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    Faktor-Faktor yang Memengaruhi Kejadian Hipertensi pada Ibu Pasangan Usia Subur (PUS) di Wilayah Kerja Puskesmas Simalingkar Tahun 2017

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    Hypertension a serious pubic health problem since it is directly related to morbidity and mortality rate. It is also a chronic disease which can cause complication which will eventually influence the process of women’s reproduction, especially of mother of eligible couples. It ranked the third of the top ten diseases in the working area of Simalingkar Community Health Center (“Puskesmas”), in 2016. The objective of the research was to find out some factors which influence the incidence of hypertension of mother of eligible couples in the working area of Simalingkar Community Health Center. The research used observational analytic method with case-control study and retrospective design. The population was all mother of eligible couples in the working area of Simalingkar Community Health Center. The samples consisted of 68 respondents who were in the case group and the other 68 respondents in the control group, taken by using consecutive sampling technique. The data were analyzed by using univariate analysis, bivariate analysis with chi square test, and multivariate analysis with multiple logistic regression analysis. The result of the research showed that there was the influence of obesity (p=0.003; OR=3.160 CI 95% 1.468-6.805), lack of physical activity (p=0.004<0.05; OR=3.081 CI 95% 1.430-6.638), consuming salt excessively or salted food (p=0.034<0.05; OR=2.283 CI 95% 1/063-4.901), and psychosocial stress (p=0.036; OR=2.264 CI 95%1.053-4.865) on the incidence of hypertension , while history of family, smoking habit, and the habit of consuming alcohol did not have any influence on the incidence of hypertension in the working area of Simalingkar Community Health Center. Obesity was the most dominant factor which influenced the incidence of hypertension of mother of eligible couples at OR=3.16 (p<0.05). It is recommended to health officers at the Simalingkar Community Health Center to focus more on public education on obesity prevention by promoting prolanis exercises to increase more regular physical activity, providing information on healthy salt needs and finding out about the emotional state of mother of eligible couples in order to cultivate positive emotions for avoid psychosocial stress.Hipertensi merupakan masalah kesehatan yang serius, dimana hipertensi berkaitan langsung dengan angka morbiditas dan mortalitas. Hipertensi juga suatu kondisi kesehatan kronis yang dapat mengakibatkan komplikasi medis dan dapat mempengaruhi proses reproduksi perempuan khususnya ibu pasangan usia subur (PUS). Hipertensi menempati urutan ke-tiga dari sepuluh penyakit tertinggi di wilayah kerja Puskesmas Simalingkar tahun 2016. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang memengaruhi kejadian hipertensi pada ibu PUS di wilayah kerja Puskesmas Simalingkar. Jenis penelitian adalah observasional analitik dengan rancangan case control study bersifat restrospective. Populasi adalah seluruh ibu PUS di wilayah kerja Puskesmas Simalingkar dan sampel terdiri dari 68 kasus dan 68 kontrol. Pengambilan sampel secara consecutive sampling. Dianalisa secara univariat, bivariat dengan uji chi square, multivariat dengan metode regresi logistik berganda. Hasil penelitian menunjukkan bahwa obesitas p=0,003 (OR=3,160 CI 95% 1,468 - 6,805), aktifitas fisik yang kurang p=0,004<0,05 (OR=3,081CI 95% 1,430 - 6,638), konsumsi garam berlebih atau makanan asin p=0,034 <0,05 (OR=2,283 CI 95% 1,063 - 4,901), dan stress psikososial p=0,036 (OR=2,264 CI 95% 1,053 - 4,865) berpengaruh terhadap kejadian hipertensi sedangkan riwayat keluarga, kebiasaan merokok dan kebiasaan minum alkohol tidak berpengaruh terhadap kejadian hipertensi di wilayah kerja Puskesmas Simalingkar. Obesitas merupakan faktor yang dominan memengaruhi kejadian hipertensi pada ibu PUS dengan OR=3,16 (p<0,05). Disarankan kepada petugas kesehatan di Puskesmas Simalingkar untuk lebih fokus melakukan penyuluhan kepada masyarakat tentang penanggulangan obesitas dengan menggalakkan senam prolanis untuk meningkatkan aktifitas fisik yang lebih teratur, pemberian informasi tentang kebutuhan garam yang sehat serta mencari tahu tentang keadaan emosi ibu PUS guna menumbuhkan emosi yang positif untuk menghindari stress psikosial.139 HalamanTesis Magiste

    Pengaruh Pijat Perineum dalam Mengurangi Ruptur Perineum saat Persalinan

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    A tear in the perineum is one of the various complications during labor in the second stage so it can cause reproductive organ dysfunction in women. Tension in the pelvic floor muscles often results in perineal tears, especially in primigravida. One way to reduce perineal tears is to perform perineal massage to increase blood flow and perineal elasticity through a very simple and short method. There are 2.7 million cases of perineal tears in childbirth and is estimated to increase by 6.3 million in 2050. In Asia, perineal ruptures account for 50% of perineal ruptures in the world. In Indonesia, mothers who experience perineal rupture at the age of 32-39 years are 62%. Research at the Benin Teaching Hospital, Nigeria, showed that the prevalence of perineal rupture was approximately 46.6%, especially in primigravida mothers who experienced perineal rupture. The purpose of this study was to determine the effect of perineal massage in reducing perineal rupture at the time of delivery. This research method is an experiment using a post-test-only control group design. The population in this study were all primiparous pregnant women in the third trimester who visited Mahanum clinic, while the number of samples was 32 samples with two groups, namely the intervention group and the control group. From the results of the analysis, the value of OR = 6.72 means that primiparous pregnant women who do not have perineal massage have a 6.72 times chance of perineal rupture compared to primiparous pregnant women who do perineal massage.Robekan pada perineum adalah satu dari berbagai macam komplikasi pada saat persalinan di kala II sehingga dapat menyebabkan disfungsi organ reproduksi pada perempuan. Ketegangan pada otot dasar panggul sering mengakibatkan terjadinya robekan perineum khususnya primigravida. Salah satu cara mengurangi robekan perineum adalah dengan melakukan pijat perineum untuk meningkatkan aliran darah dan elastisitas perineum melalui suatu metode yang sangat sederhana dan singkat. Terdapat 2,7 juta kasus robekan perineum pada ibu bersalin dan diperkirakan meningkat sebesar 6,3 juta pada tahun 2050. Di Asia ruptur perineum mencapai sebesar 50% dari ruptur perineum di dunia. Di Indonesia, ibu yang mengalami ruptur perineum pada umur 32-39 tahun sebesar 62%. Penelitian di Rumah Sakit Benin Teaching, Nigeria, mengemukakan bahwa prevalensi rupture perineum kurang lebih 46.6%, terlebih pada ibu primigravida 90% mengalami rupture perineum. Tujuan penelitian ini adalah untuk menentukan pengaruh pijat perineum dalam mengurangi rupture perineum pada saat persalinan. Metode penelitian ini adalah eksperimen dengan menggunakan post test only control group design. Populasi pada penelitian ini adalah seluruh ibu hamil primipara trimester III yang berkunjung ke klinik Mahanum, sedangkan jumlah sampel adalah sebesar 32 sampel dengan dua kelompok yaitu kelompok intervensi dan kelompok kontrol. Dari hasil analisis diperoleh nilai OR = 6.72 yang berarti ibu hamil primipara yang tidak dilakukan pijat perineum mempunyai peluang 6.72 kali terjadinya ruptur perineum dibandingkan dengan ibu hamil primipara yang dilakukan pijat perineum

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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