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    PENGARUH INISIASI MENYUSU DINI TERHADAP PERUBAHAN SUHU TUBUH PADA BAYI BARU LAHIR DI KLINIK HJ. MERA TANJUNG MULIA HILIR KECAMATAN MEDAN DELI TAHUN 2018

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    Early initiation of breastfeeding affects the new born's body temperature, due to heat loss in infants Is four times greater than in adults. This acts as a life savior, early initiation of breastfeeding can also save 22 percent of babies who die before the age of one month. The purpose of this study was to determine the effect of early initiation of breastfeeding to changes in body temperature in newborn infants. This study design using the quasi-experimental approach prestest and posttest. The sampling method with accidental sampling method. Data were collected by observation, and analyzed using the Wilcoxon test is computerized with a significance level of P-Sign<0.05. The results showed that almost 90% of newborns prior to the early initiation of breastfeeding decreased body temperature and after the early initiation of breastfeeding is only 10% have a low body temperature. From the statistical test results obtained results with Z = -4.243 and P value = 0.000. The conclusion of this study was the effect of early initiation of breastfeeding to changes in body temperatur of new born babies in theclinic Hj. Mera glorious headland downstream 2018. Judging from these results it is expected to midwives in order so provides early initiation of breastfeeding action to every newborn to prevent hypothermia

    PERAN BIDAN DALAM MELESTARIKAN KEARIFAN LOKAL MELALUI KEMITRAAN DENGAN DUKUN MALANAK/PARAJI DI KABUPATEN SIMEULUE PROVINSI ACEH TAHUN 2018

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    The high maternal mortality rate (MMR) and infant mortality rate (IMR) are health problems that are still faced in Indonesia. MMR in Indonesia in 2012 was 359 per 100,000 live births and IMR 32 per 1000 live births. Whereas MMR at Simeulue District in 2016 was 5 cases out of 1552 mothers who gave birth, and in 2017 MMR as many as 7 cases from 1668 the number of mothers who gave birth. One of the efforts to prevent an increase of MMR in Simeulue is to revitalize the partnership of midwives with the traditional birth attendance. The purpose of this study was to explore more deeply about the role of midwives in preserving local wisdom through partnerships with traditional birth attendance in childbirth assistance. This study uses a qualitative method with a case study approach with retrospective exploration. The research informants can be divided into two categories, namely the main informants; midwives and supporting informants; the traditional birth attendance; postpartum mothers; and community leaders. The results of the study found a series of midwife roles in preserving local wisdom through partnerships with traditional birth attendance. Partnership actions were carried out among othersbefore delivery, during the delivery assistance process and postpartum services. It turned out that partnership resources support the role of midwives in preserving local wisdom through partnerships with traditional birth attendance, namely financial support, supporting facilities and infrastructure, partner characteristics (skills and expertise, motivation, relationships between partners), role sharing, communication, coordination, decision making, commitment. The conclusion of this study shows that the partnership of traditional birth attendance and midwife in Simeulue District has not gone well. The obstacles were found that some of traditional birth attendance did not want to have a partnership, the transportation in taking maternal mother to the health center, and the mother itself. It is necessary to allocate funds to fund the partnership programs, having a conference and do the coordination between midwives and traditional birth attendance, counseling to the community about childbirth in health center. . It is expected to the community to understand and realize that giving birth in health center is safer and better than at home

    ANALISIS KEPUASAN PASIEN RAWAT INAP TERHADAP MUTU PELAYANAN DI RUMAH SAKIT UMUM HAJI MEDAN

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    Quality health services are the basic needs that everyone needs. Patient satisfaction is one of the goals of improving the quality of health services. Data of patient satisfaction done by customer service of Medan Haji General Hospital in quarter IV 2017 recorded still many complaints related to patient service. The purpose of this study is to analyze the satisfaction of inpatients on the quality of service at Haji General Hospital Medan. The research design used qualitative descriptive research with semi structured interview method. Subjects were selected based on inpatient satisfaction cases in terms of service quality. Infroman in this research is 8 patient in inpatient room and 2 nurses executor at Haji General Hospital Medan. Data analysis was done by using Miles and Huberman model including data processing with data reduction, display data, and conclusion or verification and triangulation. The results of the research note that the dimensions of technical competence are satisfactory, the dimension of service continuity is satisfactory, the service access dimension is satisfactory but the distance is still too far to reach, the safety dimension is satisfactory, the dimension of comfort, effectiveness and efficiency is quite satisfactory. The conclusion of this study is the quality of service to the satisfaction of inpatients at Haji Medan General Hospital has been satisfactory. It is suggested to General Hospital Haji Medan to improve the availability of infrastructure facilities, to increase the available resources and to evaluate the service continuously (Continuous Quality Inprovement) to support patient's comfort during service process and service can run more effectively which impact on increased quality of service and patient satisfaction

