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FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ISPA PADA BALITA DI DESA HAMPARAN PERAK KECAMATAN HAMPARAN PERAK KABUPATEN DELI SERDANG TAHUN 2021
Full text linkInfeksi saluran pernafasan akut (ISPA) adalah penyakit saluran pernapasan atas atau bawah. Berdasarkan data dari Puskesmas Hamparan Perak tahun 2020-2021, jumlah kasus ISPA di Desa Hamparan Perak yaitu sebanyak 52 kasus. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan kejadian ISPA pada Balita di Desa Hamparan Perak Kecamatan Hamparan Perak Kabupaten Deli Serdang tahun 2021.
Desain penelitian ini adalah survei analitik dengan desain Case Control. Populasi kasus adalah semua balita mengalami ISPA di Desa Hamparan Perak sebanyak 52 kasus. Populasi kontrol adalah seluruh balita yang tidak mengalami ISPA, jumlah sampel diambil dengan rumus lameshow sebanyak 35 dengan perbandingan kasus dan kontrol 1:1. Analisis data menggunakan analisis univariat dan bivariat dengan statistik uji Chi-Square.
Hasil penelitian menunjukakan variabel yang tidak berhubungan adalah penggunaan kayu bakar (p= 1,000) dan penggunaan obat nyamuk bakar (p= 0,611). Variabel yang berhubungan adalah anggota keluarga merokok (p= 0,031) dengan OR=3,306 (95%CI: 3,007-10,011), ventilasi rumah (p= 0,000) dengan OR=10,138 (95%CI: 6,000-25,001), kepadatan hunian (p= 0,008) dengan OR= 6,236 (95%CI: 4,001-19,004).
Kesimpulan penelitian ini adalah ada hubungan anggota keluarga merokok, ventilasi rumah, kepadatan hunian dengan kejadian ISPA pada Balita di Desa Hamparan Perak Kecamatan Hamparan Perak Kabupaten Deli Serdang. Disarankan kepada Puskesmas setempat perlu melakukan penyuluhan kesehatan tentang ISPA dan pencegahan kepada masyarakat untuk meningkatkan pengetahuan, pengalaman, dan perilaku kesehatan masyarakat agar masyarakat terhindar dari berbagai penyakit berbasis lingkungan seperti ISPA
Evaluation of Drug Procurement with the E-Phurchasing System on the Availability of Drugs at the Pharmacy Installation of the Central Aceh Regency Health Office
Full text linkThe purpose of the study was to evaluate drug procurement with the E-Purchasing system on the availability of drugs at the Pharmacy Installation of the Health Office of Central Aceh Regency. The research design used qualitative research methods through in-depth interviews accompanied by direct observation (observation). Informants of the Head of the Health Office, the Head of the Pharmacy Installation of the Health Office, the Planning and Finance Subdivision of the Health Office, the drug management officer at the Health Office and the health center drug management officer were 2 people. Data analysis is presented in the form of a text (content analysis). The results of the research on the availability of drugs at the Pharmacy installation of the Aceh Tengan District Health Office have not been maximized, the process of ordering drugs by E-purchasing and Non-E-purchasing is in accordance with PMK No. 63 of 2014, but the fulfillment time is not in accordance with the 2014 Pharmaceutical Service Standards. The budget provided for the drug procurement process by e-purchasing is not sufficient. The conclusion of this study is that the availability of drugs in the Pharmacy Installation of the District Health Office of Central Aceh Regency has not been maximized. This drug vacancy is caused by the number of drugs that are not all realized, the time of drug deli very by the distributor
The Influence of the Supervision of the Head on the Performance of Nurses in the Medan Hajj General Hospital
Full text linkA study conducted by the Directorate of Nursing Services, Ministry of Health of the Republic of Indonesia (2011) found that the nursing services provided by nurses to patients had 1101 reached the set target, namelya minimum figure of 75% of the nurse's performancewas said to be good This type of research is quantitative, with adesign cross sectional which aims to see the effect of headroom supervision 011 the performanceof nurses in the inpatient room of the General Hospital Hajj Medan in 2020. The sampling technique used is proportioanl stratified random. sampling. Data collection using primary data by distributing questionnaires to the nurse administratorsand secondary data obtained from the hospital, namely the hospital profile. Data analysis used Chi square test (a = 0.05) and multiple linear regressionThe results showed that the variables that influence the performanceof nurses are pla1111i11g (p = 0.000), guiding (p = 0.045),
111011itori11g (p = 0.000), evaluation (p = 0.002), recording and reporting
(p = 0.000). The variables that did 1101 affect the nurse's performance
were organizing (p = 0382) and directing (p = 0.065). /11 conclusion,
