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    Faktor yang Berhubungan dengan Ketidak Aktifan Ibu Balita dalam Kegiatan Posyandu di Desa Padang Kleng Kecamatan teunom Kabupaten Aceh Jaya Tahun 2018

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    Data from the World Health Organization (WHO) shows 18% of toddlers in developing countries experience underweight. Based on interviews conducted by researchers from 10 mothers who have toddlers there were 6 mothers who were not actively bringing their children to Posyandu because mothers were busy working outside home, Less support from the family (husband / grandmother). The purpose of the study to determine the related factors of passive mother to children in Posyandu activities in Desa Padang Kleng , Teunom District, Aceh Jaya District in 2018. The research design used a cross-sectional approach to analytic design. Population of 100 mothers of toddlers. Sample Total Population. Using primary and secondary and tertiary data. Univariate and bivariate analysis. The results of the research of good knowledge mothers were 40 people (40.0%) active Posyandu activities as many as 26 people (26.0%). The chi-square test results p = 0.001 0.005. IRT working mothers 66 people (66.0%) active 34 people (34.0%). The chi-square test results p = 0.511> 0.005. Based on the results of the study, mothers with good knowledge but were not active in Posyandu activities (14.0%). The conclusions of this study indicated that education and employment do not have a relationship with maternal inactivity among toddlers in posyandu activities in Padang Kleng Village, Teunom District, Aceh Jaya Regency in 2018. It is expected that Health Workers will always provide information through information about Posyandu benefits so mothers can be more active in Posyandu activities

    FAKTOR YANG BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL TRIMESTER III DI PUSKESMAS SIMPANG KIRI KOTA SUBULUSSALAM PROVINSI ACEH TAHUN 2018

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    According to the World Health Organization (WHO), anemia generally occurs throughout the world, especially in developing countries and in low socio-economic groups. Overall, anemia occurs in 45% of women in developing countries and 13% in developed countries. Meanwhile in the third trimester pregnant women the risk of anemia is quite high at 29%. This study aims to determine the factors associated with anemia in third trimester pregnant women in Simpang Kiri Helth Centre Subulussalam Aceh Province in 2018. The design of this study used an analytical survey with a cross sectional approach. The population of this study is the third trimester pregnant women in Simpang Kiri Health Center totaling 55 people and the sample in this study were all third trimester pregnant women in the Simpang Kiri Health Center. The data used secondary data. The instrument used medical records. Univariate and bivariate data analysis techniques with Chi-square test. The results showed that from 55 respondents 27 people were anemic and 24 patients were not anemic, based on the chi square test of compliance with anemia with anemia, p = 0.021 < 0.05, the relationship between parity and anemia in third trimester pregnant women was obtained p = 0.006 < 0.05, the relationship between education and anemia in third trimester pregnant women obtained p = 0.032 < 0.05. The conclusions in this study were the relationship of adherence to Fe tablet consumption, education, parity with anemia in third trimester pregnant women at Simpang Kiri health centre Subulussalam Aceh Province in 2018. It was recommended to Simpang Kiri Community Health Center to provide information on how to consume Fe tablets correctly and make posters - terter the dangers of anemia in pregnant women and efforts to prevent anemia in pregnant women in the Simpang Kiri Health Center

    VALIDASI DAN PENETAPAN KADAR KETOKONAZOL TABLET DOSIS 200 MG MEREK DAGANG DAN GENERIK SECARA SPEKTROFOTOMETRI UV TAHUN 2018

