bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH KOMBINASI SENAM KEGEL DAN RELAKSASI NAFAS DALAM TERHADAP NYERI LUKA PERINEUM PADA IBU NIFAS
Authors: Amarina Arnita Rizka , Irmayani Irmayani , Sudarmi Sudarmi 
Published: February 2022

Latar Belakang : ibu nifas akan mengalami berbagai gangguan dan yang terbanyak adalah gangguan nyeri yang mencapai 70,9%. Penyebab utama nyeri tersebut adalah jahitan perineum dari fenomena yang terjadi untuk mengurangi nyeri ibu bisa melakukan relaksasi nafas dalam dan senam kegel.Tujuan : untuk mengetahui pengaruh kombinasi senam kegel dan relaksasi nafas dalam terhadap nyeri luka perineum pada ibu nifas di UPT BLUD Puskesmas Meninting Metode : penelitian ini menggunakan rancangan penelitian Quasi experiment dengan jenis Pre and Post Test With Control Group Design. Populasi adalah seluruh ibu nifas, sample diambil dengan Purposive Sampling dengan jumlah sampel 30 responden. Analisa data menggunakan analisis univariat dan bivariat menggunakan Kruskal WallisHasil : Nyeri perineum pada ibu nifas sebelum dan sesudah dilakukan senam kegel memiliki rata-rata selisih yaitu 3,60 dan mean rank 11,45. Relaksasi nafas dalam memiliki rata-rata selisih yaitu 3,50 dan mean rank 11,35. Kombinasi senam kegel dan relaksasi nafas dalam memiliki rata-rata selisih yaitu 5,50 dan mean rank 23,70. Uji statistik menggunakan Kruskal wallis hasil didapatkan ada pengaruh senam kegel dan relaksasi nafas dalam dengan p-value 0,001 < α 0,05.Kesimpulan : Ada pengaruh kombinasi senam kegel dan relaksasi nafasdalam terhadap nyeri luka perineum pada ibu nifas Abstract Background: post partum mothers will experience various disorders and the most is pain disorders that reach 70.9%. The main cause of the pain is the perineal suture from the phenomenon that occurs to reduce the pain of the mother can do deep breath relaxation and kegel exercise. Aim : To determine the effect of combination kegel exercise and deep breath relaxation on perineal wound pain in postpartum mothers in UPT BLUD Meninting Health Center. Methods : this study used Quasi Experimental research design with the type of Pre and Post Test With Control Group Design. The population of this research that all childbirth mother, samples were taken by purposive sampling with a sample of 30 respondents. Analysis of the data using univariate and bivariate analyses using Kruskall Wallis. Results : Perineal pain in post partum women before and after Kegel exercises has an average difference of 3.60 and mean rank 11.45. Deep breath relaxation has an average difference of 3.50 and mean rank 11.35. The combination of Kegel exercises and deep breathing relaxation has an average difference of 5.50 and mean rank 23.70. The statistical test using Kruskal wallis results showed there was the effect combination of kegel exercise and deep breath relaxation with p-value 0.001 <α 0.05. Conclusion: There is an effect of the combination of kegel exercise and deep breathing relaxation on perineal wound pain on postpartum mothers
PENGARUH SENAM HAMIL TERHADAP KECEMASAN DAN KUALITAS TIDUR IBU HAMIL TRIMESTER II DAN III
Authors: Yunitasari Ika , Suwanti Suwanti , Halimatusyaadiah Siti 
Published: February 2022

