10 research outputs found
Analisis Faktor Yang Mempengaruhi Kejadian Stunting Pada Balita Umur 24-59 Bulan Di Puskesmas Biak Muli Kabupaten Aceh Tenggara
No full textA multifactorial determinant analysis was conducted to identify contributions to the incidence of stunting-a condition of linear growth involution caused by chronic nutritional deficiencies and exposure to repeated infections-in children aged 24-59 months in the Biak Muli Health Center area, Southeast Aceh District, in 2023. This study adopted a cross-sectional survey design with a quantitative approach and descriptive-correlational design involving 85 mothers of toddlers as subjects. Data processing was conducted through univariate analysis, bivariate test using Chi-Square, and multivariate test with multiple logistic regression to identify significant determinants. Results showed that birth weight history (p=0.019; OR=4.051; CI 95%: 1.359-12.070), exclusive breastfeeding (p=0.009; OR=4.900; CI 95%: 1.571-15.285), parenting (p=0.012; OR=4.592; CI 95%: 1.475-14.298), and parental income level (p=0.024; OR=4.044; CI 95%: 1.303-12.557) were significantly correlated with stunting prevalence, while the variables of maternal knowledge (p=0.487), history of infection (p=0.101), and access to health services (p=0.095) did not show statistical significance. Family income was identified as the dominant predictor of stunting incidence in the child population in this region. Based on these findings, recommendations are directed at intensifying education to mothers of toddlers on comprehensive stunting prevention, including optimal nutrition interventions, environmental sanitation, and promotion of exclusive breastfeeding in the crucial period of early life, to reduce the risk of growth retardation in preschool.Analisis determinan multifaktorial telah dilakukan untuk mengidentifikasi kontribusi terhadap insidensi stunting—suatu kondisi involusi pertumbuhan linear yang disebabkan oleh defisiensi nutrisi kronis dan paparan infeksi berulang—pada anak usia 24-59 bulan di wilayah Puskesmas Biak Muli, Kabupaten Aceh Tenggara, tahun 2023. Studi ini mengadopsi rancangan survei cross-sectional dengan pendekatan kuantitatif dan desain deskriptif-korelasional yang melibatkan 85 ibu balita sebagai subjek. Pengolahan data dilakukan melalui analisis univariat, uji bivariat menggunakan Chi-Square, serta uji multivariat dengan regresi logistik berganda untuk mengidentifikasi determinan signifikan. Hasil menunjukkan bahwa riwayat berat badan lahir (p=0,019; OR=4,051; CI 95%: 1,359–12,070), pemberian ASI eksklusif (p=0,009; OR=4,900; CI 95%: 1,571–15,285), pola asuh anak (p=0,012; OR=4,592; CI 95%: 1,475–14,298), serta tingkat pendapatan orang tua (p=0,024; OR=4,044; CI 95%: 1,303–12,557) berkorelasi signifikan dengan prevalensi stunting, sedangkan variabel pengetahuan ibu (p=0,487), riwayat infeksi (p=0,101), dan akses layanan kesehatan (p=0,095) tidak menunjukkan signifikansi statistik. Variabel pendapatan keluarga diidentifikasi sebagai prediktor dominan terhadap insidensi stunting pada populasi anak di wilayah ini. Berdasarkan temuan tersebut, rekomendasi diarahkan pada intensifikasi edukasi kepada ibu balita mengenai pencegahan stunting secara komprehensif, mencakup intervensi nutrisi optimal, sanitasi lingkungan, serta promosi pemberian ASI eksklusif pada periode krusial awal kehidupan, guna mengurangi risiko retardasi pertumbuhan pada masa prasekolah
Hubungan Lingkungan Sosial Dan Kepemlikan Jamban Dengan Kebiasaan Buang Air Besar Sembarangan (BABS) Di Kecamatan Medan Belawan Tahun 2022
No full textTujuan dari penelitian ini adalah untuk menganalisis hubungan lingkungan sosial (tingkat pendidikan, pengetahuan, sikap, pendapatan, dukungan sosial, dan sanksi sosial) dan kepemilikan jamban terhadap buang air besar sembarangan (BABS) di Kota Medan. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional untuk menganalisis hubungan lingkungan sosial dan kepemilikan jamban terhadap buang air besar sembarangan (BABS) di Kecamatan Medan Belawan. Sampel penelitian sejumlah 85 responden. Hasil penelitian diperoleh berdasarkan lingkungan sosial 45,9 persen lulusan SMA, yang memiliki pendapatan rendah 65 persen, dengan pengetahuan baik 61,1 persen, memiliki sikap kurang baik 62,4 persen, masyarakat menyatakan ada dukungan sosial 87,1 persen, masyarakat menyatakan tidak ada sanksi sosial 60 persen masyarakat tidak memiliki jamban 56,5 persen, masyarakat menyatakan buang air besar sembarangan 64,7 persen. