ASUHAN KEBIDANAN PADA IBU PRIMIGRAVIDA DENGAN PERSALINAN NORMAL DI RAWAT INAP PUSKESMAS SIKUMANA”TANGGAL 30 JUNI s/d 04 JULI 2016.

Pendahuluan : Persalinan merupakan kejadian fisiologi yang normal dalam kehidupan. Puskesmas Sikumana menunjukan bahwa pada tahun 2014 terdapat 269 persalinan dengan persalinan prematur sebanyak 20 persalinan, Tahun 2015 periode Januari-Desember jumlah persalinan normal adalah 259 orang (PWS Puskesmas Sikumana 2015). Pada bulan Januari- April 2016 terdapat 115 persalinan normal. Tujuan : Dapat meningkatkan pengetahuan mahasiswa mengenai asuhan kebidanan pada Ibu Primigravida dengan Persalinan Normal di Rawat Inap Puskesmas Sikumana dengan menggunakan 7 langkah varney. Desain Penelitian : Karya tulis ini merupakan laporan studi kasus dengan metode deskriptif. Populasi pada penelitian ini adalah Semua Ibu Bersalin yang sedang dirawat diruangan bersalin Puskesmas Sikumana.Sampel yang diambil 1 Ibu Primigravida dengan persalinan normal yang sedang di rawat di ruang bersalin Puskesmas Sikumana dengan teknik purposive sampling. Pembahasan : Asuhan dilakukan dengan pendekatan manajemen 7 langkah varney dan melakukan pendokumentasian pada kasus persalinan normal. Persalinan dimulai ketika adannya tanda-tanda persalinan dan berakhir setelah lahirnya plasenta. Penatalaksanaan dilakukan dengan persalinan normal tanpa episiotomi dengan hasil bayi lahir spontan dengan presentasi belakang kepala langsung menangis dengan pembersihan lendir, tanpa komplikasi baik pada ibu maupun pada janin. Kesimpulan : Masalah telah terselesaikan dengan menggunakan metode pendekatan 7 langkah varney dan tidak ditemukan adanya kesenjangaan dalam pelaksanaaan pertolongan persalinan dengan pertimbangan ibu primigravida, Keadaan umum ibu dan janin baik. Masalah telah terselesaikan, bayi dan ibu selamat

The importance of turbulent ocean–sea ice nutrient exchanges for simulation of ice algal biomass and production with CICE6.1 and Icepack 1.2

Different sea ice models apply unique approaches in the computation of nutrient diffusion between the ocean and the ice bottom, which are generally decoupled from the calculation of turbulent heat flux. A simple molecular diffusion formulation is often used. We argue that nutrient transfer from the ocean to sea ice should be as consistent as possible with heat transfer, since all of these fluxes respond to varying forcing in a similar fashion. We hypothesize that biogeochemical models that do not consider such turbulent nutrient exchanges between the ocean and the sea ice, despite considering brine drainage and bulk exchanges through ice freezing and melting, may underestimate bottom-ice algal production. The Los Alamos Sea Ice Model (CICE + Icepack) was used to test this hypothesis by comparing simulations without and with diffusion of nutrients across the sea ice bottom that are dependent on velocity shear, implemented in a way that is consistent with turbulent heat exchanges. Simulation results support the hypothesis, showing a significant enhancement of ice algal production and biomass when nutrient limitation was relieved by bottom-ice turbulent exchange. Our results emphasize the potentially critical role of turbulent exchanges to sea ice algal blooms and thus the importance of properly representing them in biogeochemical models. The relevance of this becomes even more apparent considering ongoing trends in the Arctic Ocean, with a predictable shift from light-limited to nutrient-limited growth of ice algae earlier in the spring, as the sea ice becomes more fractured and thinner with a larger fraction of young ice with thin snow cover

Dependency of Arctic zooplankton on pelagic food sources: New insights from fatty acid and stable isotope analyses

Global warming causes dramatic environmental change to Arctic ecosystems. While pelagic primary production is initiated earlier and its intensity can be increased due to earlier ice melt and extended open-water periods, sea-ice primary production is progressively confined on a spatio-temporal scale, leading to unknown consequences for the ice-associated (sympagic) food web. Understanding ecological responses to changes in the availability and composition of pelagic and sympagic food sources is crucial to determine potential changes of food-web structure and functioning in Arctic marine communities under increasingly ice-free conditions. Focus was placed on the importance of suspended particulate organic matter vs. sympagic organic matter for 12 zooplankton species with different feeding modes covering five taxonomic groups (copepods, krill, amphipods, chaetognaths, and appendicularians) at two ice-covered, but environmentally different, stations in the north-western Barents Sea in August 2019. Contributions of diatom- and flagellate-associated fatty acids (FAs) to total lipid content and carbon stable isotopic compositions of these FAs were used to discriminate food sources and trace flows of organic matter in marine food webs. Combination of proportional contributions of FA markers with FA isotopic composition indicated that consumers mostly relied, directly (herbivorous species), or indirectly (omnivorous and carnivorous species), on pelagic diatoms and flagellates, independently of environmental conditions at the sampling locations, trophic position, and feeding mode. Differences were nevertheless observed between species. Contrary to other studies demonstrating a high importance of sympagic organic matter for food-web processes, our results highlight the complexity and variability of trophic structures and dependencies in different Arctic food webs

