bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERSEPSI PERAWAT TERHADAP PRINSIP-PRINSIP ETIK DALAM PELAKSANAAN TINDAKAN KEPERAWATAN DI ICU RUMAH SAKIT TK. II PUTRI HIJAU MEDAN
Authors: Pangaribuan Resmi 
Published: April 2019

The nursing ethics were value and principles trusted by the nursing profession in carring out their duties related to the patient with society, the relationship between nurses and mates included the organization of the profession, as well as the regulation of nursing practice it self. The nurse perception to the ethical principles was able to influence the behavior of a nurse in making decision of nursing action. The aim of this observation is to explore the nurse perception to the ethichal principlesin implementation nursing action at Intensive Care Unit level II Putri Hijau Hospital Medan, this observation was done to nurse with four respondents. The method of phenomenological qualitative. The sample with purposive sampling. Data was collected nursing indepth interview and then recorded by tape recorder. The results of observation reflected from six themes appearing which were agreed in doing treatment. Patient or patient’s family have right to refuse the treatment by giving sign of non-consent letter, to appreciate the patient and the family using traditional ways, tot the useful, and avoiding the dangerous thing to the patient. Religion teaches good deeds, never different patients, and to take early treatment in accordance with the cases priority, give complete information.The conclusion of this observation was glance perception of nurses in implementing the nursing treatment. Key words: The Nursing’s perception, Ethichal principles, Nursing action
ANALISIS FAKTOR YANG MEMENGARUHI PARTISIPASI PRIA DALAM KELUARGA BERENCANA DI DESA CELAWAN KECAMATAN PANTAI CERMIN KABUPATEN SERDANG BEDAGAI
Authors: Tisnilawati Tisnilawati 
Published: April 2019

Up to now, male participation in Family Planning in Indonesia has been very low. The achievement of active condom acceptor program in North Sumatera Province in 201I was 18.7% and active acceptors of MOP (Male Operation Method) were 53.2%. The achievement of condom Family Planning acceptors in Serdang Bedagai District was I3.l%, while the achievement of MOP acceptors was 55.2%. Celawan Village is one of the villages in Pantai Cermin Subdistrict, Serdang Bedagai District, which has high male participation in Family Planning: condom was 5.5% and MOP was 1.0%.The objective of the research was to reduce some factors which influenced male participation in Family Planning program which included predisposition factors (knowledge and attitude), support (access to service and facilities), and motivation (wife's support, family support, and peer group support) at Celawan Village, Pantai Cermin Subdistrict, Serdang Bedagai District. The research was survey with cross sectional design. It was conducted from August to November, 2014. The population was 60 husbands of fertile age couples who participated in Family Planning, and all of them were used as the samples. The data were collected by conducting interviews with questionnaires and analyzed by using exploratory method factor analysis.The result showed that statistically the factors that influenced the participation of male in family Planning, were (1) facility factors included family planning facilities, consultation and guidance of family planning officers, the availability of referral transport, (2) participation factors included motivation, understanding of the types of contraception, support for family planning programs, and understanding of the reproductive organs, (3)response factors included access to family planning methods, side effects, cost of short and long term family planning, (4) the location factors included ease to the health facility, the presence of officers, access to information, and the availability of contraceptives, and (5) supporting factors included wife support, support for becoming family planning cadres in choosing family planning methods. All five of these factors has the power of 69,5% able to explain the influence of the participation of male in family planning.Keywords: Factor Analysis, Male Participation, Family Planning
PERBEDAAN KECEMASAN PADA PASIEN YANG AKAN MENJALANI OPERASI BESAR SEDANG DAN KECIL
Authors: Purba Lermiana Br. , Pratama Muchti Yuda , Khairani Ade Irma 
Published: April 2019

