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    PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN KELUARGA PASIEN DI RUANG PERAWATAN NICU RUMAH SAKIT UMUM DAERAH DATU BERU TAKENGON TAHUN 2020

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    The World Health Organization (WHO) infant mortality rate is the first indicator in determining a child's health status, 3.6 million of the 120 million newborns experienced asphyxia, and nearly 1 million babies die. Meanwhile, the prevalence of patients treated at the NICU at the Datu Beru Takengon Hospital from 2016 to 2019 continues to decline in each year. The purpose of this study was to determine and analyze the effect of technical competence, efficiency and patient safety on patients’ family satisfaction. The research design used an analytic survey with a cross-sectional design. The population of all parents of infants treated in the NICU Care Room at Datu Beru Takengon Hospital was 329 people. The sampling technique used accidental sampling. The number of samples that will be studied is 67 respondents. Data analysis was performed using univariate, bivariate and multivariate analyzes. The results of the research on technical competency variables obtained p-value = 0.000, efficiency 0.000, and patient safety 0.000 <α .05, it means there is an influence between technical competence, efficiency and patient safety on family satisfaction, from the results of multivariate analysis, the most influential variables were in this study was the technical competency variable with an Exp B value of 1.003. The conclusion is that there was an influence between technical competence, efficiency and patient safety while the multivariate analysis shows that the most dominant factor is the variable of technical competence on family satisfaction. It is recommended that the hospital be able to improve the technical competence of nurses in the NICU room by holding training and workshops both internal and external training

    ANALISIS PERSEPSI MUTU PELAYANAN TERHADAP MINAT KUNJUNGAN ULANG PASIEN RAWAT JALAN DI KLINIK PENYAKIT DALAM RUMAH SAKIT UMUM DR. PIRNGADI KOTA MEDAN TAHUN 2020

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    Pelayanan rumah sakit sebagai salah satu bidang jasa yang memegang peranan penting. Berdasarkan survei awal didapatkan bahwa pada bulan Januari-Oktober 2018 tercatat sebanyak 16.638 orang dengan rata-rata per bulan kunjungan sebanyak 1.663 orang. Hasil wawancara kepada 8 informan menyatakan bahwa keluhan dokter kurang jelasnya informasi tentang penyakit yang diderita, ruangan yang kurang nyaman, administrasi pendaftaran yang lama dan membingungkan, perawat tidak tepat waktu saat dibutuhkan pasien. Lokasi penelitian ini dilakukan di RSU. Dr. Pirngadi Medan. Tujuan penelitian ini untuk mengetahui pengaruh persepsi mutu pelayanan terhadap minat kunjungan ulang pasien rawat jalan. Desain penelitian yang digunakan dalam penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini sebanyak 16.638 orang pasien dan sampel yang diambil dengan cara accidental sampling yaitu sebanyak 100 orang. Metode pengumpulan data yaitu data primer dan data sekunder. Analisa data yang digunakan yaitu uji regresi binary logistic. Hasil penelitian menunjukkan bahwa keprofesian memiliki nilai sig-p 0,023 < 0,05, efisiensi sig-p 0,006 < 0,05, keamanan sig-p 0,025 < 0,05 dan kepuasan sig-p 0,004 < 0,05, yang artinya memiliki pengaruh terhadap minat kunjungan ulang pasien rawat jalan. Kesimpulan dalam penelitian ini ada pengaruh keprofesian, efisiensi, keamanan dan kepuasan terhadap minat kunjungan ulang pasien rawat jalan. Saran bagi rumah sakit yaitu diharapkan dapat menjadi acuan agar lebih memahami pentingnya mutu pelayanan yang sesuai dengan peraturan kementerian kesehatan guna meningkatkan pelayanan kesehatan yang diberikan kepada pasien secara maksimal

    The effect of glutaraldehyde on the properties of Chi-Pec-PVA membrane

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    Study of the glutaraldehyde’s effect on the chitosan/pectin/PVA (Chi-Pec-PVA) membranes has been conducted. PVA as a synthetic polymer with hydrophilic property is expected to help pectin maintaining the thermal stability. The membrane was prepared using inversion phase method. The FT-IR spectra showed the changing on membrane’s functional group. TGA analysis showed the presence of glutaraldehyde enhanced the weight loss up to 59.25% from 55.35%. Further application of this membrane as wound dressing seems possible based on the tensile strength value

    FAKTOR YANG MEMENGARUHI PERILAKU MASYARAKAT TERHADAP PEMBERANTASAN MALARIA DI DESA SEKERAK KANAN KECAMATAN SEKERAK KABUPATEN ACEH TAMIANG TAHUN 2019