    HUBUNGAN BERAT BADAN BAYI BARU LAHIR DAN PARITAS DENGAN DERAJAT RUPTURE PERINEUM PADA PERSALINAN NORMAL DI KLINIK BIDAN SAHARA KOTA PADANGSIDIMPUAN TAHUN 2018

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    Bleeding is one of thecontributing causes of postpartum maternal mortality after hypertension. One of the causes of bleeding is caused by perineum rupture. Many women experience perineum rupture when giving birth to their first child. This will be exacerbated by a large baby’s weight or uncontrolled precipitation delivery. The results of preliminary studies that have been carried out in BPM EndangMinaharsi, A.Md.Keb in January-December 2015 there was a significant relationship between infant birth weight born with perineum rupture in spontaneous maternity at BPM EndangMinaharsiA.Md.Keb The purpose of this study was to determine the relationship of newborn baby weight and parity with the degree of perineum rupture at normal delivery at the Sahara Midwife Clinic in Padangsidimpuan. This research method used analytical survey design with cross sectional approach. The population of this study was all 71 delivery mothers. The sampling technique used purposive sampling technique that is by looking at certain criteria and obtained a total sample of 47 respondents. Data collection techniques used secondary data or medical records. Data analysis techniques were done by using chi-square = .05. The results of the study on the weight of a newborn baby obtained p value = .004 and in maternal parity obtained p value = .000 The conclusion of this study is that there is a significant relationship between newborn baby weight and parity with the degree of perineum rupture at normal delivery at the Sahara Midwife Clinic in Padangsidimpuan. It is expected that midwives provide knowledge and provide advice to pregnant women about the relationship of newborn body weight and parity to the degree of perineum rupture at normal delivery

    HUBUNGAN TINGKAT PENGETAHUAN PUBERTAS REMAJA PUTRI DENGAN SIKAP MENGHADAPI PERUBAHAN FISIK DI MTS IKHLASIYAH GUPPI MUSLIMIN KABUPATEN SIMALUNGUN TAHUN 2018

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    ABSTRAK HUBUNGAN TINGKAT PENGETAHUAN PUBERTAS REMAJA PUTRI DENGAN SIKAP MENGHADAPI PERUBAHAN FISIK DI MTS IKHLASIYAH GUPPI MUSLIMIN KABUPATEN SIMALUNGUN TAHUN 2018 DESI YUSTIANA SARI 1701032176 Pubertas merupakan masa ketika seorang anak mengalami perubahan secara fisik yang meliputi: perubahan proporsi tubuh, perubahan psikis, dan kematangan fungsi-fungsi seksual. Pada anak perempuan pubertas ditandai dengan menstruasi pertama atau biasa disebut menarche.Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pubertas dengan sikap menghadapi perubahan fisik remaja putri. Jenis penelitian ini menggunakan survei analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di Mts Ikhlasiyah Guppi Muslimin pada tanggal 4 bulan Juni tahun 2018, populasi dalam penelitian ini adalah seluruh remaja putri yang berjumlah 71 siswi dan jumlah sampel 71 responden. Teknik pengampilan sampe yang digunakan adalah total populasi. Instrumen yang digunakan adalah kuesioner tertutup yang telah diuji validitas dan reliabilitas, teknik analisis data dengan analisis univariat dan Bivariat. Berdasarkan hasil penelitian diperoleh pengetahuan siswi tentang pengetahuan pubertas pada kategori baik sejumlah 13 responden (18,3%), cukup 35 responden (49,3%), dan kurang 23 responden (32,4%). Sedangkan sikap menghadapi perubahan fisik memperoleh kategori positif sejumlah 29 responden (40,8%) dan kategori negatif berjumlah 42 responden (59,2%). Dari uji chi-square di peroleh nilai signifikan (p)=0,002 > α=0,05 yang artinya adanya hubungan yang signifiakan anatara hubungan tingkat pengetahuan pubertas remaja putri dengan sikap menghadapi perubahan fisik. Kesimpulan terdapat hubungan yang signifikan antara tingkat pengetahuan dengan sikap menghadapi perubahan fisik. Saran dalam penelitian ini dapat memberikan masukan kepada sekolah mts dan Institut Kesehatan Helvetia agar dapat meningkatkan program pendidikan kesehatan khususnya tentang kesehatan reproduksi. Kata Kunci : Pengetahuan, Sikap, Perubahan fisik, Remaja putri Sumber : 13 buku 17 internet ( Tahun 2011-201