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara tingkat pendidikan dengan kebiasaan Buang Air Besar Sembarangan (BABS) dengan nilai p-value (p = 0,043). ada hubungan yang signifikan antara pengetahuan dengan kebiasaan Buang Air Besar Sembarangan (BABS) dengan nilai p-value (p = 0,001). ada hubungan yang signifikan antara tingkat pendapatan dengan kebiasaan Buang Air Besar Sembarangan (BABS) dengan nilai p-value (p = 0,001).Saran bagi Dinas Kesehatan Kota Medan agar lebih memberdayakan masyarakat melalui program Sanitasi Total Berbasis Masyarakat dan saran bagi kepala desa untuk melakukan advokasi ke pemerintahan terkait untuk pengadaan jamban komunal
Self-made cycles in the 19th and early 20th century Estonia
No full textTambet Muide A boy with a self-made bicycle in Tarvastu, Estonia in 1912. Photo by Johannes Pääsuke. Source In an 1894 short story the author of the piece refers to the readers familiarity with the cycle by saying that “Some younger ones, handymen, as all Estonians are, who can make the horns of the devil with an axe and a knife if need be, might have a self-made wooden or metal one at home”. The fact that some people were making their own cycles had also been noticed by the Tartu cycli..
Analisis Pengaruh Program Spesifik Terhadap Stunting Di UPTD Puskesmas Leuser Kecamatan Leuser Kabupaten Aceh Tenggara Tahun 2023
No full textBerdasarkan angka prevalensi balita stunting di dunia yang di kumpulkan WHO tahun 2020 sebanyak 150,8 juta atau (22,2%). WHO menetapkan lima daerah sebagai prevalensi stunting, termasuk Indonesia yang berada diregional Asia Tenggara dengan angka prevalensi (36,4%). Penelitian ini bertujuan untuk untuk menganalisis Faktor Pengaruh Program Spesifik Terhadap Stunting Di UPTD Puskesmas Leuser Kecamatan Leuser Kabupaten Aceh Tenggara. Metode penelitian dengan penelitian kuantitatif dengan menggunakan Cross- Sectional Study pada 39 ibu yang mempunyai anak stunting usia 24-59 bulan. Analisa yang digunakan adalah analisa univariat, bivariat dengan menggunakan uji chi-square dan analisa multivariat dengan menggunakan uji regresi logistik berganda. Hasil penelitian terdapat hubungan antara BBL, ANC, ASI Eksklusif, MP ASI dan monitoring pertumbuhan dengan stunting. Tidak terdapat hubungan imunisasi lengkap dan suplementasi vitamin A terhadap stunting. Faktor paling dominan adalah MP ASI dan Berat Bayi Lahir. Kesimpulan Uji statistik Chi-Square menunjukkan bahwa terdapat pengaruh antar berat bayi lahir, pemeriksaan ANC, ASI Eksklusif, Tablet Fe Ibu Hamil, MP ASI dan Monitoring pertumbuhan rutin dengan Stunting. Variabel yang paling berpengaruh dengan kejadian stunting adalah pemberian MP ASI, ANC, ASI Eksklusif dan Berat Bayi Lahir. Diharapkan Dinas Kesehatan agar lebih memperhatikan dan memiliki komitmen yang tinggu terhadap status gizi anak dengan memastikan intervensi gizi spesifik dan intervensi gizi sensitif tepat lokasi desa dan tepat kelompok sasara
A three-pronged lesson in differential equations in a calculus course: analytical, numerical, experimental
No full textThis is a pre-copyedited, author-produced version of an article accepted for publication in Teaching Mathematics and its Applications: An International Journal of the IMA following peer review. The version of record Chow, A. N., Harrington, P. D., & Leung, F-S. (2023). A three-pronged lesson in differential equations in a calculus course: analytical, numerical and experimental. Teaching Mathematics and its Applications: An International Journal of the IMA, hrad005, https://doi.org/10.1093/teamat/hrad005 is available online at: https://academic.oup.com/teamat/advance-article/doi/10.1093/teamat/hrad005/7225389#411641423 and https://doi.org/10.1093/teamat/hrad005.Physical experiments in classrooms have many benefits for student learning, including increased student interest, participation and knowledge retention. While experiments are common in engineering and physics classes, they are seldom used in first-year calculus, where the focus is on solving problems analytically, and occasionally numerically. In this paper, we detail a three-pronged lesson introducing differential equations using analytical, numerical and experimental approaches in a large first-year differential calculus course. Presenting the three approaches in succession allows students to evaluate advantages and disadvantages. The lesson incorporates software and programming, and provides opportunities for active, experiential, team-based learning
