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    FORMULASI HANDSOAP GEL DARI EKSTRAK ETANOL DAUN KECOMBRANG (ETLINGERA ELATIOR (JACK))

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    Kecombrang (Etlingera elatior (Jack)) is one of the spice plants originating from the Zingiberaceae family which has long been known as kincung, traditionally used for treatment. The chemical content found in kecombrang leaves is flavonoids, saponins and chlorogenic acid. Based on the compound, kecombrang leaves (Etlingera elatior Jack) can be used as hand soap gel. This study aims to formulate the ethanol extract of kecombrang leaves into a hand soap gel form. This study used an experimental method that used kecombrang leaf extract (Etlingera elatior (Jack)) with a concentration of 20%. The evaluation of hand soap gel form included organoleptic, homogeneity, pH, foam height test. The results showed that the form of kecombrang leaf hand soap gel (Etlingera elatior (Jack)) met the quality parameters of hand soap gel including, organoleptic test (half solid, the color produced dark brown and the characteristic odor of perfume). The homogeneity test has no visible coarse grain on all gel formulas. The Ph test was still in safe intervals, skin pH was 4.5 to 6.5. Foam height test, in all hand soap form formulas produce the desired foam. The conclusion of this study shows that the ethanol extract of kecombrang leaves (Etlingera elatior (Jack)) can be formulated into a form of hand soap gel. It is suggested for researcher to conduct the study about antibacterial test of hand soap gel form on bacteria in hand and to develop gel formulations ethanol extract of kecombrang leaf leaves (Etlingera elatior (Jack)) into other dosage forms such as lotions, creams and others

    HUBUNGAN DUKUNGAN SUAMI TERHADAP KEHAMILAN DENGAN HIPEREMESIS GRAVIDARIUM PADA IBU HAMIL TRISEMESTER I DI KLINIK RINA HARTATI PANGKALAN BRANDAN TAHUN 2018

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    A planned pregnancy will give you a sense of happiness. in pregnant women, especially in the physical condition of pregnant women, there are changes in the body of pregnant women, there is an increase in pregnancy hormones such as HCG, estrogen and progesterone. This inability can cause changes in body function, especially the gastrointestinal system, which ultimately results in the occurrence of nausea and vomiting called Hyperemesis Gravidarum. This study aims to analyze the relationship between husbands’ support to pregnancy with hyperemesis gravidarumon first trimester pregnant women atRinaHartati ClinicPangkalanBrandan in 2018. The type of research used in this research is cross-sectional design. The research samples were 32 first trimester pregnant women at RinaHartati ClinicPangkalanBrandan using total sampling technique. The data were analyzed by performing Chi-square analysis test. The results of the study with statistical tests using the Chi-Square test that has been corrected the number expected value (E) <5 = 4.47, then the results of the test used was Fisher Excat Test with a value of p = 0.021thus the value of p <α 5%, 0.021 <0.05. The conclusion of this researcher shows that there is a relationship between husbands’ support to pregnancy with hyperemesis gravidarumon first trimester prernant women. It is suggested for maternal to better improve good communication with their husbands, so that during pregnancy they can get better support to improve maternal welfare during pregnancy so that reduce the morbidity experienced by the mother

    HUBUNGAN RIWAYAT PEMAKAIAN KB SUNTIK 3 BULAN DENGAN PENINGKATAN BERAT BADAN PADA IBUAKSEPTOR DI KLINIK HANNA KASIH MEDAN TAHUN 2018

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    3-month contraception is a method of contraception through injecting hormones containing 150 mg of Depo Medroxy Progesterone Acetate (DMPA) which are injected intra-musically every 3 months. Where injectable contraception has the highest frequency, it has gained more than 2.3 kilograms of body weight in the first year and then gradually increased to 7.5 kilograms during the 6 years of use. This study aims to determine the relationship between 3-month injectable contraception history and weight gain in maternal acceptor at Hanna Kasih Clinic Medan in 2018. The research design was an analytical survey with a cross sectional approach. The populations in this study were 128 of 3 month injectable contraception acceptors. The samples in this study were 20 respondents with accidental sampling technique. Based on the results of statistical tests at 95% confidence level with α = 0.05 obtained p = 0.018. then p (0.018) <α (0.05). Thus, it was found that there was a significant relationship between 3-month injectable contraception history and weight gain at Hanna Kasih Clinic Medan in 2018. The conclusion in this study shows that there is a relationship between 3 months injectable contraception history and weight gain. It is suggested to health workers to continue to improve health to 3-month injectable contraception acceptors about the various types of 3-month injectable contraceptionand the side effects that will occur

