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    FAKTOR YANG MEMENGARUHI PERILAKU IBU DALAM PEMBERIAN MAKANAN PENDAMPING ASI (MP-ASI) TERLALU DINI DI KECAMATAN BATANG KUIS KABUPATEN DELI SERDANG TAHUN 2018

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    Complementary food of Breastmilk (MP-ASI) is a food or drink other than breast milk given to infants aged of >6 months. Based on the World Health Organization (WHO) in 2016 the success of exclusive breastfeeding 38%. United Nations Childrens Fund (UNICEF) 2015 about 60% of babies have received MP-ASI. The aim of the study was to determine the effect of knowledge, attitudes, occupation, early breastfeeding initiation, birth weight, family support and the role of health workers on maternal behavior in providing complementary breastfeeding (MP-ASI) too early in Batang Kuis Subdistrict, Deli Serdang District in 2018. this used a mixed method approach with an explanatory type of research (quantitative analysis followed by qualitative analysis). The population for quantitative is 84 mothers who have babies aged 6-24 months and all populations are sampled (total population). For qualitative data, 7 informants consisted of 3 mothers, 3 family heads, and 1 midwife. Quantitative instruments in the form of questionnaires that have been validated while qualitative in the form of in-depth interviews. Quantitative data analysis is univariate, bivariate, and multivariate, while qualitative analysis data is analyzed descriptively to validate the data and draw conclusions. The results showed that there was a relationship between knowledge, attitudes, work, family support and the role of health workers. There is influence of knowledge, family support and the role of health workers. Variables of dominant family support affect with a B value of 2.751. Logistic Regression test results with Overall Percentage value = 91.7% means that the possibility of variables bringing the influence of the behavior of giving complementary feeding is too early. It was suggested to mothers who have babies aged <6 months giving exclusive breastfeeding and increasing knowledge about complementary foods ASI (MP-ASI) through electronic media and print media. In addition, it is expected to attend counseling or posyandu in villages that convey health information, especially information about complementary foods ASI (MP-ASI

    FORMULASI SEDIAAN HANDBODY GEL DARI EKSTRAK ETANOL DAUN BELIMBING WULUH (Averrhoa bilimbi L)

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    The skin is a blanket that covers the surface of the body, has the main function as a protector of various kinds of disorders and stimuli. The skin requires additional protection such as irritant pollution, direct and long-term sunlight exposure that contains UV light. The carambola leaves (Averrhoa bilimbi L) contain flavonoids which can protect the skin from free radicals. The purpose of this study was to formulate carambola leaf extract with a certain concentration in gel dosage form. the research was experimental research. Carambola leaves (Averrhoa bilimbi L) are extracted by maceration. The formula is made by varying the 3 concentrations of ethanol extract of carambola leaves: 1%, 3%, and 5% with test parameters: organoleptic test, homogeneity test, pH test, dispersion test, preference test. The results of organoleptic testing of Handbody Gel, on a formula containing ethanol extract of carambola leaves with a concentration of 1% brownish green, a concentration of 3% light brown, a concentration of 5% dark brown and each formula smelled of oleum rosa mixed with a characteristic odor from the extract crambola leaves and viscous form, has a pH value of 6.2-6.7 with good homogeneity, and dispersive power that does not meet the gel dispersal power requirements. From this study it can be concluded that the ethanol extract of carambola leaves can be formulated as a preparation of Handbody Gel. It is recommended to do further research to remove chlorophyll and increase the concentration of ethanol extract of starfruit leaves

    HUBUNGAN DUKUNGAN SUAMI DENGAN PEMILIHAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI KELURAHAN SIMALINGKAR B KECAMATAN MEDAN TUNTUNGAN TAHUN 2018

