bluuebunny/crossref_metadata_2025 huggingface dataset:
Abductor Tear in Total Hip Arthroplasty: A Scoping Literature Review
Authors: (Alfageeh AH) Abdulrahman Hasan Alfageeh
Published: April 2022

Background: Tear of the abductor mechanism is a well-known problem. Most of the published studies in that regard comes from the sport literature but little have been published about it in the THA settings. Abductor mechanism plays a crucial part in hip stability and limb gait hence an injury to it can lead to pain, weakness, and instability after THA. Objective: To review all studies reporting on abductor tear or insufficiency in Total Hip Arthroplasty and present the current state of literature on that. Methods: The Author completed an electronic database search of PubMed, EMBASE and PubMed Central to identify any studies reporting on Abductor mechanism and Total Hip Arthroplasty from the date of inception of the databases until August 2018. The author followed the PRISMA guidelines. The author extracted and summarized data from the identified studies. Only Studies published in the English literature and reported data on Abductor mechanism tear with THA were included. Results: 566 studies were identified. 32 studies met the inclusion criteria and were included in this review. Tear of hip abductor in THA were reported to be between 11-25%. It was more prevalent in women, older age population with no association to comorbidities. There is no clear evidence that the incidence of abductor weakness is higher in lateral than posterior approaches, contrary to the popular opinion. Surgical reconstruction techniques for chronic abductor insufficiency showed good results in the short-term regarding pain and function. Conclusions: Abductor mechanism tear after THA is a known complication that should be considered in patients with substantial lateral hip pain, limb and weak abduction following THA. Repair of the abductors can improve pain, function, and limb in three fourth of the patients specially if identified and repaired early. Promising results have been published for abductor reconstruction procedures for recurrent or chronic tears in short term follow-ups but still lack the long-term results.
Continuing Medical Education among Ministry of Health Primary Care Physicians in Bahrain: Experiences and Perceptions
Authors: AlSadiq Amal J. , Salman Ali S. , Edhrabooh Huda M. , Mahfoodh Maryam A. , Ahmed Mohamed A. , Jassim Ghufran A. , Alfarra Hala
Published: April 2022

Introduction: Continuing medical education (CME) is the process through which health professionals engage in activities designed to support their continuing professional development. It is a requirement for physician relicensing, and recredentialing. Existing literature shows that CME improves physician performance as well as patient health outcomes. It is incumbent to study the experiences and attitudes of physicians towards CME activities in view of the impact of CME on the professional development. Purpose: To describe experiences and perceptions of CME activities among primary care physicians in Bahrain. Materials and Methods: A cross-sectional study that included all registered primary health care physicians in the ministry of health in Bahrain. Data was collected using self-administered online survey distributed to 350 primary care physicians in Bahrain. The five-point Likert scale questionnaire is composed of five sections: socio-demographic data, participant`s experiences with CME, Reasons for attending CME activities, barriers to attending CME activities and benefits of CME in relation to different delivery methods. Results: Total responses were 210 (60% response rate). The mean age of respondents was 40.8(SD 8.9) and the majority (84.4%) were female. Most of the CMEs were in the form of lectures (88.6%), interdepartmental activities (80.5%) and conferences (78.1%). Driving forces for CME were for credentialing /licensing (92.9%), develop clinical competencies (92.9%), improve clinical services/programs (95.2%) and to introduce new technology/techniques (88.6%). Regarding barriers encountered, financial support was the most encountered (mean 4.11 (SD 0.92)), followed by lack of time (mean 4.05 (SD 1.07)). Conclusion: Despite the barriers encountered, Bahraini physicians had a positive experience and attitude toward undertaking CME. There is a need for financial support and protected time to attend CME activities as well as further studies to explore how best these challenges could be managed and solved.
PROFIL SPEKTRA INFRA MERAH SERBUK Gelidium Zollingeri DENGAN ANALISIS PCA
Authors:   Prodi Farmasi Fakultas Kedokteran Universitas Hang Tuah, Surabaya, Indonesia, Izazi Farizah , Nailufa Yuyun
Published: April 2022

