bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektifitas Terapi Seft dalam Menurunkan Hipertensi
Authors: Sunardi Sunardi , Purwanto Edi , Sakinah Titin 
Published: September 2017

Hypertension is a major problem in public health in Indonesia as well as in several countries in the world. The number of cases of hypertension is increasing very significantly from year to year. It is estimated that by 2025 in developing countries, an increase of about 80% of hypertension cases, from 639 million cases in 2000 to 1.15 million. Patients should receive complementary alternative therapies to reduce dependence on the use of drugs in reducing the symptoms of hypertension. SEFT therapy could theoretically be used to overcome the problem of an increase in blood pressure. The purpose of this study was to explain the effectiveness of the SEFT therapy to reducing blood pressure in patients with hypertension. Method: Research design was descriptive analytic method of pre - post test design with a case control approach. Samples specified quota sampling and sample size 30 patients with hypertension. Measuring instrument tensimeter diastolic blood pressure above 140 defined as patients with hypertension. Analysis using Independent T-Test Results. Result: The result showed that P-value = 0.023 (P <0.05). There was Â SEFT therapy have an influence on systolic blood pressure in patients with hypertension. Dicsussion: It is suggested for nurses to implementation SEFT therapy for hypertention patients to decrease blood pressure.
Hubungan Senam Hamil dengan Nyeri Kontraksi pada Ibu Inpartu
Authors: Sari Eka Purnama , Monica Laily Prima 
Published: September 2017

Childbirth is a physiological process that is experienced by pregnant women in which the baby, placenta and membranes comes out of the mother's uterus. In the birthing process, there is the pain of labor contractions which can be overcome by doing pregnancy exercise. Method: The research design was correlational design. The research sample 13 mother in labour at BPS Sriwahyuni Jatinom Village, Kanigoro Subdistric, Blitar Regency. It was choosen using total sampling. The data was collected using questionnaire. The data was analysed using spearman rank. Result : The results showed by Spearman Rank correlation (Rho) that theÂ r value = 0,864 and p value = 0,000. Discussion : By doing pregnancy exercise on the first active phase of inpartu mother, it was expected to increase mother knowledge dan skills so that could reduce the pain of contraction.
Hubungan Motivasi dengan Perilaku Ibu Nifas dalam Perawatan Payudara
Authors: Isnandira Erna , Ulfa Maria 
Published: September 2017

Improper breast care will cause swelling on the breast and cracking on theÂ nipples which make the process of breastfeeding difficult. When there is cracking on the nipples, breastfeeding process should be suspended until it is healed. Method: The research design was a correlational research using cross sectional approach. The research sample was 14 people at BPM Eny Kustyaningsih Kepanjen Kidul District of Blitar at Augus 03th until 14th, 2012, it was chosen using purposive sampling. The data was collected by observation using questionnaire. The data was analyzed using Spearman rank, with a significant level of â‰¤ 0.05. Result : The motivation of breast care in postpartum mothers was in category of enough at about 71.4%, 64.3% in behavior, with the Spearman Rank P-value of 0.008. Discussion : It should be held further education for the mothers, especially when the mother was in a pregnancy, so that new mothers had the attention, memory, imagination and highly motivated so that the motivation and behavior of breast care would be better.
Pengaruh Program Parenting terhadap Pengetahuan dan Sikap Orang Tua dalam Pemenuhan Kebutuhan dasar Anak Usia Dini
Authors: Setijaningsih Triana , Matiningsih Wiwin 
Published: September 2017

Parenting Program is a program that allows the alignment between sustainability and education conducted in educational institutions and is done at home. The purpose of research was to analyze the effect of parenting program toward knowledge and attitude of parent for giving fundamental Â needs of children in early age. Method: Research was pre-post test Design. The population and sample was one of the parents PAUD Sabana Blitar that lead to inclusion criteria as many as 43 respondents with a purposive sampling technique. Data was analyzed by descriptive and inferential using the Wilcoxon signed rank test and McNemar test with SPSS 17 for window, the level of significance (p â‰¤ 0.05). Result: The result of research got the value of P = 0.000 (Wilcoxon signed rank test), which means there was Â effect of Parenting program toward parentâ€™s knowledge, and P = 0.016 (McNemar Test) which means that there was effect of Parenting Program for parentâ€™s attitude. Discussion: Parenting Program is perceived very beneficial by parents as a complement of parenting in PAUD and at home, it is necessary to proceed more intensive and varied.
Status Mental Lansia di PSLU Tulungagung
Authors: Dewi Nopia Riana 
Published: September 2017

