ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. N MASA HAMIL SAMPAI DENGAN NIFAS DAN KB DI BPS SRI ISNAWATI SIDOARJO

Asuhan kebidanan berkelanjutan (continuity of care) yaitu pemberian asuhan kebidanan sejak kehamilan, bersalin, nifas, neonatus hingga memutuskan menggunakan KB ini bertujuan sebagai upaya untuk membantu memantau dan mendeteksi adanya kemungkinan timbulnya komplikasi yang menyertai ibu dan bayi dari masa kehamilan sampai ibu menggunakan KB. Adapun tujuan dari penyusunan Laporan Tugas Akhir ini untuk memberikan asuhan kebidanan berkelanjutan (continuity of care) dan melakukan dokumentasi SOAP pada ibu hamil, bersalin, massa nifas dan KB dengan menggunakan menejemn kebidanan Metode yang digunakan penulis adalah asuhan kebidanan berkelanjutan (continuity of care) di BPS Sri Isnawati Sidoarjo dan melalui kunjungan rumah. Asuhan kebidanan yang diberikan pada Ny.”N” berlangsung ± 9 minggu dari masa kehamilan 34-35 minggu, bersalin, nifas, neonatus sampai KB dengan frekuensi kunjungan hamil sebanyak 2 kali, persalinan 1 kali, nifas 4 kali, neonatus 4 kali,serta KB sebanyak 2 kali. Pada Ny.”N” proses kehamilan berjalan dengan fisiologis adapun keluhan pada kunjungan kedua yaitu nyeri perut bawah namun penulis telah melakukan penatalaksanaan sesuai teori sehingga dapat mengurangi keluhan ibu. Proses persalinan berlangsung normal di BPS Sri Isnawati dengan kala I selama 30 menit, kala II 15 menit, kala III 5 menit dan kala iv 2 jam. Pada tanggal 16 April 2016 pukul 10.45 WIB telah lahir bayi berjenis kelamin perempuan, langsung menangis, tonus otot baik, warna kulit merah, berat badan 2800 gr dan panjang badan 50 cm. Pada asuhan kebidanan masa nifas ibu mengeluh kaki bengkak dan sakit kepala. Kedua hal tersebut perlu diwaspadai adanya tanda-tanda bahaya masa nifas. Setelah penulis memberikan asuhan kebidanan dengan memberikan HE tentang aktivitas dan istirahat cukup keluhan tersebut mulai hilang.. Kunjungan keluarga berencana dilakukan 2 kali, pada kunjungan pertama ibu telah memutuskan untuk menggunakan KB suntik 3 bulan setelah diberikan konseling mengenai kelebihan, keterbatasan serta efek samping metode KB. Selanjutnya pemberian KB suntik 3 bulan pada Ny.”N” dilakukan pada kunjungan kedua. Pada Ny.”N” proses kehamilan berjalan dengan fisiologis tidak ada masalah maupun komplikasi walaupun pada TM II ibu mengalami anemia ringan. Seluruh proses persalinan berlangsung normal dan lancar < 8 jam tanpa ada penyulit atau komplikasi dan penatalaksanaan telah dilakukan sesuai APN 58. Selama memberikan asuhan kebidanan pada neonatus tidak ditemukan adanya masalah maupun kesenjangan antara teori dan fakta. Walaupun masa nifas terdapat keluhan kaki bengkak dan sakit kepala penatalaksanaan asuhan kebidanan pada Ny.”N” berlangsung fisiologis dan tidak terjadi komplikasi lebih lanjut. Dalam memberikan asuhan kebidanan KB ibu telah diberikan konseling dan memutuskan menggunakan KB suntik 3 bulan pada 42 hari postpartum Asuhan kebidanan berkelanjutan (continuity of care) yang telah dilakukan pada Ny. “N” saat hamil, bersalin, masa nifas, bayi baru lahir, dan keluarga berencana didapatkan hasil pemeriksaan dalam batas normal dan tidak ada penyulit yang menyertai. Diharapkan profesi bidan dalam memberikan asuhan kebidanan berkelanjutan (continuity of care) selanjutnya selalu menerapkan manajemen kebidanan, mempertahankan dan meningkatkan kompetensi dalam memberikan asuahan sesuai standar pelayanan kebidanan

Synthesis and characterisation of highly fluorescent polythiophene based composite nanofibers

