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Number of Sexual Partners and Sexual Activity Effect on Incidence of Syphilis in Women Sex Workers Commercial in Medan City
Syphilis is an infectious disease caused by treponema pallidum. Syphilis is still a health problem in the world and even syphilis is still a major cause of perinatal morbidity and mortality in many countries. Syphilis infects around 12 million people worldwide every year. The prevalence of syphilis in the female population of sex workers (WPS) infected with HIV is 16.7 percent while in WPS that is not infected with HIV 9.47 percent. The purpose of this study was to analyze the effect of the number of sexual partners and sexual activity on the events of syphilis in WPS in Medan. This research design case control with a total sample of 76 consists of 38 cases and 38 controls. The results showed that there was the influence of the number of sexual partners (p <0.001) and sexual activity (p <0.003) on the events of syphilis in WPS. In the number of sexual partners with the value of OR = 17.077 means that WPS suffering from syphilis has 17.077 times it is likely to have more than four customers per week compared to WPS who do not suffer from syphilis. Whereas in sexual activity, the value of OR = 4,429 means that WPS suffering from syphilis 4.429 times the possibility of using sexual activity more than or equal to two categories compared to WPS that does not suffer from syphilis. Suggestions This study to the Indonesian Family Planning Association (PKBI) is expected to carry out health education about the use of condoms and loyal to one partner to WPS and sex customers so that syphilis transmission does not increase
Implementation of Patient Safety Program in the Emergency Installation of H. Adam Malik General Hospital Medan
Patient Safety Program stipulated in the Minister of Health Regulation of the Republic of Indonesia No. 11 of 2017 namely Patient Safety Standards; Patient safety goals, and 7 steps towards patient safety. 8 Contributor Factors in Patient Safety are external factors, organization and management, physical environment, teamwork, officers, tasks, patients, and communication. This study uses qualitative research with a phenomenological approach by conducting in-depth interviews of several health workers at the Adam Malik Hospital Medan. Implementation of patient identification using 2 identities and is used for confirmation before the procedure, the implementation of effective communication is done by doing readback before carrying out the procedure, aware of high alert drugs by prescribing drugs into pharmacy, then drugs are formulated by pharmacy and before being given to patients with double checks, ensuring the accuracy of location, procedure and patients by site marking on body parts and signed in the medical recording, preventing the infection of medical Reducing the risk of patients falling by giving yellow bracelets and assistance to patients. In external contributors, the regulations used by Adam Malik Hospital are adapted from the Law of the Republic of Indonesia and the Regulation of the Minister of Health of the Republic of Indonesia, organizations and management support the staff in carrying out patient safety programs, the hospital environment is appropriate but there are several facilities that must be improved, the team's work has been running without difficulties. It patient information and educating patients
Interactive Multimedia Development Based on STEM in Improving Science Learning Outcomes
This study aims to improve science learning outcomes by using interactive multimedia based on STEM. This research is a research and development research that refers to the Addie development model which consists of 5 stages, namely the Analysis, Design, Development, Implementation, and Evaluation. The Subject. This study was a grade student of SD Negeri 104197 Klambir village during the field trial of the research subject of 30 students. The research design used design one group pretest- posttest. The research instruments used in data collection are observation, interviews, validation questionnaires and tests. Based on the results of research, interactive multimedia based on STEM developed. The results of the field trial phase The effectiveness criteria are achieved with the number of students reaching 28 people in the post-test or around 93,33% with the results of the gain score classified in the "medium" effectiveness criteria with a score of 0.54 so that interactive multimedia based on STEM is effective for us
Validity of Traditional Guidebooks for Character Education in Children Aged 4-6 Years
Early age is the most important and fundamental initial period in the entire range of growth and development of human life. Children in early age from 4-6 years old which still want to know and explore whatever in around them in a game. They mustn’t study seriously such as reading text book, counting number, and memorizing something else. So, in this study aims to determine the validity of traditional play guidebooks as a character education strategy for children aged 4 6 years. The type of research used in this research is development with the ADDIE model. The data collection technique in this study validation. The result of the study show score of 3.50 for language validation which is in the very good category. Score 3.81 for design validation with every good category and score 3.58 for material validation with very guidebook can be used for learnin
Teachers’ Knowledge and Usage of Ethnomathematics in Asokwa Municipality (Kumasi) of Ashanti Region of Ghana
This study investigated teachers’ knowledge and usage of ethnomathematics in Asokwa Municipality (Kumasi) in the Ashanti region of Ghana. The triangulation design of the mixed method was used. Purposive sampling was used to select all the 62 mathematics teachers from all the public junior high schools in the municipality. Results from the data analysis showed that mathematics teachers in Asokwa Municipality possess a high level of knowledge of ethnomathematics, with an overall mean score of 3.68 and a standard deviation of 0.61. The study recommended that Ghana Tertiary Education Commission (GTEC) should ensure that teachers’ colleges of education train mathematics teachers on the integration of ethnomathematics in the teaching of mathematic