Gellidium zolingeri is a red alga of the Rhodophyta. Content of Gellidium zolingeri is Mycosporine-like amino acids (MAAs), proteins (amino acids), pigments (phycobiliproteins and carotenoids), phenolic compounds, fucoidan etc. Gellidium zolingeri has several benefits. From the drug content, Gellidium zolingeri can be used as a natural product. Different content in a plant is influenced by several factors, one of which is the climate and harvest time. It is known that in this study using three different harvest times, different harvest times will affect the percentage or content of the plant. Therefore, to ensure its quality, this research is carried out. Result analysis using Infrared Spectrophotometry, five functional groups were obtained, OH carboxylic acid, N-H (cyclic alkene), C=C (aromatic), C-O (ether) and =C-H (alkene) with their respective wave numbers. Result from spectra that these compounds are MAAs. Next step analyzed by PCA (Principal Component Analysis) minitab19, the data obtained are Score plots, Loading plots and Biplots. The results of the three samples with different collection times have three different spectra results. Harvest time of November the dry season and harvest time of December and January the rainy season is grouped separately. November is also a transitional climate where results of these spectra are in between the rainy season spectra (December and January).
UJI AKTIVITAS ANTI-AGING KRIM TABIR SURYA KOMBINASI EKSTRAK TONGKOL JAGUNG (Zea mays L.) DAN EKSTRAK BIJI KOPI ROBUSTA (Coffea canephora Pierre Ex. A. Froehner)
Authors:   Jurusan Farmasi, Poltekkes Kemenkes Jakarta II, Cartika Harpolia , Elisya Yetri , Hasbi Fatwa , Khairunnida Khairunnida
Published: April 2022

Skin aging which is characterized by wrinkles and reduced skin moisture due to sun exposure can be prevented by using sunscreen preparations. The sunscreen cream combination of corn cob extract and robusta coffee bean extract has strong antioxidant activity and extra protection, so it has the potential as anti-aging. This study aims to determine the anti-aging activity of the test cream. Research using experimental methods. The sunscreen cream contains 10% corn cob extract and 15% robusta coffee bean extract. Physical testing and cream stability using the cycling test method. The anti-aging activity of the cream was tested in vivo using female Sprague-Dawley rats, the observations were continued by SEM, the parameter was wrinkles. The results of the evaluation of physical stability meet the requirements of the cream. Details of the average score of wrinkles on the skin of the feet of rats given a cream base of 2.5, a test cream of 1.5 and a comparison cream of 1. This indicates the test cream has the potential as an anti-aging.
The MODIFIKASI MODEL PEMBELAJARAN HEURISTIC VEE MENINGKATKAN PEMAHAMAN KONSEP DAN KREATIVITAS MATEMATIS MAHASISWA FKIP UHN MEDAN
Authors: Simanjuntak Ruth Mayasari
Published: April 2022

The objective of the research id to modify the heuristic vee learning model to improve student’s understanding of mathematical concepts and to improve student’s mathematical creativity abilities as well as to see the interaction between heuristic vee learning models with their level of mathematical ability towards increasing student’s understanding of mathematical concepts and mathematical creativity. This research was implemented at Nommensen HKBP University and experimental study with a pre-test post-test control group design research design. The population is all fourth semester students by taking a sample of two classes through random sampling techniques. The data is obtained through semester scores for KAM, tests of mathematical understanding abilities, tests of mathematical creativity abilities. The data were analysed by two-way ANAVA test. Before using the two-way ANAVA test, homogeneity tests were used in the study and normality in this study was 5% significant. The problem solving process created by students is expected to meet the criteria of understanding and mathematical creativity in the learning group Heuristic Vee Learning Model. The research findings recommend a modification of the Heuristic Vee learning model as one of the learning approaches used on campus
THE INFLUENCE OF QUALITY INFORMATION AND REPUTATION OF TIX ID APPLICATION TOWARD THE INTEREST OF PURCHASE TICKETS ONLINE IN XXI CINEMA CIPUTRA SERAYA MALL PEKANBARU CITY
Authors: Wijoyo Hadion , Marpaung Septyani Larosa
Published: April 2022

