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PENGARUH PIJAT OKETANI TERHADAP PRODUKSI ASI PADA IBU NIFAS DI KLINIK PRATAMA FITRI ASIH KEC.PATUMBAK TAHUN 2025
No full textIntroduction: Optimal breast milk production is essential to support the growth and development, especially in the early years of life. However, many postpartum mothers experience problems with breast milk production, which can be caused by various factors such as stress, lack of nutrition, and lack knowledge regarding breast care techniques. Oketani massage is a non-pharmacological method that is able to increase prolactin hormone, and stimulate oxytocin hormone and make the breasts smoother and more elastic. Research Objective: This study aims to determine the effect of Oketani massage on breast milk production in postpartum mothers. The research design is a Quasi-Experiment study with one grub pretest-postest design. Sampling was conducted using total sampling with 15 respondents. The research instrument used an observation sheet to measure breast milk production through indicators such as breastfeeding frequency, the number of times the baby urinates, the baby's calmness after breastfeeding, and the baby's weight gain. Research Results: The results obtained from the Paired Sample t-Test obtained a p-value of 0.008, where p < α (0.05), so it can be concluded that Ho is rejected and Ha is accepting. Conclusion: It can be concluded that Oketani massage has an effect on breast milk production in postpartum mothers at Fitri Asih Primary Clinic, Kec.Patumbak. Therefore, it is recommended that healthcare workers and postpartum mothers apply Oketani massage as a non-pharmacological method to increase breast milk production in postpartum mothers
PENETAPAN KADAR FENOLIK TOTAL TUMBUHAN ENDEMIK KALIMANTAN UTARA
No full textNorth Kalimantan is home to a unique biodiversity, including medicinal plants traditionally used by local communities such as the Dayak people. Several of these plants are endemic—found exclusively in this region. Two notable endemic species, Dayak onion (Eleutherine palmifolia (L.) Merr.) and rose myrtle (Rhodomyrtus tomentosa), are known to contain secondary metabolites, including phenolic compounds. This study aimed to determine the total phenolic content of these two endemic plants. Extraction was performed using Ultrasonic-Assisted Extraction (UAE), resulting in extract yields of 11.42% (11.42 g) for Dayak onion and 24.33% (24.33 g) for rose myrtle. Preliminary phytochemical screening using 1% FeCl₃ reagent indicated the presence of phenolic compounds, evidenced by a color change to bluish-green or dark green. The quantitative analysis was performed using UV–Vis spectrophotometry at a wavelength of 752 nm, applying the Folin–Ciocalteu method with gallic acid as the standard. The results showed that Dayak onion extract contained 1.410 mg GAE/g extract (0.141%), while rose myrtle extract contained 2.259 mg GAE/g extract (0.2259%) of total phenolic compounds. These findings highlight the phenolic potential of endemic medicinal plants from North Kalimantan and support their further exploration for pharmacological and nutraceutical application
eval_uasi Penggunaan Antibiotik Profilaksis pada Pasien Bedah Caesar dengan Menggunakan Metode Gyssens di Rumah Sakit X Mojokerto
No full textIntroduction: Delivery is a physiological process of expelling the fetus and placenta from the uterus, either spontaneously through the vagina or through operative procedures such as cesarean section. Cesarean section has become one of the commonly performed methods of delivery, but it carries a higher risk of surgical wound infections compared to normal delivery. The use of prophylactic antibiotics is important to prevent such complications; however, in practice, it often does not conform to guidelines, which can reduce the effectiveness of infection prevention and trigger antibiotic resistance. Objective: To assess the rationality of prophylactic antibiotic use in cesarean section patients at Hospital X in Mojokerto. Method: This study employs a descriptive observational method with a retrospective approach. Data was collected from 87 medical records of cesarean section patients during the period of 2024–2025. The eval_uation of prophylactic antibiotic use was conducted based on the Gyssens method to assess the accuracy of diagnosis, indications, drug selection, dosage, route and interval of administration, as well as the duration of therapy. Results: The majority of patients (92%) received prophylactic antibiotics rationally (Gyssens category 0). A small number of patients fall into category IIa (5%) due to dose inaccuracies, and category IVd (3%) with the use of broad-spectrum antibiotics. Conclusion: The use of prophylactic antibiotics in cesarean section patients at Hospital X Mojokerto is mostly rational (92%), while (8%) is irrational
