bluuebunny/crossref_metadata_2025_split huggingface dataset:
Importance Performance Analysis Pelayanan Jaminan Sosial Kesehatan di Puskesmas Swakelola Pembina
Authors: Ainy Asmaripa , Misnaniarti Misnaniarti , Fajar Nur Alam 
Published: June 2016

Kunjungan pasien Jaminan Sosial Kesehatan (Jamsoskes) di puskesmas pembina selama tahun 2009 adalah 24.014 orang. Kunjungan per catur wulan memperlihatkan trend yang menurun. Jumlah pengunjung puskesmas pembina pada periode bulan Januari – April 2009 adalah 9.295 orang, pada Mei – Agustus 2009 adalah 8.162 orang, dan September – Desember 2009 adalah 6.557 orang. Hal ini dapat disebabkan oleh minat masyarakat yang rendah untuk menggunakan Jamsoskes. Oleh sebab itu, perlu dilakukan kajian kualitas pelayanan Jamsoskes menurut perspektif pasien. Penelitian dengan desain cross sectional ini menggunakan data primer yang dilakukan dengan metode wawancara terstruktur atau survei. Sampel terdiri dari 100 pasien Jamsoskes yang mendapat pelayanan di puskesmas pembina dengan metode analisis kesesuaian kinerja (importance-performance analysis/IPA). Berdasarkan hasil penelitian diketahui bahwa rata-rata tingkat kesesuaian antara kinerja dan harapan pasien pada pelayanan Jamsoskes di puskesmas pembina adalah 83,44%. Terdapat dua atribut pada dimensi kualitas pelayanan yang masih perlu ditingkatkan meliputi pemberian perhatian oleh dokter terhadap keluhan-keluhan pasien tentang penyakit serta kenyamanan dan kerapian ruang pengobatan di poli umum. Peran dokter sebagai fasilitator kesembuhan pasien perlu ditingkatkan melalui sikap empati atas berbagai keluhan penyakit pasien serta mempertimbangkan penataan ulang ruangan pelayanan untuk kenyamanan pasien.Kata kunci: Analisis kesesuaian kinerja, jamsoskes, kualitas, puskesmasAbstract The sum of social health assurance (Jamsoskes) patients in puskesmas pembina during 2009 was 24.014 people. There was a decrease in per quarter visits. The sum of patients visit in January to April 2009 was 9.295 people, May to August 2009 was 8.162 people, and September to December 2009 was 6.557 people. This can be caused by the low interest of community to utilize Jamsoskes service. Thus, it should be reviewed 105 about the quality of Jamsoskes service according to the patients’ perspective. This research was quantitative survey. The sample was 100 patients of Jamsoskes at puskesmas pembina. Data were collected through interviews using a questionnaire and analyzed by the importance-performance analysis. The average of balance level between service performance and expectation of patients was 83,44%. There were two attributes in the dimensions of service quality that need to be increased: the phycisian attention to the patients complaints about their diseases and convenience and neatness of the treatment room at the general polyclinic. The role of physician as a facilitator of healing to the patient needs to be improved through the attitude of empathy on patient complaints. Keywords: : Importance performance analysis, social health assurance, quality, primary health center
Status Gizi Ibu dan Berat Badan Lahir Bayi
Authors: Karima Khaula , Achadi Endang Laksmining 
Published: June 2016

