Keberhasilan Pelaksanaan Inisiasi Menyusu Dini di Rumah Bersalin dan Balai Pengobatan Taman Sari Pekanbaru

Salah satu upaya yang dapat dilakukan untuk meningkatkan cakupan ASI eksklusif adalah melalui Inisiasi Menyusu Dini (IMD). Ada beberapa faktor yang dapat mempengaruhi keberhasilan pelaksanaan IMD diantaranya, kurangnya informasi ibu tentang IMD, kurangnya dukungan dari keluarga dan kurangnya motivasi dari petugas kesehatan. Tujuan dari penelitian ini adalah untuk mengetahui keberhasilan pelaksanaan IMD di Rumah Bersalin dan Balai Pengobatan Taman Sari Pekanbaru Tahun 2010. Penelitian ini menggunakan metode kualitatif. Subjek penelitian adalah ibu nifas yang melahirkan secara normal dan telah melaksanakan IMD, salah satu anggota keluarga ibu dan bidan. Cara pengambilan data dilakukan dengan observasi dan wawancara mendalam. Variabel yang dianalisis adalah pengetahuan ibu, motivasi keluarga dan motivasi petugas terhadap keberhasilan pelaksanaan IMD di Rumah Bersalin dan Balai Pengobatan Taman Sari Pekanbaru Tahun 2010. Hasil penelitian diperoleh bahwa pelaksanaan IMD belum terlaksana dengan baik dan benar dan pelaksanaan IMD belum berhasil. pengetahuan ibu tentang IMD masih rendah sehingga ibu tidak termotivasi untuk melaksanakan IMD sampai berhasil. Kurangnya informasi tentang IMD yang diperoleh keluarga ibu menjadi dasar motivasi dari keluarga juga rendah sehingga tidak dapat meningkatkan percaya diri ibu saat melaksanakan IMD. Motivasi petugas masih rendah. Hal ini dapat dilihat dari petugas tidak pernah memberikan informasi tentang IMD kepada ibu dan pelaksanaan IMD hanya berlangsung 15 menit. Disarankan kepada bidan di Rumah Bersalin dan Balai Pengobatan Taman Sari Pekanbaru untuk dapat meningkatkan pengetahuan tentang IMD, memberikan informasi tentang IMD kepada pasien dan memasang poster-poster tentang IMD

Analisis Antrian Pasien Instalasi Rawat Jalan Rsup Dr. Kariadi Bagian Poliklinik, Laboratorium, Dan Apotek

Queue process is a process of the coming of a customer to a service facility, then waiting in line (queue) when the officers busy, and leaving the place after getting the service. Patient's line at RSUP DR. Kariadi is a lot enough then it will making the service from the hospital isn't optimal as a result. Hence, it needed a queue model to optimize the service to patient. From the result of the analysis in RSUP Dr. Kariadi it gives the best queue models is in polyclinic area second floor, laboratory, and pharmacy

The Relationship of Energy Intake, Nutrition Knowledge, Physical Activity and the Incidence of Overweight in Police Officers in Tampan Police Departmen, Pekanbaru, in 2017

Overweight is an abnormal or excessive fat accumulation that is likely to cause various illnesses and adverse effects on a person. Overweight is the 5th leading cause of death in the world. Overweight can be an individual health problem of different jobs, including police officers, who are responsible for public safety. This study aimed to determine the relationship between energy intake, nutritional knowledge, physical activity and the incidence of overweight in Police officers in Tampan Police Department, Pekanbaru, in 2017. The design was cross sectional study. The population were police officers in Tampan Police Department, Pekanbaru, in 2017 which amounted to 98 policemen. The samples were 74 policemen. Data analysis used univariate and bivariate anlysis with chi-square test. The result showed that there were significant relationship of energy intake, nutrition knowledge, physical activity, and the incidence of overweight in police officers (p value < 0.05). Tampan Police Department should consider activities related to physical activity and conduct regularly nutrition consultatio

STUDI PENDAHULUAN MENGENAI DEGRADASI ZAT WARNA AZO (METIL ORANGE) DALAM PELARUT AIR MENGGUNAKAN MESIN BERKAS ELEKTRON 350 keV/10 mA

Telah dilakukan penelitian mengenai degradasi zat warna azo jenis metil orange menggunakan mesin berkas elektron 350 keV/10mA. Penelitian ini bertujuan untuk mengetahui pengaruh radiasi berkas elektron, yaitu pengaruh dosis radiasi, pH, dan konsentrasi awal cuplikan. Selain itu dilakukan analisis kualitatif terhadap senyawa hasil degradasi. Proses iradiasi ini menggunakan dosis radiasi 5, 10, 20, 30 dan 40 kGy dengan energi operasi 300 keV dan kecepatan konveyor 2.7 cm/detik. Terhadap cuplikan ini diamati variasi pH dan variasi konsentrasi awal. pH metil orange diatur menjadi 2, 7, dan 12 dengan penambahan H2SO6N atau NaOH6N. Konsentrasi awal divariasi menjadi 10, 50, dan 100 ppm. Efisiensi degradasi dihitung dengan mengukur pengurangan intensitas warna cuplikan setelah iradiasi menggunakan spektrofotometer UV-Vis. Untuk analisis kualitatif senyawa hasil degradasi digunakan alat High Performance Liquid Chromatography, HPLC Hasil penelitian ini menunjukkan, bahwa semakin besar dosis radiasi semakin besar pula efisiensi degradasi. Pada variasi pH, efisiensi degradasi tertinggi diperoleh pada pH 2 dengan efisiensi 37.74 %. Pada variasi konsentrasi awal, diperoleh efisiensi tertinggi pada konsentrasi awal 10 ppm dengan efisiensi 21.54%. Lama waktu iradiasi adalah kira-kira 2-5 detik