HUBUNGAN PENERAPAN SMK3 DENGAN ANGKA KEJADIAN KECELAKAAN KERJA DI PT PUPUK ISKANDAR MUDA TAHUN 2025
No full textOccupational Safety and Health (K3) is a crucial aspect in the world of work to protect workers from the risk of accidents and occupational diseases. The development of the industrial world, the world of work is always faced with new challenges. Various new challenges emerge along with the development of the era. However, this development is always accompanied by new problems, one of which is work accidents. The Occupational Safety and Health Management System (SMK3) regulated in PP No. 50 of 2012 is designed to increase the effectiveness of K3 protection in a planned and measurable manner. However, the implementation of SMK3 in various industrial sectors still faces various obstacles. This study aims to Analyze the Relationship between the Implementation of SMK3 and the Number of Occupational Accidents at PT Pupuk Iskandar Muda in 2025. This study uses a quantitative descriptive research method. The study population is all employees at PT Pupuk Iskandar Muda. The total population of PT Pupuk Iskandar Muda workers as of January 2025 was 547 with a sample size of 85 people. Data were analyzed using the chi-square test and logistic regression. Based on the results of the study, there is a relationship between Policy (P-Value 0.007), Planning (P-Value 0.005), Plan Implementation (P-Value 0.007), Performance Monitoring and eval_uation (P-Value 0.02), Performance Review and Improvement (P-Value 0.04) with the number of work accidents. Based on the results of the multivariate analysis, it was found that the most dominant factor related to the Number of Work Accidents is Plan Implementation with a p-value of 0.01 where the Exp (B) value is 3.6. It is hoped that the Management of PT Pupuk Iskandar Muda can strengthen the implementation of the K3 plan that has been prepared by ensuring that all K3 work programs are carried out according to schedule, not just stated in formal documents
DETERMINAN FAKTOR PEMANFAATAN APLIKASI SISTEM INFORMASI MANAJEMEN RUMAH SAKIT (SIMRS) DENGAN METODE HUMAN ORGANIZATION TECHNOLOGY (HOT-FIT) DIRUMAH SAKIT UMUM SEMBIRING DELI TUA TAHUN 2024
No full textHospital Management Information System (SIMRS) is an IT-based application designed to manage the entire hospital service and administration process in an integrated manner to increase efficiency and effectiveness. A hospital is a health service facility that provides comprehensive medical services, including RI, RJ, and emergency and as a place for research in the health sector. HOT-Fit is an information system evaluation model that assesses the suitability between human, organizational, technology, and Net-Benefit aspects in supporting the successful use of the system. This study aims to analyze the determinants of factors for the use of the Hospital Management Information System Application (SIMRS) using the Human Organization Technology-Fit (HOT-FIT) method at Sembiring General Hospital. This study uses a quantitative design with a cross-sectional approach involving SIMRS users, namely 80 respondents into a sample selected through the proportionate stratified random sampling technique. Data analysis used Univariate and Bivariate (Pearson Product Moment Correlation). The results showed that all independent variables had a significant relationship with the use of SIMRS at RSU Sembiring (P-Value<0.05). The variables of System Quality, Service Quality, System Users, and Organizational Structure P-Value (0.001, 0.001, 0.005, 0.004) with r are in the range of 0.20-0.399 (Weak). Meanwhile, the Information Quality Variable, user satisfaction and environmental conditions of the facility P-Value (0.001, 0.001, 0.001) with r are in the range of 0.40-0.599 (Quite Strong) This means that these three factors play an important role in increasing the effectiveness of using SIMRS. These findings show that the success of SIMRS implementation is largely determined by human, technological, and organizational aspects. Therefore, hospitals are advised to continue to improve the quality of systems, services, and user training to optimize the overall utilization of SIMR
PEMANTAUAN DAN EVALUASI PENERAPAN SISTEM MANAJEMEN KESELAMATAN KONSTRUKSI (SMKK) PADA PROYEK REHABILITASI DAN RENOVASI STADION TELADAN
No full textKegiatan pemantauan dan evaluasi penerapan Sistem Manajemen Keselamatan Konstruksi (SMKK) dilakukan pada proyek Rehabilitasi dan Renovasi Stadion Teladan di Kota Medan. Tujuan kegiatan ini adalah menilai tingkat penerapan SMKK oleh penyedia jasa konstruksi sesuai ketentuan Peraturan Menteri PUPR Nomor 10 Tahun 2021. Evaluasi dilakukan melalui pemeriksaan dokumen teknis, observasi lapangan, dan wawancara terhadap pelaksana proyek dan konsultan pengawas.
