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    FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGHAMBAT PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA POSYANDU MELATI KECAMATAN GEDONG TATAAN KABUPATEN PESAWARAN TAHUN 2014

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    Pemberian ASI merupakan salah satu cara yang optimal untuk memberikan makan kepada bayi. Beberapa ibu akan selalu ada yang memilih untuk memberikan susu formula sebagai pengganti air susu ibu dengan berbagai alasan, alasan medis yang dapat diterima sebagai dasar pengguna pengganti air susu ibu (PASI). Pola pemberian susu formula yang tidak tepat dapat menyebabkan kejadian diare. Diare adalah keadaan frekuensi buang air besar lebih dari empat kali pada bayi dan lebih dari tiga kali pada anak, konsistensi feses encer, dapat berwarna hijau atau dapat pula bercampur lendir dan darah. Diare merupakan salah satu penyakit utama bayi di Indonesia dan menempati urutan ke tiga penyebab kematian bayi, demikian juga di wilayah kerja Puskesmas Pancurbatu 108 bayi yang mengalami kejadian diare tahun 2015.Metode: Penelitian ini merupakan survei analitik dengan desain Cross Sectional untuk mengetahui hubungan pemberian Pengganti Air Susu Ibu dengan kejadian diare pada bayi di wilayah kerja Puskesmas Pancurbatu Kabupaten Deli Serdang Tahun 2016. Populasi penelitian adalah Ibu yang mempunyai bayi 0-6 bulan dengan jumlah sampel 36 ibu. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Analisis data menggunakan uji chi-square pada taraf kepercayaan 95%.Hasil: Penelitian menunjukkan bahwa ada hubungan Pemberian Pengganti Air Susu Ibu signifikan dengan kejadian diare pada bayi di wilayah kerja Puskesmas Pancurbatu Kabupaten Deli Serdang. Diharapkan bagi Puskesmas Pancurbatu Kabupaten Deli Serdang agar lebih giat menggalakkan dan mengadakan promosi Kesehatan kepada ibu-ibu yang berada di wilayah kerja Puskesmas Pancurbatu tentang manfaat Air Susu Ibu (ASI) dalam upaya pencegahan terjadinya diare pada bayi, sehingga tumbuh kembang bayi sehat dan bagi Ibu-ibu agar menjaga personal hygiene dan pengolahan susu formula yang benar untuk menjaga kesehatan bayi.Dinas Kesehatan Kabupaten Pesawaran tahun 2012sebesar 17,11% dari target 80%.Dari hasil pra survey yang peneliti lakukan di posyandu melati gedong tataan pesawaran terhadap 30 ibu yang menyusui, yaitu ditemukan bahwa 10 orang (33,3%) yang memberikan ASI secara ekslusif dan 20 orang (66,7%) yang tidak memberikan ASI secara ekslusif dan belum diketahuinya faktor-faktor penghambat pemberian ASI eksklusif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan penghambat pemberian ASI eksklusif di posyandu melati gedong tataan pesawaran tahun 2014Penelitian ini menggunakan desain penelitian ini adalah penelitian observasional analitik dengan menggunakan pendekatan cross sectional. Populasi yang digunakan dalam penelitian ini adalah seluruh ibu menyusui yang memiliki bayi usia 7-24 bulan di posyandu melati gedong tataan pesawaran tahun 2014 yang berjumlah 86 orang. Teknik pengambilan sampel dalam penelitian adalah teknik accidental sampling. Pengumpulan data menggunakan angket dengan alat kuesioner. Analisis data yang digunakan adalah univariat dan bivariat dengan uji Chi-Square.Hasil penelitian penelitian pengetahuan dengan penghambatan pemberian ASI eksklusif (p value = 0,002), hubungan pekerjaan dengan penghambat ASI eksklusif (p value = 0,027), hubungan dukungan keluarga dengan penghambat pemberian ASI eksklusif (p value = 0,017). Sehingga dapat disimpulkan bahwa ada hubungan antara pengetahuan, pekerjaan dan dukungan keluarga dengan penghambatan pemberian ASI ekslusif di posyandu melati gedong tataan pesawaran tahun 2014. Peneliti menyarankan adanya tenaga kesehatan melalui penyuluhan kepada ibu hamil, ibu melahirkan dan ibu menyusui tentang manfaat ASI eksklusif dalam usaha peningkatan status kesehatan bayi dan balita. Kata kunci : ASI eksklusif, Faktor penghamba

