Gambaran Luaran Hasil Persalinan pada Pasien Preeklamsia-eklamsia di RSUD Dr Soedarso Periode 1 Januari 2011-31 Desember 2011

Background. Preeclamsia is a pregnancy-specific syndrome whichreduce organ perfusion because of vasospasm and endothelial activation.The combination of proteinuria and hypertension during pregnancy willincrease the risk of perinatal and maternal mortality and morbidity. Objective. This research would characterized patient, neonatal outcomeand maternal outcome at dr. Soedarso General Hospital Pontianak. Method. This research is a descriptive study. The sample was taken bynon probability sampling with consecutive sampling. This research was carried out at dr. Soedarso General Hopital on December 2011-June2012. The data were taken from Medical Record at dr. Soedarso GeneralHospital Pontianak. Result. Total case of preeclamsia-eclamsia were 275 patient which 219maternal and 232 neonatal became the sample of this research. Characteristic of patients was mostly on 20-30 years old patiens (18,7%),nullipara (39,7%) and gestational age >37 weeks (78,1%). Neonataloutcome with severe asphyxia was 9,1% and moderate ashpyxia was16,3%. Morbidity on maternal was 23,7%, which are hypertensiveretinopathy (5,9%), solutio placenta (1,8%), pain in epigastric regio (1,4%),pulmonary edema (0,9%), HELLP syndrome (0,5%), postpartum eclamsia(0,5%), hemiparesis sinistra and NVII peripheral lesion (0,5%), dyspnea(0,5%), decompensation cordis (0,5%), hematoma placenta (0,5%) andascites (0,5%). Maternal mortality was 0,9% and neonatal mortality was9,9%. Conclusion. The characterize of maternal preeclamptic-eclamptic patientswas 20-30 years old, nullipara and gestational age >37 weeks.Preeclamsia-eclamsia cause morbidity and mortality on neonatal andmaternal. Keyword: Preeclamsia-eclamsia, neonatal outcome, maternal outcome1. Medical School, Faculty of Medicine, University of Tanjungpura Pontianak, West Kalimantan2. Department of Obstetrics and Gynecology, dr. Soedarso General Hospital Pontianak, West Kalimantan3. Departement of Parasitology, Medical School, Faculty of Medicine, University of Tanjungpura, Pontianak, West Kalimanta

Penerapan Konseling Eksistensial dengan Teknik Logoterapi untuk Meningkatkan Rasa Percaya Diri pada Siswa Kelas XI Ak - Pms dan XII Oto Smk Kosgoro 1 Balongbendo

Penelitian ini bertujuan untuk mengetahui penerapan konseling eksistensial dengan teknik logoterapi untuk meningkatkan rasa percaya diri siswa kelas XI AK-PMS dan XII OTO SMK Kosgoro 1 Balongbendo terhadap kemampuan, penguasaan individu terhadap bidang atau tugas, serta dalam menemukan makna diri. Jenis penelitian ini merupakan penelitian kuantitatif dengan metode penelitian eksperimen. Bentuk desain yang digunakan dalam penelitian ini adalah one group pre-test and post-test design. Alat pengumpul data yang digunakan adalah angket percaya diri siswa untuk memperoleh data tingkat percaya diri siswa kelas XI AK-PMS dan XII OTO SMK Kosgoro 1 Balongbendo. Subyek dalam penelitian ini adalah 5 siswa dari kelas XI AK-PMS dan XII OTO yang memiliki skor percaya diri dengan kategori rendah. Teknik analisis data yang digunakan adalah statistic non parametik analisis uji tanda. Hasil analisis menunjukkan bahwa nilai ρ = 0,031 lebih kecil dari α = 0,05. berdasarkan hasil ini maka Ho ditolak dan Ha diterima. Dari hasil perhitungan diketahui rata-rata pre-test 90 dan rata-rata post-test 115,8. Hipotesis penelitian ini yang berbunyi” penerapan konseling eksistensial degan teknik logoterapi dapat meningkatkan rasa percaya diri siswa kelas XI AK-PMS dan XII OTO SMK Kosgoro 1 Balongbendo” dapat diterima, sehingga dapat disimpulkan bahwa penerapan logoterapi dapat meningkatkan rasa percaya diri siswa kelas XI AK-PMS dan XII OTO SMK Kosgoro 1 Balongbendo. Kata Kunci : Konseling eksistensial, Logoterapi, Rasa percaya dir

Perbandingan Pertumbuhan Jamur Tiram Putih di Kumbung Ciseeng dan Universitas Al-Azhar Indonesia

White oyster mushroom (Pleurotus ostreatus) is one of wood fungi which easy to grow at rotting wood and organic waste. White oyster mushroom is rich in protein, carbohydrates, minerals, and vitamins. Environmental factors affecting the growth of white oyster mushrooms is temperature and humidity. The study aims to compare the growth and production of white oyster mushroom in different location, Ciseeng and University of Al-Azhar Indonesia (UAI). Cultivation in UAI done in a controlled situation using autoclave sterilization, inoculation using enkas and the treatment is watering on gunny sack in the mushroom house regularly. Whereas, cultivation in Ciseeng less controlled by traditional cultivation using steam sterilization and inoculation process at open space. Wet weight, dry weight, and biological efficiency results is higher in UAI than Ciseeng at 7.95%, 14.5%, and 7.34% higher, respectively. Morphological parameter such as number of fruiting body, mushroom cap diameters, and stem lenght also show better in UAI than Ciseeng at 23.67%, 8.75%, 54.96% higher, respectively. Better result of mushroom cultivation at UAI supported by 28.3oC average temperature and 93.95% humidity, meanwhile in Ciseeng average temperature and humidity was 29.25oC and 82.15%