    HUBUNGAN PENGETAHUAN IBU DAN DUKUNGAN KELUARGA DENGAN PEMBERIAN ASI EKSKLUSIF PADA BAYI DI DESA BATUNANGGAR KECAMATAN BATANGONANG KABUPATEN PALUTA TAHUN 2018

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    The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) recommend exclusive breastfeeding for 6 months, breastfeeding within the first 1 hour after delivery. Achievement of 6 months of exclusive breastfeeding depends on the success of early breastfeeding initiation within the first hour. UNICEF states that 30,000 infant deaths in Indonesia and 10 million deaths of children under five in the world each year can be prevented through exclusive breastfeeding. The purpose of this study was to determine the relationship of knowledge and family support with exclusive breastfeeding on infants at Desa Batangonang of Paluta District in 2018. The research design was an analytical survey research with cross sectional approach. The populations in this study were all mothers who had babies aged 7-12 months as many as 32 respondents. The sampling technique used total sampling, namely the entire population as a sample of 32 respondents. The data collection with primary, secondary and tertiary data. The data analysis used univariate and bivariate analysis and tested by using the chi-square test. The majority of mothers who have babies aged 7-12 months were in the sufficient category as many as 16 respondents (50.0%), the minority was in the good category as many as respondents (15.6%), which supports as many as 14 respondents (43.8%) and that did not support as many as 18 respondents (56.2%). The results of cross tabulation analysis in this study with the results of chi-square test at 95% confidence level with α = 0.05 and sig p = 0.020 for knowledge and 0.034 for support. The conclusion of this study shows that there is a relationship between maternal knowledge and family support with exclusive breastfeeding at Desa Btangonang of Paluta District in 2018. It is suggested to the health workers especially at Batangonang of Paluta District so that this research will be an input in efforts to increase exclusive breastfeeding for infants 0-6 months

    HUBUNGAN ANTARA PEMAKAIAN ALAT PELINDUNG DIRI (APD), MASA KERJA DAN PERSONAL HYGIENE DENGAN GEJALA DERMATITIS PADA PEMULUNG DI TPA KELURAHAN TERJUN KECAMATAN MARELAN TAHUN 2018

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    Dermatitis is a medical term for skin disorders where the skin looks inflamed and irritated which is commonly found in scavenger workers. TPA of air terjun is a TPA in Medan Marelan Sub-district where the most of the scavengers were found with dermatitis symptoms such as itching, red spots, watery red spots with white spots. This study aims to determine the relationship between the use of Personal Protective Equipment (PPE), Working Period and Personal Hygiene with symptoms of dermatitis in scavengers in the Air Terjun TPA in the District of Medan Marelan in 2018. This type of research used an analytical survey with Cross Sectional research design. The population of this study were all scavengers in the TPA Air Terjun in Medan Marelan District as many as 220 people with a total sample of 142 respondnets that were taken by Accidental Sampling technique. Data analysis used univariate and bivariate analysis with Chi-square test statistics with a 95% confidence level. The results showed that there was a relationship between PPE use (p = .001) and personal hygiene (p = .038) with symptoms of dermatitis in scavengers at the Waterfall Village TPA in Medan Marelan Subdistrict in 2018. Working period variables were not associated with symptoms of dermatitis (p = .812). It was suggested to Medan Marelan Sub-district government and the Head of Air terjun area to work together with the local health center to provide free treatment and provide health promotion to the scavengers in the TPA Terjun every month to reduce the symptoms of dermatitis in the scavengers