Wanita hamil dianjurkan melakukan olahraga ringan selama hamil agar ibu dan janin lebih sehat dan berkurangnya masalah-masalah yang timbul pada kehamilannya. Salah satu olahraga ringan yang dapat dilakukan ibu hamil ialah senam hamil. Gerakan senam hamil terkandung efek relaksasi yang bermanfaat menstabilisai kecemasan dan mengurangi rasa takut dengan cara relaksasi fisik dan mental, serta mendapatkan informasi yang mempersiapkan mereka untuk mengalami apa yang akan terjadi selama persalinan dan kelahiran. Tujuan penelitian untuk mengetahui apa saja yang mempengaruhi kecemasan dan kualitas tidur ibu hamil trimester 3 dalam menghadapi persalinan. Desain penelitian yang akan digunakan adalah Quasi Experimen dengan pendekatan One Group Pretest Posttest Design yaitu rancangan yang tidak ada kelompok pembanding, tetapi paling tidak sudah dilakukan observasi pertama (prestest) yang memungkinkan menguji perubahan-perubahan yang terjadi setelah adanya Experiment. Hasil penelitian rata-rata skor tingkat kepercayaan diri ibu hamil sebelum diberikan sebesar 65,66 dengan standard deviasi 4,73, skorterendah 56 danskortertinggi 77. Dan rata-rata skor tingkat kualitas tidur sebesar 70,80 dengan standard deviasi 3,06, skor terendah 64 dan skor tertinggi 78. Kesimpulan: Ada pengaruh senam hamil terhadap kecemasan dan kualitas tidur ibu hamil trimester II dan III. AbstractPregnant women are encouraged to exercise lightly during pregnancy so that the mother and fetus are healthier and reduce the problems that arise in pregnancy. One of the light exercise that can be done by pregnant women is pregnancy exercise. In fact the pregnancy exercise contains relaxation effects that are useful to stabilize anxiety and reduce fear bymeans of physical and mental relaxation, and get information that prepares them to experience what will happen during labor and birth.To find out what affects the anxiety and sleep quality of third trimester pregnant women in the face of labor. The research design that will be used is Quasi Experiment with the One Group Pretest Posttest Design approach that is a design that has no comparison group, but at least the first (prestest) observation has been carried out which allows testing of changes that occur after the Experiment. Results: The average score of the confidence level of pregnant women before being given was 65.66 with a standard deviation of 4.73, the lowest score of 56 and the highest score of 77. And the average score of sleep quality was 70.80 with a standard deviation of 3.06 , lowest score 64 and highest score 78. Conclusion: There is an Effect of Pregnancy Gymnastics on Anxiety and Sleep Quality of Trimester II and III Pregnant Women.
Assessment of Seismic Load Capacity of a Slender Masonry Clock Tower
Authors: Sözen Şahin 
Published: February 2022

The paper presents the seismic vulnerability assessment of a historical masonry clock tower by means of the finite element method. The mechanical behavior and failure mechanism of these structures must be well understood in order to evaluate their performance and select an appropriate retrofit approach when needed. Stone towers, which sometimes have complex geometries and irregularities and are often designed for vertical loads, are vulnerable to lateral loads, especially earthquake loads, due to the slenderness of the tower and the limited ductility of the stone. This study aims to determine the horizontal load capacity of a magnificent clock tower by investigating its structural behavior using the finite element method. The analyzes carried out considering the seismicity of the region showed that the clock tower would be severely damaged or completely collapsed in case of an earthquake with an exceedance probability of 10% in 50 years. In non-linear time history analyses, the maximum base shear force to weight ratio was calculated as 0.27. The maximum drift ratio at the top of the clock tower reveals that the tower exceeds the collapse prevention performance level. The residual displacements obtained from non-linear time history analysis prove that plastic deformations occur on the tower body. In the light of this data, it is considered that the clock tower needs to be retrofitted with acceptable restoration procedures against possible earthquakes in the region.
El downsizing como estrategia para la reorganización empresarial: ¿es factible en la era postpandemia COVID-19?
Authors: Nieto Pacheco Albert Joao , Carriel Sevillano Ronny Pedro 
Published: February 2022

El objetivo general de esta investigación se basa en analizar el downsizing como una estrategia para la reorganización empresarial y verificar su factibilidad en la post-pandemia. La metodología aplicada es de un diseño bibliográfico de tipo documental. El downsizing a pesar de no ser muy apreciada sobre todo en la actualidad por estar frente a las consecuencias de la pandemia por COVID-19 permite poder enfrentar estas situaciones externas de cambio debido a las restricciones económicas políticas y sociales impuestas por los países, así como también el poder permanecer activos en el mercado a pesar de las dificultades producto de la disminución de las actividades productivas; De igual manera, los directivos al conocer mejor y entender las ventajas que esta posee se puede lograr que las personas involucradas mejoren sus puntos de vista y acepten que los cambios organizacionales aplicados están hechos no solo para alcanzar las metas, sino también para lograr una satisfacción laboral entre los empleados, minimizando el estrés laboral, e incrementando los niveles de productividad. Asimismo, el downsizing ha permitido facilitar el manejo de las áreas de trabajo donde existían procesos complejos y que producto de la pandemia tuvieron que reducir sus operaciones, por lo tanto, al disminuir el uso de recursos para optimizar estos procesos se logra ejecutar actividades que permiten el manejo adecuado de las operaciones y aumente la rentabilidad que tanto se ha visto afectada por la presencia del Coronavirus.
Studi Laju Penurunan Frekuensi Pada Sistem Kelistrikan Sumatera Bagian Utara Dengan Skema Pelepasan Beban
Authors: Diantari Retno Aita , Rafsanjani Muhammad 
Published: February 2022