Perceptions and practices of rural Indian women in contraception, abortion, and sexual health: a cross sectional study
No full textBackground: Maternal mortality is an important target of health care policies, especially in India. While numerical indicators of maternal health improve, this can only be sustained with change in the knowledge, attitudes, and practices of women. Gender empowerment is a neglected aspect of health care policy, and there is a need to assess the perceptions of Indian women, the true torch-bearers of change.Methods: This was a hospital based cross sectional quasi-quantitative study in a sub-district hospital in the town of Ballabgarh, Haryana, India. Married women attending the outpatient clinic, antenatal clinic, labor ward, and primary health centres in the age group of 20 to 40 years were interviewed using a semi-structured questionnaire with both closed and open-ended questions. Health concerns were concurrently addressed.Results: Author interviewed 956 women. No form of modern contraception had ever been used by 58.36% of the women. Intra-uterine contraceptive devices were discontinued by 76.12% of the women who had used them. Emergency contraception was a concept known to 49.89% of the women, but fraught with misconceptions. Induced abortions was being used as a form of family planning, with nearly 90% of the women having taken over-the-counter abortifacients. Women were receptive to contraception, and many expressed an interest in long acting contraceptives other than IUCDs.Conclusions: This study provides insight into the thinking of Indian women regarding family planning. This may help guide family planning policies
Réécriture romantique du Moyen Âge, le chevalier transformé et réactualisé
No full textEn France, les changements sociaux, culturels et politiques du tournant des XVIIIe et XIXe siècles vont imposer au romantisme naissant une autre base d’inspiration que l’Antiquité qui fut celle du classicisme : le Moyen Âge. Victor et Hugo et Honoré de Balzac feront partie des auteurs romantiques qui adapteront les ressources imaginaires des œuvres médiévales dont la figure du chevalier.
Pourquoi les romantiques ont-ils perçu en cette figure une source de sens ? Quels sont les aménagements nécessaires pour qu’une figure aussi liée au Moyen Âge soit réactualisée dans l’esthétique romantique?
Cette étude se propose de répondre à ces question en observant la figure du chevalier dans des œuvres médiévales, Le chevalier de la charrette (Chrétien de Troyes) et Le Lancelot en prose (auteur inconnu), comparée au chevalier romantique présenté dans La légende du beau Pécopin et de la belle Bauldour (Victor Hugo) et Le frère d’armes (Honoré de Balzac). Cette comparaison permettra de mettre en lumière que cette figure est représentée dans ces œuvres transformée et actualisée.In France, the social, cultural, and political changes of the turn of the eighteenth and nineteenth centuries will impose on nascent romanticism another basis for inspiration than that of antiquity, which is that of classicism: the Middle Ages. Victor Hugo and Honoré de Balzac will be part of the romantic authors who will adapt the imaginary resources of the medieval works including the knight figure.
Why did the romantics observe such a source of sense in this figure? What are the necessary amendments for a symbol so strongly linked to the Middle Ages, required for adapted use in romantic aesthetics?
This will be examined through observation of the knight figure in the medieval works, Le chevalier de la charrette (Chrétien de Troyes) and Le Lancelot en prose (unknown author), compared to the romantic knight that is present in La légende du beau Pécopin et de la belle Bauldour (Victor Hugo) and Le frère d’armes (Honoré de Balzac). This comparison will highlight that the symbol of the knight represented in these romantics works is transformed and adapted
Réécriture romantique du Moyen Âge, le chevalier transformé et réactualisé
No full textEn France, les changements sociaux, culturels et politiques du tournant des XVIIIe et XIXe siècles vont imposer au romantisme naissant une autre base d’inspiration que l’Antiquité qui fut celle du classicisme : le Moyen Âge. Victor et Hugo et Honoré de Balzac feront partie des auteurs romantiques qui adapteront les ressources imaginaires des œuvres médiévales dont la figure du chevalier.