Effect of demographic noise in a phytoplankton-zooplankton model of bloom dynamics

An extension of the Truscott-Brindley model (Bull. Math. Biol. {\bf 56}, 981 (1994)) is derived to account for the effect of demographic fluctuations. In the presence of seasonal forcing, and sufficiently shallow water conditions, the fluctuations induced by the discreteness of the zooplankton component appear sufficient to cause switching between the bloom and no-bloom cycle predicted at the mean-field level by the model.The destabilization persists in the thermodynamic limit of a water basin infinitely extended in the horizontal direction.Comment: 10 pages, 8 figure

Tidewater glaciers as “climate refugia” for zooplankton-dependent food web in Kongsfjorden, Svalbard

With climate warming, many tidewater glaciers are retreating. Fresh, sediment-rich sub-glacial meltwater is discharged at the glacier grounding line, where it mixes with deep marine water resulting in an upwelling of a plume visible in front of the glacial wall. Zooplankton may suffer increased mortality within the plume due to osmotic shock when brought in contact with the rising meltwater. The constant replenishment of zooplankton and juvenile fish to the surface areas attracts surface-foraging seabirds. Because access to other feeding areas, such as the marginal ice zone, has become energetically costly due to reduced sea-ice extent, glacial plumes may become increasingly important as “climate refugia” providing enhanced prey availability. Here, we investigated zooplankton concentrations within the plume and adjacent waters of four tidewater glaciers in Kongsfjorden, Svalbard, in early August 2016 and late July 2017. Our aim was to compare the zooplankton composition, abundance, and isotopic signatures within the plumes to those in adjacent fjord and shelf waters. Our hypothesis was that the plumes resulted in increased zooplankton mortality through osmotic shock and increased prey availability to predators. The mortality due to osmotic shock in the glacial plume was low (<5% dead organisms in samples), although slightly higher than in surrounding waters. This indicates that plumes are inefficient “death traps” for zooplankton. However, the high abundance and biomass of zooplankton within plume areas suggest that the “elevator effect” of rising glacial water supplies zooplankton to the sea surface, thereby enhancing prey availability for surface-feeding seabirds. Thus, our study provides evidence that glacial plumes are important as “climate refugia” for foraging seabirds. Stable isotope signatures showed that the glacial bay zooplankton and fish community represent a distinct isotopic niche. Additionally, zooplankton mortality associated with the plume estimated over 100-days of melt season supports a flux of 12.8 tonnes of organic carbon to benthic communities in the glacial bays. Benthic scavengers, such as Onisimus caricus and Anonyx nugax, were abundant in the glacial bay, where they feed on sinking organic matter.publishedVersio

Carbon export in the seasonal sea ice zone north of Svalbard from winter to late summer

Phytoplankton blooms in the Arctic Ocean's seasonal sea ice zone are expected to start earlier and occur further north with retreating and thinning sea ice cover. The current study is the first compilation of phytoplankton bloom development and fate in the seasonally variable sea ice zone north of Svalbard from winter to late summer, using short-term sediment trap deployments. Clear seasonal patterns were discovered, with low winter and pre-bloom phytoplankton standing stocks and export fluxes, a short and intense productive season in May and June, and low Chl a standing stocks but moderate carbon export fluxes in the autumn post-bloom conditions. We observed intense phytoplankton blooms with Chl a standing stocks of >350 mg m−2 below consolidated sea ice cover, dominated by the prymnesiophyte Phaeocystis pouchetii. The largest vertical organic carbon export fluxes to 100 m, of up to 513 mg C m−2 day−1, were recorded at stations dominated by diatoms, while those dominated by P. pouchetii recorded carbon export fluxes up to 310 mg C m−2 day−1. Fecal pellets from krill and copepods contributed a substantial fraction to carbon export in certain areas, especially where blooms of P. pouchetii dominated and Atlantic water advection was prominent. The interplay between the taxonomic composition of protist assemblages, large grazers, distance to open water, and Atlantic water advection was found to be crucial in determining the fate of the blooms and the magnitude of organic carbon exported out of the surface water column. Previously, the marginal ice zone was considered the most productive region in the area, but our study reveals intense blooms and high export events in ice-covered waters. This is the first comprehensive study on carbon export fluxes for under-ice phytoplankton blooms, a phenomenon suggested to have increased in importance under the new Arctic sea ice regime