Old age is the final stage of the human life cycle and will inevitably be experienced by every individual, who will undergo physical and mental changes. The purpose of this study was to describe the mental status of the elderly. Method: Research design was descriptive study. The population in this study is 80 elders who live in PSLU Tulungagung in March 2014, Sample were 45 elderly by using purposive sampling technique. The data collected by Â using a questionnaire MMSE at May 18th until 19th, 2014. Results: The result showed that 53.3% no cognitive impairment, 20% and cognitive impairment was 26.7% experiencing severe cognitive impairment. Discussion: It is expected that the results of this study, health workers improve activities that are motivating and supporting the elderly in dealing with elderly dementia or memory to support the mental status of the elders.
Dampak Terapi Intravena pada Balita Berdasar VIP (Visual Infusion Phlebitis) Score
Authors: Rahmawati Hernantika 
Published: September 2017

Patient safety at hospital is system that nursing care given more safe. When patient Â at hospital they may got nosocomial enfection, and some medical procedure have an effect for them, for example intravenous therapy lead to causes of phlebitis. The purpose of this studiy was to Â determine the effects of intravenous therapy in infants based on the VIP (Visual Infusion phlebitis) score. Method: The research design was descriptive study. The population in this study are 38infants who received intravenous therapy. Samples are 30 infants by using convenience sampling, research on March 2014 at Nusaindah Â room Mardi Waluyo Blitar Hospital. Result : Research found a total of 27 infants no signs of phlebitis, as much as 2 toddlers possibility of early signs phlebitis, and 1 toddler stage beginning phlebitis. Discussion : We expected that nurse will enhance observation of the effects of intravenous therapy.
Potensi Wortel (Daucus Carota) Sediaan Mentah dan Matang terhadap Penurunan Kadar Kolesterol Tikus Putih (Rattus Norvegicus)
Authors: Setiyorini Erni 
Published: September 2017

Asthma bronchiale that occurs in children will have an impact on daily activities. Based on the registers data of childhood asthma in children clinic Mardi Waluyo BlitarHospital January - June 2012 amounted to 114 children , with 57 new cases of asthma children and 57 children an old case that repeated treatment. This suggests that the asthma control level inÂ partially controlled and uncontrolled . The purpose of this study was to analyze relationship between environmental factors with the asthma control level children who went to Pediatric Clinic Mardi Waluyo Blitar Hospital.Method: Research design was cross-sectional , using purposive sampling techniques obtained a sample of 32 respondents. Data collection was conducted in October 2012 using a questionnaire Childhood Asthma Control Test ( C - ACT ) . Descriptive data analysis and statistical analysis using the Spearman Rank test . The results showed that Spearman Rho test with p-value= 0.025 , which means there is a relationship between environmental factors with the level of control of childhood asthma. Discussion:Environmental factors stay near the farm, the family members who smoke , have pets is a precipitating factor of asthma . Exposure to environmental factors can cause a level of uncontrolled asthma. It is expected that health workers can provide education to families and patients on the control of environmental factors to improve the level of asthma control.
Hubungan Dukungan Keluarga dengan Tingkat Depresi Pasien HIV/AIDS
Authors: Martiningsih Wiwin , Kurnia C Fransnedo Dhiky , Winarni Sri 
Published: September 2017

AIDS is a collection of specific clinical conditions that are the end result of infection by HIV. This raises the issue of psychiatric illness, namely depression. Depression is what causes the quality of life of patients with HIV / AIDS become less well. To handle this condition needed social support from family. The purposes of this study were to identify family support and levels of depression, and analyzed the correlation between the two variables. This study used correlative as research design. Purposive sampling is used to get samples. The total of study subjects were 34 people who registered in the registration book in January to October 2013, and visited hospitals in Cendana Polyclinic Ngudi Waluyo Hospital Wlingi and included the inclusion criteria. Family support data was obtained base of questionnaire and depression levels was obtained by The Zung Self-Rating Depression Scale questionnaire. Data showed that 94,1% respondents got family support well andÂ 97,1% respondent have not depression symptoms. The correlation between family support with depression levels analyzed using Spearman's rho test with a significance level of p = 0.000, showed that the correlation between family support for the patient's level of depression of HIV / AIDS significantly. From this study can be concluded that the respondents with good family support did not experience symptoms of depression. Families need to provide support for its members who suffer from HIV / AIDS in order to prevent depression.
Pengaruh Pijat Panggung terhadap Produksi ASI Ibu Post Partum di Ruang Cempaka Room Ngudi Waluyo Wlingi Hospital
Authors: Sriyati Sriyati , Sari Yeni Kartika 
Published: September 2017