the most influential variable is recording and reporting with the highest
coefficient value, a11101111ti11g to ! .674 with a positive value. It is recommended that the head of the room carry out supervision in a programmed,scheduled manner, in accordance with the standards and principles of its implementation and optimize recordingand reporting in supervision activities
ISOLATION OF β-CAROTEN FROM BROWN TIGERS HRIMP SHELL WASTE (Penaeus esculentus) AND ITS ANTIOXIDANT ACTIVITY USING ABTS (2,2- AZINOBIS- [3-ETHYLBENZOTHIAZOLINE-6-SULFONICACID] METHOD
Full text linkBrown Tiger Shrimp (Penaeus esculentus) is a fishery export commodity that has high
potential and categorize major commercial value.The waste in the form of shell produced
from the shrimp industry has not been used properly and efficiently. In fact, most of it is
waste that also pollutes the environment.Shrimp shell contained a lot of carotenoid
pigments which are antioxidants, one of which is β-carotene.The aim of the study was to
determine the amount of β-carotene and antioxidant activity in the chloroform extract of
BrownTiger shrimp shell (Penaeus esculentus). The study used maceration method with
chloroform to obtain β-carotene extract then the total content was measured using UV-Vis
spectrophotometry.Testing the antioxidant activity of β-carotene and chloroform βcarotene extract of Brown Tiger shrimp shell (Penaeus esculentus) was carried out
through free radical scavenging using the ABTS method (2,2-azinobis- [3-
ethylbenzothiazoline-6-sulfonicacid]).Chloroform β-carotene extract of Brown Tiger
shrimp shell (Penaeus esculentus) contained β-carotene 618.2 µg / g of extract (0.06182%
per gram of extract), and had weak antioxidant activity with IC50 value of 396.660
mg/L.β-carotene as a comparison compound has an IC50 value of 114.838 with moderate
antioxidant activity category. The conclusion of this study was the chloroform β-carotene
extract of Brown Tiger shrimp skin (Penaeus esculentus) contained β-carotene
compounds and had weak antioxidant activity index
Evaluation of Antihypertensive Treatment Inoutpatients at Batang Beruh Helath Centre Sidikalang
Full text linkHypertension is a cardiovascular disease with a high prevalence and
risk of death in developed and developing countries with blood
pressure reach ≥140/90 mmHg. Hypertension is the 3rd cause of death
after stroke and tuberculosis, reached 6.7% of the population of deaths
at all ages in Indonesia. Results of Basic Health Research (Riskesdas)
Balitbangkes showed that the national prevalence of hypertension
reached 31.7%. The National Formulary (Fornas) is a list of drugs
compiled based on the latest scientific evidence by the National
Committee for the Compilation of the Fornas. Evaluation of the
appropriateness of antihypertensive treatments in outpatients at
Batang Beruh Health Centre Sidikalang seen from the National
Formulary was the aim of this study. This research is nonexperimental, quantitative descriptive was conducted in May - July
2019 at Batang Beruh Health Centre Jl. Pahlawan Sidikalang,
Sidikalang District of Dairi, North Sumatra. The population was 231
hypertensive patients using antihypertensive drugs, with sampling
using the Slovin formula, amounted to 70 respondents. Based on the
research conducted, in the Calcium Antagonist group, the names of the
antihypertensive drugs used are Amlodipine and Nifedipine.
Meanwhile, in the ACEIs group, the drug used is Captopril. Whereas
in the Angiotensin II receptor antagonist group, the drugs used are
Micardis, Valsartan and Candesartan. Whereas in the Diuretic group,
the antibiotic used is Furosemide
Factors Associated with 0-28 Day Neonatal Mortality in Central Aceh Regency
Full text linkThis study aims to determine the factors associated with neonatal mortality 0-28 days in Central Aceh District in 2020. This research is a quantitative study with a case control research design and uses a retrospective approach. The study population was all mothers giving birth whose babies died at the age of 0-28 days from January to December 2020. The sample in this study was I 20 respondents consisting of 60 cases and 60 controls. The sampling technique used was total sampling. Data analysis using chi square test and multiple logistic regression test. The results of the bivariate analysis using the chi square test showed that there were 2 variables that were significantly related to neonatal mortality, namely the maternal age variable with p value
= 0.012 and the pregnancy examination variable with p value = 0.047. The results of