This study aims to look at the differences in anxiety in patients undergoing major surgery, medium, and small at the Hospital of Putri Hijau Medan. In line with the existing theory, to test the validity and reliability on the test the validity of measuring instruments, it turns out that valit 46 grain and based on the degree of reliability is equal to 0969. Measuring instrument used in this study had a high level of reliability (very reliable). To be able to analyze the data of this study tested the assumption that the distribution normality test and homogeneity test group. Based on the test normality distribution calculation kosmogorov-Smirnov shows research data analyzed has a distribution that is normally indicated by coefficient KS of 0.122 with P> 0.05 (P = 0089) three groups were used in this study is homogeneous with a coefficient of homogeneity of 2,724 with P > 0.05 (P = 0.077). Calculation of data analysis used in this research is the statistical analysis ANOVA one lane. Turns showed no differences were very signivikan anxiety among patients who will face major surgery, medium, and small, which is indicated by coefficient F = 17 385 with P <0:01 (P = 0:00). It turned out that patients undergoing major surgery experience exyety at 103.73 100.07 Medium,skall amounting to 996.20Keywords: Difference anxious small medium and large operations
HUBUNGAN KEBIASAAN MAKAN DENGAN KEJADIAN OSTEOPOROSIS PADA LANSIA DI PUSKESMAS KUTALIMBARU KECAMATAN KUTALIMBARU KABUPATEN DELI SERDANG
Authors: Purwaningsih Purwaningsih , Khairani Ade Irma 
Published: April 2019

Based on WHO data, osteoporosis is classified into 10 main degenerative diseases in the world there are ± 2000 million patients in the world with osteoporosis. In Indonesia, 19.7% of the elderly or 3.6 million of people with osteoporosis. The increasing of incident of osteoporosis is related to the age and bad eating habits. The objective of this research is to analyze a correlation between the eating habit and osteoporosis to the elderly.This research was an analytic study with case control approach. This research was conducted in Puskesmas Kutalimbaru Regency of Deli Serdang. The population of this research were 190 persons. The sample was divided into 2 group (each group is consist of 95 persons). The analysis was univariable, bivariable using chi square and multi variable using multi logistic regression.The result of research indicates that the eating habit of elderly was related to the incident of osteoporosis significantly in Puskesmas Kutalimbaru sub district of Kutalimbaru, Regency of Deli Serdang, diet portion (p = 0.005, OR = 3.374), coffee consumption (p = 0.000, OR = 4.116) and green vegetables consumption (p; = 0.013, OR = 2.399). while variable that did not related to the osteoporosis to the elderly was water drink ( p = 0.512), milk consumption (p = 0.094) and fresh fruit consumption (p = 0.385). the dominant variable related to the osteoporosis to the elderly was coffee consumption. The elderly who always consume coffee has a risk for osteoporosis 4.1 higher than elderly who did not or never consume coffee.The conclusion of this research is the osteoporosis to the elderly is related to the diet portion, consumption of coffee and green vegetables. It is suggested to the Puskesmas Kutalimbaru to provide the extension of health promotion about the nutrition content to the society with the target of elderly through society activities such as society gathering or religion gathering.Keywords : Eating Habit, Osteoporosis, Elderly
DETEKSI DINI KANKER SERVIK PADA WANITA USIA SUBUR DENGAN INSPEKSI VISUAL ASAM ASETAT (IVA TEST) DI KLINIK BERSALIN KOTA MEDAN
Authors: Nasution Diah Lestari , Sitohang Nur Asnah , Adella Cut Adeya 
Published: April 2019

Cervical cancer in Indonesia ranks first, 65% of the patient's condition is in an advanced stage. In research in thirteen anatomical pathology laboratories in Indonesia, the frequency of cervical cancer patients was around 18.5%. This community service aims to: (1) provide communication, education and information (IEC) about cervical cancer and the benefits of IVA Test; (2) conduct IVA Test; (3) measure WUS's knowledge about cervical cancer and IVA test. Performed at the maternity clinic, namely SAM maternity clinic (20 people) and Sari (20 people). Data analysis using dependent t test. The results of the activity were data from 26-30 years old (40%), Batak tribes (13%), Islamic religion (95%), first marriage (77.5%), high school / diploma / undergraduate education (80%), IRT (77.5 %), the work of husband's employee (52.5%), first age married 26-30 years (40%) and not smoking (80%); using injection contraception (42.5%); the obstetric history of the majority of WUS giving birth twice (42.5%) , never checked (80%), no brother is sick (75%), breast cancer (10%), not much vaginal discharge (65%), no pain under the abdomen (70%), no bleeding during intercourse (90%) and did not experience irregular menstruation (55%); results of IVA WUS Test were negative (80%), inflammation (17.5) and positive (2.5); WUS knowledge before being given Information Education Communication (IEC) about cervical cancer and the IVA Test averages = 13.58, SD = 3.012 and after being given health education on average = 14.30, SD = 3.275. The results of statistical tests obtained different mean = 0.725 and P value = 0.016, it can be concluded that there was a significant effect of IEC on WUS knowledge about cervical cancer and IVA Test. Keywords: Cervical cancer, fertile age women (WUS), IVA Test
Оцінка коефіцієнта лобового опору снаряда методами поліноміальної апроксимації та інтерполяції координат центра мас на етапі льотно- конструкторських випробувань
Authors: Герасимов С. В. , Журавльов О. О. 
Published: April 2019