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    Ketoconazole is one of the most commonly used azole antifungal agents in the community and is cheaper compared to other azole groups. Quality Test is laboratory testing conducted to prove the quality of the drug is always consistent with the standards and requirements. One of the quality test requirements is the determination of the level of the drug so that the drug can achieve the desired therapeutic effect. This study aims to validate the method and the determination of Ketoconazole levels tablet with a dose of 200 mg on the market by UV spectrophotometry. This research method used a quantitative research method by UV spectrophotometry with linearity parameters, accuracy, precision, detection limit and limit of quantitation. The validation method aims for the determination Farmyco (SANBE), Muzoral (PT. MOLEX AYUS), Ketoconazol (OGB dexa), Omegzole (PT. MULTIFA), Mycoral (KALBE) levels. The results of the validation of Ketoconazole with methanol solvent showed a correlation coefficient of 0.9988, % recovery with an accuracy of 80 % with a range of 93.8 % - 100 %, at 100 % accuracy of 95 %, at 120 % accuracy of 89.6 % - 93.8 % Precision % RSD is 0.492 %. Detection limit of 2.9 ppm, quantitation limit of 9.7 ppm. Based on the data obtained, the average level of the sample is Mycoral 91.1 % ± 2.0 %, Ketoconazol 95.2 % ± 3.6 %, Omegzole, 92.0 % ± 1.5 %, Farmyco 92.3 % ± 0.4 %, Muzoral 99.5 % ± 1.7 %. In this study the method validation fulfilled the requirements of the validation test parameters, namely the correlation coefficient value above 0.98 %, Recovery was between 80 % - 110 %, precision was % RSD ≤ 6 % all Ketoconazole samples fulfilled Indonesian Pharmacopoeia Edition IV requirements which were at 90 % - 110 %

    STUDI DESKRIFTIF PELAKSANAAN SASARAN KESELAMATAN PASIEN SESUAI INSTRUKSI KARS VERSI 2012 DI IGD RUMAH SAKIT TNI AD TK IV 02.07.04 BANDAR LAMPUNG

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    This hospital is one of the hospitals committed to patient safety and has SPO (Standard Operating Procedure). Emergency Installation (IGD) at RS TNI AD Tk. IV Bandar Lampung has various types of professional and non-professional personnel who are ready to provide patient care 24 hours continuously. Emergency care services beroriantasi to patient safety associated with the services provided must meet the quality of good service. This study aims to descriptive the extent to which the implementation of target patient safety standards in accordance with KARS Instruction 2012 version in Emergency Installation RS TNI AD Tk. IV 02.07.04 Bandar Lampung in 2017. This study uses a qualitative method. The number of informants in this research are 7 implementing health personnel such as Doctor (3), Nursing Staff (3) and Pharmacist Officer (1) at Emergency Installation RS TNI AD Tk IV Bandar Lampung. The results of the study indicate that the implementation of patient identification, effective communication execution, safety enhancement implementation that need to be watched, precise location-correct, precise-procedure, exact-operation operation, and implementation of risk reduction related to health services are in accordance with KARS instrument 2012 , while the implementation of the risk of falling patients is not in accordance with KARS instrument 2012 version. Implementation Standards standard I, II, III, IV, and V target standards of patient safety in accordance with KARS Installation 2012 version at Emergency Installation RS TNI AD Tk. IV 02.07.04 Bandar Lampung in 2017, while the target VI is not in accordance with KARS Instruction 2012. 2012. It is suggested to pay attention to the availability of facilities and infrastructure in the Emergency Installation to support the implementation of the patient's safety goals. Rumah sakit TNI AD Tk IV Bandar Lampung ini merupakan salah satu rumah sakit yang berkomitmen pada keselamatan pasien dan telah memiliki SPO (Standar Prosedur Operasional). Instalasi Gawat Darurat (IGD) di RS TNI AD Tk. IV, Bandar Lampung memiliki berbagai jenis tenaga profesi dan non profesi yang siap memberikan pelayanan pasien 24 jam terus menerus. Pelayanan gawat darurat yang beroriantasi kepada keselamatan pasien terkait dengan pelayanan yang diberikan harus memenuhi mutu pelayanan yang baik. Penelitian ini bertujuan untuk menggambarkan sejauh mana pelaksanaan standar sasaran keselamatan pasien yang sesuai dengan Instruksi KARS versi 2012 di Instalasi Gawat Darurat RS TNI AD Tk. IV 02.07.04 Bandar Lampung tahun 2017. Penelitian ini menggunakan metode kualitatif. Jumlah Informan dalam penelitian ini adalah 7 tenaga kesehatan pelaksana antara lain Dokter (3), Tenaga keperawatan (3) dan Petugas apoteker (1) di Instalasi Gawat Darurat RS TNI AD Tk IV Bandar Lampung. Hasil penelitian menunjukkan bahwa pelaksanaan identifikasi pasien, pelaksanaan komunikasi efektif, pelaksanaan peningkatan keamanan obat yang perlu diwaspadai, pelaksanaan kepastian tepat-lokasi, tepat-prosedur, tepat-pasien operasi, dan pelaksanaan pengurangan risiko infeksi terkait pelayanan kesehatan sudah sesuai dengan instrumen KARS versi 2012, sedangan pelaksanaan risiko pasien jatuh belum sesuai dengan instrumen KARS versi 2012. Pelaksanaan Standar standar sasaran I,II,III, IV, dan V keselamatan pasien sesuai dengan Instalasi KARS versi 2012 di Instalasi Gawat Darurat RS TNI AD Tk. IV 02.07.04 Bandar Lampung tahun 2017, sedangkan sasaran VI belum sesuai dengan Instruksi KARS versi 2012. Disarankan memperhatikan ketersediaan sarana dan prasarana di Instalasi Gawat Darurat guna mendukung pelaksanaan sasaran keselamatan pasien

    FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN SUSU FORMULA PADA BAYI 0-6 BULAN DI PUSKESMAS SIRANDORUNG KABUPATEN TAPANULI TENGAH SUMATERA UTARA TAHUN 2018

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    Nationally, the coverage of exclusive breastfeeding for infants less than six months is 55.7%. North Sumatra has the lowest coverage of exclusive breastfeeding, which is 33%. Low exclusive breastfeeding coverage can be caused by the incessant formula feeding in infants. There were 8 out of 10 mothers said they had given their babies formula milk from 0-6 months. The purpose of this study was for factors related to formula feeding in 0-6 months infants in Sirandorung Health Center, Central Tapanuli District, North Sumatra in 2018. This research uses analytical survey method with cross sectional approach. The population of this research is all mothers who have 7-12 months babies as many as 124 mothers, the sample is reduced by the Slovin formula with sampling using cluster sampling so that the sample is 95 mothers. Data collection is taken from the secondary, and tertiary. Data analysis used univariate analysis in the form of frequency distribution and bivariate analysis using chi-squre test at 95% confidence level. Statistical test results using the chi-square test obtained p = 0.003 in the knowledge variable, p = 0.292 in the education variable and p = 0.005 in the work variable where p <0.05. The conclusion of this study there is a relationship of knowledge and work with formula feeding in 0-6 months infants in Sirandorung Health Center, Central Tapanuli District, North Sumatra in 2018. It is recommended that health workers be able to increase their role in providing information and motivation and increasing maternal knowledge about benefits and benefits exclusive breastfeeding through counseling or leaflets by involving families closest to the mother

    HUBUNGAN PENGETAHUAN TENTANG TEKNIK MENGEJAN DENGAN RUPTUR PERINEUM PADA PERSALINAN NORMAL DI RUMAH BERSALIN RANTARANI PERBAUNGAN TAHUN 2018

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    Abstract Background: The straining technique is a factor in the occurrence of perineal arousal during labor. Women who cannot control themselves when straining are more prone to tears or more need an episiotomy. Perineal rupture is one of the causes of vaginal bleeding during labor. Objectives: to determine the relationship of maternal knowledge about straining techniques with perineal rupture in normal labor at Rantarani Maternity Home Perbaungan. Method; the design of this study used an analytical survey method with a Cross Sectional approach. The study population was all 30 pregnant women at Rantarani Maternity Home from August to September 2018. The sampling technique was the Total Population. The data used were secondary and tertiary data. The data analysis techniques used univariate and bivariate analysis and tested by Chi-square test. Results; the majority of mothers had little knowledge as many as 15 people (50%) and experienced a level I perineum rupture as many as 13 people (43.3%). The statistical test results of knowledge about the straining techniques with perineal rupture showed a p-value = 0.015. Conclusion; there is a significant relationship between maternal knowledge about the straining technique with perineal rupture in normal labor at Rantarani Maternity Home Perbaungan in 2018. It is suggested that health workers increase counseling to third trimester pregnant women at ANC about straining techniques correct. Keywords: Knowledge, Straining Techniques, Perinea

    ANALISIS FAKTOR YANG MEMENGARUHI KUNJUNGAN ANTENATAL CARE DI WILAYAH KERJA PUSKESMAS BUKET HAGU KECAMATAN LHOKSUKON KABUPATEN ACEH UTARA TAHUN 2017