Berat badan lahir 2.500 gram yang hingga kini merupakan standar ukuran risiko morbiditas dan mortalitas bayi merupakan faktor risiko penting yang berdampak hingga usia dewasa. Saat ini, bayi dengan berat badan lahir di bawah 3.000 gram dihubungkan dengan risiko penyakit degeneratif pada usia dewasa. Penelitian ini bertujuan mengetahui hubungan berat badan lahir dengan status gizi ibu meliputi berat badan prahamil, pertambahan berat badan selama kehamilan, dan kadar hemoglobin ibu pada trimester ketiga kehamilan. Penelitian kuantitatif dengan desain cross sectional ini menggunakan sumber data sekunder rekam medis Rumah Sakit Ibu dan Anak Budi Kemuliaan Jakarta. Analisis dilakukan secara bivariat dan multivariat menggunakan metode uji chi square dan korelasi regresi. Hasil studi menunjukkan hubungan yang bermakna antara berat badan prahamil dan pertambahan berat badan ibu selama kehamilan dengan berat badan lahir. Setelah dikontrol berbagai variabel lain, analisis regresi logistik ganda menemukan berat badan ibu prahamil, pertambahan berat badan selama kehamilan, usia ibu, dan urutan kelahiran merupakan faktor yang memengaruhi berat badan lahir. Berat badan prahamil ibu merupakan faktor yang paling berpengaruh terhadap berat badan lahir (odds ratio, OR = 6,64). Oleh sebab itu, ibu dengan status gizi prahamil kurang yang sedang merencanakan kehamilan perlu lebih diperhatikan.Kata kunci: Berat badan lahir, kehamilan, mortalitas bayi, status gizi ibuAbstractThe weight of 2.500 gram is still being used as the cut off point to predict the risk of baby’s morbidity and mortality. Recently birth weight of less than 3.000 gram is being rigorously assess as a risk factor for noncommunicable disease in adulthood. Therefore it is important to assess factors that are affecting the fetal growth and development. The objectives of this study is to determine the relationship between infant’s birth weight and mother’s nutritional status, i.e. pre-pregnancy weight, weight gain during pregnancy, and maternal haemoglobin level in the 3rd trimester as well as several other factors. The study design is cross sectional using secondary data from medical record of Budi Kemuliaan Hospital Jakarta. The result of chi square and correlation regression test shows there is significant relationship between prepregnancy weight and weight gain during pregnancy and birth weight. The multiple logistic regression test reveals that pre-pregnancy weight, weight gain during pregnancy, maternal age, and birth order are factors that are effecting birth weight significantly, with prepregnancy weight as the dominant factor (odds ratio, OR = 6,643). Therefore, it is imperative to give more attention to undernourished women who are planning their pregnancy. Key words: Birth weight, pregnancy, infant mortality, mother nutritional status
Studi Epidemiologi Deskriptif Talasemia
Authors: Rejeki Dwi Sarwani Sri , Nurhayati Nunung , Supriyanto Supriyanto , Kartikasari Elva 
Published: June 2016

