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    STUDI KASUS KEJADIAN LUAR BIASA (KLB) CAMPAK DI WILAYAH UPTD PUSKESMAS PIJORKOLING KOTA PADANGSIDIMPUAN TAHUN 2019

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    Measles can cause an outbreak. Pijorkoling Health Center data found 11 cases of measles that occurred at Working Area of Pijorkoling Health Center and have become a measles outbreak. This study aimed to find out how the measles is happening, the implementation of the measles immunization program, the prevention and control of measles and how to carry out measles surveillance in UPTD Pijorkoling Health Center of Padangsidimpuan City in 2019. The research design used qualitative methods with a case study approach. There were 5 informants in this study: 2 mothers whose children had measles and 1 immunization officer, 1 surveillance officer and 1 Health Center head. Data analysis used descriptive qualitative through data processing with the stages of data reduction, data display, and conclusion or verification and triangulation. The results of interviews found that the knowledge of mothers about measles was good, the implementation of measles immunization has been done but the achievement of immunization was still lacking, prevention and control of measles outbreaks was done by taking toddlers to get measles immunization and the implementation of measles surveillance was good, but still having some obstacles; the number of officers and the condition of road facilities that were not supportive. The conclusion shows that the implementation of the immunization program is good, prevention and control of measles outbreaks is good and the implementation of measles surveillance is good. It is suggested to Posyandu cadres and immunization officers to improve the extension program to mothers about measles and the benefits of measles immunization

    HUBUNGAN PENGETAHUAN DAN SIKAP PERAWAT DENGAN PENERAPAN KESEHATAN DAN KESELAMATAN KERJA DI RSUD Dr. R.M. DJOELHAM KOTA BINJAI 2019

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    The application of Occupational Health and Safety (OHS) to nurses is the implementation of the OHS policy that has been made based on the hospital's OHS management system (OH&SMS) adjusted to OHS in the inpatient installation. Hospital OHS data and facts globally by WHO (World Health Organization) in 2017 states that of the 35 million, 3 million were exposed to blood pathogens (2 million were exposed to the HBV virus, 0.9 million were exposed to the HBC virus and 170,000 were exposed to the HIV / AIDS virus). The research objective was the relationship of knowledge and attitudes of nurses with the application of OHS in RSUD Dr. R.M. Djoelham Binjai in 2019. The design in this research was analytical descriptive design with cross sectional approach. The population in this study was 153 nurses. Samples were taken by using the Slovin formula as many as 111 people. The data collection methods were primary and secondary data. Analyses of the data used in this study were univariate and bivariate analysis with Chi-square Test. The results showed Knowledge Sig (.408)> α (.05) means that there was no relationship between knowledge and the application of OHS, while Sig's attitude (,000) <α (.05), means that there was a relationship between attitude and the application of OHS in RSUD Dr. R.M.Djoelham Binjai in 2019. The conclusion in this study shows that there is no relationship between knowledge with the application of OHS in RSUD Dr.R.M.Djoelham Binjai, while there is a relationship between attitude and the application of OHS in RSUD Dr.R.M.Djoelham Binjai. It is expectedthat this study can be use as an input for (OH&SMS). It is suggested to agencies that the importance of good knowledge about the application of OHS to be understood by nurses so that the level of work-related accidents and occupational diseases can be reduced by nurses in hospitals

    ANALISIS PERILAKU YANG MEMENGARUHI PEMERIKSAAN ANC PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS KEBAYAKAN KABUPATEN ACEH TENGAH PROVINSI ACEH TAHUN 2019