Pourquoi les romantiques ont-ils perçu en cette figure une source de sens ? Quels sont les aménagements nécessaires pour qu’une figure aussi liée au Moyen Âge soit réactualisée dans l’esthétique romantique?
Cette étude se propose de répondre à ces question en observant la figure du chevalier dans des œuvres médiévales, Le chevalier de la charrette (Chrétien de Troyes) et Le Lancelot en prose (auteur inconnu), comparée au chevalier romantique présenté dans La légende du beau Pécopin et de la belle Bauldour (Victor Hugo) et Le frère d’armes (Honoré de Balzac). Cette comparaison permettra de mettre en lumière que cette figure est représentée dans ces œuvres transformée et actualisée.In France, the social, cultural, and political changes of the turn of the eighteenth and nineteenth centuries will impose on nascent romanticism another basis for inspiration than that of antiquity, which is that of classicism: the Middle Ages. Victor Hugo and Honoré de Balzac will be part of the romantic authors who will adapt the imaginary resources of the medieval works including the knight figure.
Why did the romantics observe such a source of sense in this figure? What are the necessary amendments for a symbol so strongly linked to the Middle Ages, required for adapted use in romantic aesthetics?
This will be examined through observation of the knight figure in the medieval works, Le chevalier de la charrette (Chrétien de Troyes) and Le Lancelot en prose (unknown author), compared to the romantic knight that is present in La légende du beau Pécopin et de la belle Bauldour (Victor Hugo) and Le frère d’armes (Honoré de Balzac). This comparison will highlight that the symbol of the knight represented in these romantics works is transformed and adapted
재닛 레비(Janet Levy)를 중심으로
No full text학위논문(석사) -- 서울대학교대학원 : 음악대학 음악과, 2022. 8. 민은기서정은.베토벤은 대다수의 작품을 출판하는 과정에서 세부적인 수정을 거듭했으며, 그 흔적들은 대부분 스케치 등의 단편적인 형태로서 남아있다. 반면 완성본으로서의 형태를 띠는 경우는 매우 이례적으로 현악4중주 Op. 18은 아멘다 버전(Amenda version, 1799)과 출판본(Final version, 1801)이 모두 독립된 완성본의 형태로 남아 있어 완성본과 완성본 사이의 변화를 파악할 수 있다. 이에 두 완성본의 차이에 대한 중립적인 비교를 넘어 우열에 대한 가치 평가가 가능함을 주장하는 학자들까지 등장하기 시작하면서, 현악4중주 Op. 18은 논쟁의 중심에 서게 되었다.
1982년 음악학자 재닛 레비(Janet Muriel Levy, 1938-2004)의 『베토벤의 작곡적 선택: Op. 18, No. 1의 두 버전』(Beethovens Compositional Choices: The Two Versions of Opus 18, No. 1, First Movement)은 아멘다 버전 = 열등한 작품이라는 명제를 남겼고 이를 토대로 한 후속 연구들로 이어졌다. 그러나 레비의 저술은 아멘다 버전이 출판본보다 열등하며 아멘다 버전 이후의 출판본이 수정이 아닌 개선이라는 관점 위에 이루어진 것으로, 두 버전의 각기 다른 음악적 목표를 고려하지 못한 전제라 할 수 있다.
이에 본 연구는 출판본이 더 우세하다는 고정관념에서 벗어나 두 버전에 대한 새로운 관점에서 두 작품을 동등한 관계로 전제하고 레비의 연구를 비판적으로 고찰함을 목표로 한다. 우선 작품 외적 관점으로는 작곡 당시의 사회문화적 배경에 근거한 작품 수정의 이유를 살펴본다. 사적음악회에서 공공음악회로의 이행이 이루어지던 시대적 맥락에 따라 작품의 사용 목적이 변화되었을 것으로 보이며, 당시 음악계의 새로운 관례로 자리 잡은 리허설의 진행 및 전문 연주자와의 지속적 교류 등이 아멘다 버전의 수정을 요하게 하는 요인으로 작용하였음을 알 수 있다. 작품의 분석을 통한 내적 관점에서는 아멘다 버전과 출판본의 음악적 차이를 악구 구성 방식, 추가와 삭제, 성부의 수정 등의 측면에서 조망한다. 이러한 비교 분석의 결과, 아멘다 버전에서는 작품의 전면에 유희적이고 기교적인 음악적 요소들이 연주의 효과를 극대화하는 동시에 베토벤의 실험적 태도까지 드러내고 있었다. 이는 다소 절제된 형태의 출판본과 명확한 음악적 성격의 차이를 보여준다. 이를 통해 본 연구는 수정된 작품이 더 우세하다는 선행 연구에서 비롯된 고정관념에서 벗어나 현악4중주 Op. 18 No. 1의 두 버전의 차이가 우열보다는 다름에 의거함을 객관적으로 검토하고 아멘다 버전이 주체적이고 독립적인 작품으로 기능할 수 있는 가능성을 제시한다.Beethoven made detailed revisions to most of his works before publication, and such traces were left in the form of sketches. The only composition with two versions existing separately is the string quartet Op. 18. The Amenda version(1799) and Final version(1801), which are full versions independent of each other, reveal the changes made in between. With scholars beginning to claim that it is possible to determine the order of superiority, going beyond neutral comparison, Op. 18 has become a hot topic of discussion.