Fluorescent conducting polymer, polythiophene (PT) and PT derivative, poly (3-hexylthiophene) (P3HT) were synthesised using chemical oxidative polymerisation technique. The polymerisation period for PT were varied to examine the effect of polymerisation time on the properties of PT. PT and P3HT showed interesting characteristics including high fluorescent, whereas the PT synthesised in 3 hours (PT(3h)) has shown antimicrobial properties. The antibacterial activity of PT and PT3HT obtained was evaluated against Bacillus subtilis (B145), Escherichia coli (E266), and Candida albicans (C244). This antibacterial study demonstrated that PT (3h) contains antimicrobial properties on both Bacillus subtilis and Escherichia coli. From the solubility test, PT (3h) and P3HT were further used in the preparation of the composite nano/microfibers with polystyrene (PS) through electrospinning technique. These fibres have the potential to be used in a range of applications that includes antimicrobial materials and sensing

A development of prototype web based template teaching aid system / Harizan Zuria Zakaria

One of the major problems with subject notes given by lecturers is that it is not standardized with other lecturer's notes even for the one particular same subject. Standardization of notes is necessary to make teaching and learning process more efficient and beside that it's a benefit for the lecturers and the students. This research is focusing on development of prototype Web Based Template Teaching Aid System that allows the lecturers to edit and write notes in the same styles and also acts as a distribution center of notes. The objectives of this project are to design and develop template that will enable lecturer's notes to be standardized and to design the interface of the prototype. To choose or identify the best slide layout design that being used in this prototype, researcher had made an analysis to many slide layout design samples. Through this development, this web based system provides one platform to user in order to manage notes in a simple way and information can be shared and spread via the Internet

KAJIAN KETERAMPILAN INTELEKTUAL MAHASISWA UNESA DALAM MENGENALI BERITA HOAX DI MEDIA SOSIAL

Kemudahan yang diberikan oleh media sosial nyatanya membuat informasi dapat tersebar dengan cepat. Pengunaan media sosial teryata tidak selalu memberika dampak positif, namun juga dampak negatif yang salah satunya adalah berita hoax. Berita hoax merupakan berita yang tidak sesuai dengan fakta, berita dibuat berdasarkan opini penulis. Untuk mencegah penyebaran berita hoax di media sosial maka diperlukan keterampilan intelektual. Tujuan penelitian ini adalah untuk mengetahui gambaran umum keterampilan intelektual mahasiswa Unesa dalam mengenali berita hoax di media sosial. Metode penelitian ini adalah deskriptif kuantitatif. Data dikumpulkan dengan menggunakan angket tertutup, yaitu angket yang telah disediakan pilihan jawaban. Penelitian ini dilakukan pada 100 mahasiswa yang dijadikan sampel penelitian, yang terdiri dari 23 mahsiswa angkatan 2014, 24 mahasiswa angkatan 2015, 25 mahasiswa angkatan 2016, dan 26 mahasiswa dari angkaan 2017. Hasil dari penelitian ini menunjukan bahwa mahasiswa Unesa telah mampu mengenali berita hoax yang ada di media, hal tersebut berdasarkan total skor pada setiap indikator. Dalam penelitian mahasiswa Unesa mempunyai kecakapan paling tinggi dalam indikator mempertahankan pendapat dengan rata-rata jawaban sejumlah 13,40, sedangkan kecakapan yang paling rendah adalah mengidentifikasi, denga rata-rata jawaban sejumlah 12,94. Sedangakan untuk gambaran umum keterampilan intelektual mahasiswa Unesa, mahasiswa Unesa yang memiliki kriteria sangat cakap sebanyak 49 mahasiswa, kemudian kriteria cakap sebanyak 49 mahasiswa , dan 2 mahasiswa tidak cakap dalam mengenali berita hoax di media sosial. Kemudian dari 4 angkatan 2014, 2015, 2016, dan 2017, angkatan 2015 merupakan angkatan yang sangat cakap dengan rata-rata jawaban sejumlah 91,15, sedangkan angkatan 2014 merupakan angkatan yang memiliki rata-rata jawaban yang paling rendah yaitu 85.8. Kata Kunci : Keterampilan Intelektual, Berita Hoa

Satellite-derived estimates of phytoplankton biomass off Southern Baja California