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    The World Health Organization (WHO) recommends that the obligation to visit ANC during normal pregnancy is four visits during pregnancy with a predetermined standard and time. The purpose of this study was to analyze the behaviors that affect ANC examination in pregnant women in the work area of ​​the District Health Center in Keb Aceh, Aceh Tengah Province. This type of research uses Mix Methods with the Sequential Exploratory method. The population was 411 people and a sample of 80 respondents, while the qualitative informants were 2 pregnant women, 2 husbands, 1 midwife and 1 head of the puskesmas. Quantitative data analysis with univariate, bivariate and multivariate analysis. Qualitative data analysis includes reduction, display and conclusion drawing / verification. Based on the results of the chi-square test obtained at the age variable p = 0.036, education p = 0,000, occupation p = 0.292, knowledge p = 0.011, parity p = 0.891, distance of health place p = 0.005, husband support p = 0.005. Qualitatively the cause of incomplete pregnant women checking ANC is the lack of support provided by the husband, the distance from the place of health care and the experience of previous pregnancy. The conclusion in this study is that there is an influence of age, education, knowledge, distance of health, husband support for ANC examination and no influence of work and parity for ANC examination in the work area of ​​Kebaya Health Center in Central Aceh Regency in 2019. It is recommended for husbands to provide support for pregnant women by way of delivery, reminded mothers to check their pregnancies to the full and ask for the results of pregnancy checks

    FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN MAKANAN PENDAMPING ASI DINI DI KLINIK WIPA TAHUN 2019

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    The World Health Organization (WHO) has recommended a gold standard for infant feeding, namely exclusive breastfeeding from birth to age 6 months, preceded by Early Breastfeeding Initiation (IMD) immediately after birth, starting at age 6 months, providing complimentary feeding (MP-ASI). Exclusive breastfeeding is still low at 7.8% among babies who are breastfed for up to 6 months and the average length of exclusive breastfeeding is only 1.6 months. The purpose of this study was to determine the factors associated with the provision of complimentary feeding in early at WIPA Clinic. The study was an analytic survey research with cross-sectional approach. Sampling technique were taken by using a total sampling of 33 mothers who have babies 4-6 months. Data were collected with primary, secondary and tertiary data. Based on the results of knowledge research, it is known that the p-value=.031< α-value=.05, the economy is known the p-value=.020 <α-value=.05, the culture is known the p-value=.001 < α-value=.05, the role of officers known p-value =0.000 < α=.05, family support known p-value=.006 < α=.05, motivation known p-value=0.000 <α=.05. The conclusion of this study showed that there is a relationship of knowledge, economy, culture, the role of health workers, family support and motivation with the provision of early complimenatry feeding at WIPA Clinic in 2019. It is recommended for health workers to increase the frequency of counseling through making lefleats about the exact time of administration complimetary feedin

    FAKTOR YANG MEMENGARUHI IBU DALAM PEMILIHAN JENIS PERSALINAN DI RSU MARTHA FRISKA MEDAN TAHUN 2019

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    Childbirth is a series of events that end in the expulsion of the baby for months or almost months, followed by the removal of the placenta and fetal membranes from the mother's body. Based on preliminary surveys found 9 third trimester pregnant women, 3 of them mothers choose cesarean delivery, 2 third trimester pregnant women choose cesarean delivery, while 4 third trimester pregnant women choose the type of normal delivery. The purpose of this study was to determine the factors that influence mothers in the choice of type of labor in Martha Friska General Hospital in 2019. This type of research is an analytic survey with cross sectional approach. The population of this study was all 30 third trimester pregnant women. Data analysis was performed using univariate, bivariate, and multivariate analyzes with the chi square test and logistic regression test. The results of the study used a chi square test of 30 (100%) respondents of third trimester pregnant women with good knowledge of 17 respondents (57.7%), enough knowledge of 3 respondents (10.0%) and less knowledge of 10 respondents (33, 3%) with p value = 0.031 <0.05 Higher education were 25 respondents (83.3%), respondents with low knowledge were 5 respondents (16.7%). with p value = 0.031 <0.05 Residing in rural areas as many as 8 respondents (26.7%), respondents living in urban areas were 22 respondents (73.3%) with p value = 0.022 <0.05. Without indication as many as 23 respondents (76.7%), respondents with medical indications were 7 respondents (23.3%) with p value = 0.038 <0.05. education has a significant value with sig 0.015 <0.05. The conclusion that there is an influence of knowledge, education, place of residence and indications of mothers with the choice of type of labor in Martha Friska General Hospital in 2019. It is expected that health workers to improve health services to third trimester pregnant women to choose the type of delivery that is good and safe for the health of mothers and babies