Comparing neural correlates of conditioned inhibition between children with and without anxiety disorders - A preliminary study

Cognitive-behavioral therapy (CBT), a first-line treatment for pediatric anxiety disorders, is based on principles of threat learning and extinction. However, CBT does not work sufficiently for up to 40% of clinically anxious youth. The neural and behavioral correlates of conditioned inhibition might provide promising targets for attempts to improve CBT response. During conditioned inhibition, threat and safety cues appear together, forming a safety compound. Here, we test whether this safety compound elicits a reduced fear response compared to pairing the threat cue with a novel cue (novel compound). The current pilot study compares behavioral, physiological, and neural correlates of conditioned inhibition between children with (n=17, Mage=13.09, SD=3.05) and without (n=18, Mage=14.49, SD=2.38) anxiety disorders. Behavioral and physiological measures did not differ between children with and without anxiety disorders during fear acquisition. During testing, children with anxiety disorders showed overall higher skin conductance response and expected to hear the aversive sound following the novel compound more often than children without anxiety disorders. Children with anxiety disorders showed more activity in the right ventromedial prefrontal cortex (vmPFC) to the safety versus novel compound. Children without anxiety disorders showed the opposite pattern - more right vmPFC activity to the novel versus safety compound (F(1,31)=5.40, p=0.03). No group differences manifested within the amygdala, dorsal anterior cingulate cortex, or hippocampus. These pilot findings suggest a feasible approach for examining conditioned inhibition in pediatric anxiety disorders. If replicated in larger samples, findings may implicate perturbed conditioned inhibition in pediatric anxiety disorders and provide targets for CBT

Cambodian Higher Education Governance: The Politics of Global Summitry and Clientelism

This chapter uses the concepts of “global summitry” and “clientelism” to theorize higher education governance in Cambodia. After reviewing the history of higher education since the 1960s, the chapter analyzes the country’s experiences amid regional attempts to harmonize standards, degree structures, quality assurance systems, and credit systems in Southeast Asia. Rather than explicit intervention into Cambodia’s higher education sector as has been historically common, the contemporary order transmits policy and governance practices through various regional and international forums, creating a seemingly homogenous system of higher education. External influence through global summitry, however, must be paired with a recognition of the prevalence of clientelism. By exploring the case of the Accreditation Council of Cambodia, higher education governance is shown to reproduce the engrained system of clientelism, empowering elites and contributing further to systems of informal patronage. The chapter concludes with recent (up to April 2016) developments in higher education governance, offering some observations and obstacles for future development in the sector

Siloxane Based Organic-Inorganic Hybrid Polymers and Their Applications for Nanostructured Optical/Photonic Components

We have studied the preparation of organic-inorganic hybrid polymer precursors by sol-gel technique and their utilization for nanostructured optical components for photonic applications. The gel polymer precursors were prepared from siloxane modified by polymerizable acrylate groups, which can be processed further by photopolymerization process. Molecular structure characterizations by means of the FTIR measurements indicate the conversion of C=C bonds into C-C bonds after photopolymerization. This bond co nversion produces high cross-linking between the organic and inorganic moieties, resulting in thermally stable and chemically resistant thin polymer layer which provide unique advantages of this material for particular optical/photonic applications. By employing laser interference technique, gratings with periodicity between 400-1000 nm have been successfully fabricated. Application of those sub-micron periodicity of grating structure as active elements in optically pumped polymer laser system and Surface Plasmon Resonance (SPR) based measurement system have been also explored. The experimental results therefore also show the potential applications of this hybrid polymer as a building material for micro/nano-photonics components

Computational modeling of threat learning reveals links with anxiety and neuroanatomy in humans

Influential theories implicate variations in the mechanisms supporting threat learning in the severity of anxiety symptoms. We use computational models of associative learning in conjunction with structural imaging to explicate links among the mechanisms underlying threat learning, their neuroanatomical substrates, and anxiety severity in humans. We recorded skin-conductance data during a threat-learning task from individuals with and without anxiety disorders (N=251; 8-50 years; 116 females). Reinforcement-learning model variants quantified processes hypothesized to relate to anxiety: threat conditioning, threat generalization, safety learning, and threat extinction. We identified the best-fitting models for these processes and tested associations among latent learning parameters, whole-brain anatomy, and anxiety severity. Results indicate that greater anxiety severity related specifically to slower safety learning and slower extinction of response to safe stimuli. Nucleus accumbens gray-matter volume moderated learning-anxiety associations. Using a modeling approach, we identify computational mechanisms linking threat learning and anxiety severity and their neuroanatomical substrates

A contextualização da gravidez na adolescência em uma maternidade de São Carlos/SP

O presente estudo aborda a gravidez na adolescência e teve por objetivos realizar um levantamento da incidência da gravidez na adolescência e conhecer o perfil das puérperas adolescentes em uma maternidade do município de São Carlos/SP. Trata-se de um estudo quantitativo e descritivo. Participaram 165 adolescentes e a maior parte se encontrava na faixa etária de 16 a 19 anos e era amasiada. Apenas 52,7% estava estudando antes da gravidez e, apenas 30,9% pretendia retornar. Cerca de 47,3% tinha renda familiar entre um a três salários mínimos. O índice de gravidez não planejada foi de 72,1%, e o de conhecimento de métodos anticoncepcionais foi de 99,4%, destacando-se o anticoncepcional oral e o preservativo. Acredita-se que a realização de programas educativos sobre desenvolvimento sexual e de comunicação nas escolas devam ser desenvolvidos, com o envolvimento dos pais, professores e profissionais de saúde, de forma a prevenir a gravidez na adolescência. Descritores: Adolescência; Gravidez; Medicina Reprodutiva; Enfermagem