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    Malaria is one of the health problem in almost all parts of the world, especially in tropical and sub-tropical countries, both as an endemic and epidemic disease. The aim of this study is to analyze the factors that influence community behavior in malaria eradication in Sekerak Kanan Village. Sekerak District, Aceh Tamiang Regency in 2019. This type of research used is an analytical survey with a cross sectional study design which aims to analyze the factors that influence people's behavior in malaria eradication with a quantitative approach model. There was the influence of knowledge (p = 0.045), attitude (p = 0.024), economic ability (p = 0.015), the environment (p = 0.025), community health education (p = 0.005). The variable that had the most influence in the eradication of malaria in Sekerak Kanan Village, Sekerak District, Aceh Tamiang Regency in 2019, was the variable of economic capacity (p = 0.008). The conclusions in this study shows that are knowledge, attitudes, economic capacity, living environment, support of community health workers, influencing malaria eradication in Sekerak Kanan Village, Sekerak District, Aceh Tamiang District in 2019. So it is suggested that the community can improve insight, knowledge, and skills in collecting , processing, analyzing and informing findings data on community behavior in eradication.malaria

    FAKTOR YANG BERPENGARUH TERHADAP PERILAKU SEKSUAL REMAJA DI SMK KESEHATAN HAJI SUMATERA UTARA TAHUN 2019

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    Accordingto (SDKI) in 2017 revealed 2% ofteenage girls aged 15-24 years and 8% of male adolescents had sex before marriage. The purpose of this study was to analyze the factors that influence Teenagers’ Sexual Behavior in Vocational Schoolof Kesehatan Haji North Sumatra in 2019. This research used mixed methods with a sequential explanatory approach. The populationwas 100 adolescents, and all oft hem were used as research samples, while the qualitative method was 7 informants, namely 3 adolescents who had risk sexual behaviour, 1 parent, 1 schoolprincipal, 1 BK teacher, and 1 health officer. Quantitative data analysis used with multiple logistic regression. Qualitative data analysis used by data reduction, presentation, and drawing conclusions. Based on the chi-square test results obtained on the variable of knowledge (.001), information exposure (.001), the role of parents (.005), with a p-value< .05. Knowledge factor is the most influential factor in adolescent sexual behaviour. Qualitative research results obtained that the information exposure factors that most influence the informants and the occurrence of risky sexual behaviour in adolescents. The conclusion in this study is that there is an influence of knowledge, information exposure, the role of parents on adolescent sexual behaviour. It is recommended to vocational students to prevent sexual behaviour by sport, taste, and mental processing. Parents should be more watch over children at home, dormitory and school. Give special lessons at school about adolescent reproductive health to students

    FORMULASI SEDIAAN LOTION DARI EKSTRAK ETANOL BIJI BUAH SALAK (Salacca zalacca (Gaernt.) Voss.)

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    The skin is an organ that covers the entire body, has a function to protect external influences from various disorders and stimuli. The skin needs additional protection such as irritant pollution, direct sunlight that contains UV light directly and long. Salak seeds (Salacca zalacca (Gaernt.) Voss.) Contain flavonoids, and tannins that can protect the skin from free radicals. The purpose of this research is to formulate the ethanol extract of zalacca seeds by varying the concentration in the form of lotion preparation and using a control + comparison. This study used an experimental method, by extracting salacca seeds by maceration, then proceed to the formulation of lotion extracts of salacca ethanol extract with concentrations of 1%, 3%, 5%. Evaluation of preparations includes organoleptic test, homogeneity, pH, dispersion, irritation and preferred test (Hedonic test). The results of organoleptic lotion preparations, the formula containing 1% extract of salak seed with brown concentration was easy, the concentration of 3% was brown, the concentration of 5% was dark brown and each formula smelled of salak seed extract and was semi-solid, had a pH value 6.1-6.6, with good homogeneity, and scattering power is not much different from control + means that it still meets the spread of good lotion. The results obtained that the preparation of ethanol extract of salak seeds (Salacca zalacca (Gaernt.) Voss.) Can be formulated as lotion preparations, and when compared from the evaluation of the preparation, namely homogeneity test, pH test, dispersion test and irritation test with comparison control +, preparations qualify as lotion preparations. It is suggested to the next researcher to remove chlorophyll from simplicia, in order to produce a better lotion preparation. Keywords: Ethanol extract of zalacca seeds (Salacca zalacca (Gaernt.) Voss.), Lotions, formulation

    FAKTOR –FAKTOR YANG MEMENGARUHI KEJADIAN STUNTING PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS PARINGGONAN KECAMATAN ULU BARUMUNKABUPATEN PADANG LAWAS 2019