"Se utilizaron todas las estimaciones disponibles de la concentración de pigmentos fotosintéticos derivadas de datos generados por el sensor Coastal Zone Color Scanner (CZCS) en el periodo 19781986, para interpretar las variaciones espaciales y temporales de la biomasa de fítoplancton, en un transecto de punta San Hipólito (27°N, 114°30’0) a cabo Corrientes (20°3O’N, 105°30’0), frente al sur de Baja California, México. Las mayores concentraciones de pigmentos fotosintéticos se presentaron cerca de la costa. Se sugiere que se debieron a surgencias y a la interacción entre las corrientes marinas y la fisiografía local. Frente a cabo San Lucas se observó un frente recurrente. con gradientes fuertes de las concentraciones de pigmentos al final de primavera e inicios de verano, en años sin El Niño. Se presentó una clara variación estacional cerca de la costa. Inmediatamente al oeste de la península, se registraron valores grandes de pigmentos de febrero a agosto (3 a 8 mg m-1). Frente a cabo Corrientes los valores altos se presentaron de enero a mayo (5 a 8 mg m-1). Estas áreas experimentan surgencias con fuerte estacionalidad. El Niño tuvo un claro efecto en la concentración de pigmentos, pero esta no fue la única causa de variación interanual. Se presentaron concentraciones relativamente bajas de pigmentos en todo el transecto, a partir de septiembre de 1982, a menudo con valores menores del 20% de los presentados en el periodo previo. Estas concentraciones bajas se mantuvieron hasta agosto de 1984 en la boca del golfo, y hasta diciembre de 1985 en la costa occidental de Baja California.""All available estimatcs of photosynthetic pigment concentration derived from data generated tluring I978- 1986 by the sensor Coastal Zone Color Scanner (CZCS) were used to interpret the spatial and temporal variations of phytoplankton biomass in a transept from Punta San Hipólito (27°N, 1 14° 30’W) to Cabo Corrientes (20°30’N. 105°30’W) off southern Baja California, Mexico. Highest pigment concentrations were present in areas near the coast. We suggest that they were due to upwelling and to intcraction between the marine currents and local physiography. A recurrent front was observed off Cabo San Lucas, with the strongest pigment concentration gradients at the end of spring and beginning of summer, during non-El Niño years. There was a clear seasonal variation near the coast. lmmcdiatcly wcst of Baja California. high pigment values (3 to 8 mg m-3) were observed from February through August. Off Cabo Corrientes, high values occurred from .lanuary through May (5 to 8 mg m-3). These areas experience strong seasonal upwelling. El Niño had a clear effect on pigment concentration, hut it was not the only cause of interannual variation. There were relatively low pigmcnt concentrations throughout the whole transept starting in September 1982, with values often lowcr than 20% of those during the previous period. These low concentrations were maintained through August 1984 at the entrance to the gulf, and through December 1985 off the west coast of Baja California.

Formulasi Dan Uji Aktivitas Antipiretik Plester Hidrogel Ekstrak Etanol Daun Kelor (Moringa oleifera Lam)

Fever can be defined as a state of body temperature above normal more than 37.5 oC. Fever is characterized as a symptom of infectious and non-infectious diseases. One way to reduce fever with traditional medicine is the Moringa plant. Moringa plant (Moringa oleifera Lam.) which contains flavonoid compounds is known to be efficacious as a fever reducer. This study aims to determine the formulation of the ethanolic extract of Moringa leaves (Moringa oleifera Lam.) in hydrogel plaster as a fever reducer. This research method includes simplicia characterization, phytochemical screening, and extraction by maceration. The extract was made in three hydrogel formulations as a fever-reducing plaster with a composition of every 30 g of preparation containing 5 g (FI), 7.5 g (FII), and 10 g (FIII) leaf extract. The tests carried out included organoleptic tests, pH tests, viscosity tests, homogeneity tests and temperature reduction tests on test animals. From the research results, the data were analyzed using SPSS with ANOVA test followed by Tukey's test. The results of the three Moringa leaf extract hydrogel formulas, namely FI, FII and FIII have the same characterization, namely semi-solid form, distinctive odor and brown color, hydrogel pH 5.0-6.5, viscosity 35380-93920 cP and homogeneous. The results of the decrease in body temperature of mice showed that FIII was the most effective in reducing the body temperature of mice with a time of 60 minutes

LEUKOCYTE PROFILE AND BODY CONDITION OF THE HOUSE FINCH (HAEMORHOUS MEXICANUS) IN TWO SITES WITH DIFFERENT LEVELS OF URBANIZATION IN CENTRAL MEXICO

