bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peningkatan Generativitas Melalui Terapi Kelompok Pada Perempuan Paruh Baya
Authors: Hapsah Hapsah , Hamid Achir Yani S. , Susanti Herni 
Published: May 2019

AbstrakPerempuan paruh baya mengalami banyak perubahan psikososial yang dapat mempengaruhi perkembangannya sehingga diperlukan upaya promotif untuk meningkatkan derajat kesehatannya. Penelitian quasi experimental dengan pendekatan prepost test with control group ini ditujukan untuk mengidentifikasi pengaruh terapi kelompok terapeutik (TKT) terhadap perkembangan generativitas perempuan paruh baya di Kabupaten Pinrang. Hasil penelitian terhadap 34 orang kelompok intervensi dan 36 orang kelompok kontrol (melalui purposive sampling) menunjukkan peningkatan generativitas secara bermakna (p= 0,000, α= 0,05) pada kelompok intervensi dan peningkatan secara tidak bermakna pada kelompok kontrol (p= 0,410, α= 0,05) sebelum dan sesudah dilakukan TKT. Terapi kelompok terapeutik ini direkomendasikan untuk dikembangkan sebagai bentuk pelayanan kesehatan jiwa bagi perempuan paruh baya. AbstractMiddle age women generally experience many phsycosocial changes that can influence their developments, hence they need promoted actions to improve their health quality. This experimental quasi research using pre-post test with control group aims to identify an influence of therapeutic group therapy on the generativity development of middle age women in Pinrang Regency. The results showed that generativity development are significantly higher (p= 0,000, α= 0,05) on treated group (n=34) compared to control group (n=36) which did not show significant improvement (p= 0,410, α= 0,05) before and after intervention. This therapeutic group treatment was recommended to be developed as one way to promote mental health for middle age women.
Reflection on Mental Health System and Quality Assurance: Considering the Relevance of the Australian Experience for Indonesia
Authors: Frazer Neil 
Published: May 2019

Pelayanan kesehatan jiwa di Australia telah berkembang menjadi pelayanan yang berorientasi pada komunitas dan sensitive terhadap kebutuhan dan hak klien dengan gangguan jiwa. Perkembangan ini mempunyai implikasi pada system kesehatan jiwa komunitas., kebijakan tentang kesehatan jiwa, legalisasi, pelayanan kesehatan jiwa, pelayanan pembauran, begitu pula implikasi terhadap praktek keperawatan. Perubahan dalam pelayanan kesehatan jiwa menuntut perawat untuk memiliki pengetahuan yang teoritis yang lebih baik dan kemampuan untuk melakukan praktek keperawatan secara professional.Di Indonesia, kajian yang ekstensif tentang kebutuhan masyarakat dengan masalah kesehatan jiwa, sumber yang tersedia untuk memenuhi kebutuhan tersebut, serta keyakinan, nilai dan sikap tenaga professional kesehatan jiwa tentang ilmu kedokteran dan perilaku dari negara barat yang mempengaruhi pelayanan kesehatan jiwa, sangat diperlukan untuk pengembangan system kesehatan jiwa yang lebih efektif dan efesien. The mental health services in Australia have been developed to be more community based services and sensitive to the needs and rights of the mentally ill. This development has implications for mental health system and the community, mental health policy, legislation, mental health services, mainstreaming services as well as implications for nursing practice. The change in mental health services required the nurse to have the better theoretical knowledge and competence to practice professionally. In Indonesia, the extensive study on the needs of the people with mental health problem and the existing resource to meet those needs, as well as the current beliefs, values and attitudes held by mental health professionals towards the Western medical and behavioral science influence on mental health services is an important process in developing more efficient and effective mental health system.
Tinjauan Kasus : Klien Menarik Diri
Authors: CD Novy Helena , Mustikasari Mustikasari , P Ria Utami 
Published: May 2019

Menarik diri adalah suatu pola tingkah laku menghindari kontak dengan orang, situasi atau lingkungan yang penuh dengan stress yang dapat menyebabkan kecemasan fisik dan psikologis. Individu yang menarik diri cenderung untuk menghindari hubungan interpersonal dan dalam menghadapi realitas. Dampak dari perilaku menarik diri adalah gangguan perawatan diri, gangguan penampilan dii dan potensial terjadinya halusinasi bahkan keinginan untuk bunuh diri. Mengingat dampak tersebut maka diperlukan asuhan keperawatan yang komprehensif dan intensif khususnya untuk menarik diri. Withdrawal is a pattern of behavior to avoid contact with others, stressful situation and environment which can cause the physical and psychological distress. The individual who withdrawal tends to avoid interpersonal relationship, and face the reality. The withdrawal behavior can lead to problems related to self care and personal appearance and potential hallucination even attempted suicide. Considering the impact of withdrawal behaviors on individual, comprehensive and intensive nursing care specifically planned for client with withdrawal are acquired.
Aspek Psikososial Pasien dengan Stoma : Gambaran Umum
Authors: Keliat Budi Anna 
Published: May 2019