Розроблена процедура оцінки середнього на ділянці балістичної траєкторії значення коефіцієнта лобового опору снаряда методами апроксимації та інтерполяції координат центра мас кубічними поліномами при виконанні потрібних умов збіжності таких поліномів. Коефіцієнти полінома, що апроксимує, розраховуються за параметрами, які визначають початкові умови польоту снаряда, його конструкцію та локальний аерогравітаційний простір. Коефіцієнти полінома, що інтерполює, визначаються методом найменших квадратів за даними зовнішньотраєкторних вимірювань. Проведені оцінка похибок визначення коефіцієнта лобового опору снаряда та оцінки можливості використання деяких станцій зовнішньотраєкторних виміріювань для високоточного визначення вказаного коефіцієнта.
Програми сприяння безпеці США, їх вплив на суднобудівну галузь США і значення для України
Authors: Косяковський А. В. , Расстригін О. О. 
Published: April 2019

Спираючись на публікації з відкритих джерел, проаналізована політика США (та її реалізація) з передачі озброєння та військової техніки (ОВТ) іншим країнам як один з інструментів зовнішньої політики, визначена частина ОВТ ВМС у цьому процесі, здійснена оцінка того, як передача ОВТ ВМС підтримує світовий вплив та престиж США як морської держави, а також розглянути інтереси України в отриманні кораблів (суден) від США в рамках Програм підтримки міжнародної безпеки.
Математична модель комплексного розпізнавання повітряних радіовипромінюючих об'єктів за сукупністю параметрів сигналів бортових радіолокаційних станцій і засобів радіозв'язку в системах радіоелектронного спостереження
Authors: Ніколаєв І. М. 
Published: April 2019

Наведені структура, алгоритми, принципи побудови і використання імітаційно-математичної моделі розпізнавання повітряних об'єктів за параметрами випромінювань бортових радіоелектронних засобів у системах радіоелектронного спостереження при великих розмірах алфавіту класів об'єктів, що підлягають розпізнаванню, і словника їхніх сигнальних ознак. Показано, що модель дозволяє реалізувати багатократне повторення процесу розпізнавання радіовипромінюючих об'єктів за сукупністю параметрів сигналів бортових радіолокаційних станцій і засобів радіозв'язку, змінювати в діалоговому режимі умови моделювання і отримувати оцінки імовірності розпізнавання в залежності від процедури прийняття рішень, розміру і складу алфавіту класів об'єктів, що розпізнаються, складу і точності виміру сигнальних ознак, повноти і достовірності апріорних баз даних та інших чинників.
Метод визначення послідовності перевірки параметрів під час технічного обслуговування військової техніки зв’язку за станом
Authors: Сакович Л. М. , Рижов Є. В. 
Published: April 2019

Розроблено метод визначення послідовності перевірки параметрів під час технічного обслуговування військової техніки зв’язку за станом, сутність якого полягає у врахуванні метрологічної надійності засобів вимірювальної техніки під час визначення послідовності вимірювання параметрів військової техніки зв’язку при її технічному обслуговуванні. Це дозволить обґрунтовано обирати типи засобів вимірювальної техніки для модернізації існуючих або створення перспективних зразків апаратних технічного забезпечення модульного типу
The Ophiuchus DIsk Survey Employing ALMA (ODISEA): Disk Dust Mass Distributions across Protostellar Evolutionary Classes
Authors: Williams Jonathan P. , Cieza Lucas , Hales Antonio , Ansdell Megan , Ruiz-Rodriguez Dary , Casassus Simon , Perez Sebastian , Zurlo Alice 
Published: April 2019