The aim of this study has shawn that the quality  of information  and reputation  TIX ID application  toward of purchase tickets online interest in cinema XX1 Mall Ciputera Seraya Pekanbaru City. The independent factors in this study are quality information and reputation of application. The dependent factor is purchase  interest. The subject of this research are user of TIX ID in cinema XXI Mall Ciputera Seraya Pekanbaru  City.  This research  took 100 user as samples.  The technique  of data collection was accidental sampling. The instrument of data collection is questionaire method. In this research  the researcher was used multiple regression analysis. The result has shawn that the quality  of information  affect of purchase  interest. The reputation Tix Id application  affect to purchase interest. the result of test  explained how all independent variables affect the dependent variables. Result of multicollity show that R² results are 56% can explain how all independent variables affect the dependent variables. whereas the remaining 44% were described by other unexamined variables in this study
PENGARUH DISIPLIN GURU DAN KEPEMIMPINAN KEPALA SEKOLAH TERHADAP PENINGKATAN KUALITAS PELAYANAN DI SMP NEGERI 2 PANGURURAN KABUPATEN SAMOSIR
Authors: Naibaho Enny Juliana Pelita
Published: April 2022

Kualitas pelayanan merupakan salah satu aspek yang menjadi perhatian khususnya di dunia pendidikan. Disiplin guru dan kepemimpinan kepala sekolah memiliki hubungan yang erat dengan peningkatan kualitas pelayanan. Penelitian ini mengukur pengaruh disiplin guru dan kepemimpinan kepala sekolah di SMP Negeri 2 Pangururan terhadap peningkatan kualitas pelayanan. Penelitian ini merupakan penelitian kuantitatif, dengan menggunakan kuisioner sebagai instrument penelitian. Dengan menggunakan analisis regresi berganda, diperoleh  kesimpulan hasil penelitian bahwa Disiplin Kerja dan Kepemimpinan berpengaruh positip dan signifikan pada Kualitas pelayanan di SMP Negeri 2 Pangururan Kabupaten Samosir baik secara parsial maupun secara simultan.
THE APPLICATION OF GUESSING STRATEGY TO IMPROVE STUDENTS’ VOCABULARY MASTERY ON ENGLISH PHRASAL VERBS
Authors: SARI ANNA STASYA PRIMA , Pandiangan Siska Ria
Published: April 2022

This Classroom Action Research (henceforth, CAR) is mainly aimed at proving that the application of Guessing strategy is able to improve the students’ vocabulary mastery on English phrasal verbs. This CAR was performed in two cycles in which each cycle consisted of three meetings excluded the pre-test, formative test, and post-test. The subjects of this CAR are the fourth semester students of English Language Education Study Program, Faculty of Teachers Training and Education, Catholic University of Saint Thomas in the Academic Year of 2019/2020. There are 20 students as the research subjects. The quantitative data analysis shows that the mean of the students’ score in the pre-test, formative test, and post-test increases significantly after Guessing strategy was applied in the learning teaching processes of English phrasal verbs. The students’ total score of the pre-test is 1.316 and the pre-test mean is 65,8. The students’ total score of the formative test is 1.384 and the formative test mean is 69,2. The students’ total score of the post-test is 1.600 and the post-test mean is 80. There are 8 (eight) students (40%) who attained score >75 in the pre-test, 8 (eight) students (40%) who attained score >75 in the formative test, and 15 (fifteen) students (75%) who attained score >75 in the post-test. The qualitative data analysis shows that the students are more active and enthusiastic in learning and mastering English phrasal verbs after Guessing strategy was applied. Their responses towards the application of Guessing strategy in the learning teaching processes of English phrasal verbs are very positive. All of them agree that learning English phrasal verbs through the application of Guessing strategy can trigger their curiosity and improve their knowledge and vocabulary mastery on English phrasal verbs. The researchers recommend that English learners implement Guessing strategy to improve their vocabulary mastery on English phrasal verbs.
KAJIAN SEMIOTIKA PUISI-PUISI PENGAGUM RINDU OLEH M. HANFANARAYA
Authors: Siagian Beslina Afriani , Nainggolan Diana Mawati Fransiska , Sitorus Drs. Pontas Jamaluddin
Published: April 2022