Perubahan struktur tubuh pada klien yang mempunyai stoma akan mempengaruhi semua spek kehidupannya baik secara individu maupun supra sistemnya. Perawat bersama klien, keluarga, sistem pendukung dan anggota tim kesehatan secara terintegrasi dapat membuat strategi sehingga stoma bukan menjadi masalah kesehatan yang mengerikan, tetapi menjadi masalah yang dapat dihadapi. Melalui upaya keperawatan yang optimal, diharapkan klien dengan stoma dapat menikmati kehidupannya dengan sejahtera dan tetap produktif. The change of client’s structure with stoma will affect all aspects of individual’s life and supra system. Nurse, client, family, support system and other health professions, working collaboratively to make a stoma not as a treating thing but as a solvable problem. With the optimal nursing intervention, client with stoma can still has a high quality of life and enjoy his live prosperously and productively.
HUBUNGAN ANTARA WAKTU MEMBERSIHKAN RUNGAN DENGAN PENINGKATAN JUMLAH MIKROORGANISME MELALUI ALIRAN UDARA
Authors: Handiyani Hanny 
Published: May 2019

Penelitian ini bertujuan untuk membuktikan adanya hubungan antara waktu membersihkan ruangan dengan peningkatan jumlah mikroorganisme melalui aliran udara. Metoda yang digunakn adalah deskriptif eksploratif yang diambil secara cross sectional. Studi dilakukan di dua ruang rawat yaitu ruangan yang menggunakan sistem terbuka da tertutup. Hasil studi menunjukkan adanya peningkatan jumlah mikroorganisme yang berarti pada ruang rawat yang menggunkan sistem tertutup dengan semakin lamanya rentang waktu sejak ruangan dibersihkan sampai saat diperiksa. Penelitian ini sangat merekomendasikan untuk mengatur jadwal kegiatan perawatan di ruang rawat agar dilakukan minimal setelah 15 menit ruangan dibersihkan dan ruangan dibersihkan kembali setelah 4 jam kemudian. The purpose of this study is to prove correlation between the time of ward cleaning and the increasing the number of microorganism through air steam. The methodology used descriptive explorative with cross sectional. This study was used two wards, the ward uses open system and the other uses closes system. The result revered that there is significant increasing number of microorganism on the close system word. This study recommended to regulate the word activity schedule at least 15 minutes after cleaning and the ward should be re-clean next 4 hour.
PENGATURAN CAIRAN SECARA MANDIRI PADA KLIEN YANG MENJALANI HEMODIALISIS
Authors: Malawat Krisna Yetti 
Published: May 2019

Salah satu stressor yang dialamni oleh klien End Stage Renal Disease (ESRD) sebagai akibat tidak berfungsinya ginjal adalah masalah kelebihan cairan. Pengaturan pemasukan cairan akan mengurangi penambahan cairan di dalam pembluh daah antara dua waktu hemodialisis (HD). Merujuk pada teori Orem tentang Self Care, diyakini bahwa klien mempunyai kemampuan untuk mengatur pemasukan cairan secara mandiri. Berdasarkan teori ini dikembangkan suatu program untuk mengendalikan cairan untuk menolong klien HD yang mengalami kelebihan cairan di suatu rumah sakit umum di Jakarta pada tahun. Dari 24 klien HD yang berhasil menyelesaikan program ini 2 orang (8%) berada pada grafik baik, 15 orang (63%) berada pada grafik rata-rata, dan 7 orang (29%) berada pada grafik bahaya. Fluid overload is one of the stressors experienced by End Stage Renal Disease clients. The management of fluid intake will minimize the amount of fluid in blood vessel inter-dialysis time. Refer to Orem theory of self care; it is believed that hemodialysis (HD) clients have the ability to regulate the fluid intake. Based on theory; it was developed a program for helping HD clients to reduce their fluid overload in a public hospital in Jakarta. Twenty-four HD clients have completed the program successfully, who were 8% in good graphic, 63% in average graphic, and 29% in dangerous graphic.
Analysis of YouTube as a Source of Information for Diabetic Foot Care
Authors: Smith Peter E. , McGuire James , Falci Michael , Poudel Dilli Ram , Kaufman Richard , Patterson Mary Ann , Pelleschi Benjamin , Shin Esther 
Published: May 2019