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    The still high MMR (Mortality Rate) allegedly related to antenatal care coverage is still far from the defined coverage of 95% coverage. In 2014 K4 coverage from 50.6% to 45.1%. Year 2015 coverage 51%. AKI is still the main indicator for assessing the success of health building developers, targeting 70 per 100,000 KH by 2030. The Ministry of Health's Strategic Plan 2015-2019, the government sets a target of reducing MMR in Indonesia 306 per 100,000 KH by 2019. Maternal Mortality Rate AKI) in North Aceh District is still experiencing fluctuations, 2015: 127 / 100.00 kh, 2016: 222 / 100,000 kh. This study aims to analyze the decreasing factor of K4 antenatal care coverage in North Aceh regency which influences antenatal care visit at Buket Hagu Public Health Center, Lhoksukon Sub-district, North Aceh Regency. North Aceh Regency coverage of K4 antenatal care in 2015 slightly decreased to 65.4% and in 2016 to 70.2%. Analytic survey research design with cross sectional approach. The population in this study were 365 pregnant women. Number of samples in the study of 186 pregnant women, Data analysis using logistic regression test at 95% confidence level. The results showed that there were significant correlation between each variable with antenatal care visit p-value <0,05, that is knowledge (p = 0,018), attitude (p = 0,022), tradition and trust (p = 0,000), education (p = 0,033 ), the health status (p = 0,000) and midwife's role (p = 0,025). Furthermore, through multivariate analysis, there are four variables that significantly influence the antenatal care visit that is tradition and trust (p = 0,000), facility health (p = 0,000), knowledge (p = 0,019), education (p = 0,022) while the three variables namely attitude, (p = 0,329), economic status (p = 0,111), and midwife's role (p = 0,078) affect on antenatal care visit value P = value> 0.005. Conclusion: Puskesmas can facilitate the availability of facilities that are standard and easily accessible by pregnant women to perform early pregnancy test. Suggestion: The Health Office is advised to plan the provision of quality health facilities and easily accessible by the community. The duty midwife is expected to provide antenatal services according to minimum standards by continuously improving the ability and competence

    FAKTOR-FAKTOR YANG MEMENGARUHI PERILAKU MEROKOK MASYARAKAT DI PUSKESMAS NEGERI LAMA KABUPATEN LABUHAN BATU TAHUN 2018

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    Smoking is a behavior that is harmful to health, but there are still many people who do it, even people start smoking when he was a teenager. WHO estimates world mortality rate due to cigarette consumption in 2030 will reach 10 million people every year and about 70% occur in developing countries including Indonesia. The purpose of this research is to know and analyze the influence of knowledge, attitude, cigarette advertisement and social environment on smoking behavior of society at Public Health Center of Labuhan Batu Regency Year 2018. This research is a research with analytic survey method. This research was conducted at Health Center Negeri Lama Bilah Hilir District Labuhan Batu District. The population is the entire community in the working area of the Old State Public Health Center of Labuhan Batu District with Upper Respiratory Infection (ISPA) in 2017, amounting to 1,022 people. Sample of 91 respondents with sampling technique that is accidental sampling. The results were tested using chi square analysis and multiple logistic regression analysis. The result of this research is known that the knowledge variable is not related (ρ = 082> 0,05), unrelated attitude variable (ρ = 714> 0,05), cigarette advertisement advertisement variables (ρ = 002 <0,05) and social environment variable related (ρ = 005 <0,05) to public smoking behavior at Public Health Center of Labuhan Batu Regency Year 2018. The conclusion of multiple logistic regression equation is known that the respondents who are exposed to cigarette advertisement and respondent with bad social environment have an effect on the smoking behavior of public in Public Health Center of Labuhan Batu Regency at 66,9%, while the rest of 33,1% is influenced by factor others that are not conducted research in this study. It is hoped for the Community in the form of supervision to adolescents who smoke and give verbal reprimands accompanied by advice, the goal is to narrow the open space for adolescents who smoke and increase exposure to cigarette information itself to teenagers