Semiotika merupakan sebuah sebuah kajian mengenai tanda. Puisi-puisi Pengagum Rindu oleh M. Hanfanaraya mengandung unsur semiotika seperti ikon, indeks, dan simbol. Tujuan penelitian adalah untuk mengetahui dan menganalisis semiotika dalam puisi-puisi Pengagum Rindu oleh M. Hanfanaraya. Ruang lingkup penelitian merupakan kajian kritik sastra yaitu kajian semiotika. Pembatasan masalah dalam penelitian yaitu penulis mengambil semua aspek semiotika pada jenis tanda seperti ikon, indeks, dan simbol. Sumber data ada dua yaitu sumber data primer dan sumber data sekunder. Jenis penelitian adalah penelitian kualitatif dengan menggunakan pendekatan kualitatif deskriptif. Teknik pengumpulan data yang digunakan yaitu teknik hermeneutik dan dokumentasi. Teknik analisis data menggunakan teknik analisis teks. Hasil penelitian yang ditemukan yaitu: (1) Aspek ikon terdapat sebanyak 58 data yang terdiri dari kata, (2) Aspek indeks yang ditemukan yaitu sebanyak 4 (empat) data yang terdiri dari kutipan puisi, dan (3) Aspek simbol yang ditemukan yaitu sebanyak 6 (enam) data yang terdiri dari kata, gabungan kata, dan frasa.
ANALISA FAKTOR DOMINAN YANG MEMPENGARUHI WANITA PASANGAN USIA SUBUR TERHADAP PENGGUNAAN METODE KONTRASEPSI TUBEKTOMI
Authors: Siregar GF Gustina , Purba Tetty Junita
Published: April 2022

Abstrac
Tubectomy is a medical procedure in the form of closure of the uterine tube with a specific purpose not to get offspring in the long term to a lifetime. The purpose of this study was to analyze the factors that influence women of childbearing age in choosing contraceptives. The type of research used is analytic study with case control study design. The number of samples in this study were 32 cases and 960 control groups. The results obtained from Sidomulyo village that there is influence of knowledge, perception, attitudes of women of childbearing age and health workers in the use of tubectomy contraception methods in Sidomulyo village.
PENGARUH TEKNIK MARMET TERHADAP KELANCARAN ASI PADA IBU POST SECTIO CAESAREA DI RUMAH SAKIT GRANDMED LUBUK PAKAM
Authors: GINTING MUNTHE NOVITA BR , Ginting Desideria Yosepha , SARAGIH KHORI SILVIA
Published: April 2022

The marmet technique is the basic technique that should be taught to the mother in  24 hours after the baby was born so that the mother is confident in facing all possible problems such as the problem of mild milk fluency. The purpose of this research was to know the influence of marmet technique on the fluency of breast milk in post Sectio Caesarea patients at Grandmed Hospital Lubuk Pakam 2017. This research is a type of quantitative research, with pre-experiment research design using one group pre test - post test. The population in this research were all patients who had undergone post Sectio Caesarea for two days at Grandmed Hospital Lubuk Pakam. The samples of the population as many as 10 people with sampling technique purposive sampling. The statistic test used paired simple T-test with 95% confidence level (α = 0,05). The result of this research showed that there was an influence of marmet technique on the fluency of breast milk on post Sectio Caesarea patient at Grandmed Hospital Lubuk Pakam with Value 0.029. It is expected to the nurse to be able to apply the implementation of marmet technique on the post sectio caesarea patients as a health education to fluency of breast milk.
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU SEKSUAL PADA REMAJA
Authors: Siregar Wilda Wahyuni , Handayani Dwi
Published: April 2022