Talasemia adalah penyakit kelainan darah akibat kekurangan atau penurunan produksi hemoglobin. Jumlah penderita talasemia di Yayasan Talasemia Indonesia cabang Banyumas terus meningkat. Tujuan penelitian ini untuk mendeskripsikan karakteristik penderita talasemia di Yayasan Talasemia Indonesia cabang Banyumas tahun 2012. Penelitian kuantitatif dengan desain penelitian cross sectional ini dilakukan terhadap 64 sampel yang diambil dengan teknik proportionate stratified random sampling . Data dikumpulkan meliputi melalui wawancara terstruktur menggunakan kuesioner. Metode analisis yang digunakan adalah analisis deskriptif univariat. Hasil penelitian menunjukkan bahwa penderita talasemia rata-rata berusia 12,28 tahun, berjenis kelamin laki-laki (51,6%), sedang sekolah SD (40,6%), bukan angkatan kerja (92,2%), talasemia β-mayor (90,6%), tidak splenektomi (84,4%), jaminan kesehatan masyarakat (Jamkesmas) (73,4%), kadar feritin ≥ 2000 ng/mL (90,4%), kelasi deferioprone, vitamin C, dan deferioksamin (81,2%), tinggal di Kabupaten Banyumas (79,7%), trans-fusi darah di Rumah Sakit Umum Daerah (RSUD) Banyumas (95,3%), rata-rata terdiagnosis usia 3,7 tahun, usia rata-rata mulai transfusi darah adalah 3,78 tahun. Frekuensi transfusi darah 1 bulan 1 kali (87,5%), dan frekuensi terapi kelasi zat besi mengonsumsi vitamin C 30 kali dalam 1 bulan (95,3%).Kata kunci: Hemoglobin, kelainan darah, talasemia AbstractThalassaemia is blood disorder caused by deficiency or decrease in production/formation of hemoglobin. Number of thalassaemia patients in Yayasan Talasemia Indonesia (Indonesian Thalassemia Foundation) Banyumas branch countinue to increase. The research purpose is to describe the characteristics of thalassemia patients in YTI Banyumas. The research type is a quantitative approach with cross sectional research design. Sample of 64 people taken by proportionate stratified random sampling. Data collected includes characteristics of the respondents based on the variables of people, places, and time was obtained through interviews using a questionnaire. The univariate descriptive analysis were use to describe the characteristics of the respondents. The results showed that thala-ssaemia patients at YTI Banyumas have several characteristics: average age of 12,28 years, male (51,6%), elementary students (40,6%), the laborforce (92,2%), b-thalassemia major (90,6%), no splenectomy (84,4%), Jamkesmas (73,4%), ferritin levels ≥ 2000 ng/mL (90,4%), sailor deferio-prone, vitamin C, and deferioksamin (81,2%), live in Banyumas (79,7%), blood transfusions in hospitals Banyumas (95,3%), the average age of diagnosis of 3,7 years, the average age of starting a blood transfusion was 3,78 years. Once a month blood transfusion (87,5%), and the frequency of iron chelation therapy by consuming vitamin C 30 times in one month (95,3%).Key words: Hemoglobin, blood disorder, thalassemia
Analytical Evaluation of Nanoparticle Application To Mitigate Fines Migration in Porous Media
Authors: Yuan Bin , Moghanloo Rouzbeh Ghanbarnezhad , Zheng Da 
Published: June 2016

SummaryThis paper examines an application of the method of characteristics (MOC) to evaluate the effectiveness of nanoparticles to mitigate fines migration in porous media. The positive contribution of nanoparticles to mitigate fines migration was characterized by the increase of maximum retention concentration of fines particles on rock grains through two reactions described in this paper: (1) adsorption of nanoparticles onto the fines/grain surface and (2) increased retention of fines attachment on the pore surface by means of reducing the surface potential between grains and fines. We develop semianalytic MOC solutions for two different scenarios of nanoparticle application to control fines migration: (1) coinjection of nanoparticles with fines suspension into 1D permeable medium and (2) precoating porous medium with nanoparticles before fines injection to evaluate the enhanced capability of porous medium to capture unsettled fines by success of nanoparticle application.A nanoparticle adsorption front, a suspended fines front, and an attached fines front occur in our analytic solution, depending on conditions. The mitigation index (MI) is introduced to evaluate the success of nanoparticles to control fines migration. In addition, the proposed approach provides a fast and reliable method to optimize nanoparticles treatment (nanoparticles concentration and the required amount) to control fines migration. Through quantitative comparison of effluent history and concentration-profile plots, we verify the accuracy of the analytical solutions with both numerical simulations and experimental results. In practice, our analytical approach provides valuable insights into how nanoparticle application can help reduce fines migration in reservoirs suffering from fines-migration problems.
Greenhouse Gas and Ammonia Emissions from Slurry Storage: Impacts of Temperature and Potential Mitigation through Covering (Pig Slurry) or Acidification (Cattle Slurry)
Authors: Misselbrook Tom , Hunt John , Perazzolo Francesca , Provolo Giorgio 
Published: June 2016