    HUBUNGAN PENGETAHUAN IBU DENGAN STIMULASI BICARA DAN BAHASA PADA ANAK USIA 36-48 BULAN DI PAUD CEMPAKA MAS MEDANTAHUN 2018

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    Stimulation is an activity to stimulate the basic abilities of children aged 0-6 years so that children grow and develop optimally. According to Indonesia's health profile in 2015, in Indonesia there were 19,971,366 where maounted 27% of toddlers had a growth disorder, around 4-5% of children under five experienced speech and language disorders. Based on the data obtained by researchers on August 2018 in PAUD Cempaka Mas Medan there were 3 PAUD students who still spoke less clearly at age (36-48 months). The purpose of this study was to determine the relationship of maternal knowledge with speech and language stimulation on todlers aged 36-48 months in PAUD Cempaka Mas Medan in 2018. The design of this study was analytical with a cross sectional approach. The population was in the study of all mothers who had children aged 36-48 months. The sampling technique used a total population of 36 mothers, this study used univariate and bivariate data analysis. Based on the results of the chi-square test between the knowledge of the mother with speech and language stimulation obtained significant values p = 0.002 < 0.05, meaning that there is a mother's knowledge relationship with speech and language stimulation on todlers aged 36-48 months in PAUD Cempaka Mas Medan in 2018. The conclusion of this study is the relationship of maternal knowledge with speech and language stimulation in children aged 36-48 months in PAUD Cempaka Mas Medan in 2018. It is recommended for parents to spend more time playing with children, reading story books and always inviting children to talk, to teachers also to further increase knowledge about stimulation and improve educational skills, by attending seminars on the importance of early childhood education

    HUBUNGAN PERAWATAN PAYUDARA PADA IBU DENGAN KELANCARAN ASI PADA IBU POSTPARTUM DI RSU ESTOMIHI MEDAN TAHUN 2018

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    According to the latest World Health Organization (WHO) data in 2013 in the United States the percentage of breastfeeding women who experienced ASI Dam reached an average of 87.05% or as many as 8242 postpartum mothers from 12,765 people, in 2014 mothers who experienced breastmilk inhibition were 7198 people of 10,764 people and in 2015 there were 6543 mothers who experienced ASI dams out of 9,862 people. This study aims to determine the relationship of breast care with the smoothness of breastfeeding in post partum mothers at Estomihi General Hospital Medan in 2018. The research design was an analytical survey with a cross sectional approach. The population of this study were post partum maternal who gave birth at Estomihi General Hospital in 2018 totaling 30 respondents (Accidental sampling). The data used is primary data and secondary data. The instruments used were checklist and questionnaire with 16 questions. Data were analyzed by applying Chi-square analysis test. From the results of the study 30 respondents, more did not do breast care well as many as 17 people (56.7%), both as many as 13 people 43.3 (%). Statistical test results using Chi-Square get p-value 0.002 <0.05. The results showed that there was a relationship between breast care and smoothness of breast milk at the mother of Post Partum in Estomihi General Hospital in Medan City. It is suggested to Estomihi General Hospital to provide counseling and services especially regarding good breast care methods and breastfeeding problems such as abrasions, so that the performance of services provided by health workers can be of high quality breastfeeding techniques correctly