Adolescent sexual and reproductive health has become a national problem at this time. Adolescent sexual behavior that leads to an increase in premarital sexual relations is triggered by dating activities. Adolescent sexual behavior will have negative effects such as pregnancy in adolescents, abortion, unwanted pregnancy, sexually transmitted diseases and HIV / AIDS. BKKBN data from Deli Serdang Regency in 2016 states that 15-20 of 9382 teenagers experience pregnancy at a young age due to early sexual behavior. The purpose of this study was to determine the factors that influence sexual behavior in adolescents in the District Lubuk Pakam in 2017. This type of research uses a cross sectional approach with the implementation time in February-May 2017. The population in this study were all adolescents in Lubuk Pakam District aged 15 -19 years totaling 9382 people and a total sample of 128 people. Data were obtained using questionnaires analyzed using multiple logistic regression. The results of the study showed that the sexual behavior of teenagers in the high risk category was 43.0%. Predispossing factors: adolescent knowledge of not good category as much as 53.9%, negative category attitude 54.7%, and low socio-economic category 57.8%. Enabling factors: source (media) information 56.3% of exposed categories. Reinforcing factors: the role of the closest person 57.8% in the role category, self control 59.4% in the uncontrolled category, and the lifestyle of 68.8% in the modern category. The results of statistical tests using SPSS found that predispossing, enabling factors and reinforcing factors had a significant relationship with adolescent sexual behavior. The most dominant variable on adolescent sexual behavior is attitude with p = 0.002. It is suggested to the local government to further enhance positive activities in adolescents in order to avoid the occurrence of deviant sexual behavior.
FAKTOR-FAKTOR YANG MEMPENGARUHI IBU MEMBERIKAN MAKANAN TAMBAHAN PADA BAYI 0-6 BULAN DI DESA NAMO PINANG KECAMATAN NAMO RAMBE KABUPATEN DELI SERDANG TAHUN 2020
Authors: Natalia Kristin , Hutabarat Vitrilina , Sitepu Stefani Anastasia
Published: April 2022

Supplementary feeding is an effort to provide additional food and to increase nutritional intake to meet nutritional needs in order to achieve a good nutritional status. Food plays an important role in the growth and development of children, because the growing child needs are different from adults. The purpose of this study is to find out the knowledge of mothers about supplementary food in infants 0-6 months. This research is a descriptive design with a sample of 20 mothers in Namo Pinang village, taking a sample using total sampling. Data analysis using the computer program SPSS with the chi-square test. Statistical test results obtained p value = 0.001 which means p <0.005, thus it can be concluded that it has the most dominant influence on supplementary feeding in infants 0-6 months.
HUBUNGAN PENDAMPING PERSALINAN DENGAN KECEMASAN IBU BERSALIN DI KLINIK KASIH IBU KECAMATAN GALANG KABUPATEN DELI SERDANG
Authors: Wulan Sri , Sitepu Kuat , Gurusinga Rahmad , Barus Herlina
Published: April 2022

Unattended labor will have the effect of fear that can cause tension and cause his disorder, and eventually labor runs smoothly. Childbirth companions plays an important role in the birth process. Loving support reduces the mother's need for pain medication and medical intervention in labor. The purpose of this study was to determine the relationship of labor companions and maternal anxiety. This research was conducted at the Kasih Ibu Clinic, Galang Subdistrict, Deli Serdang Regency in November - December 2019. The type of research in this study was an analytic survey. The population of this research is all mothers who will give birth at the Ibu Kasih Clinic, Galang District, Deli Serdang Regency. The sampling technique used was accidental sampling with a total sample of 30 people. The test used in this study is the Chi-quare test. The results showed that there was a relationship between labor companion and maternal anxiety where p nilai 0.05 (p = 0.024). The presence of childbirth companions especially the husband is expected in the delivery room and the husband is expected to continue to carry out his role in providing physical and emotional support to the mother especially during the labor process.
PENGARUH PIJAT OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POSTPARTUM
Authors: Siregar Gf Gustina , Purba Tetty Junita , Anatasya Stefani , Gulo Ribka Ayu Putri
Published: April 2022