PT PLN (PERSERO) is a company engaged in electricity in Indonesia and plays a role in the generation and distribution of electricity to consumers. PLN has quality standards that must be met, one of which is a stable frequency even though the load keeps changing all the time. In electric power systems, the frequency value is an indicator of the balance between active power generated with a total load of active system power and losses. The frequency value will increase if there is an excess generation and conversely the frequency value will decrease if there is a shortage of generation or overload. If there is a disturbance that causes the large capacity generating unit to be release from the systems (trip), in this case the PLTU Pangkalan Susu and PLTU Nagan Raya will cause a decrease in frequency so that the Northern Sumatera interconnection system is disrupted. A large decrease in frequency can lead to failure of generating units in a row so that it can cause total system failure (blackout). To avoid a total system failure (blackout) a load shedding scheme with under frequency relay (UFR) is carried out. This research is done by experimental methods. According to this research, it’s been found that the setting of under frequency relay conducted by PLN UP2B Northern Sumatera is good, in this sense of blocking the system from blackout due to a massive power trip.
La capilla del Hospital de Santiago en Úbeda a través del estudio tridimensional de su sección
Authors: Estepa Rubio Antonio , Estepa Rubio Jesús , León Torres Javier 
Published: February 2022

Presentamos, en este artículo, una revisión de la propuesta de Vandelvira para la capilla del Hospital de Santiago en Úbeda, entendida como unidad con autonomía suficiente para poder establecer sobre ella un estudio comparado con otras obras de naturaleza sacra, igualmente resueltas por este genial arquitecto.
Las singularidades espaciales, geométricas y constructivas de este fragmento arquitectónico, integrado en un sistema de mayor envergadura formal y funcional, nos permiten generar una reflexión profunda sobre la sistemática proyectual desarrollada por el maestro.
El estudio minucioso de la sección del edificio, en relación con el análisis sobre la morfología de las techumbres, ponen de manifiesto la excepcionalidad de la solución; sobre todo, cuando comprendemos las razones que motivan la disyunción abrupta que se planifica entre las identidades de los espacios interiores y exteriores.
INORGANIC WASTE RECYCLING
Authors: Jayadi Yusma Indah 
Published: February 2022

Indonesia merupakan penghasil sampah plastik terbesar nomor 2 di dunia. Banyaknya sampah di indonesia dipengaruhi oleh jumlah penduduk, pertumbuhan ekonomi dan perubahan pola konsumsi masyarakat. Program pengabdian masyarakat dilaksanakan untuk menanamkan kepedulian terhadap masyarakat dan pengetahuan akan manfaat dari sampah. Tujuan program ini dilaksanakan untuk memberi edukasi terkait sampah dan kebersihan lingkungan melalui sosialisasi daur ulang sampah anorganik pada SD Inpres Bertingkat. Metode edukasi adalah ceramah dengan visual dan simulasi daur ulang sampah anorganik, dilakukan pre dan post test dan rekomendasi kepada kepala sekolah. Hasil menunjukkan terdapat perbedaan yang signifikan p=0,000 sebelum dan setelah edukasi. Pengetahuan kategori baik pada siswa meningkat 41,1%. Pihak sekolah diharapkan dapat melanjutkan edukasi pemisahan sampah anorganik dan organik, untuk menciptakan lingkungan yang bersih dan sehat, selain itu melakukan pengolahan sampah anorganik di lingkungan sekolah dan mengikut sertakan dalam mata pelajaran prakarya atau seni budaya.
SOSIALISASI SISTEM INFORMASI PERSEDIAAN BARANG PADA PT. IMMUNOTEC PROFARMASIA
Authors: Wilda Rina Hasibuan Wilda 
Published: February 2022