In 1982, the musicologist Janet Muriel Levy(1938-2004) published Beethovens Compositional Choices: The Two Versions of Opus 18, No. 1, First Movement, which put forth the idea that the Amenda version is an inferior work and led to several follow-up studies. However, Levys claim was made on the basis that the Final version is an improvement, not a revision of the Amenda version. The author did not take into account how the two versions may have had different musical goals.
This study presumes that the two versions are of equal standing, breaking free from the stereotype that the Final version is superior, and aims to conduct a critical review of Levys research. First, the possible reasons for the revision are examined in consideration of the socio-cultural setting. The purpose of the composition is expected to have changed with the transition from private to public concerts at that time, and the new practice of rehearsals and continuous exchange with professional musicians may have contributed to the revision of the Amenda version. The two versions are also analyzed to investigate musical differences in terms of phrase organization, addition and removal, and revision of parts. The analysis reveals that the playful, sophisticated musical elements used throughout the Amenda version not only maximize the effects of performance, but also reflect Beethovens experimental attitude. This is clearly different from the somewhat suppressed form of the Final version. This study objectively assesses the differences between the two versions of Op. 18 No. 1, focusing on their differences rather than order of superiority to break free from the stereotype that the revised version is superior, and suggests that the Amenda version can function as an independent work in itself.Ⅰ. 서론 1
1. 연구 목적 및 방법 1
2. 선행 연구 5
Ⅱ. 레비의 베토벤현악4중주 Op. 18, No. 1 1악장 연구에 대한 비판적 고찰 12
1. 아멘다 버전과 출판본에 대한 역사적 접근 12
1) 사적음악회에서 공공음악회로의 이행 13
2) 리허설 진행 및 전문 연주자와의 지속적인 교류 19
2. 아멘다 버전과 출판본에 대한 음악 분석적 접근 23
1) 악구 구성 방식의 차이 24
(1) 종지(cadence) 24
(2) 악구의 진행 32
(3) 경과구 39
2) 추가와 삭제 45
3) 성부의 수정 54
4) 아멘다 버전의 실험적 태도 68
Ⅲ. 결론 90
참고문헌 92
Abstract 98석
The Influence of Baby Massage on the Sleep Quality of Babies Aged 6-7 Months in Percut Village in 2021
No full textSleep disorders in babies are a form of problems faced by parents. Baby massage is an alternative effort to help relieve muscle tension so that the baby calms down and falls asleep. This study aims to determine whether there is an effect of infant massage on sleep quality in infants aged 6-7 months in Percut Village, Percut Sei Tuan District, Deli Serdang Regency. This study used an experimental analytic method without a control group using a pre-test and post-test one group design. This research was conducted in Percut Village, Percut Sei Tuan District, Deli Serdang Regency, North Sumatra Province, Indonesia. When this research was carried out from March 2021 to July 2021. The sampling technique in this study used total sampling, namely by using the entire population as a research sample of 30 babies. The research instrument uses a data collection tool in the form of a questionnaire. Data analysis used the Paired Sample T-Test using a computer device, namely Statistical Package For The Social Science (SPSS 16). The results of the study are that there is a significant effect between baby massage on the sleep quality of babies aged 6-7 months in Percut Village, Percut Sei Tuan District, Deli Serdang Regency, with p-value = <0.001 (α<0.05). Based on these results, it is recommended for health service workers to motivate parents to massage their babies regularly, especially for nurses to be more professional and skilled in the field of baby care and increase collaboration with other medical personnel in carrying out health education among the wider community about the benefits of baby massage. on sleep quality in infants.Keywords : Baby Massage, Infant, Sleep Qualit