Abstract
As protostars evolve from optically faint/infrared-bright (Class I) sources to optically bright/infrared-faint (Class II) the solid material in their surrounding disks accumulates into planetesimals and protoplanets. The nearby, young Ophiuchus star-forming region contains hundreds of protostars in a range of evolutionary states. Using the Atacama Large Millimeter Array to observe their millimeter continuum emission, we have measured masses of, or placed strong upper limits on, the dust content of 279 disks. The masses follow a log-normal distribution with a clear trend of decreasing mass from less to more evolved protostellar infrared class. The (logarithmic) mean Class I disk mass, M = 3.8 M
⊕, is about 5 times greater than the mean Class II disk mass, but the dispersion in each class is so high, σ
logM
≃ 0.8–1, that there is a large overlap between the two distributions. The disk mass distribution of flat-spectrum protostars lies in between Classes I and II. In addition, three Class III sources with little to no infrared excess are detected with low disk masses, M ≃ 0.3 M
⊕. Despite the clear trend of decreasing disk mass with protostellar evolutionary state in this region, a comparison with surveys of Class II disks in other regions shows that masses do not decrease monotonically with age. This suggests that the cloud-scale environment may determine the initial disk mass scale or that there is substantial dust regeneration after 1 Myr.
The First Constraint from SDSS Galaxy–Galaxy Weak Lensing Measurements on Interacting Dark Energy Models
Authors: Zhang Jiajun , An Rui , Luo Wentao , Li Zhaozhou , Liao Shihong , Wang Bin 
Published: April 2019

Abstract
We combine constraints from linear and nonlinear scales, for the first time, to study the interaction between dark matter (DM) and dark energy (DE). We devise a novel N-body simulation pipeline for cosmological models beyond ΛCDM. This pipeline is fully self-consistent and opens a new window to study the nonlinear structure formation in general phenomenological interacting DE models. By comparing our simulation results with the SDSS galaxy–galaxy weak lensing measurements, we are able to constrain the strength of interaction between DE and DM. Compared with the previous studies using linear examinations, we point to plausible improvements on the constraints of interaction strength by using small-scale information from weak lensing. This improvement is mostly due to the sensitivity of weak lensing measurements on nonlinear structure formation at low redshift. With this new pipeline, it is possible to look for smoking gun signatures of DM–DE interaction.
Anticyclic Citrullinated Peptide Antibodies 3.1 and Anti-CCP-IgA Are Associated with Increasing Age in Individuals Without Rheumatoid Arthritis
Authors: Berens Heather M. , Polinski Kristen J. , Mikuls Ted R. , Khatter Sonia , August Justin , Visser Ashley , Mahler Michael , Weisman Michael H. , O’Dell James R. , Keating Richard M. , Buckner Jane H. , Gregersen Peter K. , Norris Jill M. , Holers V. Michael , Deane Kevin D. , Demoruelle M. Kristen 
Published: April 2019

Objective.We investigated the association of age and anticyclic citrullinated peptide antibodies (anti-CCP) in subjects without rheumatoid arthritis (RA).Methods.Serum was tested for anti-CCP3.1 (IgG/IgA) in 678 first-degree relatives (FDR) of patients with RA and 330 patients with osteoarthritis (OA). Individual isotypes (anti–CCP-IgA and anti–CCP-IgG) were also tested in all FDR.Results.In FDR, increasing age was significantly associated with positivity for anti-CCP3.1 (per year, OR 1.03) and anti–CCP-IgA (per year, OR 1.05) but not anti–CCP-IgG. In FDR and OA subjects, anti-CCP3.1 prevalence was significantly increased after age 50 years.Conclusion.Increasing age in individuals without RA should be considered in the interpretation of anti-CCP3.1 positivity.
Patient Preferences for Disease-modifying Antirheumatic Drug Treatment in Rheumatoid Arthritis: A Systematic Review
Authors: Durand Caylib , Eldoma Maysoon , Marshall Deborah A. , Bansback Nick , Hazlewood Glen S. 
Published: April 2019

Objective.To summarize patients’ preferences for disease-modifying antirheumatic drug (DMARD) therapy in rheumatoid arthritis (RA).Methods.We conducted a systematic review to identify English-language studies of adult patients with RA that measured patients’ preferences for DMARD or health states and treatment outcomes relevant to DMARD decisions. Study quality was assessed using a published quality assessment tool. Data on the importance of treatment attributes and associations with patient characteristics were summarized across studies.Results.From 7951 abstracts, we included 36 studies from a variety of countries. Most studies were in patients with established RA and were rated as medium- (n = 19) or high-quality (n = 12). The methods to elicit preferences varied, with the most common being discrete choice experiment (DCE; n = 13). Despite the heterogeneity of attributes in DCE studies, treatment benefits (disease improvement) were usually more important than both non-serious (6 of 8 studies) and serious adverse events (5 of 8), and route of administration (7 of 9). Among the non-DCE studies, some found that patients placed high importance on treatment benefits, while others (in patients with established RA) found that patients were quite risk averse. Subcutaneous therapy was often but not always preferred over intravenous therapy. Patient preferences were variable and commonly associated with the sociodemographic characteristics.Conclusion.Overall, the results showed that many patients place a high value on treatment benefits over other treatment attributes, including serious or minor side effects, cost, or route of administration. The variability in patient preferences highlights the need to individualize treatment choices in RA.
Development of a Simulation-Based Interprofessional Teamwork Assessment Tool
Authors: Bismilla Zia , Boyle Tehnaz , Mangold Karen , Van Ittersum Wendy , White Marjorie Lee , Zaveri Pavan , Mallory Leah 
Published: April 2019