Storage of livestock slurries is a significant source of methane (CH4) and ammonia (NH3) emissions to the atmosphere, for which accurate quantification and potential mitigation methods are required. Methane and NH3 emissions were measured from pilot‐scale cattle slurry (CS) and pig slurry (PS) stores under cool, temperate, and warm conditions (approximately 8, 11, and 17°C, respectively) and including two potential mitigation practices: (i) a clay granule floating cover (PS) and (ii) slurry acidification (CS). Cumulative emissions of both gases were influenced by mean temperature over the storage period. Methane emissions from the control treatments over the 2‐mo storage periods for the cool, temperate, and warm periods were 0.3, 0.1, and 34.3 g CH4 kg−1 slurry volatile solids for CS and 4.4, 20.1, and 27.7 g CH4 kg−1 slurry volatile solids for PS. Respective NH3 emissions for each period were 4, 7, and 12% of initial slurry N content for CS and 12, 18, and 28% of initial slurry N content for PS. Covering PS with clay granules reduced NH3 emissions by 77% across the three storage periods but had no impact on CH4 emissions. Acidification of CS reduced CH4 and NH3 emissions by 61 and 75%, respectively, across the three storage periods. Nitrous oxide emissions were also monitored but were insignificant. The development of approaches that take into account the influence of storage timing (temperature) and duration on emission estimates for national emission inventory purposes is recommended.Core Ideas
Gaseous emissions from livestock slurry storage are strongly influenced by storage temperature.
Slurry acidification is an effective treatment to reduce CH4 and NH3 emissions.
Covering with a layer of clay granules is effective at reducing NH3, but not CH4, emission.
Methane conversion factors in national inventories should account for storage timing and duration.
Tecendo as redes entre natureza e sociedade: os desafios das mulheres pescadoras em Sergipe
Authors: Almeida Santos Eline , Cássia Oliveira Aragão Miria , Melo e Souza Rosemeri 
Published: June 2016

As interações entre a sociedade, os sistemas ambientais e os recursos naturais são caracterizadas pelas formas e necessidades impostas pelo modo de produção em vigor, ou seja, pelo padrão de consumo expresso em cada sociedade. O espaço da pesca é caracterizado, principalmente, pela profunda ligação entre homem e natureza, pelos saberes tradicionais adquiridos nessa relação e pelos laços construídos no desenvolvimento da atividade. A inserção da mulher nos mais altos estratos da sociedade e no mercado de trabalho mundial demonstra as conquistas das mesmas em diversasatividades. Porém, no âmbito da pesca muitos são os obstáculos enfrentados, principalmente quando o assunto é valorização e reconhecimento profissional, visto que há diferenças em termos salariais e direitos sociais. Diante desse quadro, o presente texto tem como objetivo instigar o debateacerca da participação da mulher no setor pesqueiro, suas relações com o meio e os principais desafios enfrentados em sua luta cotidiana. Entende-se que analisar a participação da mulher na pesca é contribuir para a formulação de políticas que conduzam a uma maior equidade entre os gêneros e para a manutenção da atividade com a elaboração de plano coerentes com as intempéries observadas no setor.
A utilização de mini-estações de tratamento de esgoto em residências
Authors: Fernandes Martins Nícolas 
Published: June 2016

O presente trabalho tratará do desenvolvimento de um protótipo de estação detratamento de esgoto (ETE), sendo um protótipo onde foram analisados dadosquímicos e levantamento da microfauna do lodo ativado. Foram analisados antes eapós o tratamento do protótipo dados referentes à Demanda Bioquímica de Oxigênio(DBO), Nitrogênio Amoniacal, fosfato, óleos e graxas, ph e espectrofotometria. É oprimeiro trabalho que utiliza medidas de espectrofotometria em analises de águastratadas. Todos os resultados comprovam que a estação de tratamento pode ser eficazem residências que não possuem tratamento de esgoto. Foram realizadas plantas parainstalação de uma estação de tratamento em residências.
Saneamento básico urbano e a epidemiologia sócioambiental de idosos moradores de um conjunto habitacional do município de Anápolis.
Authors: Dias Barbosa Vilar Welton 
Published: June 2016