    FAKTOR YANG MEMENGARUHI TERJADINYA OBESITAS PADA ANAK SEKOLAH DI SDN 1 SIGLI KABUPATEN PIDIE TAHUN 2018

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    Along with the development of the era Nutritional problems in Indonesia are not only a problem of malnutrition but have entered into multiple nutritional problems. Obesity is one of the most serious challenges. Obesity in children is a medical condition characterized by body weight above the average body mass index (BMI) above normal. The purpose of this study was to find out what were the most dominant factors affecting the incidence of obesity on students in Sigli State 1 Elementary School Pidie District 2018. The research design used a quantitative analytical survey with a cross sectional design. The population in this study were students in in sigli state 1 elementary school pidie district 2018 class IV, V, and VI which amounted to 72 students, sampling in this study used total sampling techniques and the test used in this study was multiple logistic regression test. The results showed that the variables that had the most dominant influence on the incidence of obesity in students of In Sigli State 1 Elementary School Pidie District 2018 were physical activity variables p-value .006 < .05 and OR value 36.5, meaning that mild physical activity opportunities had as much obesity as possible 36.5 times compared to genetic variables, family income and family size. The conclusion of this study is that physical activity is the most dominant factor affecting the incidence of obesity in school children in SD Negeri 1 Sigli, Pidie Regency. It is suggested for teachers in schools to improve student activities to be more active by taking gymnastics students in the morning and being active in sports lessons

    HUBUNGAN PENGETAHUAN PEARWATAN PAYUDARA DENGAN KELANCARAN ASI PADA IBU POST PARTUM DI KLINIK SURIANI SINAGA TAHUN 2018

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    Breast care is a procedure that is done both by the mother and assisted by another person, starting from the first or second day after giving birth. The purpose of this study was to determine the relationship between knowledge of breast care with the smoothness of breastmilk in post partum mothers at Suriani Sinaga Clinic of Medan Marelan Sub District in 2018. The type of research used is an analytical survey using a cross sectional approach. The populations in this study were all postpartum mothers who gave birth and examined at Suriani Sinaga clinic in July-September 2018. The numbers of samples studied were 32 respondents which were taken by using total sampling technique. Based on the results of research at Suriani Sinaga Clinic in Medan Marelan Sub District in 2018 the majority of maternal knowledge in the category of less as many as 17 respondents (53.1%) and the smoothness of breastfeeding expenditure the majority of respondents as many as 15 respondents (46.9%) There was a relationship between Breast Care Knowledge With the smoothness of breast milk in maternal Post Partum at Suriani Sinaga Clinic, Medan Marelan Sub District in 2018 with a sig-p value = 0,000. The conclusion of this study shows that there is a significant relationship between maternal knowledge about breast care and the smoothness of breastfeeding at Suriani Sinaga Clinic in Medan Marelan Sub District in 2018. It is suggested that health workers are expected to provide more counseling to maternal postpartum about breast care and the benefits of breastfeeding so that breastfeeding coverage program can be achieved as many as possible

    UJI EFEK ANTIBAKTERI INFUSA DAUN KARAMUNTING (RHODOMYRTUS TOMENTOSA (AITON) HASSK) TERHADAP PERTUMBUHAN BAKTERI STAPHYLOCOCCUS AUREUS

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    Background; Traditionally, karamunting leaves (Rhodomyrtus tomentosa (Aiton) Hassk) are used as worm medicine in humans, treating wounds, scabies, treating abdominal pain and diarrhea, holding bleeding and also used to prevent infection after childbirth. Based on traditional aplication as a deterrent to infection of the scar on the cornea and diarrhea, it is suspected that this plant is active against microbes. The resultsshowed that karamunting leaves contained alkaloids, flavonoids, phenols, tannins, saponins and triterpenoids. Flavonoids, especially in the form of water-soluble compounds, have activities such as antioxidant, antimicrobial, antibacterial, antifungal, antiviral, hepatoprotective, anti-inflammatory, and antidiabetic. Objective; It aims to determine the ability of karamunting leaves infusion to inhibit the growth of Staphylococcus aureus bacteria and to find out at what concentration the karamunting leaves infusion can inhibit the growth of Staphylococcus aureus bacteria. Method; This research was an experimental reseacrh. Result; Antibacterial effect test was carried out using agar diffusion method, with a concentration of 50%, 40%, 30%, 20%, and 10%. Conclusion; The result showed that the infusion concentration of 50% has not shown an antibacterial effect. Evaporation from 50% concentration was obtained by 30 ml and 15 ml of infusion, each resulting inhibition zone was 5,2 mm and 6,3 mm. Positive control that is tetracycline gives a inhibition zone of 28,5 mm. Negative control that is aquadest has no antibacterial effect

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