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    FAKTOR YANG MEMENGARUHI PERNIKAHAN USIA MUDA PADA PASANGAN SUAMI ISTRI DI DESA TANJUNG MOMPANG KECAMATAN PANYABUNGAN UTARA KABUPATEN MANDAILING NATAL TAHUN 2019

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    Young marriage is marriages performed by men under the age of 19 years and women under the age of 16 years. According to WHO in 2014 showed amount 16 million women gave birth aged 15-19 years or 11% of all births in the World this study aims to analyze the factors that influence young marriage in a married couple at Tanjung Mompang Village, North Panyabungan District of Mandailing Natal Regency in 2019. This research uses a mix method research. The populations were husband and wife couples with fertile age status who engaged in young marriage amount 79 couples. The quantitative approach sample was 79 married couples. The qualitative approach was 3 married couples, 1 village head, 1 village midwife, 1 traditional leader. Quantitative analysis was done by univariate, bivariate, multivariate analysis. Qualitative analysis performed by data reduction, data presentation, and drawing conclusions. The results showed the majority of knowledge variables lack p-value .038, majority education low value p-value .013, parenting majority lack p-value .011, majority culture supports p-value .025. The conclusion shows that there is the influence of knowledge, education, parenting, and culture. The most dominant variable affecting young marriage is culture. It is expected that traditional leaders can provide a way of life for adolescents not to engage in young marriage and suggestion for adolescents to study to college to be useful adolescents, thus the teenager knows the negative effects of young marriage that are vulnerable to reproductive health problems

    EVALUASI PELAKSANAAN PROGRAM ELIMINASI MALARIA DI KABUPATEN ACEH SINGKIL TAHUN 2018

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    The success of malaria elimination in Aceh Singkil Regency is not followed by other regions in Aceh. Achievement of malaria elimination achievement is inseparable from various related sectors that have a strong commitment to jointly mobilize malaria prevention and control with the percentage of Annual Parasite Incident (API) per 1000 population in 2017 reaching 0%. can cause people to suffer from malaria. The research objective is to analyze the evaluation of the implementation of malaria elimination program in Aceh Singkil Regency in 2018. This type of research is qualitative with a phenomenological approach. The research informants were divided into 5 key informants namely the person in charge of P2P, malaria management officers, village midwives and 4 main informants namely the head of the puskesmas and village head and 6 additional informants namely the community, pregnant women, cadres. Data were analyzed using qualitative descriptive analysis through the stages of data reduction, presentation and conclusion drawing. The results showed that the findings and procedures of patients were not carried out, but people who had fever still had their blood checked. Prevention and control of malaria is not carried out such as the distribution of mosquito nets and pememportan home environment. Epidemiological surveillance and epidemic prevention are not carried out because there are no outbreaks, so monitors are made in the form of monthly reports. The improvement of education and information communication (IEC) continues to the present through counseling the community more focused on village midwives / cadres. Increasing human resources in the form of training and guidance to officers has never been. The percentage of Annual Parasite Incident (API) per 1000 population in 2018 reaches 0%. The conclusion is that the evaluation of the implementation of the malaria elimination program has decreased in frequency but the vigilance of officers is still ongoing

    FAKTOR YANG MEMENGARUHI TINDAKAN PENCEGAHAN INFEKSI MENULAR SEKSUAL (IMS) PADA PENGUNJUNG KLINIK VCT DI PUSKESMAS KOTA RANTAUPRAPAT KECAMATAN RANTAU UTARA TAHUN 2019