Saneamento básico está intrinsecamente interligadas a condições de saúde da população, de forma que a falta de um sistema de esgotamento e abastecimento de água tratada pode resultar em profundos impactos em termos de saúde pública e nesse cenário merece destaque a população idosa. Nesse sentido, o presente estudo teve por objetivo analisar os riscos sócioambientais causados pelos problemas de saneamento básico e suas relações com o perfil epidemiológico de uma população de idosos. Optou-se por realizar um estudo de caso de natureza descritivo-exploratória, por melhor permitir a proximidade dos objetivos deste trabalho. O estudo foi realizado em um Conjunto Habitacional, localizado ao leste da cidade de Anápolis. Através da epidemiologia descritiva e de análises de correlação constatou-se boa cobertura de serviços de abastecimento de água e uma ausência dos serviços de esgotamento sanitário e mesmo havendo uma importante ocorrências crônico-degenerativas, as doenças infecto-parasitárias ligadas ao saneamento básico, mostrou-se importante nessa relação.
PLANTAS MEDICINAIS, FITOTERÁPICOS E SAÚDE PÚBLICA: UM DIAGNÓSTICO SITUACIONAL ENTRE PROFISSIONAIS DA ÁREA DA SAÚDE EM ANÁPOLIS, GOIÁS
Authors: Glória Mirley 
Published: June 2016

Objetivou-se avaliar o conhecimento sobre o uso de plantas medicinais e fitoterápicos pelos profissionais da saúde em Anápolis, GO, tendo como embasamento a Política Nacional de Práticas Integrativas e Complementares (PNPIC) no Sistema Único de Saúde. Utilizou-se de questionário estruturado, sendo amostrados 220 profissionais da área da saúde. Somente 17% fazem uso das plantas e fitoterápicos, sendo estes: enfermeiros, técnicos em enfermagem e fisioterapeutas. Quanto ao posicionamento em relação ao usodas plantas medicinais e fitoterápicos, foram favoráveis: 100% dos fisioterapeutas, farmacêuticos e odontólogos; 86% dos técnicos em enfermagem, 65% dos enfermeiros, e 17% dos médicos. A PNPIC é totalmente desconhecida por esses profissionais, o que sugere que para a efetiva implantação dessa política pública de saúde no município, ações no sentido de esclarecimentos e capacitação devem ser tomadas. Cabe ressaltar a importância da informação para que o profissional possa se posicionar em relação as Práticas Integrativas e Complementares, sobretudo sobre suainserção no SUS.
Acanthaceaes do Bioma Cerrado: Identificação dos fitoquímicos das folhas da espécie justicia thunbergioides (lindau) leonard (acanthaceae) ocorrente no parque estadual Serra dos Pireneus, Pirenópolis, GO.
Authors: Suelem Gomes da Silva Raíssa , De Castro Peixoto Josana 
Published: June 2016

A família Acanthaceae compreende cerca de 250 gêneros e 2.500 espécies com distribuição predominantemente tropical. O gênero Justicia compreende o maior gênero desta família possuindo cerca de 900 espécies, onde várias espécies desse gênero são amplamente utilizadas na medicina popular por possuírem uma grande diversidade de classes químicas são encontrados nas espécies de Justicia, principalmente alcalóides, lignanas, flavanóides e terpenóides que possui potencial farmacológico, sendo utilizadas a planta inteira e partes áreas. A espécie Justicia thunbergioides (Lindau) Leonard possui distribuição no Bioma Cerrado possuindo como principais características folhas opostas, simples, lanceoladas e margens onduladas. O objetivo deste estudo foi identificar as principais classes de metabólitos secundários das folhas da espécie ocorrente no Parque estadual Serra dos Pireneus para contribuir com o conhecimento botânico das Acanthaceae brasileiras do Cerrado. Foram coletadas amostras de folhas adultas, completamente expandidas abaixo do terceiro nó, contadas a partir do ápice, de 5-10 indivíduos das populações naturais. A fim de realizar a prospecção fitoquímica as folhas foram secas ao ar durante sete dias, até peso constante. A análise qualitativa dasprincipais classes de metabólicos secundários utilizou-se de metodologias adaptadas já descritas na literatura. Como resultado, nas folhas adultas, verificou-se a presença deheterosídeos antraquinônicos, cardioativos, flavonóides, cumarinas e taninos.
Os Recursos Vegetais Medicinais Utilizados pela População da Região Centro Oeste do Brasil: Uma compilação de espécies ou checklist de fanerógamas
Authors: Rodrigo Beltrão Carneiro Marcos , Luciene dos Santos Mirley 
Published: June 2016