    KETIDAKTEPATAN KODE DIAGNOSA KASUS NEOPLASMA MENGGUNAKAN ICD-10 DI RS SANTA ELISABETH MEDAN

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    Medical record is a file that contains notes and documents about patient identity, examination, treatment, actions and other services that have been provided to patients and documented in the disease classification coding system. One of the disease codifications is neoplasm, which is a grouping of diseases into a group of similar disease code numbers according to ICD-10. Neoplasm cases are one of the most common diagnoses at Santa Elisabeth Hospital, Medan. The aim of the study was to determine the diagnosis coding for neoplasms at Santa Elisabeth Hospital, Medan. Descriptive research design. Data collection is done by observation. The number of samples used were 34 documents with simple random sampling technique. The research was carried out in July 2021. Data analysis was carried out descriptively. The results obtained that the completeness of the morphological code for the diagnosis of neoplasms in the inpatient medical record documents carried out at the Santa Elisabeth Hospital, namely 28 documents (82.4%) were complete, and 4 documents (17.6%) were incomplete. The accuracy of the topographic code for the diagnosis of neoplasms was complete with 31 documents (73.5%) and 3 documents incomplete (14.7%). The factor that causes the inaccuracy of coding is that it is difficult for the coding officer to read the doctor's writing, so it is necessary to train coding officers

    Perilaku Kesehatan

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    BODY IMAGE WITH EATING PATTERNS STUDENTS STIKES SANTA ELISABETH MEDAN

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    Background: Students are individual figures who are in the process of changing from childhood to adulthood. These changes occur both physically, biologically as well as psychologically and socially. These physical changes depend on a person's diet which will build a body image or body image to a good or bad direction. This happened at STIKes Santa Elisabeth Medan, namely the eating pattern of 30% of STIKes students was not good. The purpose of the study was to determine the relationship between body image and diet in students at STIKes Santa Elisabeth Medan. Methods: the method used is descriptive analytic by using a cross sectional approach. The sample in this study amounted to 110 people with simple random sampling technique. Data analysis with chi-square test. Results: the results showed that the majority of respondents' body image was negative (71, 8%) and the majority of respondents' eating patterns are sufficient (54.6%). The results of the chi-square statistical test obtained p-value = 0.001 (p < 0.05), so there is a relationship between body image and diet in STIKes Santa Elisabeth Medan students. It is hoped that the campus will provide counseling to students so that body image is controlled

    Predisposing Factors Associated with Health Behavior in Deli Serdang, North Sumatera

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    Background: Clean and healthy life behavior (PHBS) is expected to reduce the risk of disease and improve the quality of health. PHBS in order school is an attempt to empower students, teachers and the public school environment in order to know, willing, and able to practice healthy hygiene practices. This study aimed to analyze the relationship of predisposing factors associated with PHBS in Deli Serdang.Subjects and Method: This study was a cross-sectional study conducted at Pancur Batu Senior High School, Deli Serdang, Medan, from April to May 2018. A sample of 88 students was selected for this study by simple random sampling. The dependent variable was PHBS. The independent variables were teacher's knowledge, attitude, and support. The data were collected using a questionnaire and analyzed by Chi square test.Result: Positive attitude (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), high knowledge (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), and strong support (OR= 16.88; 95% CI = 4.33 to 65.71; p = 0.001) improved PHBS.Conclusion: Positive attitude (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), high knowledge (OR= 7.88; 95% CI= 2.94 to 21.11; p= 0.001), and strong support (OR= 16.88; 95% CI = 4.33 to 65.71; p = 0.001) improved PHBS.Keywords: knowledge, attitude, teacher support, clean and healthy life behaviorCorrespondence: Pomarida Simbolon. STIKes Santa Elisabeth, Medan, Sumatera Utara. Jl. Bunga Terompet No.118, Sempakata, Medan Selayang, Kota Medan 20131, Sumatera Utara. Email: [email protected]. Mobile: 085361806500.Health Promotion and Behavior (2018), 3(2): 130-138https://doi.org/10.26911/thejhpb.2018.03.02.0

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods
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