    FAKTOR YANG BERHUBUNGAN DENGAN ANEMIA PADA IBU HAMIL DI KLINIK SUMIARIANI MEDAN JOHOR TAHUN 2018

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    Indonesia is one of the largest developing countries with a low level of health, which is now indicated by the high concentration of maternal anemia, out of 175 deaths caused by bleeding factors, such as 47 maternal anemia, 10 infections, 3 breastmilk, 3 abortions, etc. 70, then 38 factors of inflammation. The type of research was analytical survey with cross-sectional approach. The population of the study was 46 people and samples of 46 respondents. Taking samples were taken with total sampling. The data were analyzed by using univariate and bivariate with square-square. From the results of the analysis, the ovariate showed that 46 respondents of anemia were 25 mothers (54.3%) and those who were not anemic were 21 mothers (45.7%). The bivariate results showed that the association of consumption of iron tablet (Fe) (p = 0.024), parity (p = 0.004), occupation (p = 0.009). The results conclude that Ho is rejected and Ha is accepted. The conclusions of this study are the relationship between consumption of tablet iron, parity and work with anemia in maternal pregnancy. It is expected that the clinic will be born so that it can provide counseling for pregnancy and pregnancy to the risk of anemia in pregnancy and do so in the prevention of anemia prevention

    HUBUNGAN PENYULUHAN PERSONAL HYGIENE DENGAN PENINGKATAN PENGETAHUAN SISWI KELAS XI TENTANG KEPUTIHAN (FLOUR ALBUS) DI SMA NEGERI 3 SEUNAGAN KABUPATEN NAGAN RAYA TAHUN 2018

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    According to the World Health Organization (WHO) 75% of all women in the world will definitely experience the most at least once in a lifetime as much as 45% will experience it twice or more and the most common vaginal discharge is caused by Candida Albicans. In Indonesia around 90% of women have the potential to cause leucorrhoea because the State of Indonesia is an area with a tropical climate, so that the fungus is easily developed which results in many cases of vaginal discharge. Leucorrhoea symptoms are also experienced by unmarried women or teenage girls aged 15-24 years which is around 31.8%. This study aims to determine the Distribution of Frequency of Relationship between Personal Hygiene and Knowledge Improvement of Class XI students about Leucorrhoea (Flour Albus) at SMA Negeri 3 Seunagan, Nagan Raya District in 2018. The aim to be achieved in the research is to find out the relationship between Personal Hygiene Counseling and Knowledge Improvement of Class XI students about Leucorrhoea at SMA Negeri 3 Seunagan, Nagan Raya District in 2018. This research is quantitative, with research design using experimental method with one group pre-test and post-test. The populations in this study were all female students of class XI totaling 42 students in the 2018 school year. The sampling technique in this study was conducted with total sampling technique, namely all female students in class XI amounted to 42 female students. The research results based on the Normality Test using the Shapiro-wilk value of the pre-test variable obtained a value of 0.377> ɑ 0.05 means that the data was normally distributed and the post-test variable obtained a value of 0.216> ɑ 0.05 data was normally distributed. The conclusion of this study shows that the average value of the respondents pre-test and post-test is the value of pre-test 10.50 and post-test 14.05 and this shows the results of the "Relationship between Personal Hygiene Counseling with Improvement Knowledge of Class XI Students about Leucorrhoea (Flour Albus) at SMA Negeri 3 Seunagan, Nagan Raya District in 2018

    FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN MAKANAN PENDAMPING ASI (MP-ASI) PADA BAYI USIA 0-6 BULAN DI DESA KLAMBIR LIMA KAMPUNG KECAMATAN HAMPARAN PERAK DELI SERDANG TAHUN 2018

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    Breastmilk is a perfect substance for the growth of a baby and accelerates the development of baby's body weight. The less maximal of exclusive breastfeeding is caused by early provision of breastmilk complementary food. In Indonesia the percentage of exclusively breastfed babies is only 15.3%, which means that around 84.7% have been given complementary foods. The purpose of this study was to determine the factors of knowledge, family support, and breastmilk production related to the provision of breastmilk complementary food for infants aged 0-6 months at Desa Klambir Lima Kampung, Hamparan Perak Sub District, Deli Serdang District in 2018. The design of this study is an analytical survey with a cross-sectional approach. The populations in this study were all mothers who had 0-6 months babies at Desa Klambir Lima Kampung. The sampling using random sampling technique with a total sample of 62 people and the measuring instrument used was a questionnaire. The data analysis included univariate and bivariate using chi-square test. The statistical test results showed that there was a relationship between maternal knowledge (p-value = 0.015), maternal family support (p-value = 0.007) and breast milk production (p-value = 0.011) with the provision of breastmilk complementary food in infants aged 0-6 months. The conclusion of this study is that there is a relationship between knowledge factors, family support, and breastmilk production at Desa Klambir Lima Kampung, Hamparan Perak Sub District, Deli Serdang District in 2018. It is expected that respondents will further increase their knowledge and seek information about breastmilk complementary food and provide it according to the age of the baby