Background:
Increasing amounts of diabetes-focused content is being posted to YouTube with little regulation as to the quality of the content. Diabetic education has been shown to reduce the risk of ulceration and amputation. YouTube is a frequently visited site for instructional and demonstrational videos posted by individuals, advertisers, companies, and health-care organizations. We sought to evaluate the usefulness of diabetic foot care video information on YouTube.

Methods:
YouTube was queried using the keyword phrase diabetic foot care. Original videos in English, with audio, less than 10 min long within the first 100 video results were evaluated. Two reviewers classified each video as useful or nonuseful/misleading. A 14-point usefulness criteria checklist was used to further categorize videos as most useful, somewhat useful, or nonuseful/misleading. Video sources were categorized by user type, and additional video metrics were collected.

Results:
Of 87 included videos, 56 (64.4%), were classified as useful and 31 (35.6%) as nonuseful/misleading. A significant difference in the mean length of useful videos vs nonuseful/misleading videos was observed (3.33 versus 1.73 min; P < .0001). There was no significant difference in terms of popularity metrics (likes, views, subscriptions, etc) between useful and nonuseful/misleading videos.

Conclusions:
This study demonstrates that although most diabetic foot care videos on YouTube are useful, many are still nonuseful/misleading. More concerning is the lack of difference in popularity between useful and nonuseful videos. Podiatric physicians should alert patients to possibly misleading information and offer a curated list of videos.
The biogeography ofElaphe sauromates(Pallas, 1814), with a description of a new rat snake species
Authors: Jablonski Daniel , Kukushkin Oleg V. , Avcı Aziz , Bunyatova Sabina , Kumlutaş Yusuf , Ilgaz Çetin , Polyakova Ekaterina , Shiryaev Konstantin , Tuniyev Boris , Jandzik David 
Published: May 2019

BackgroundThe rat snake genusElapheonce comprised several dozens of species distributed in temperate through tropical zones of the New and Old World. Based on molecular-genetic analyses in early 2000s, the genus was split into several separate genera, leaving only 15 Palearctic and Oriental species as its members. One of the three species also occurring in Europe isElaphe sauromates, a robust snake from the Balkans, Anatolia, Caucasus, Ponto-Caspian steppes, and Levant that has been suspected to be composed of two or more genetically diverse populations. Here, we studied the genetic structure and morphological variation ofE. sauromates, aiming to better understand its inter-population relationships and biogeography, and subsequently revise its taxonomy.MethodsWe reconstructed the phylogeography and analyzed the genetic structure ofE. sauromatespopulations originating from most of its geographic range using both mitochondrial (COI,ND4) and nuclear (C-MOS,MC1R,PRLR,RAG1) DNA gene fragments. We employed Maximum likelihood and Bayesian inference methods for the phylogenetic tree reconstructions, supplemented with species delimitation methods, analysis of haplotype networks, and calculation of uncorrectedp-distances. Morphological variation in 15 metric and 18 meristic characters was studied using parametric univariate tests as well as multivariate general linearized models. In total, we analyzed sequences originating from 63 specimens and morphological data from 95 specimens ofE. sauromatessensu lato.ResultsThe molecular phylogeny identified two clearly divergent sister lineages withinE. sauromates, with both forming a lineage sister toE. quatuorlineata. The genetic distance between them (5.80–8.24% in mtDNA) is similar to the distances among several other species of the genusElaphe. Both lineages are also moderately morphologically differentiated and, while none of the characters are exclusively diagnostic, their combination can be used for confident lineage identification. Here, following the criteria of genetic and evolutionary species concepts, we describe the lineage from eastern Anatolia and parts of the Lesser and Great Caucasus as a new speciesE. urarticasp. nov.DiscussionElaphe urarticasp. nov. represents a cryptic species whose ancestors presumably diverged from their common ancestor withE. sauromatesaround the Miocene-Pliocene boundary. The intraspecific genetic structure indicates that the recent diversity of both species has been predominantly shaped by Pleistocene climatic oscillations, with glacial refugia mainly located in the Balkans, Crimea, and/or Anatolia inE. sauromatesand Anatolia and/or the Caucasus inE. urarticasp. nov.
Identify CRNDE and LINC00152 as the key lncRNAs in age-related degeneration of articular cartilage through comprehensive and integrative analysis
Authors: Hu Pengfei , Sun Fangfang , Ran Jisheng , Wu Lidong 
Published: May 2019

Background
Osteoarthritis (OA) is one of the most important age-related degenerative diseases, and the leading cause of disability and chronic pain in the aging population. Recent studies have identified several lncRNA-associated functions involved in the development of OA. Because age is a key risk factor for OA, we investigated the differential expression of age-related lncRNAs in each stage of OA.