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    The increasing rate of population growth indicates that there will be a population explosion. Family planning is a BKKBN program as a government institution in Indonesia that is tasked with controlling fertility through the use of contraception. In 2016 the amounts of fertile age women were 48,536,690. New contraceptive participants were 6,663,156 (13.73%) the lowest contraceptive selection was IUD only (7.23%) from other contraceptives. The purpose of this study was to determine the relationship of husband's support with the selection of IUD contraceptives at Kelurahan Simalingkar B, Medan Tuntungan Sub District in 2018. The research design used an analytical survey with a cross sectional approach. The populations were all contraceptive acceptors at Kelurahan Simalingkar B, Medan Tuntungan sub-district in 2018, totaling 1571 acceptors. The sampling technique usesd the Slovin formula then it was done randomly using the proportionate stratified random sampling technique. The results of this study, with a research analysis of 82 respondents, did not support as many as 58 (70.7%) and minorities who supported as many as 24 (29.3%) respondents. Then the majority who did not vote for IUD contraception was 56 (68.3%), and the minority was 26 (31.7%) respondents. Bivariate analysis using Chi-Square test with a value of ᾳ = 0.05, and the results of the study showed p-value = 0.004 <ᾳ = 0.05. Based on the results of the study, it can be concluded that there is a relationship between husband's support and the selection of IUD contraception at Kelurahan Simalingkar B, Medan Tuntungan in 2018. It is suggested to the health workers, especially midwives to improve communication in providing services and information especially in IUD contraception services

    HUBUNGAN PENGETAHUAN DAN SIKAP IBU DENGAN KECEMASAN MENGHADAPI MENOPAUSE DI KELURAHAN AEK SIMOTUNG KEVUPATEN TAPANULI SELATAN TAHUN 2018

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    Menopause is known as the end of menstruation. Most women begin to experience menopausal symptoms at the age of 40 and peak at age 50. Preliminary survey conducted in Kelurahan Aek Simotung, South Tapanuli Disrict, from 10 postmenopausal mothers, obtained 2 mothers found out about menopause, while 8 other mothers did not know the signs of menopause symptoms can be seen from their attitudes toward behavior in the face of menopause. This study aims to determine the relationship between knowledge and attitudes of mothers with the anxiety in facing menopause. The design of this study is an analytical survey with a cross sectional approach. The populations of this study were all menopausal mothers at Kelurahan Aek Simotung in 2018 totaling 102 people. The sampling used simple random sampling to 41 mothers. The data used were primary and secondary data. The instrument used was a questionnaire sheet using univariate and bivariate analysis using the Chi-Square test. The results of statistical test research using Chi-Square test at a 95% confidence level with α = 0.05 obtained sig-p = 0.040 <0.05. From the results of the study of the relationship of maternal knowledge with anxiety in facing menopause obtained p-value 0.018 <0.05, and the relationship of the attitude of mothers with anxiety in facing menopause obtained p-value 0.012 <0.05. The conclusion of this study shows that there is a relationship between knowledge and attitudes of mothers with the anxiety in facing menopause at Kelurahan Aek Simotung, South Tapanuli District in 2018. It is suggested to the community to be more active in seeking information from health workers and existing media to increase knowledge, especially preventing anxiety in facing menopause because it is a natural change

    HUBUNGAN PENGGUNAAN SUNTIK KB 3 BULANDENGAN AMENOREA DI KLINIK NIS’AN FAUZIAH KABUPATENACEH BARAT TAHUN 2018

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    Amenorrhoea is a condition where women do not experience menstruation during fertile age. Amenorrhoea is a reproductive health problem in women of fertile age in Indonesia, including in the meulaboh city of Aceh province in 2017. In the Fauziah's clinic the number of birth control acceptors in 2017 was 622 participants. The acceptors who used injections were 599 participants (96.30%). This study aims to analyze the relationship between the use of injectable birth control of 3-months and amenorrhoea at the Fauziah clinic in West Aceh district in 2018. Type of this study used an analytical survey research with Cross-Sectional approach. The sampling technique of this research used accidental sampling technique which is accidental sampling without planning. Whoever is there is determined injectable birth control of 3-months acceptor sample at the Ni'an Fauziah clinic in West Aceh district. Data were analyzed by performing chi square. The results showed that the injectable birth control of 3-months variable had a significant relationship with the amenorrhoea variable at a significant level of 0.02; These results conclude that there is a relationship with the use of injectable birth control of 3-months with amenorrhoea at the Fauziah clinic in Aceh Barat district, Aceh province. The conclusion of this case is that the longer the use of injectable birth control of 3-months, the more at risk of menstrual disorders, one of which is amenorrhoea. It was suggested to the mother of the Fauziah Clinic leader in West Aceh District of Meulaboh city to continue to improve counseling and provide counseling to fertile couples who would use the injectable birth control of 3-months