    UJI AKTIVITAS ANTIBAKTERI FORMULASI SEDIAAN HAND SANITIZER EKSTRAK ETANOL DAUN ANTING –ANTING (Acalypha indica L.) TERHADAP BAKTERI Staphylococcus epidermidis

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    Acalypha is a plant known as a nutritious weed and contains alkaloids, flavonoids, and saponins. This study aims to determine whether the ethanol extract of Acalypha leaves can be made in the form of Hand sanitizer preparations and to find out whether the hand sanitizer preparations of Acalypha leave extract ethanol have antibacterial activity against Staphylococcus epidermidis. This research was experimental with maceration method. Hand sanitizer extract of Acalypha leaves was made in 3 concentrations, namely concentrations of 7.5%, 10% and 12.5%. In hand sanitizer testing, organoleptic test, homogeneity test, pH test, irritation test, viscosity test and Staphylococcus epidermidis antibacterial activity test. The data is processed statistically using ANOVA. The ethanol extract of acalypha leaves was tested on Staphylococcus epidermidis bacteria using media (NA). Testing the antibacterial activity of hand sanitizer preparations of Acalypha leaves ethanol extract with formulations of 7.5%, 10%, and 12.5% has achieved effective antibacterial activity. The 7.5% formulation shows the antibacterial activity 28.6 mm smaller than the antibacterial activity the 10% formulation shows 30.7 mm, the 12.5% formulation shows the antibacterial activity at 32.0 mm. The results of this study indicate that the preparation of hand leaf sanitizer extract of Acalypha leaves with a concentration of 7.5%, 10%, and 12.5% produces a hand sanitizer that meets the requirements of the organoleptic test, homogeneity test. pH test, irritation test, viscosity test and antibacterial activity test. Acalypha leaves ethanol extract showed the strong antibacterial activity of Staphylococcus epidermidis

    ANALISIS KADAR NATRIUM BENZOAT PADA MINUMAN TEH KEMASAN BOTOL PLASTIK DI KOTA MEDAN DENGAN METODE SPEKTROFOTOMETRI UV TAHUN 2019

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    Sodium benzoate is a preservative that is permitted for use in food and drinks. Research has been conducted with the aim to find out the plastic bottle tea drinks containing preservative sodium benzoate, find the amount of it and to determine its levels to see whether it meet the maximum usage requirements according to the regulations of the Head of BPOM RI No. 36 of 2013. This research used the ultraviolet spectrophotometer method. To determine the content of preservative sodium benzoate, sample form was first performed by extracting benzoate compounds in an acidic atmosphere with chloroform so that it was extracted as benzoic acid. Chloroform extract was then added with NaOH to calcify the sample solution so that all of it was present as a water-soluble salt. The chloroform extract was taken from a layer of water and then the absorption was measured with a UV-Vis spectrophotometer at a wavelength of 225nm with distilled water as a solvent. The analysis showed that the preservative levels of sodium benzoate which were calculated as benzoic acid in each sample were sample A of 18.4065 mg/kg; sample B was 14.5479 mg/kg; sample C 17.2752 mg/kg; sample D was 14.2182 mg/kg; and sample E was 15,3471 mg/kg. Based on these results it can be concluded that the levels of sodium benzoate in samples A, B, C, D and E meet the standard requirements for the maximum usage limit of no more than 400 mg/kg

    ANALISIS KEBERADAAN ESCHERICIA COLI, KAPANG, DAN NATRIUM BENZOAT PADA KECAPMANIS KILOANYANG DIJUAL DI PASAR SEI SIKAMBING KECAMATAN MEDAN HELVETIAKOTA MEDAN