Pengelolaan data dengan menggunakan teknologi komputer yang semakin maju seiring dengan perkembangan hardware dan software sudah pasti akan mempermudah dalam pengolahan data penjualan dan pembelian serta persediaan barang. Sistem Persediaan barang pada PT. Immunotec Profarmasia Impro Best PRO masih manual dan belum terintegrasi dengan baik. Penanganan dengan sistem manual sering terjadi kendala seperti terjadinya kesalahan dalam pengecekan stok barang sehingga laporan menjadi redudansi data yang mengakibatkan proses pencarian data stok barang membutuhkan waktu yang lama. Dibangunnya sistem informasi ini diharapkan dapat membantu PT. Immunotec Profarmasia Impro Besr PRO dalam mengelola data persediaan barang yang diperoleh dari pembelian dan penjualan. Dalam pembuatan sistem informasi persediaan menggunakan bahasa pemrograman visual Basic 2008 dan SQL Server sebagai databasenya. Aplikasi sistem informasi persediaan barang diharapkan dapat memonitoring stok barang yang masuk maupung barang yang keluar agar mampu meningkatkan efektifitas dan efisiensi perusahaan.Penerapan sistem informasi nantinya dapat memaksimalkan kinerja para pegawai sehingga mendapatkan hasil yang lebih baik dan pemrosesan data menjadi lebih cepat.
Asymmetric Biomechanical Properties of the Paravertebral Muscle in Elderly Patients With Unilateral Chronic Low Back Pain: A Preliminary Study
Authors: Wu Zugui , Ye Xiangling , Ye Zixuan , Hong Kunhao , Chen Zehua , Wang Yi , Li Congcong , Li Junyi , Huang Jinyou , Zhu Yue , Lu Yanyan , Liu Wengang , Xu Xuemeng 
Published: February 2022

Background: Clinical incidences of chronic low back pain among the elderly are increasing. However, studies have not fully elucidated on changes in biomechanical properties of paravertebral muscles in patients with unilateral chronic low back pain. We evaluated the changes in biomechanical properties of painful and non-painful paravertebral muscles in elderly patients with unilateral chronic low back pain.Methods: Biomechanical properties of paravertebral muscles, including muscle tone and stiffness, in elderly patients with unilateral chronic low back pain were measured using MyotonPRO. Lumbar Lordosis and Sacral Slope were measured by magnetic resonance imaging. Cross-sectional areas of paravertebral muscles were evaluated using ImageJ software version 1.53. Chronic low back pain severity was assessed by Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores. The correlations between VAS scores, ODI scores, Lumbar Lordosis, Sacral Slope, cross-sectional areas (painful side), disease duration, and biomechanical properties of paravertebral muscles in the painful side were analyzed.Results: A total of 60 elderly patients with unilateral chronic low back pain were enrolled in this study. The muscle tone and stiffness of paravertebral muscles on the painful side were significantly higher than those on the non-painful side (p &lt; .05). Cross-sectional areas of paravertebral muscles on the painful side at the L3 level were smaller than those of the non-painful side (p &lt; .05). The VAS scores and ODI scores were significantly positively correlated with muscle tone and stiffness of paravertebral muscles on the painful side (p &lt; .05 and p &lt; .01, respectively). There were no significant correlations between disease duration, cross-sectional areas (painful side), Lumbar Lordosis, or Sacral Slope and muscle tone and stiffness of paravertebral muscles on the painful side (p &gt; .05).Conclusion: In elderly patients with unilateral chronic low back pain, muscle tone and stiffness of paravertebral muscles on the painful side are higher than for those on the non-painful side. The asymmetry of biomechanical properties of paravertebral muscles is associated with severity of chronic low back pain.
Simultaneous Determination of RDX and HMX in Rat Plasma by LC-MS/MS and its Applications
Authors: Zhang Xi , An Zhuoling , Lv Yali , Li Guangrun , Liu Lihong , Li Pengfei 
Published: February 2022

Background: 1,3,5-trinitroperhydro-1,3,5-triazine (RDX) and octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (HMX) can cause serious toxicity problems in humans and animals, but direct analyses of RDX and HMX in biological samples are very limited. A rapid and efficient liquid chromatography-electrospray quadrupole linear ion trap mass spectrometry (LC-MS/MS) method suitable for the simultaneous determination of RDX and HMX in rat plasma after intravenous administration of two nitramine compound mixed solutions has been developed.Methods: Plasma samples were pretreated with one-step protein precipitation, the plasma consumption is as low as 100 μl. RDX, HMX, and internal standard mycophenolic acid were eluted for 8.0 min on a reversed-phase C18 analytical column with a water/acetonitrile mixture as the mobile phase. An electrospray ionization (ESI) source was applied and operated in negative ion mode. The optimized mass transition ion pairs (m/z) monitored for RDX, HMX, and internal standard mycophenolic acid were m/z 284.1→61.7, m/z 331.0→108.8, and m/z 319.2→191.1, respectively.Results: The detection ranges of both RDX and HMX in plasma were 5.00–200.00 ng⋅ml−1 with an LOD of 1.00 ng⋅ml−1. The extraction recoveries of RDX and HMX were 60.04 ± 4.18% and 79.57 ± 3.35%, respectively. The precision and accuracy met the requirements, and the method was stable under all tested conditions.Conclusion: The present method is miniaturized, effective, portable, rapid and can be easily used for simultaneous quantification of RDX and HMX in rat plasma.
Changes of Divergence and Confluence Relationship Between Dongting Lake and the Yangtze River After the Operation of the Three Gorges Project and Its Impact on the Waterway Depth
Authors: Yang Yunping , Liu Wanli , Zhang Jie , Yang Lijie , Jia Menglin , Zhu Lingling 
Published: February 2022