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    Sexually transmitted infections (STIs) are still a health problem in the world, not only in developing countries but also in developed countries. Profile data for the Rantauprapat City Health Center in 2018 recorded 2 cases of HIV (male) and 12 cases of shypilis (6 men and 6 women). The aim of this study was to find out the factors that influenced the prevention of sexually transmitted infections (STIs) in visitors to the VCT Clinic at Kota Rantauprapat Puskesmas in North Rantau District in 2019. The research design used was analytical research with a cross sectional approach. The population in this study were all visitors to the VCT clinic at the Rantauprapat City Health Center in January - June 2019 as many as 360 people. The sampling technique uses an accidental sampling system of 78 people. Data analysis used univariate, bivariate and multivariate analysis with logocytic regression. The results of the study with bivariate analysis revealed p-value in each variables are knowledge 0,000 <0,05, attitude of 0,000 <0,05, support of health workers 0,000 <0,05 and family support 0,004 <0,05. Multivariate analysis shows that the variable support for health personnel has a significant value of 0,001 <0,05 and the largest Exp (B) value = 22,587. The conclusion of this study is that there is a relationship between knowledge, attitude, support of health personnel and family support for prevention of sexually transmitted infections (STIs) in visitors to VCT clinics in Kota Rantauprapat Health Center, North Rantau District in 2019. The most significant variable influencing STI prevention measures is support health workers. It is recommended to health workers to be more persuasive in inviting the public to attend counseling services about STIs to increase public awareness in STI prevention measures

    PREFORMULASI DAN EVALUASI SEDIAAN TABLET DARI EKSTRAK ETANOL DAUN KOPASANDA (Chromolaena odorata L.) DENGAN VARIASI GELATIN SEBAGAI BAHAN PENGIKAT

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    PREFORMULATION TEST AND EVALUATION OF TABLETAVAILABLE FROM SIAM WEED LEAVES ETHANOL EXTRACT (Chromolaena odorata L.) WITH GELATIN VARIATION AS BINDER JUNIAELVIANGRAINI1501196171 Traditionalmedication is a drug that the ingredients in the form of plants, animals,minerals, liquid preparations (ginger) or mixtures of these materials whichhave been used for medication for generations and can be applied according tothe norms prevailing in the community. Siam Weed leaf is one part of the plantthat is used as a traditional medication, which is to treat diabetes, curewounds, cough, and stop bleeding. Siam weed leaves contain flavonoids. Thisstudy aims to determine the ethanol extract of Siam weed leaves (Chromolaenaodorata L.) can be formulated in tablet preparations with variations in the concentration of gelatin as a binder and to determine the preformulation testand evaluation of tablet preparations from ethanol extract of Siam weed leaves(Chromolaena odorata L.) with a variety of ingredients the binder.Theresearch method was conducted experimentally, with the extraction process usingmaceration method, the selection of maceration method was based on leaf typesamples, the solvent used was 70% ethanol. for the method of making tabletsmade using the wet granulation method and preformulation test and evaluation oftablet preparations.Thephytochemical screening results of Siam weed leaves showed the presence offlavonoids, alkaloids, tannins and saponins. Tablets are formulated in 3formulas with gelatin concentrations of 1%, 3% and 5%. Evaluation resultsshowed that the ethanol extract of Siam weed leaf (Chromolaena OdorataL.) Onlymet the respective requirements for the disintegration time and friability teston F1 and F2, and F3 did not meet the requirements for weight uniformity andhardness test of tablets.Theconclusion of this study is the Siam weed leaf (Chromolaena odorata L.) ethanolextract tablet was made ineligible based on the Indonesian edition ofPharmacopoeia III

    HAMBATAN KINERJA KONSELOR ASI DALAM MENINGKATKAN CAKUPAN PEMBERIAN ASI EKSKLUSIF DI KABUPATEN ACEH TIMUR

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    The Government of Indonesia in particular the Ministry of Health adopted 6 months exclusive breastfeeding according to UNICEF's recommendations as a nutrition improvement program for infants or toddlers. The results of the 2013 Aceh Province Riskesdas Survey were 30.2% exclusive breastfeeding, and in 2018 it was 37.3%, while the results of the PSG report for the coverage of exclusive breastfeeding in Aceh Province in 2017 were 23.0% and East Aceh District was 11.2%. Breastfeeding counseling is an effective way to increase exclusive breastfeeding. The purpose of the study was to determine the barriers factors to the performance of breastfeeding counselors in increasing the coverage of exclusive breastfeeding. This type of research was an analytical survey with cross sectional approach. This research was conducted in East Aceh District in June 2019. The population of this study was breastfeeding Counselors as many as 52 people with samples taken based on Purposive sampling technique, amounting to 42 people. The data collection were primary and secondary. Data analysis was performed univariately and bivariately using the chi-square test with a confidence level of 95% (α = .05). The results showed that there was a relationship between workload factors (P value .003 .05). It is suggested to the Department of Health to conduct regular monitoring and evaluation of breastfeeding counselors and to create and determine exclusive breastfeeding program policies to be applied at Health Center where the breastfeeding counselor work