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    Soy sauce is very familiar to be used as a food flavor and dining companion. In Indonesia, the soy sauce market is quite large and has a tendency to increase from year to year. This research aimed to determine the physical state by using organoleptic test and the presence of Eschericia coli by using Most Probable Number method (MPN), the presence of mold by using Mold and Yeast Number method, and the presence of sodium benzoate by using FeCl3 5% method and Spectrofotometry UV-Visible method in 5 different brands of kecap manis kiloan sold in Sei Sikambing Market. The research result showed that all samples had a typical normal physical state and Most Probable Number were <3 MPN/g. Then the result of Mold and Yeast Number in each sample were sample I was 10 colony/g; sample II was 5 colony/g; sample III was 60 colony/g; sample IV was 65 colony/g; sample V was 55 colony/g. Then all samples contain sodium benzoate marked by reddish brown sediment with FeCl3 5% addition. And sodium benzoate levels in each sample were sample I was 166,89 mg/kg; sample II was 111,99 mg/kg; sample III was 131,63 mg/kg; sample IV was 57,16 mg/kg; sample V was 63,87 mg/kg. Based on these research results can be concluded that sample I and II are fulfilled the requirements while sampel III, IV, and V are not fulfilled the requirements of Soy Sauce Quality Standards based on SNI 01-3543-1999. Keywords: Soy Sauce, The Physical States, Eschericia coli, Mold, Sodium Benzoa

    PENGARUH FAKTOR PENENTU PERILAKU IBU DALAM PEMBERIAN IMUNISASI DASAR PADA BAYI DI WILAYAH KERJA PUSKESMAS KOSIK PUTIH KABUPATEN PADANG LAWAS UTARA TAHUN 2019

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    Immunization has proven to be one of the most important public health efforts. The report from the North Kosik Putih Health Center in North Padang Lawas District recorded that there were 52 basic infant immunizations (63.9%) of the target babies who will receive complete basic immunizations of 76 babies and in 2017 59 babies (73.8%) of the target of 80 baby. The purpose of this study was to determine the determinants that influence maternal behavior in providing basic immunization to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. This type of research is an analytic survey with cross-sectional design. The population in this study were all mothers who brought their babies for basic immunizations in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019 totaling 59 mothers using total sampling. Data analysis in this study used univariate, bivariate and multivariate analysis with logistic regression. The results of the study with logistic regression showed the value of sig in the knowledge variable (p = 0.003), attitude (p = 0.018), social culture (p = 0.271), availability of health facilities (p = 0.376), affordability of health facilities (p = 0.472), support for health workers (p = 0.030) and support from husbands (p = 0.725). The variable with the largest Exp (B) value is knowledge (39,565). The conclusion of this study is that the variables that influence behavior in providing basic immunization to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019 are knowledge, attitudes and support of health workers, and the most influential variable is knowledge. It is recommended to health center staff, especially midwives, to actively educate every mother who gives birth and infants who have not received basic immunization

    EFEKTIFITAS PENGGUNAAN MEDIA AUDIO VISUAL TERHADAP PERUBAHAN PERILAKU PENDERITA HIPERTENSIDI PUSKESMAS LHOK BENGKUANG TAHUN 2019

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    Patients with hypertension have increased in the last 3 years and entered the 10 most diseases in the Lhok Bengkuang Health Center in 2018. The high incidence of hypertension is caused by poor public behavior about hypertension and how to prevent it. Various methods are used to change the behavior of hypertensive sufferers, namely by providing health promotion. The purpose of this study was to analyze the effectiveness of using audiovisual media for changes in the behavior of people with hypertension. This type of research is a quasi experimental with one group pretest posttest design. The population of this study was 604 people, samples were obtained by 10 people using purposive sampling method. Data analysis was univariate, bivariate using Wilcoxon test. The results showed that before being given audio visual media (pretest) counseling at the Lhok Bengkuang Health Center, most of them behaved poorly at 70.0%, a small proportion behaved well at 30.0%. After being instructed by audio-visual media (posttest) most of them behave well 70.0%, a small proportion behave badly 30.0%. There was a significant influence (difference) in the behavior of hypertensive patients before being given an audio visual media (pretest) counseling with the behavior of hypertensive patients after being given an audio visual media (posttest) counseling at the Lhok Bengkuang Health Center, p = 0.046 <0.05. Conclusion that the use of audiovisual media is effective in changing the behavior of hypertensive sufferers. Suggestions for health workers in the Lhok Bengkuang Health Center to routinely provide counseling to all hypertension sufferers every time they visit the puskesmas about prohibited behavior and recommended behavior in controlling hypertension

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