Breast milk is an emulsion of fat in the protein solution, laktosa, and inorganic salts secreted by the mamary glands of the mother. The oxytocin hormone is a hormone that affects of lactation process. Oxytocin is up to the alveoli of the mammryÂ myoepithelial cell contraction causes surrounding the mammary alveoli and lactiferous ducts. Back massage on cervical 5-6 until the bottom of the shoulder blade stimulate endorphins and oxytocin secretionÂ and improves blood circulation breast area. The purpose of research to determine the effect of back massage on milk production an mothers post partum in cempakaâ€™s room Ngudi Waluyo Wlingi Hospital November 2014. Design Quasi Experimental research with the design of the Control Group Pre-Test Post-Test Design with Non Random data retrieval with Consecutive Sampling (1 week) with total 24 population and total sample 20 respondents. Analysis data with two different Test Mean (T Test) Independent by usingÂ Paired Sample Test with H1 is accepted when the value of p < 0,05 and Independent Sample Test H1 is accepted when the value of p < 0,05. And research result Paired Sample Test the showed significant values (p) of 0,000 smaller than alpha 0,05. And there is influence of back massage on milk production before and after treatment. From the reserch result suggested all post partum mothers to do a back massage.
Pengetahuan Ibu tentang Nutrisi pada Preschool di TK Dharma Wanita Campurejo Kediri
Authors: Asriningrum Diah 
Published: September 2017

Preshool is called golden age in child growth.Called golden age because there are many importan growth in this periode. Mom Knowledge about good nutrition for preschool beingÂ importan for her to support her child optimal growh. The study purpose was to describe the knowledge of preschool mom about nutrition preshool in Campurejo Dharma Wanita Child Shool. The study used a descriptive study designe.The study population was all mom thas hasÂ 3 - 6 year of child ages. Sample taken byÂ purposive technique with a sample of 20 mom of preschool.The result showed that 50% responden in bad knowledge of preshcool nutrition, 30% was in midle knoledge andÂ 20% responden in good knowledge. To increase off mom preshool nutritio knowledg,ethe goverment can give her same information about preshcool nutrition by formal or non formas class.
Pengaruh Relaksasi Otot Progresif terhadap Penurunan Ansietas dan Peningkatan Kualitas Tidur Pasien Neurosa di Wilayah Kerja Puskesmas Kepanjen Kidul Kota Blitar
Authors: Wulandari Nawang , Wihastuti Titin Andri , Supriati Lilik 
Published: September 2017

Neurosa a psychic reaction with typical anxiety where clients are in fear that unconsciously displayed in various forms of behavior. Anxiety can leads physical imbalance such as increased blood pressure, insomnia, muscle tension and palpitations. Muscle tension and sleep difficulties are often experienced anxiety response. Some psychotherapy can be given to clients of anxiety one of which is progressive muscle relaxation therapy. The Â aims of this study was to determine the effect of progressive muscle relaxation therapy to decrease anxiety and improve the quality of sleep in patients neurosa in Health Center Area Kepanjen Kidul Blitar. Research design was quasy experimental Pre-Post Test With Control Group with purposive sampling. Number of samples 26 respondents were divided into control and treatment groups. Collecting data using questionnaires that have tested the validity and reliability. Results of analysis of anxiety and sleep quality was obtained p <0.05 in the treatment group and control before and after treatment, the difference in scores of anxiety and sleep quality of patients neurosa between the treatment group and the control group after a given intervention p <0.05. There is no correlation between the anxiety with the quality of sleep with p> 0.05. Therapy progressive muscle relaxation and deep breathing therapy can be used to reduce anxiety and improve sleep quality in patients neurosa.
Hubungan Pengetahuan dengan Sikap Ibu Hamil dalam Melengkapi Imunisasi TT
Authors: Monica Laily Prima 
Published: September 2017