Human activities and climate change have profoundly changed the hydrological and geomorphological evolutionary processes and trends of rivers and lakes, which, in turn, has affected the utilization of their waterway depth. This study chose the Dongting Lake–Jingjiang confluence of the Changjiang River (Yangtze Rvier), since the operation of the Three Gorges Project, the split ratio of water and the sediment distribution of the three outlets of Dongting Lake—that is, Songzikou, Taipigkou, and Ouchikou—have continued to decrease. Along with the decreasing flow of Dongting Lake, the relative increase in the runoff of the Jingjiang reach and the increase in riverbed erosion intensity have increased the relative height difference between Jingjiang and Dongting Lake, intensifying the reduction of the split ratio of water and the sediment distribution of the three outlets. The riverbed erosion of the Jingjiang reach has created a promising foundation for an increase in the waterway dimensions. However, the length of the reach not meeting the requirements of 4.5× 200 m (water depth × width) is 18.4 km, of which the length in the river-lake confluence is 12.6 km, accounting for 68.35% of the total length of obstructed navigation. Furthermore, at the reach (Zhicheng–Dabujie reach) affected by the first outlet (Songzikou), a 4.5-m flume has been formed, but its width is less than 200 m. Moreover, the “steep slope and rapid current” phenomenon is clear, and it affects the safety of ships. At the reach (Taipingkou reach) affected by the second outlet, the shrinkage of the bottomland, and the intersecting braided river channels make the low-flow routes unstable, the water depth being less than 4.5 m. At the reach (Tianxingzhou–Ouchikou reach) affected by the third outlet, the shoreline of the reach has collapsed and retreated significantly. Additionally, beach erosion and the downstream movement of cut banks have caused the downstream waterway width at the reach to be reduced to less than 200 m or formed shoals with a water depth of less than 4.5 m. Owing to the jacking effect of the lake’s outflow backwater, the flow rate of the reach (Xiongjiazhou–Chenglingji reach) affected by the confluence of Dongting Lake decreased, creating a shoal with a water depth of less than 4.5 m in the navigation waterway. The results of this study have guiding significance for understanding the changes of channel conditions and the improvement of channel scale in the intersection area of rivers and lakes.
Pre-Weaning Exposure to Maternal High-Fat Diet Is a Critical Developmental Window for Programming the Metabolic System of Offspring in Mice
Authors: Yang Hong , Chen Nan , Fan Lei , Lin Xiaojing , Liu Juncheng , You Yuehua , Zhong Ying , Chen Yan , Li Jibin , Xiao Xiaoqiu 
Published: February 2022

BackgroundMaternal high-fat diet (HFD) during pregnancy and lactation exerts long-term effects on the health of offspring. However, the critical developmental window for metabolic programming of maternal exposure to HFD on pathogenesis of obesity in offspring needs further clarification.Materials &amp; MethodsFemale ICR mice were fed low-fat diet (LFD) or HFD for 8 weeks until delivery. During lactation, half of LFD dams received HFD while the other half of LFD dams and HFD dams maintained the previous diet. Male offspring were weaned at postnatal day 21 (P21) and fed LFD or HFD for 7 weeks. Metabolic parameters, biochemical, and histological indicators of thermogenesis, rectal temperature, and sympathetic nerve tone were detected at P21 and 10 weeks old.ResultsAt P21, LH (maternal LFD before delivery but HFD during lactation) and HH (maternal HFD before delivery and during lactation) offspring gained more body weight and showed higher serum glucose and triglyceride levels as compared with LL (maternal LFD before delivery and during lactation), and the metabolic characters were maintained until 10 weeks age when fed with LFD after weaning. However, LH offspring exhibited a greater degree of metabolic abnormalities compared to HH offspring, with increased body weight, as well as lower norepinephrine (NE)-stimulated rectal temperature rise when fed with HFD after weaning. The lower UCP1 levels and HSL phosphorylation in LH offspring further suggested that brown adipose tissue (BAT) thermogenic function was impaired.ConclusionExposure to maternal HFD feeding during pre-weaning period alone showed similar detrimental effects on programming metabolic system of offspring as those of both prenatal and early postnatal HFD feeding. Early postnatal stage is a critical time window for metabolic programming and has profound and long-lasting effects on BAT development and function through sympathetic nerve-mediated thermogenesis.