The Three Neighbors in The Room: A Study of Harold Pinter
In order to analyze Harold Pinter’s, play The Room, this essay examines the importance of Slavoj Zizek's three sorts of neighbor theory. The play's social relationships and power structures are insightfully interpreted in this essay by considering the play's characters and themes through the eyes of the play's imagined, symbolic, and real neighbors. The play The Room is more than simply a portrayal of social connections, the paper says, but a complex examination of the ways in which power, desire, and suffering interact in the human experience. Zizek's theory provides a helpful framework for evaluating the play's issues and repercussions
Developing Life Skills with Digital Comic Books to Improve Students' Critical Thinking Abilities in Science Subject
This research aims to develop a life skills-based science material digital comic book teaching material product based on life skills that is feasible, practical and effective to use. This research uses development research (R&D) with a 4D model (Define, Design, Development, and Disseminate) with research subjects of 24 class IV students at SDN 068006 Medan. Data collection techniques use observation, tests, questionnaires and documentation. The results of the research produced feasibility with an average percentage of 91% in the "Very Feasible" category, the practicality test percentage was 79% in the "Practical" category. Next, test effectiveness through student pretest and posttest scores with an N-Gain of 0.51 for the "Effective" criterion. So, it can be concluded that digital comic book teaching materials based on life skills can be used in the learning process
Externality Value of Waste Power Plant (PLTSa) in TPA Terjun Medan Marelan Using Benefit Transfer Method
In Indonesia, waste has become a national issue due to the old view that waste management is only collected, transferred, and disposed of in landfills. Several big cities in Indonesia also face the same problem. The open dumping of waste at the landfill in TPA Terjun Medan Marelan has resulted in negative environmental externalities that continue to get worse for the people living in the vicinity. The external costs of TPA Terjun Medan Marelan will be studied in this study. Residents living around the TPA are the research subjects. In this study, replacement costs and the cost of illness will be determined as a logical tool for calculating the total cost of externalities. Externality costs at the TPA Terjun Medan Marelan are calculated using benefit transfers. Given the difficulties and high costs associated with valuing actual costs, the benefit transfer method was developed as an alternative method for assessing externalities using scores from studies of similar circumstances or characteristics conducted elsewhere. This study focuses on estimating the costs of externalities related to the feasibility of a waste power plant (PLTSa) project using the benefit transfer method from the PLTSa project at TPA Benowo Surabaya, which is then applied to the PLTSa project plan at TPA Terjun Medan Marelan. The study found that the existence of the TPA Benowo Surabaya has a negative impact not only on the environment of the residents but also on its social and economic aspects. Then the researchers also found that there was also a negative impact from PLTSa in TPA Terjun Medan Marela
Sharpening Accounting Skills with Games: A Literature Review on Game-Based Accounting Learning
This research aims to provide a comprehensive literature review on the use of games in accounting learning, both in manual and digital formats. Currently, students experience a decline in concentration when learning accounting concepts, necessitating more engaging and practical learning alternatives. Therefore, many educators have begun developing games relevant to accounting education to address this issue. This article is a Systematic Literature Review (SLR). The study explores 17 articles on accounting games (both manual and digital) published in accounting journals in the Scopus database over a period of 2002 to 2022. Through this research, the author aims to provide a quick reference for accounting educators to gain insights into the types of games available to enhance students pedagogical abilities. In this study, the author strives to provide as comprehensive details as possible regarding the games and activities that can be conducted in accounting learning. It is hoped that this research can assist educators in developing more effective and enjoyable learning methods for students
The Effect of RAFT Strategy Assisted by Graphic Images on the Students’ Achievement in Writing
The objective of this research was to find out the significant effect of RAFT strategy assisted by graphic images on the students’ achievement in writing. The Research used in this study was an experimental research. This research design was conducted at SMA Al-ULUM Medan, located on Jalan Tuasan No.35, Kecamatan Medan Tembung. The population of this research was the classes at eleven grade in academic year 2016/2017, which consisted of 2 classes, 51 students. The researcher took two classes by using total random sampling, XI-IPS was as the control class that consisted of 22 students and XI IPA was as the experimental class which involved 29 students. Each class was given a pre-test, treatment, and post-test. The control class was taught by using lecture method, while the experimental class was treated by using RAFT strategy. The instrument of this research was written test. The data were analyzed by using t-test formula. Then, the result showed that the students taught using by using RAFT Strategy got the higher score than those taught by using lecture method. In conclusion, there was the significant effect on the students’ achievement in writing by using RAFT Strategy Assisted by Graphic Image