    THE RELATED FACTORS TO LBW IN NEW BORN BABY IN IMELDA PEKERJA INDONESIA GENERAL HOSPITAL MEDAN 2018

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    According to the World Health Organization (WHO) quoted in State of the world’s Mother 2013 from the number of deaths, there were 5 million people and 98% deaths were recorded in developing countries. It was stated that 36% of the deaths were caused by infection by 27% of the cases caused by bananas less weight and lower body weight, and 7% by other causes. The purpose of the study was to find out the associated factors with LBW in Surabaya before in Imelda General Hospital Medan in 2018. The study design used in the study of hypersatitic lactation with cross sectional approach. Population of the study amounted 68 infants who experienced LBW. the sample of this study was all the population amounted 68 infants who experienced LBW from secondary data in Imelda Hospital Medan Indonesian Workers in 2018 taken by using a total sampling. The results of univariate analysis showed that at the age of 20-35 years there were 54 (79.4%), then the minority at the age of >35 years was 14 (20.6%). The majority of parity in the multipara group is 37 (54.4%), in the minority primiparous group 3 (41.2%), then the majority in multiparous is 28 (35.3%). The majority of gestational ages in the preterm group were 49 (72.1%), while the post-term minority group were 19 (27.9%). Bivariate analysis using Chi-square test with a value of α = 0.05, and the results showed P-value = 0.0200, P-value 0.0651, and P-value0.0991 > α = 0.05. It can be concluded that there is no significant relationship with LBW on new born babies. It is hoped that all special health services and those serving in the Imelda Pekerja Indonesia General Hospital of Medan, and the place of research are expected to carry out investigations on the importance of routine pregnancy checks so that they are not complicated during pregnancy which can cause problems in the one woman's pregnancy

    HUBUNGAN TEKNIK MENGEDAN DENGAN KEJADIAN RUPTUR PERINEUM DI KLINIK BIDAN ELPARIDA AMBARITA KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN TAHUN 2018

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    Ruptur Perineum merupakan perlukaan yang terjadi akibat persalinan pada bagian perineum yang dapat mengakibatkan perdarahan, Ruptur Perineum terjadi pada hampir semua persalinan pertama dan tidak jarang juga pada persalinan berikutnya. Ruptur Perineum pada umumnya terjadi digaris tengah dan bisa menjadi luas apabila kepala janin lahir terlalu cepat. Tujuan dalam penelitian ini adalah untuk mengetahui Hubungan Teknik Mengedan dengan Kejadian Ruptur Perineum di Klinik Bidan Elparida Ambarita Kecamatan Doloksanggul Kabupaten Humbang Hasundutan Tahun 2018. Desain penelitian yang digunakan adalah survey analitik dengan desain penelitian case control, yang bertujuan untuk mengetahui hubungan teknik mengedan dengan kejadian ruptur perineum di klinik bidan Elparida Ambarita dengan cara melakukan observasi. Teknik pengambilan sampel yaitu dengan menggunakan Accidental Sampling yaitu teknik pengambilan sampel berdasarkan kebetulan bertemu dengan peneliti dan dapat digunakan sebagai sampel yang berjumlah 20 orang ibu bersalin yang terdiri atas 10 case dan 10 control. Berdasarkan hasil uji statistik dengan menggunakan uji Chi-square dengan tingkat kepercayaan 95% dengan α = 0.05 diperoleh nilai probabilitas sebesar 0.03 < 0.05 dan nilai OR = 3.333. Dimana hasil yang diperoleh menunjukkan ada hubungan yang signifikan. Maka Ho ditolak dan Ha diterima. Berarti ada hubungan antara teknik mengedan dengan kejadian ruptur perineum di klinik bidan Elparida Ambarita. Kesimpulan dalam penelitian ini adalah ada hubungan antara teknik mengedan dengan kejadian ruptur perineum di klinik bidan Elparida Ambarita Kecamatan Doloksanggul Kabupaten Humbang Hasundutan Tahun 2018. Diharapkan pada seluruh tenaga kesehatan khususnya bidan di klinik Elparida Ambarita agar memberikan informasi tentang teknik mengedan yang benar agar pengetahuan ibu tentang teknik mengedan yang benar, dapat meminimalisirkan terjadinya ruptur perineu

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