Este texto é fruto da dissertação sob o título “A Flora Medicinal no Centro Oeste do Brasil: um estudo de caso com abordagem etnobotânica em Campo Limpo de Goiás”, defendida no Mestrado de Sociedade, Tecnologia e Meio Ambiente, no ano de 2009.
Exploring Inter-Departmental Variation in Departmental Stress Using Medical Claims Data
Authors: Britt David W. , Moore Lydia , Shuck Brad , Benson Patricia , Osam E. Kobena 
Published: June 2016

Background:Over the last several years there has been an increasing emphasis on making organizations healthy and functional places to work.Objective:To develop a scale of departmental stress from residualized, aggregated medical-claims data.Methods:Following the strategy of using aggregated individual data to infer the characteristics of larger units, we use medical-claims data from a metropolitan research university. Logged residuals of average individual medical claims are aggregated over a two-year period, controlling for compositional (% Female and % 50 and older) and other factors (Department size and Presence of a lab using toxic chemicals). We then examine the internal consistency and factor structure of a scale constructed from a reduced-set of 14 ICD-9 medical claim categories.Results:Our results indicate a dominant primary factor that explains 44% of the common variance. The scale is also internally consistent, with a Cronbach’s Alpha of. 87.Conclusion:We conclude that there is meaningful, coherent variation in medical claims across departments that is tentatively interpreted in terms of departmental stress.
Quantitative Untersuchung der Streubeiträge in Hochenergie-Röntgencomputertomografie
Authors: Stritt Carina , Schuetz Philipp , Plamondon Mathieu , Flisch Alexander , Hofmann Jürgen , Sennhauser Urs 
Published: June 2016

Kurzfassung
Computertomografie (CT) ist eine bewährte Methode in den Bereichen Fehleranalyse und Qualitätskontrolle. Die Energie der hierbei benutzten Röntgenstrahlung bestimmt die Eindringtiefe der Strahlung und schränkt damit die Grösse und das Material des zu untersuchenden Objektes ein. Für grosse, dichte und schwere Objekte sind Photonenenergien von mehr als einem Megaelektronenvolt (MeV) nötig, um nutzbare Transmissionswerte zu erreichen. Ein wichtiger Faktor für die Qualität hochenergetischer Röntgentomografien ist der Anteil der Streustrahlung auf den CT-Bildern. Röntgenstrahlung kann sowohl im zu untersuchenden Objekt, als auch vom Messinstrument und -umfeld streuen und führt zu einem verfälschten Transmissionsbild. Neben Streueffekten kommt für MeV-Photonen zusätzlich der physikalische Prozess der Paarbildung ins Spiel. Die Auswirkung der einzelnen Streuprozesse auf das Transmissionsbild soll hier untersucht werden. Dafür wird mit Hilfe von Monte-Carlo-Simulationen der Einfluss der verschiedenen Streubeiträge untersucht. Im Gegensatz zu früheren Studien, wird hier nicht nur ein Satz von einfachen geometrischen Objekten aus unterschiedlichen Materialien untersucht, sondern es werden auch vereinfachte Modelle der Komponenten eines CT-Scanners benutzt, um den Beitrag der Streuung verschiedener Systemkomponenten abzuschätzen.
Mechanical properties of hypoeutectic Al-Ni alloys with Al3Ni intermetallics
Authors: Karakulak Erdem , Koç Funda Gül , Yamanoglu Rıdvan , Zeren Muzaffer 
Published: June 2016

Abstract
In this paper, the effect of nickel content on the mechanical properties of aluminum were investigated. High purity Al and Ni were melted in an induction furnace and cast into a metal mold. Microstructural characteristic and mechanical properties of the alloys were studied in detail. The addition of nickel to pure aluminum increased the tensile strength and decreased the elongation at break value of the specimens. Maximum wear resistance was obtained with the addition of 3 wt.-% Ni. Further addition of nickel caused a decrease in wear resistance.