ketidak tepatan waktu pelaporan insiden keselamatan pasien di RSU Bunda Thamrin disebabkan oleh rasa malas dan takut sehingga enggan untuk menuliskan kronologis insiden karena budaya keselamatan pasien yang belum menyeluruh di lingkungan rumah sakit Kesimpulan penelitian ini menyatakan bahwa ketidaktepatan waktu pelaporan insiden keselamatan pasien (IKP) disebabkan oleh gagalnya sosialisasi dan edukasi yang dilakukan oleh tim KPRS kepada seluruh karyawan rumah sakit.