    FORMULASI SEDIAAN GEL DARI EKSTRAK ETANOL DAUN PEPAYA(Carica papaya L.)DAN UJI AKTIVITAS TERHADAP BAKTERI Propionibacterium acnes

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    Papaya leaves (Carica papaya L.) is one of the traditional plants that are widely used by the community for treatment, one of its properties as an antibacterial cause of acne because it contains karpain alkaloid. The purpose of this study was to determine whether the ethanol extract of papaya leaves could be made in gel preparations and whether the gel preparations of papaya leaf ethanol extract had activity against the inhibitory power of Propionibacterium acnes bacteria. This research was an experimental study that extracts obtained using maceration method then made gel preparations of ethanol extract of papaya leaves (Carica papaya L.) with a concentration of 5%, 10% and 15%, then gel preparations of ethanol extract of papaya leaves (Carica papaya L) evaluated with organoleptic test, homogeneity, pH test, dispersion test and antibacterial activity test. Preparation of gel preparations using ethanol extract of papaya leaves (Carica papaya L.) were concentrations of 5%, 10% and 15% fulfilled the criteria, organoleptic gel test was brown, dark brown and blackish brown, half solid and smelled typical of papaya leaves. homogeneous preparations, the average pH test of gel is 6, the dispersion test is 6.2 cm, 6.5 cm and 6.7 cm and the antibacterial activity test gel extracts of papaya leaves (Carica papaya L.) with 5 inhibitory 65 mm, 6.05 mm, 6.8 mm. For data analysis used one way anova test followed by tukey test, the results of bacterial inhibitory power on ethanol extract gel of papaya leaf (Carica papaya L.) was significantly different (p 0.05) so that it affected the inhibitory power of bacteria. Based on these results it can be concluded that the ethanol extract of papaya leaf (Carica papaya L.) has provided inhibitory power to the Propionibacterium acnes bacteria. Keywords: Papaya, Gel, Antibacterial, Propionibacterium Acnes

    FAKTOR YANG MEMENGARUHI EFEKTIVITAS PEMBERIAN MAKANAN TAMBAHAN PADA BALITA GIZI KURANG DI WILAYAH KERJA UPTD PUSKESMAS LANGSA LAMA TAHUN 2018

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    The Supplementary Food Giving Program (PMT) is a government effort to address the problem of undernourished children under five. Based on the evaluation of the PMT program held from September to November 2017 to 27 undernourished children with results found 18 toddlers (66.7%) did not experience an increase in nutritional status. Supplementary Food Provision is not yet effective, allegedly because the implementation of PMT program has not been effective. The purpose of the study was to determine the factors that influence the effectiveness of sending / receiving, storing, distributing, and supplementing food for malnourished children under five at the Heakth Centre of Langsa Lama in 2017. This type of research was descriptive qualitative with an ex post factor approach. The informants were 6 people consisting of 1 nutrition officer, 1 head of health centre of langsa lama, 4 midwives. To explore further the effectiveness of PMT included 27 mothers of toddlers by collecting data through interviews based on the questionnaire. Data were analyzed by reduction, presentation and drawing conclusions and describing factors affecting the effectiveness of PMT. The results of the study that PMT has not been effective due to delays in sending biscuits to the health centre, storing biscuits in the inpatient room is placed on the floor and storage in the target house in cabinets and boxes. Distribution requires the addition of officers and special vehicles so as not to interfere with other tasks and the form of the report is not yet systematic. Other factors are eating parenting and health care patterns. It is recommended that the head of the health centre make technical guidelines on involvement of midwives and cadres in monitoring the PMT program and provide training to improve their ability to manage the dietary of malnutrition todlers. And do the priority of KIA programs, especially malnourished children under five by allocating BOK funds. Health care workers provide health education regularly to improve maternal knowledge about the benefits of supplementary feeding to toddlers

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