multivariate analysis with multiple logistic regression test showed that there were 3 variables that influenced neonatal mortality, namely the maternal age variable with a p value of O .00 I, the birth spacing variable with a p value of0.018 and the pregnancy examination variable with a p value of O .018, while the most dominant variable affecting the incidence of death Neonatal age is the variable of maternal age with an OR value of 4.397
Implementation of Management of Pulmonary Tuberculosis with the Directly Observed Treatment Short Course Strategy
Full text linkThe purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas
The Influence of Individual Characteristics, Organizational Factors and Job Satisfaction on Nurse Performance
Full text linkHospitals have professional human resources in various service fields. One of them is a nurse. This study aims to determine the effect of individual characteristics, organizational factors, and job satisfaction on the performance of nurses. This type of research is analytical survey by design (cross sectional). The research sample consisted of 165 nurses with accidental sampling method. This study uses a questionnaire on organizational factors, job satisfaction, and performance. The study was conducted from November to December 2019 at Bunda Thamrin General Hospital. Bivariate data analysis using Chi-square (X2) statistical test and multivariate using logistic regression. The results showed that there was an effect (p0,05) gender (p=0,55; RR=0,38), age (p=0,29; RR=0,52), education level (p=0,32; RR=1,72), career path (p=0,08; RR=0,41), and marital status (p=0,74; RR=0,73) on nurse performance. Job satisfaction and supervision are variables that have the greatest influence on the performance of nurses. So it is important for institutions to improve the quality of supervision (increase supervisory competence, determine materials and supervision schedules) and increase job satisfaction (considering motivational and hygiene factors). In addition, it provides appropriate rewards and maintains the nurse's tenure, so that it can improve nurse performanc
FAKTOR YANG MEMPENGARUHI KEBERADAAN E. COLI PADA SUMUR GALI DI DESA SEI-LENDIR KECAMATAN SEI KEPAYANG BARAT KABUPATEN ASAHAN TAHUN 2021
Full text linkAir merupakan kebutuhan sehari-hari yang tidak dapat dipisahkan dari kehidupan manusia. Air yang terkontaminasi bakteri E. coli adalah salah satu penyebab terjadinya penyakit didalam tubuh seperti penyakit pencernaan yaitu kolera, tifus cacingan dengan gejala diare, hingga gagal ginjal dan infeksi saluran kemih. Hasil penelusuran peneliti didapatkan ada sebanyak 94 pengguna sumur gali yang ada di Desa Sei Lendir dan mempunyai kasus diare sebanyak 37 orang. Tujuan penelitian ini adalah untuk menegtahui faktor yang mempengaruhi keberadaan E. coli pada Sumur Gali di Desa Sei Lendir Kecamatan Sei Kepayang Barat Kabupaten Asahan.
Penelitian ini adalah survey analitik dengan desain cross sectional. Populasi penelitian ini adalah seluruh sumur gali yang yang ada di Desa Sei Lendir Kecamatan Sei Kepayang Barat Kabupaten Asahan sebanyak 94 sumur dengan jumlah sampel sebanyak 48 sumur. Analisis data menggunakan analisis univariat dan bivariat dengan uji statistik chi-square.
Hasil analisis bivariat menunjukkan bahwa nilai p untuk variabel jarak jamban dengan sumur gali (p= 0,036), jarak penumpukan sampah dengan sumur gali (p= 0,070), jarak SPAL dengan sumur gali (p= 0,062), dan kondisi fisik sumur gali (p= 0,039).
Kesimpulan penelitian ini adalah adanya pengaruh jarak jamban, jarak penumpukan sampah, jarak SPAL, dan kondisi fisik sumur gali dengan keberadaan E. coli pada sumur gali di Desa Sei Lendir Kecamatan Sei Kepayang Barat Kabupaten Asahan
IDENTIFICATION OF THE COMPONENTS BY LCMS/MSQTOF AND TOXICITY OF ETHANOL EXTRACTS OF Musa paradisiaca L. STEMS
Full text linkBanana plants from the Musaceae family thrive in tropical countries, especially in Indonesia, with various types and one of them is Musa paradisiaca Linn (MPL). Banana is an important horticultural plant considering its high productivity and take place regardless the season. Various parts of banana plants such as flower, fruit, leave, stem, and tuber can be utilized as food. Chemical constituents of ethanol extract of MPL stem were identified and characterized by LCMS/MS-QTOF. Based on the results of MS fragmentation, MPL extracts contained 10 components which were Mubenoside A; 25 (R) - Ruscogenin -1-O-β-D-glucopyranosyl (1 → 2) -β-Dfucopyranoside; Oleanolic acid 3-O-β-D-xylopyranosyl- (1 → 2) -α-L-arabinopyranosyl-28-O-β-D glucopyranosyl- (1 → 6) -β-D glucopyranoside; Raddeanoside; Baicalein-6-glucuronide; Undulatoside A; 26-Deoxyactein; Methyl ophiopogonone A; Ginsenoside Rh4; Eclalbasaponin VIII. These constituents were found to be compounds with known medicinal activity. A toxicity test was performed by Brine shrimp lethality bioassay. The toxicity properties of ethanol extract of MPL showed LC50 894.46 pp