    HUBUNGAN KEPATUHAN MINUM OBAT PASIEN TB PARU DENGAN TINGKAT KESEMBUHAN DI DAERAH KERJA PUSKESMAS KUALA KABUPATEN LANGKAT

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    Pulmonary TB bacteria can infect various parts of the body and prefer body parts with high oxygen levels. The lungs are the main predilection for pulmonary tuberculosis (TB) germs. Pulmonary TB is an infectious disease which is a problem for people in Kuala Sub District. In 2013 and 2014 there were 53 and 77 people with pulmonary TB, in 2015 there were 75 people and in 2016 there were 52 people. The purpose of this study was to determine the relationship between the compliance of pulmonary TB in consuming drugs with recovery rate at working area of Kuala Health Center, Langkat District. The design of this study is quantitative research design with a cross sectional approach. The populations in this study were all patients with pulmonary TB who had participated in the Pulmonary TB treatment program for 6 months at Working Area of Kuala Health Center of Langkat District as many as 52 people. The sample used the total population. The data analysis used univariate and bivariate analysis and tested by using chi square test. The results of the study showed that the majority of the compliance of pulmonary TB patients were 49 people (94.2%), disobedient as many as 3 people (5.8%) and the majority of patients recovered as many as 47 people (90.4%), not cured as many as 5 people (9 , 6%). The results of the chi square test showed that the p-value = 0,000 <0,05. The conclusion in this study shows that there is a relationship between the compliance in consuming pulmonary TB drugs with recovery rate. It is suggested to the Health Office together with the Management of the Community Health Center to increase the provision of information about pulmonary TB treatment to patients and families of patients through counseling activities or home visits

    UJI AKTIVITAS ANTIBAKTERI SEDIAAN KRIM EKSTRAK ETANOL KULIT BUAH NAGA DAGING MERAH (Hylocereus polyrhizus) TERHADAP Propionibacterium acnes SECARA IN VITRO

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    Cream has a high aesthetic value and comfort. Creams containing natural ingredients are now more desirable because of the trend of back to nature, one of the plants that can be used as an antibacterial alternative is the skin of red dragon fruit (Hylocereus polyrhizus). Dragon fruit skin contains vitamin C, vitamin E, vitamin A, alkaloids, terpenoids, and flavonoids. This study aims to determine the antibacterial activity of ethanol extract cream of red dragon fruit peel against Propionibacterium acne. This type of research is an experimental laboratory which was divided into 3 treatment groups and 2 control groups. The treatments consisted of concentrations of 20%, 30%, and 40%. The positive control is vitacid cream and negative control is cream base. The antibacterial test was carried out by the Kirby-Bauer disk diffusion method. The results showed that the cream met the requirements of homogeneity, pH (4.5–6.5), spreadability in formulas 1 and 2, whereas in formula 3 it did not meet the requirements (5–7 cm), and the antibacterial activity test of the ethanol extract of the skin cream red dragon fruit with a concentration of 20% has an average inhibition zone diameter of 8 mm, a concentration of 30% is 9.66 mm, and a concentration of 40% is 11.83 mm. From this study can be concluded that the cream preparations from an ethanol extract of red dragon fruit skin have good antibacterial activity against P.acnes bacteria with the classification of medium-strong growth retardation response. Then the greater the concentration of ethanol extract of a red dragon fruit peels in the preparation, the greater the antibacterial activity against P. acne

    FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN RETENSIO PLASENTA DI KLINIK BERSALIN RIZKY ANANDA DI KOTA LHOKSEUMAWE TAHUN 2019