Hasil menunjukkan bahwa seluruh aspek penilaian—meliputi kesiapan dokumen teknis, pemenuhan ketentuan keselamatan konstruksi, tenaga kerja kompeten, kelaikan peralatan, pengelolaan material, manajemen lalu lintas, dan manajemen lingkungan memperoleh nilai pemenuhan kategori sangat baik. Tidak ditemukan kecelakaan kerja fatal, dan seluruh kegiatan keselamatan seperti safety talk, emergency drill, serta pengawasan rutin telah dilakukan secara konsisten. Temuan ini menunjukkan bahwa proyek berhasil mengintegrasikan prinsip manajemen keselamatan ke dalam seluruh proses konstruksi, dan menjadi model praktik baik bagi proyek infrastruktur publik lainnya
PENGENALAN PROFESI APOTEKER DAN SOSIALISASI, EDUKASI PENGGUNAAN DEODORANT UNTUK MENINGKATKAN KEPERCAYAAN DIRI SISWA SMA NEGERI 5 MEDAN
No full textKegiatan Pengabdian Kepada Masyarakat dilakukan dengan tujuan untuk memperkenalkan profesi apoteker serta memberikan edukasi tentang penggunaan deodorant sebagai upaya meningkatkan kepercayaan diri siswa di SMA Negeri 5 Medan. Metode yang digunakan adalah deskriptif kuantitatif dengan melibatkan 35 siswa sebagai responden. Kegiatan dilaksanakan melalui ceramah interaktif dan diskusi mengenai peran apoteker, jenis dan cara penggunaan deodorant yang sesuai dengan jenis serta kondisi kulit remaja. Data dikumpulkan melalui kuesioner tertutup dan dianalisis menggunakan analisis deskriptif. Hasil menunjukkan bahwa 82,9% menggunakan deodorant dan merasakan peningkatan kepercayaan diri setelah mengikuti kegiatan. Kegiatan ini berhasil meningkatkan pemahaman siswa mengenai kebersihan diri dan pentingnya perawatan tubuh, serta memperkuat citra profesi apoteker di kalangan remaja
PERAN IBU DALAM PENCEGAHAN PERILAKU SEKS BEBAS PADA REMAJA DI DESA SEI LIMBAT KECAMATAN SELESAI KAB. LANGKAT TAHUN 2025
No full textPremarital sexual behavior among adolescents has become an increasingly concerning social and health issue in Indonesia, including in rural areas such as Sei Limbat Village. The rapid development of information technology and globalization exposes adolescents to various influences that shape their attitudes and behaviors related to sexuality. This condition highlights the crucial role of mothers in guiding and protecting their children from risky behaviors. Mothers, through emotional closeness and open communication, play a vital role in providing moral guidance and reproductive health education. However, cultural taboos, limited knowledge, and lack of time often hinder mothers from fulfilling this role effectively. Strengthening parental awareness, promoting open dialogue within families, and involving schools, communities, and local governments are essential strategies to prevent risky sexual behavior among adolescents.Perilaku seks pranikah pada remaja merupakan permasalahan sosial dan kesehatan yang semakin memprihatinkan di Indonesia, termasuk di wilayah pedesaan seperti Desa Sei Limbat. Perkembangan teknologi informasi dan arus globalisasi membuat remaja semakin mudah terpapar berbagai pengaruh yang dapat memengaruhi sikap dan perilaku mereka terhadap seksualitas. Kondisi ini menegaskan pentingnya peran ibu dalam memberikan arahan dan perlindungan agar remaja tidak terjerumus dalam perilaku berisiko. Ibu memiliki peran yang sangat penting melalui kedekatan emosional dan komunikasi terbuka dalam menanamkan nilai moral serta memberikan pendidikan kesehatan reproduksi. Namun, hambatan seperti anggapan tabu, keterbatasan pengetahuan, dan kurangnya waktu sering kali mengurangi efektivitas peran tersebut. Upaya peningkatan kesadaran orang tua, penguatan komunikasi dalam keluarga, serta keterlibatan sekolah, masyarakat, dan pemerintah desa menjadi strategi penting dalam mencegah perilaku seksual berisiko pada remaja
PELAKSANAAN KPSP SEBAGAI UPAYA DETEKSI DINI PERKEMBANGAN ANAK DI POSYANDU DESA MEKAR SARI