Methods
Two gene expression profiles were downloaded from the GEO database and differentially expressed genes (DEGs) were identified across each of the different developmental stages of OA. Next, gene ontology (GO) functional and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses were performed to annotate the function of the DEGs. Finally, a lncRNA-targeted DEG network was used to identify hub-lncRNAs.

Results
A total of 174 age-related DEGs were identified. GO analyses confirmed that age-related degradation was strongly associated with cell adhesion, endodermal cell differentiation and collagen fibril organization. Significantly enriched KEGG pathways associated with these DEGs included the PI3K–Akt signaling pathway, focal adhesion, and ECM–receptor interaction. Further analyses via a protein–protein interaction (PPI) network identified two hub lncRNAs, CRNDE and LINC00152, involved in the process of age-related degeneration of articular cartilage. Our findings suggest that lncRNAs may play active roles in the development of OA. Investigation of the gene expression profiles in different development stages may supply a new target for OA treatment.
Influence of Organic and Inorganic Soil Amendments on Soil pH and Macronutrients
Authors: Kago E. K. , Kinyua Z. M. , Maingi J. M. , Okemo P. O. 
Published: May 2019

The popularity of using the Inorganic and organic soil amendments is based on the current status of soil degradation that led to decline in fertility of soils, resulting to low yields. The objective of current study was to evalute different organic and inorganic soil amendments and their effects on soil pH and macronutrients. The study was laid out as randomized complete block design (RCBD) in split plot arrangement for two seasons. The treatments were ChalimTM, Super-hydro-grow polymer + Metham sodium, Metham sodium, Metham sodium & Orange peel, Super-hydro-grow polymer, Brassica tissues, ChalimTM + Super-hydro-grow polymer, Brassica tissue + Orange peel, Metham sodium + Super-hydro-grow polymer and Control (no amendments). Soils were sampled from each experimental site, dried and taken to laboratories for determination of soil chemical properties both at initial and at the end of the experiment. The soil physicochemical attributes assessed included: Soil pH, nitrogen, carbon, phosphorus, potassium and calcium. There was an significant increase (P≤0.05) in the concentration and availability of soil physicochemical characteristics after treatment which is an indicator of improved soil structure. Brassicae tissue +super hydrogrow polymer (BT+SHG) amendment was the best as it resulted to highest concentration and availability of the mineral elements in the soil recording total nitrogen of 0.50 %, organic carbon 5.47 %, phosphorus 19.7 mg/kg, and potassium 1.37 %. The control exhibited the least impact on all the soil chemical properties. We recommend BT+SHG amendment to farmers to promote soil fertility which will consequently produce better yield.
Adaptive neural network control for stochastic constrained block structure nonlinear systems with dynamical uncertainties
Authors: Xia Meizhen , Zhang Tianping 
Published: May 2019

SummaryStochastic adaptive dynamic surface control is presented for a class of uncertain multiple‐input–multiple‐output (MIMO) nonlinear systems with unmodeled dynamics and full state constraints in this paper. The controller is constructed by combining the dynamic surface control with radial basis function neural networks for the MIMO stochastic nonlinear systems. The nonlinear mapping is applied to guarantee the state constraints being not violated. The unmodeled dynamics is disposed through introducing an available dynamic signal. It is proved that all signals in the closed‐loop system are bounded in probability and the error signals are semiglobally uniformly ultimately bounded in mean square or the sense of four‐moment and the state constraints are confirmed in probability. Simulation results are offered to further illustrate the effectiveness of the control scheme.
Ni‐Metalloid (B, Si, P, As, and Te) Alloys as Water Oxidation Electrocatalysts
Authors: Masa Justus , Piontek Stefan , Wilde Patrick , Antoni Hendrik , Eckhard Till , Chen Yen‐Ting , Muhler Martin , Apfel Ulf‐Peter , Schuhmann Wolfgang 
Published: May 2019