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    Background: Midwives in health services have an important role in reducing maternal and child mortality. According to the Health Ministry in 2014, the biggest causes of death in 2010-2013 remained the same; bleeding (30.3%), hypertension (27.1%) infections (7.3%), Prolonged labour (1.8%), Abortion (1.6%) and others (40%). Objective: This study aims to determine factors related to placental retention at Rizky Ananda maternity clinic in 2019 Methods: Design of this study was analytical survey with cross sectional approach. The study population was all maternity women in Rizky Ananda Maternity Clinic as many as 355 people were recorded in the clinical medical records in January-December 2018. The sample of this study used the purposive sampling technique which had criteria of 78 maternity women recorded in the medical record in 2018. The data used secondary and Tertiary data. Data analysis used univariate and bivariate analysis. Results: showed that there was a significant relationship between maternal age p=.027 <a=.05 and POR=6.949, parity was obtained p=.006 <a=.05 and POR=3.061, pregnancy spacing obtained p=.021 <a=.05 and POR=7190 birth history obtained p=.027 <a=.05 and POR=6.949 means that Ha was accepted. Conclusions: in this study indicated that there is a significant relationship between age, parity, pregnancy spacing and previous history with placental retention at Rizky Ananda Maternity Clinic in 2019. Suggestions to the health workers to provide the best health services. Keywords: Age, Parity, Previous History, Pregnancy Spacing, Placental Retentio

    FAKTOR TIDAK LANGSUNG YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS IMMINENS DI RSU MUHAMMADIYAH MEDAN TAHUN 2019

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    Abortion is a reproductive health problem that needs attention and is a cause of suffering for women throughout the world. WHO reports that the percentage of abortion is quite high. About 15-40% of abortion occurrences are known when the mother has tested positive for pregnancy and 60-70% of abortion occur before gestational age reaches 12 weeks. To find out the indirect factors that influence Abortus Imminent in Muhammadiyah Hospital Medan in 2019. This study was an analytic survey with a cross-sectional approach. The population in this study was 50 pregnant women and all were as sample using a quantitative approach. This study uses secondary data analysis, the data used are univariate and bivariate analysis. Based on chi-square test results is found the relationship with the incidence of abortion like educational with p-value=.012<.05, age of pregnant women with a p-value=.002<.05. parity of pregnant women with p-value=.006. and history of abortion and the incidence of imminent abortion with a p-value=.004. It can be been seen that abortus imminent from education amounted 30 respondents (60%) in elementary/junior high school, and Diploma 3, Diploma 4, Bachelor and Postgraduate amounted 7 respondents(14%). Abortion is seen by age 35 years amounted 6 (12%). Abortion is seen from parity, primipara as much as 32 (64%), minority grandemultipara amounted 4 (8%). Abortion imminent seen from the history of abortion majority amounted 36 (72%), the minority did not exist amounted 14 (28%)

    UJI AKTIVITAS PERTUMBUHAN RAMBUT MARMUT KOMBINASI EKSTRAK ETANOL DAUN PANDAN WANGI (Pandanus amaryllifolius Roxb) DAN DAUN SELEDRI (Apium graveolens L.)

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    Plants that are effective as a hair grower include fragrant pandan leaves (Pandanus amaryllifolius Roxb.) And celery leaves (Apium graveolens L.). The purpose of this study was to determine the ethanol extract of fragrant pandan leaf (Pandanus amaryllifolius Roxb) combination with celery leaves (Apium graveolens L.) as a preparation for marmal hair growth (hair tonic). The study was experimentally research. Extraction was done by maceration method. Test preparations were made by combining the two extracts with a ratio of fragrant pandan leaves extract and celery leaves with Formula A 1:5, B 2:4, C 3:3, D 4:2 and E: 5:1, negative control (F) and positive control ( G). The tests conducted are organoleptic test, specific gravity test, irritation test, pH test and viscosity test. The results showed that the hair tonic produced was blackish green solution, viscosity (348.03 - 468.26 cPs) and pH (4.5 - 5.7). Physical stability test showed that the preparation was organoleptically stable. Measurement of hair length of guinea marmot with Std deviation formula A (1.0676 ± 0.0739), with a ratio of formula G (positive control) that is (1.2076 ± 0.3861) which has good marmot hair growth activity. The conclusion of the study was that all hair tonic formulas containing a combination of fragrant pandan leaf extract and celery extract had the ability to increase hair length growth. The combination of fragrant pandan leaf extract and celery extract with a concentration ratio of 1:5 has the best activity in hair growth

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