    FAKTOR YANG MEMPENGARUHI KELENGKAPAN IMUNISASI DASAR PADA BAYI 10-12 BULAN DI WILAYAH KERJA PUSKESMAS AIR BATU KABUPATEN ASAHAN TAHUN 2018

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    According to the World Health Organization (WHO) estimates that TB cases in Indonesia are the third largest in the world, around 40% of cases of toddler pertussis rep and 60,000 infant deaths each year by tetanus and one million deaths from hepatitis B, 295 cases of polio spread in Indonesia, as well measles cases 30,000 cases per year oral. The purpose of this study was to determine what factors exist at Air Batu Health Center, Air Batu Sub-District, Asahan District in 2018. This study uses analytical design with a cross sectional approach. This study used a random sampling technique using the Slovin formula in the sampling of 73 people with a population of 277 mothers who had babies 10-12 months. The analysis was done in a univariate, bivariate and multivariate manner. The sampling used tertiary and primary data using a questionnaire. The results of the statistical test using chi square with a confidence level of 95% with α = 0.05 and obtained values of age (0.762), education (0,000), employment (0.024), knowledge (0.001), husband's acquisition (0,000), health workers (0.001). From this study, there is no age of infants more than 10-12 months, education, work, knowledge, and health are available with flexibility for babies 10-12 months. It is suggested for local health workers to provide counseling about immunization through related institution such as (Pustu, Posyandu)

    UJI AKTIVITAS ANTIBAKTERI SEDIAAN SABUN CAIR EKSTRAK ETANOL DAUN BELIMBING WULUH (Averrhoa Bilimbi L.) TERHADAP Staphylococcus epidermidis

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    Bilimbifruit leaves (Averrhoabilimbi L.) have traditionally been used as antibacterial for skin diseases such as acne and skin infections. Star fruit leaves contain several chemical compounds including flavonoids, saponins and tannins which are active compounds as antibacterial. This study aims to determine the ethanol extract of bilimbi leaves can be made into liquid soap dosage forms and has antibacterial activity on Staphylococcus epidermidis.This research is an experimental research that extracts obtained by using maceration method then made preparations of liquid soap ethanol extract of Bilimbifruit leaves (Averrhoabilimbi L.) with a concentration of 7.5%, 10% and 12.5% and evaluated the preparation by organoleptic test, homogeneity test, pH test, irritation test, foam height test, hedonic test and antibacterial activity test. Making liquid soap using ethanol extract of Bilimbifruitleaves (Averrhoabilimbi L.) concentrations of 7.5%, 10% and 12.5% fulfilled the criteria, organoleptic test of brown preparations, distinctive aroma and liquid texture. Homogeneity test showed a homogeneous preparation. PH test, according to SNI the appropriate pH for liquid soap is 8-11. Antibacterial activity test concentration of 7.5% has an inhibitory power of 16.6 mm, a concentration of 10% has an inhibitory power of 18 mm and a concentration of 12.5% has an inhibitory power of 19.9 mm. In the ANOVA test the liquid soap inhibitory effect of ethanol extract of Bilimbifruit leaves (Averrhoabilimbi L.) obtained Fcount value of 243.490 at a significant 0.00. Based on these results it can be concluded that the liquid soap of ethanol extract of Bilimbi leaves (Averrhoabilimbi L.) with a concentration of 7.5% 10% and 12.5% has provided inhibitory power to the growth of Staphylococcus epidermidis with a strong inhibition zone category of 19.9 m

    HUBUNGAN POSISI DUDUK, LAMA KERJA DAN MASA KERJADENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs)PADA PEKERJA PENGGUNA KOMPUTER DIBADAN PUSAT STATISTIK PROVINSI SUMATERA UTARA TAHUN 2018