ABSTRACT

Background
The Accreditation Council for Graduate Medical Education (ACGME) Milestone projects required each specialty to identify essential skills and develop means of assessment with supporting validity evidence for trainees. Several specialties rate trainees on a milestone subcompetency related to working in interprofessional teams. A tool to assess trainee competence in any role on an interprofessional team in a variety of scenarios would be valuable and suitable for simulation-based assessment.

Objective
We developed a tool for simulation settings that assesses interprofessional teamwork in trainees.

Methods
In 2015, existing tools that assess teamwork or interprofessionalism using direct observation were systematically reviewed for appropriateness, generalizability, adaptability, ease of use, and resources required. Items from these tools were included in a Delphi method with multidisciplinary pediatrics experts using an iterative process from June 2016 to January 2017 to develop an assessment tool.

Results
Thirty-one unique tools were identified. A 2-stage review narrowed this list to 5 tools, and 81 items were extracted. Twenty-two pediatrics experts participated in 4 rounds of Delphi surveys, with response rates ranging from 82% to 100%. Sixteen items reached consensus for inclusion in the final tool. A global 4-point rating scale from novice to proficient was developed.

Conclusions
A novel tool to assess interprofessional teamwork for individual trainees in a simulated setting was developed using a systematic review and Delphi methodology. This is the first step to establish the validity evidence necessary to use this tool for competency-based assessment.
The impact of bath gas composition on the calibration of photoacoustic spectrometers with ozone at discrete visible wavelengths spanning the Chappuis band
Authors: Cotterell Michael I. , Orr-Ewing Andrew J. , Szpek Kate , Haywood Jim M. , Langridge Justin M. 
Published: April 2019

Abstract. Photoacoustic
spectroscopy is a sensitive in situ technique for measuring the absorption
coefficient for gas and aerosol samples. Photoacoustic spectrometer (PAS)
instruments require accurate calibration by comparing the measured
photoacoustic response with a known level of absorption for a calibrant.
Ozone is a common calibrant of PAS instruments, yet recent work by Bluvshtein
et al. (2017) has cast uncertainty on the validity of ozone as a calibrant at
a wavelength of 405 nm. Moreover,
Fischer and Smith (2018) demonstrate
that a low O2 mass fraction in the bath gas can bias the measured PAS
calibration coefficient to lower values for wavelengths in the range
532–780 nm. In this contribution, we present PAS sensitivity measurements
at wavelengths of 405, 514 and 658 nm using ozone-based calibrations with
variation in the relative concentrations of O2 and N2 bath
gases. We find excellent agreement with the results of Fischer and Smith at
the 658 nm wavelength. However, the PAS sensitivity decreases significantly
as the bath gas composition tends to pure oxygen for wavelengths of 405 and
514 nm, which cannot be rationalised using arguments presented in previous
studies. To address this, we develop a model to describe the variation in PAS
sensitivity with both wavelength and bath gas composition that considers
Chappuis band photodynamics and recognises that the photoexcitation of
O3 leads rapidly to the photodissociation products O(3P)
and O2(X, v > 0). We show that the rates of two
processes are required to model the PAS sensitivity correctly. The first
process involves the formation of vibrationally excited
O3(X̃) through the reaction of the nascent
O(3P) with bath gas O2. The second process involves the
quenching of vibrational energy from the nascent O2(X,
v > 0) to translational modes of the bath gas. Both of these
processes proceed at different rates in collisions with N2 or
O2 bath gas species. Importantly, we show that the PAS sensitivity is
optimised for our PAS instruments when the ozone-based calibration is
performed in a bath gas with a similar composition to ambient air and
conclude that our methods for measuring aerosol absorption using an
ozone-calibrated PAS are accurate and without detectable bias. We emphasise
that the dependence of PAS sensitivity on bath gas composition is
wavelength-dependent, and we recommend strongly that researchers characterise
the optimal bath gas composition for their particular instrument.