No full textDevelopmental disorders in children can significantly hinder their potential to achieve an optimal quality of life. Prevention of these disorders relies heavily on systematic early detection efforts. At the Mekar Sari Village Integrated Health Post (Posyandu), problems related to growth disorders and developmental delays, exacerbated by a lack of early detection practices, pose a public health challenge. This community service activity, implementing the KPSP (Pre-Screening Development Questionnaire), aims to detect developmental disorders in children early using the Pre-Screening Development Questionnaire (KPSP). Screening was conducted on children aged 6 - 60 months using a descriptive observational approach. The KPSP implementation involved parents completing the questionnaire, followed by direct observations to assess the children's motor, language, and social aspects. The results revealed that 82% of the children exhibited age-appropriate development, 16% fell into the questionable category, and 2% experienced developmental deviations. Nutritional status was also monitored, showing that 80% of the children were categorized as having good nutrition, 18% were overweight, and 2% were undernourished. This activity had a positive impact by raising parental awareness about the importance of optimal stimulation and regular monitoring of child growth and development. With support from local governments and technological innovations, this program hasthe potential to be implemented in other regions to prevent future health and developmental problems in children.Gangguan tumbuh kembang pada anak dapat secara signifikan menghambat potensi mereka untuk mencapai kualitas hidup yang optimal. Pencegahan gangguan tersebut sangat bergantung pada upaya deteksi dini yang dilakukan secara sistematis. Di Posyandu Desa Mekar Sari, permasalahan terkait gangguan pertumbuhan dan keterlambatan perkembangan, yang diperburuk oleh kurangnya praktik deteksi dini, merupakan tantangan kesehatan masyarakat. Kegiatan pengabdian masyarakat melakukan pelaksanaan Kuesioner Pra Skrining Perkembangan (KPSP) ini bertujuan untuk upaya mendeteksi dini gangguan KPSP. Skrining dilakukan pada anak berusia 6 hingga 60 bulan dengan pendekatan observasional deskriptif. Pelaksanaan KPSP melibatkan pengisian kuesioner oleh orang tua, diikuti dengan observasi langsung untuk menilai aspek motorik, bahasa, dan sosial anak. Hasil menunjukkan bahwa 82% anak berkembang sesuai usia, 16% berada dalam kategori meragukan, dan 2% mengalami penyimpangan. Status gizi anak juga dipantau, dengan 80% berada dalam kategori gizi baik, 18% gizi lebih, dan 2% gizi kurang. Kegiatan ini memberikan dampak positif berupa peningkatan kesadaran orang tua terhadap pentingnya stimulasi optimal dan pemantauan tumbuh kembang anak. Dengan dukungan pemerintah desa dan penerapan inovasiteknologi, upaya ini berpotensi untuk diterapkan di wilayah lain, guna mencegah masalah kesehatan dan perkembangan anak di masa depa
PEMBERDAYAAN MASYARAKAT DALAM PENCEGAHAN STRESS MELALUI TEKNIK RELAKSASI DI LINGKUNGAN DESA BIRU-BIRU
No full textStress is a common mental health issue experienced by rural communities due to economic pressures, workload, and social dynamics. Limited knowledge and coping skills make individuals more vulnerable to psychological problems. This Community Service Program (PKM) aims to empower the community through education and relaxation technique training as a strategy to prevent stress. The methods included health education, demonstration of deep breathing and progressive muscle relaxation techniques, and guided independent practice. The results showed an 85% increase in participants’ knowledge and a 78% improvement in relaxation skills. This program successfully enhanced community awareness regarding stress management and provided practical skills that can be applied independently. In conclusion, community empowerment through relaxation training is effective in supporting community-based stress prevention.Stres merupakan salah satu masalah kesehatan mental yang banyak dialami masyarakat pedesaan akibat tekanan ekonomi, pekerjaan, serta dinamika sosial. Kurangnya pengetahuan dan keterampilan untuk mengelola stres menjadikan masyarakat rentan terhadap gangguan psikologis yang lebih serius. Program Pengabdian kepada Masyarakat (PKM) ini bertujuan untuk memberdayakan masyarakat melalui edukasi dan pelatihan teknik relaksasi sebagai upaya pencegahan stres. Metode yang digunakan meliputi penyuluhan, demonstrasi teknik relaksasi napas dalam dan relaksasi otot progresif, serta pendampingan praktik mandiri. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 85% dan peningkatan keterampilan praktik relaksasi sebesar 78%. Program ini berhasil meningkatkan kesadaran masyarakat mengenai pentingnya manajemen stres dan memberikan keterampilan yang dapat diterapkan secara mandiri. Kesimpulannya, pemberdayaan masyarakat melalui pelatihan relaksasi terbukti efektif dalam mendukung pencegahan stres berbasis komunitas