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    Complaints of Musculoskeletal Disorders (MSDs) are complaints in parts of the skeletal muscles that are felt by a person ranging from very mild complaints to very painful. This complaint occurs when the muscle receives a static load repeatedly and for a long time, can cause complaints in the form of damage to the joints, ligaments, and tendons. Risk factors that influence the occurrence of Musculoskeletal complaints include sitting position, length of work and length of service. This study aims to determine the relationship of sitting position, work duration and length of service of complaints of MSDs to computer user workers at the Central Statistics Agency of North Sumatra Province. The design of this study was analytical survey research method with cross sectional research design with a sample of all Non-Structural employees. There are 74 employees with computer users at Central Statistics Agency. The data were analyzed by using univariate and bivariate analysis and tested by Chi-square test. The results showed a variable sitting position with complaints of Musculoskeletal Disorder at a significant level with p-value = (0.042 <0.05), as well as variable work duration with Musculoskeletal Disorder complaints at a significant level with p-value = (0.044 <0, 05) and the working period variable with Musculoskeletal Disorder complaints at a significant level with p-value = (0.702 <0.05). The results of this study conclude that there is a relationship between sitting position and work duration with complaints of Musculoskeletal Disorder but there is no relationship between years of service and complaints of Musculoskeletal Disorder. It is suggested to the leadership of the Central Statistics Agency of North Sumatra Province in order to make an appeal so that workers are allowed to take a break at one time in their working hours when workers have begun to feel complaints in the body muscles

    HUBUNGAN FAKTOR INDIVIDU DENGAN TINDAKAN TIDAK AMAN (UNSAFE ACTION) PADA PEKERJA PROYEK PEMBANGUNAN GEDUNG PERKANTORAN DI BPL BELAWAN PT. ADHI KARYA (PERSERO) TBK

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    Unsafe action is a failure to follow the work requirements and work procedures that are correct so as to cause work accidents. As many as 80% -85% of work accidents are caused by negligence or human factor errors. Construction services are included in large companies with a high risk of work accidents. This can be seen from the work process that uses a lot of high-tech machines, multi-storey buildings, etc., giving rise to considerable potential hazards. For example, falling, slipping, sparks, and so on. The purpose of the study was to determine the relationship of individual factors with unsafe actions on workers in office building construction projects at BPL Belawan PT. Adhi Karya (Persero) Tbk. The type of research used analytic study with cross sectional research design. The population were 350 people and the number of samples is 78 people. The sample were taken by using simple random sampling. Data analysis performed was univariate and bivariate with chi-square test at 95% confidence level. The results of this study indicate that there is a significant relationship between variables of knowledge (p = 0.046), fatigue (p = 0.000), workload (p = 0.009), awareness (p = 0.004) with unsafe actions (unsafe actions) in development projects office building in BPL Belawan PT. Adhi Karya (Persero) Tbk. It is recommended to the safety supervisor to provide more supervision and direction, training workers before working to improve workers' knowledge so that workers can apply work behavior safely to reduce workplace accidents due to unsafe actions

    HUBUNGAN PENGETAHUAN IBU NIFAS TENTANG PERAWATAN PAYUDARA DENGAN KELANCARAN PENGELUARAN ASIDI KLINIK GRACE DELI TUATAHUN 2018

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    In supporting the fulfillment of breastmilk production for infants optimally it should be as expected, the most crucial factor in breastfeeding is breast care since pregnancy and after delivery. The purpose of this study was to analyze the relationship of postpartum mothers' knowledge about breast care to the smooth production of breast milk in postpartum mothers at the Grace Delitua Clinic in Namo Rambe District, Deli Serdang District in 2018. This type of research was analytic observational with cross sectional design. Samples were taken by using Total Sampling to obtain 32 samples of all postpartum mothers in Grace Clinic. Data analysis used Chi-Square test. The results of the study of 32 postpartum mothers showed that there were 15 respondents with good knowledge and smooth breastfeeding (46.9%), 3 respondents with good knowledge and non-smooth breastfeeding (9.4%). While respondents with less knowledge and experienced smooth breastfeeding amounted to 5 people (15.6%), and respondents with less knowledge and experienced non-current breastmilk numbered 14 respondents (43.8%). Chi-square test results with p-value = 0.006 < α (α = 0.05). The conclusion of this study states that there is a significant relationship between breast care knowledge and smooth delivery of breastmilk at the Grace Clinic Delitua in 2018. To health workers at the Grace Clinic is expected to further improve their health promotion of the importance of breast care to postpartum mothers in improving the smoothness of breast milk so as to increase quality of health services and quality at the place of researchers

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