Program Imunisasi TT pada wanita hamil di Indonesia, biasanya diberikan 2 kali, karena dianggap belum terimunisasi secara sempurna (5 kali). Wanita Usia Subur yang sekarang ada adalah generasi yang belum menjalani imunisasi lengkap Tetanus. Tujuan dalam penelitian ini adalah untuk mengetahui hubungan pengetahuan dengan sikap Ibu hamil dalam melengkapi imunisasi TT di BPM Sri Sulikah Desa Gogodeso Kecamatan Kanigoro Kabupaten Blitar. Penelitian ini menggunakan analitik koresional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah ibu hamil di BPM Sri Sulikah Desa Gogodeso Kabupaten Blitar. Jumlah sampel penelitian 17 responden. Penelitian ini menggunakan purposive sampling. Uji korelasi menggunakan Chi Square. Hasil penelitian didapatkan pengetahuan ibu baik sebanyak responden (35,3%), responden (64,7%) pengetahuan cukup, dan sikap pelaksanaan imunisasi tt pada ibu hamil mempunyai sikap positif responden (58,8%) danÂ responden (41,2%) mempunyai sikap negative. Hasil dari uji korelasi Chi Square menunjukkan ï² = 0,011 (ï¡=0,05)Â sehingga dapat disimpulkan bahwa terdapat hubungan pengetahuan imunisasi tt dengan sikap pelaksanaan imunisasi tt pada ibu hamil di BPM Sri Sulikah Desa Gogodeso Kabupaten Blitar. Dengan adanya hasil penelitian ini , diharapkan pada ibu lebih aktif dalam meningkatkan pemahaman imunisasi tt dan dapat menjalin kerjasama yang baik antara klien khususnya ibu hamil dan bidan.
Efektifitas Pendidikan Kesehatan terhadap Pengetahuan tentang Hidup Bersih dan Sehat dalam Pencegahan Skabies di Pondok Pesantren Mukhtariyah Syafi'iyah 1 Beji Tuban
Authors: Sumiatin Titik , Yunariyah Binti , Ningsih Wahyu Tri 
Published: September 2017

Scabies dikenal di Indonesia sebagai penyakit kulit. Lebih sering dikenal dengan penyakit gudik yaitu penyakit kulit yang disebabkan oleh infestasi dan sensitisasi terhadap saccoptes scabiei. Skabies juga dikenal sebagai penyakit menular yang mendunia dengan estimasi 300 juta kasus setiap tahunnya. Prevalensi ini bervariasi dan fluktuatif setiap waktunya. Prevalensi penyakit skabies di Indonesia adalah sekitar 6-27% dari populasi umum. Tujuan dari penelitian ini adalah mengetahui perubahan pengetahuan tentang hidup bersih dan sehat santriÂ setelah diberikan pendidikan kesehatan. Desain penelitian menggunakan Pre Experimental design. Populasinya adalah seluruh santri yangÂ Â di pondok pesantren Mukhtariyah Syafiâ€™iyah 1 di Desa Beji, Kec. Jenu Kab. Tuban. Sample ditentukan secara random sampling yaitu 80 orang. Data dikumpulkan menggunakan kuesioner yang selanjutnya dianalisis dengan uji statistik Spearman dan uji Wilcoxon. Hasil penelitian menunjukkan Pengetahuan Santri pondok pesantren tentang hidup bersih dan sehat dalam mencegah penyakit skabies sebelum diberikan pendidikan kesehatan dan setelah diberikan pendidikan kesehatan mengalami peningkatan. Sesuai hasil uji Analisis menggunakan uji Wilcoxon Sign Rank Test pada data pretest dan post-test menghasilkan nilai p=0,000 (<0,05), yang berarti sangat signifikan. Pendidikan kesehatan sangat efektif dalam merubah pengetahuan santri, sehingga sangat disarankan untuk lebih meningkatkan pelaksanaan pendidikan kesehatan di pondok-pondok yang ada di wilayah Kabupaten Tuban.
Off-label use of medicines: The need for good practice guidelines
Authors: Dooms Marc , Killick James 
Published: September 2017

BACKGROUND: ‘Off-label use’ is the term used for the prescription and dispensing of a medicinal product for any indication, patient group, route of administration, dosage or treatment regimen other than that listed in the Summary of Product Characteristics. OBJECTIVE: In this article the authors present a brief overview of current practices of off-label use in Europe and the applicable European law and jurisprudence. They then go on to present a set of guidelines for best practice in off-label use which underlines the need for guidance on prescription to be firmly rooted in the need to ensure patient safety above all other concerns. METHODS: The article was written from desk research and expert engagement, including a presentation and Q&A in the European Parliament. RESULTS: This article intends to demonstrate that off-label use entails increased risks for patients, especially when it is not underpinned by rigorous clinical studies or the reporting routes for use are not well defined. CONCLUSIONS: Europe is seeing a growing trend the promotion of off-label prescription of medicinal products for reasons other than pure medical need, including motives such as cost-containment. This poses a numer of questions for the ethical and legal framework for medicine prescription and dispensing in Europe.
Photometric Detection of Multiple Populations in Globular Clusters Using Integrated Light
Authors: Bowman William P. , Pilachowski Catherine A. , Zee Liese van , Winans Amanda , Ciardullo Robin , Gronwall Caryl 
Published: September 2017