AbstractBreakthroughs toward effective water‐splitting electrocatalysts for mass hydrogen production will necessitate material design strategies based on unexplored material chemistries. Herein, Ni‐metalloid (B, Si, P, As, Te) alloys are reported as an emergent class of highly promising electrocatalysts for the oxygen evolution reaction (OER) and insight is offered into the origin of activity enhancement on the premise of the surface electronic structure, the OER activation energy, influence of the guest metalloid elements on the lattice structure of the host metal (Ni), and surface‐oxidized metalloid oxoanions. The metalloids modify the lattice structure of Ni, causing changes in the nearest Ni–Ni interatomic distance (dNi–Ni). The activation energy Ea scales with dNi–Ni indicating an apparent dependence of the OER activity on lattice properties. During the OER, surface Ni atoms are oxidized to nickel oxyhydroxide, which is the active state of the catalyst, meanwhile, the surface metalloids are oxidized to the corresponding oxoanions that affect the interfacial electrode/electrolyte properties and hence the adsorption/desorption interaction energies of the reacting species.
Thermal Oxidation Rate of Oleic Acid Increased Dramatically at 140 °C Studied using Electron Spin Resonance and GC–MS/MS
Authors: Chen Hongjian , Wang Yong , Cao Peirang , Liu Yuanfa 
Published: May 2019

AbstractThermal oxidation of oleic acid at high temperatures was studied using combination of electron spin resonance (ESR) spin‐trapping technique and solid phase microextraction (SPME)‐Gas chromatography‐mass spectrometry‐mass spectrometry (GC–MS/MS). Dimethyl pyridine N‐oxide (DMPO) was applied as the spin trap. Alkyl, alkoxyl, and oxidized DMPO adducts were identified in the experimental spectra. At 140 °C, the alkyl radical adduct was the major component, accounting for 63.89% of the total radical adducts. However, the alkoxyl radical adduct was the main radical adduct in the temperature range of 120 to 135 °C. The total amount of spins, a parameter to indicate radical concentrations, detected at 140 °C was nearly three times higher than that at 135 °C. And, the total amount of alkyl radical adducts was higher than that of alkoxyl radical adducts at 140 °C, which indicated a higher alkyl radical formation rate. Besides, a larger amount (10.30%) of oleic acid degraded at 140 °C than that at 135 °C with the detection of GC. More (E)‐2‐Decenal (plastic) and (E)‐2‐undecenal (herbaceous) formed affect the flavor of frying.
Enzymatic Modification of Menhaden Oil to Incorporate Caprylic and/or Stearic Acid
Authors: Willett Sarah A. , Martini Silvana , Akoh Casimir C. 
Published: May 2019

AbstractMenhaden oil was enzymatically modified with caprylic (8:0) and/or stearic acid (18:0) to produce structured lipids (SL). The goal was to produce SL with high amounts of polyunsaturated fatty acids (PUFA), a low level of saturation, and a melting point of 25–35 °C. Substrate (menhaden oil to acyl donor) molar ratios were 1:1, 1:3, and 1:5 for 8:0, and 1:1, 1:2, and 1:3 for 18:0. Enzyme load was 10% of the total weight of substrates. Time course study determined optimal time for maximum acyl donor incorporation. Linear interpolation estimated molar ratios that yielded SL with 20 or 30 mol% incorporation of 8:0 or 18:0. Enzymatic reactions were also conducted with molar ratios of menhaden oil to acyl donors:8:0:18:0 (1:1:3, 1:2:2, and 1:3:1). Lipases from Candida antarctica, Lipozyme® 435, and Rhizomucor miehei, Lipozyme® RM IM (Novozymes North America, Inc., Franklinton, NC, USA), were compared for all reactions. Total and sn‐2 fatty acid compositions, triacylglycerol (TAG) molecular species, thermal behavior, volatile lipid oxidation products, solid fat contents, and oxidative stability were compared. When 8:0 was the acyl donor, the 1:3.03 and 1:4.58 ratios resulted in incorporation of 20 and 30 mol% 8:0, respectively. With 18:0 as the acyl donor, the 1:1.32 and 1:2.41 ratios led to incorporation of 20 and 30 mol% 18:0, respectively. The 1:3:1 ratio SL had a crystallization onset (C0) of 15.3 °C and a melting completion (Mc) of 33.1 °C. The physicochemical properties of these SL suggest that some may be useful in formulating food products such as margarines and spreads.