Abstract  ∙  Urban birds are exposed to many potentially detrimental factors including human disturbance, noise, changes in predator communities, exposure to toxins, etc., which may influence their health and reproductive success. Some physiological indices provide immediate measures to evaluate the effects of human‐induced disturbances on birds and may offer information on the ability of populations to adapt to these disturbances. In this study we compared leukocyte profile (cellular immunity) and the H/L ratio (heterophils/lymphocytes) in House Finches (Haemorhous mexicanus) captured at two sites with different levels of urbanization in central Mexico. A total of 73 individuals were captured, 41 at the highly urbanized site and 32 at the site with lower urbanization. In general, we did not find differences in the H/L ratios, although some leukocyte parameters differed between sites. Birds captured at the site with higher urbanization had higher percentages of lymphocytes and eosinophils, which may be a response to parasitic illness. The proportions of basophiles were higher in individuals captured at the site with lower urbanization, which suggests physiological stress and disease. Even though only two sites were compared in this study, our results suggest an effect of the level of urbanization, and more studies are required that include various sites and that represent different urbanization conditions.Resumen ∙ Perfil leucocitario y condición corporal del Gorrión Mexicano (Haemorhous mexicanus) en dos sitios con diferente nivel de urbanización en el centro de México Las aves urbanas están expuestas a factores potencialmente perjudiciales incluyendo la perturbación humana, el ruido, cambios en la comunidad de depredadores, el incremento en la depredación, la exposición a toxinas, entre otros, los cuales influyen en su salud y éxito reproductivo. Ciertos índices fisiológicos proveen medidas inmediatas para evaluar los efectos de la perturbación humana en las aves y pueden ofrecer información de las habilidades de las poblaciones para adaptarse a dichas perturbaciones. En este estudio comparamos el perfil leucocitario (inmunidad celular) y la proporción H/L (heterófilos/linfocitos) en el Gorrión Mexicano (Haemorhous mexicanus) en dos sitios con diferente nivel de urbanización en el centro de México. Un total de 73 individuos fueron capturados, 41 en el sitio más urbanizado y 32 en el sitio menos urbanizado. En general, no encontramos diferencias en el índice H/L, sin embargo algunos parámetros leucocitarios difirieron entre sitios. Las aves capturadas en el sitio más urbanizado tuvieron mayor porcentaje de linfocitos y eosinófilos, lo cual puede estar indicando una respuesta a enfermedades parasitarias. El porcentaje de basófilos fue mayor en individuos capturados en el sitio menos urbanizado, lo que sugeriría estrés fisiológico o presencia de enfermedades. A pesar de que sólo fueron comparados dos sitios, los resultados sugieren un efecto del nivel de urbanización, pero se requieren trabajos con un mayor número de réplicas o sitios que representen diferentes condiciones de urbanización

Newton Homotopy Continuation Method for Solving Nonlinear Equations using Mathematica

In this paper, we solve the nonlinear equations by using a classical method and a powerful method.&nbsp; A powerful method known as homotopy continuation method (HCM) is used to solve the problem of classical method.&nbsp; We use Newton-HCM to solve the divergence problem that the classical Newton&rsquo;s method always faces. The divergence problem occurs when a bad initial guess is used. The problem with Newton&rsquo;s method happens when the derivative of given function at initial point equal to zero. The division by zero makes the scheme become nonsense. Thus, an approach used to solve this mathematical problem by using Newton-HCM. The results are implemented by mathematical software known as Mathematica 7.0. The results obtained indicate the ability of Newton-HCM to solve this mathematical problem

The relationship between corporate governance mechanisms and financial structure decision / Zuria Juhari

Corporate governance becomes actively debated over the last decade in analysing the influences on the company's financial decision. Good corporate governance practices possibly will have significant influence in making strategic decisions especially on financial structure of the company, that are taken by board of director. As a result of financial structure decision, there has been an existence of agency conflicts between ownership and management team. Agency theory suggests that there should have a separation of control between principal and agent, so that agent will act on behalf of principal in managing company's resources. Therefore, corporate governance is used as an important tool to mitigate this agency costs. Ordinary Least-squares (OLS) regression is used to investigate the influence of corporate governance variables on company's financial structure decision. The variables of corporate governance mechanisms measures in this thesis are board size, directors' remuneration, CEO duality, tenure of CEO and institutional ownership, while control variable represented by firm size. In addition, financial structure is measured by debt to equity ratio. The main objective of this thesis is to examine the type of financial structure decision among Malaysian companies whereas the second objective is to investigate the relationship between corporate governance mechanisms and financial structure. The results indicate that directors' remuneration has a positive significant relationship with financial structure decision for Malaysian companies. Board size, CEO duality, CEO tenure, and institutional ownership have positively insignificant relationship with the financial structure of the company in Malaysia. Firm size as a control variable used in this thesis has a significant relationship with the financial structure decisions. Overall, most of Malaysian companies prefer to use debt to finance company's operation rather than equity issuance. Keyword: Financial Structure, Corporate Governance, Debt to Equity, Bursa Malaysia