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    Stunting is a condition where chronic malnutrition is caused by a lack of nutritional intake for a considerable period of time due to feeding that is not in accordance with nutritional needs. This study aims to determine the factors that influence the occurrence of stunting in children under five in the work area of Paringgonan Health Center. The design of this study is an analytical survey with a cross sectional approach. The population of this study were all mothers who had toddlers in the working area of Paringgonan Health Center totaling 1,036 and using the proportionate stratified random sampling to 91 people. The data used are primary data and secondary data. The instruments used were checklist sheets and questionnaires using univariate, bivariate analysis using Chi-square test. The results of this study indicate that there is an effect of LBW on the occurrence of stunting in children under five in the Paringgonan Health Center work area, there is an influence of economic status on stunting in children under five in the Paringgonan Community Health Center work area. there was no effect of environmental sanitation on the occurrence of stunting in children under five in the Paringgonan Pukesmas working area. Obtained no effect of LBW, economic status, education with the occurrence of stunting in children under five and there is no effect on environmental sanitation with the occurrence of stunting in children under five. It is recommended that Puskesmas provide Health Education about the importance of fulfilling nutrition for growth and development in children under five

    FAKTOR YANG BERHUBUNGAN DENGAN STRES KERJA PADA PEKERJA DI PT. PUPUK ISKANDAR MUDA ACEH TAHUN 2019

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    Stress is a perception of a situation or condition in our own environment. In other words, something that looks like a threat to you might not be worth the slightest thought by one of your colleagues. Stress actually comes from feelings of fear or anger. The purpose is to determine the relationship of work tenure, workload with work stress on workers at PT. Pupuk Iskandar Muda Aceh in 2019. The research design used analytical surveys that try to explore how and why the phenomenon occurs. The populations in this study were 711 workers, and samples taken using the Slovin formula were 88 workers. The data collection methods were primary and secondary data. Analysis of the data used was univariate and bivariate analysis. Statistical test results using the chi square test with a confidence level of 95% with α = 0'05 obtained working period with Work Stress on Workers p = .033 <.05, and workload with Work Stress on Workers p = .024 <.05 . Where the results obtained were there a relationship of tenure, workload with Work Stress on Workers at PT. Pupuk Iskandar Muda Aceh in 2019. The conclusion in this study shows that there is a relationship between work period, workload and work stress on workers at Pt. Pupuk Iskandar Muda Aceh in 2019. It is suggested that this research can be used as an input for workers, especially employees at PT. Pupuk Iskandar Muda Aceh so that the stress experienced by workers can be well controlled

    FORMULASI SEDIAN GEL HAND SANITIZER EKSTRAK ETANOL DAUN JERUK LEMON (Citrus limon)

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    Hand sanitizer is a gel with a variety of ingredients that quickly kill microorganisms in the skin of the hand. Lemon leaf (Citrus limon) has active compounds including limonene, tannins and phenol Limonene. The purpose of this study was to determine the formulation of a hand sanitizer gel formulation of ethanol extract of lemon leaves (Citrus limon). This research method used a laboratory experimental method by extracting macerated lemon leaves (Citrus limon) which then proceed to the formulation of hand sanitizer lemon ethanol extract with a concentration of 0%, 2%, 4%, 6%. Testing of the form includes homogeneity test, organoleptic test, pH test, and irritation test. The results showed that the gel hand sanitizer dosage form were all homogeneous. Organoleptic test showed brown, orange and semi-solid form. The pH test showed pH F0 6.6, F1 6.1, F2 5.9, and F3 5.1. The irritation test showed that the hand sanitizer gel had a negative result, i.e. there was no irritation in the volunteers. The scatter power test showed that F0 has a diameter of 7.5 cm, F1 2% 7cm, F2 4% 6.5cm, and F3 6% 4cm. The conclusion from the results obtained that the ethanol extract of lemon leaves (Citrus limon) can be formulated as a gel hand sanitizer. It is suggested that further researchers conduct a bacterial test on the formulation of a gel hand sanitizer of ethanol extract of lemon orange (Citrus limon)

    UJI MANFAAT DAUN GAGATEN HARIMAU (VitisgracilisBL) SEBAGAI TONIKUM PADA MENCIT

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    Gagatan tiger leaf (VitisgracilisBL) is a traditional medicinal plant that has efficacy as an energy booster, stomachache medicine, diarrhea medicine. Gagaten tiger leaves contain chemicals such as Alkaloids, Flavonoids, Tannins, and Glycosides. The aim of this research is to discover the benefits of the gagaten tiger leaf marinade as a stamina enhancer in male mice based on the immersion time. This type of research is an experimental post test only. The study used a randomized block design (randomized block design) using male mice. The research was conducted at the Pharmacology Laboratory of the Faculty of Pharmacy and Health Helvetia Health Institute in August to September in 2019. The results of phytochemical screning which contain the leaves of the tiger trap contain Alkaloids, Flavonoids, Saponins, Tanind and Glycosides. The increase in swimming time based on increasing concentration also shows the difference and length of swimming time between each group, this is evidenced by the analysis of the one-way ANOVA test where the p value is 0,000 <0.05. The administration of gagaten leaf steeping to male mice in endurance swimming, results in an increase in the amount of powder or a higher percentage of steeping, thus increasing the swimming time of mice longer. Soaking gagaten Tiger leaves efficacious increase stamina in mice

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