Sparse Radiocarbon Data Confound Culture-Climate Links in Late Pre-Columbian Amazonia

It has recently been argued that pre-Columbian societies in the greater Amazon basin during the Late Holocene were subject to “adaptive cycling”. In this model, cultures practicing “intensive” land use practices, such as raised field agriculture, were vulnerable to perturbations in hydroclimate, whereas “extensive” land use patterns, such as polyculture agroforestry, are viewed as more resilient to climate change. On the basis of radiocarbon data, the relative rise and fall of late pre-Columbian cultures and their inferred patterns of land use in six regions are highlighted to exemplify this model. This paper re-examines the radiocarbon evidence marshalled in favour of adaptive cycling, demonstrating that alleged temporal patterning in these data are overwhelmingly likely due to a combination of sampling effects, lack of statistical controls, and unacknowledged uncertainties that are inherent to radiocarbon dating. The outcome of this combination of factors seriously limits the possibility of cross-referencing archaeological data with palaeo-ecological and -climatological data without controlling for these effects, undermining the central archaeological pillar in support of adaptive cycling in Amazonia. This paper illustrates examples of such mitigation measures and provides the code to replicate them. Suggestions for how to overcome the serious limitations identified in the Late Holocene radiocarbon record of Amazonia are presented in the context of ongoing debates on inferring climatic causation in archaeological and historical datasets

Widespread population decline in South America correlates with mid-Holocene climate change

Quantifying the impacts of climate change on prehistoric demography is crucial for understanding the adaptive pathways taken by human populations. Archaeologists across South America have pointed to patterns of regional abandonment during the Middle Holocene (8200 to 4200 cal BP) as evidence of sensitivity to shifts in hydroclimate over this period. We develop a unified approach to investigate demography and climate in South America and aim to clarify the extent to which evidence of local anthropic responses can be generalised to large-scale trends. We achieve this by integrating archaeological radiocarbon data and palaeoclimatic time series to show that population decline occurred coeval with the transition to the initial mid-Holocene across South America. Through the analysis of radiocarbon dates with Monte Carlo methods, we find multiple, sustained phases of downturn associated to periods of high climatic variability. A likely driver of the duration and severity of demographic turnover is the frequency of exceptional climatic events, rather than the absolute magnitude of change. Unpredictable levels of tropical precipitation had sustained negative impacts on pre-Columbian populations lasting until at least 6000 cal BP, after which recovery is evident. Our results support the inference that a demographic regime shift in the second half of the Middle Holocene were coeval with cultural practices surrounding Neotropical plant management and early cultivation, possibly acting as buffers when the wild resource base was in flux

Peran Desa Sebagai Basis Migrasi Aman dalam Perlindungan Tenaga Kerja Indonesia

The lack of knowledge possessed by Indonesian labor abroad gives rise to some vulnerability. An urgent problem to solve is the formulation of village regu-lations on the protection of the Pamijen Village workforce in order for Indonesian workers from Pamijen Village to be protected for safe migration and to ensure that abandoned families can educate abandoned children well. This research uses a qualitative approach because it has advantages in constructing social reality, cultural meaning, focusing on interactive processes and events. The authors discussed with Pamijen Village Government to get inputs related to improving the capacity of the village apparatus through training on the formulation of Village Regulations on the Protection of Indonesian Workers and then conducting public hearing activities through focus group discussions. The results of the research conducted in Pamijen Village, Sokaraja Sub-district resulted in an agreement to draft the Pamijen Village Rule of Re-gulation on the Protection of Prospective Indonesian Workers/ Indonesian Migrant Workers and Their FamiliesKeywords: Village, Protection, Indonesian Worke

Monumental snake engravings of the Orinoco River

Rock art of the Middle and Upper Orinoco River in South America is characterised by some of the largest and most enigmatic engravings in the world, including snakes exceeding 40m in length. Here, the authors map the geographic distribution of giant snake motifs and assess the visibility of this serpentine imagery within the Orinoco landscape and Indigenous myths. Occupying prominent outcrops that were visible from great distances, the authors argue that the rock art provided physical reference points for cosmogonic myths, acting as border agents that structured the environment and were central to Indigenous placemaking along the rivers of lowland South America

Mixed Methods: Expectations Versus Facts on the Implementation of Adolescent care Health Service

Percentage of adolescents in Indonesia nearly reaches 30% of the total population. This amount is relatively huge and able to be the nation’s asset, if it is managed properly. Various adolescent reproductive health programs have been conducted in diverse sectors—governmental or even non-governmental. One of which is called the Adolescent Care Health Service (ACHS). This research aims to identify adolescent expectations and facts on ACHS program implementation. Research methods were used mixed methods. Quantitative data were collected from 842 respondents (high school students in Surabaya, Indonesia) from questionnaires, while qualitative data were collected from interviews with quantitative respondents at the same time using purposive random sampling. Data analysis was also conducted with the mixed methods using quantitative and qualitative descriptive, based on the data and information collected. Research results showed that 76.2% did not know the existence of ACHS program and 90% had never accessed the program. Qualitative data implied that adolescent hoped for an adolescent health program which fitted adolescents’ characteristics, needs and capacities; for instance, one which utilized entertaining method and media. However, in fact, the method and media used had a patronizing tendency and based on the informants were very boring and moreover, the adolescents’ involvement in the program planning was only 8.4%. According to the ACHS implementaion national standard, adolescents need to be involved starting from planning to evaluation of the program. In addition to that, the ACHS program is supposed to be adolescent-friendly—fit the adolescent needs