Abstract
We investigate the multiple stellar populations of the globular clusters (GCs) M3, M5, M13, and M71 using

and intermediate-band CN-

photometry obtained with the WIYN 0.9 m telescope on Kitt Peak. We find a strong correlation between red giant stars’ CN

colors and their spectroscopic sodium abundances, thus demonstrating the efficacy of the two-filter system for stellar population studies. In all four clusters, the observed spread in red giant branch CN

colors is wider than that expected from photometric uncertainty, confirming the well-known chemical inhomogeneity of these systems. M3 and M13 show clear evidence for a radial dependence in the CN-band strengths of its red giants, while the evidence for such a radial dependence of CN strengths in M5 is ambiguous. Our data suggest that the dynamically old, relatively metal-rich M71 system is well mixed, as it shows no evidence for chemical segregation. Finally, we measure the radial gradients in the integrated CN

color of the clusters and find that such gradients are easily detectable in the integrated light. We suggest that photometric observations of color gradients within GCs throughout the Local Group can be used to characterize their multiple populations, and thereby constrain the formation history of GCs in different galactic environments.
Individual, Model-independent Masses of the Closest Known Brown Dwarf Binary to the Sun
Authors: Garcia E. Victor , Ammons S. Mark , Salama Maissa , Crossfield Ian , Bendek Eduardo , Chilcote Jeffrey , Garrel Vincent , Graham James R. , Kalas Paul , Konopacky Quinn , Lu Jessica R. , Macintosh Bruce , Marin Eduardo , Marois Christian , Nielsen Eric , Neichel Benoît , Pham Don , De Rosa Robert J. , Ryan Dominic M. , Service Maxwell , Sivo Gaetano 
Published: September 2017

Abstract
At a distance of ∼2 pc, our nearest brown dwarf neighbor, Luhman 16 AB, has been extensively studied since its discovery 3 years ago, yet its most fundamental parameter—the masses of the individual dwarfs—has not been constrained with precision. In this work, we present the full astrometric orbit and barycentric motion of Luhman 16 AB and the first precision measurements of the individual component masses. We draw upon archival observations spanning 31 years from the European Southern Observatory (ESO) Schmidt Telescope, the Deep Near-Infrared Survey of the Southern Sky (DENIS), public FORS2 data on the Very Large Telescope (VLT), and new astrometry from the Gemini South Multiconjugate Adaptive Optics System (GeMS). Finally, we include three radial velocity measurements of the two components from VLT/CRIRES, spanning one year. With this new data sampling a full period of the orbit, we use a Markov chain Monte Carlo algorithm to fit a 16-parameter model incorporating mutual orbit and barycentric motion parameters and constrain the individual masses to be

for the T dwarf and

for the L dwarf. Our measurements of Luhman 16 AB’s mass ratio and barycentric motion parameters are consistent with previous estimates in the literature utilizing recent astrometry only. The GeMS-derived measurements of the Luhman 16 AB separation in 2014–2015 agree closely with Hubble Space Telescope (HST) measurements made during the same epoch, and the derived mutual orbit agrees with those measurements to within the HST uncertainties of 0.3–0.4 mas.
Accreting Double White Dwarf Binaries: Implications for LISA
Authors: Kremer Kyle , Breivik Katelyn , Larson Shane L. , Kalogera Vassiliki 
Published: September 2017

Abstract
We explore the long-term evolution of mass-transferring white dwarf (WD) binaries undergoing both direct-impact and disk accretion and explore implications of such systems to gravitational-wave (GW) astronomy. We cover a broad range of initial component masses and show that these systems, the majority of which lie within the Laser Interferometer Space Antenna (LISA) sensitivity range, exhibit prominent negative orbital frequency evolution (chirp) for a significant fraction of their lifetimes. Using a galactic population synthesis, we predict ∼2700 of these systems will be observable with a negative chirp of 0.1 yr−2 by a space-based GW detector like LISA. We also show that detections of mass-transferring double WD systems by LISA may provide astronomers with unique ways of probing the physics governing close compact object binaries.