Oxytocin massage is massage along the spine (vertebrae) and is an attempt to stimulate the hormone oxytocin after childbirth. The purpose of this study was to analyze the Effect of Oxytocin Massage on Increasing Breast Milk Production in Menta Clinic, Jalan Patumbak Pasar V Market, Deli Serdang Regency in 2019. The research method used was a quasi-experimental research method (Quasi experiment) with a case control group pretest and posttest design. This research was conducted at the Menta Clinic from April to June 2019 with a total sample of 20 mothers with the provision of 10 mothers in the control group and 10 mothers in the intervention group. From the results of statistical tests conducted using the chi-square test, the value of p = 0.007 (p <α) was obtained where 0.007 <0.05, which means that there is a significant influence between Oxytocin Massage on increasing milk production in Postpartum Mothers. Postpartum mothers are expected to do oxytocin massage in order to increase milk production in women whose milk production is low.
PENGARUH KONSUMSI JANTUNG PISANG TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU NIFAS DI PUSKESMAS DELITUA
Authors: Hutabarat Vitrilina -
Published: April 2022

Breast milk is the first and foreive food that is best for babies. The thing that needs to be considered by post partum mother giving breast milk to the baby is by consuming fruit and vegetables that can increase the amount of breast milk. Banana heart contains lactogogum which has performance stimulating oxytocin and prolactin hormones such as alkaloids, polyphenols, steroids, flavonoids, which are effective in increasing breast milk production. In this case, researchers conducted nonpharmacological studies such as banana heart consumption. This research aims to find out the effect of Banana Heart Consumption on increased breast milk production in post partum in Delitua Health Center by 2020. The method used is the Quasi Experiment method with the research design of One Group Pretest-Postest. The samples in this study were as many as 20 post partum in Deli Tua health center, using total sampling techniques. Data collection is carried out in the form of observation and questionnaires. The statistical test used is the t test. The results showed that there was an influence increase in breast milk production in post partum mothers after consuming banana blossoms with a value of P-Value of 0,000 <0.05. Based on the results of the study, the increase in breast milk production in the mother occurred because the content found in the heart of bananas is lactogogum which has the performance of stimulating oxytocin hormones and prolactin alkaloids, polyphenols, steroids, and flavonoids in increasing the production of breast milk.
PENGARUH TERAPI BIRTH BALL PADA IBU BERSALIN KALA I FASE AKTIF TERHADAP PENURUNAN NYERI DI PRAKTIK MANDIRI BIDAN (PMB) HARTATI KECAMATAN SAWANG KABUPATEN ACEH UTARA
Authors: Sari Nur Mala
Published: April 2022

Persalinan merupakan suatu proses fisiologis yang terjadi pada wanita tetapi pada umumnya dapat menimbulkan rasa takut karena saat bersalin disertai nyeri berat. Nyeri persalinan mulai dirasakan pada pembukaan serviks 0-10 cm. Pada fase aktif menuju puncak pembukaan maka akan terjadinya peningkatan intensitas dan frekuensi kontraksi, sehingga menyebabkan nyeri persalinan lebih berat di fase aktif. Pengobatan non farmakologi dalam penanganan nyeri salah satunya menggunakan birth ball, dengan cara duduk diatas bola dan bergoyang-goyang sehingga membuat rasa lebih nyaman dan membantu proses kemajuan persalinan dikarenakan adanya gravitasi, dan dengan elastisitas dan lengkungan bola yang lunak membuat perineum dan punggung bawah tanpa memberikan banyak tekanan yang dapat meningkatkan nyeri. Untuk mengetahui pengaruh terapi birth ball terhadap penurunan nyeri persalinan kala I fase aktif pada ibu bersalin primigravida di Praktik Mandiri Bidan Hartati. Jenis penelitian ini  adalah Kuantitatif dengan design Quasi Experiment dengan rancangan One Group Pretest -Posttest Design. Sampel menggunakan teknik purposive sampling, dengan jumlah sampel 15 responden. Analisis statistik penelitian ini menggunakan uji Wilcoxon sign rank test, dengan tingkat signifikan  P< 0,05. Hasil Penelitian rata-rata nyeri sebelum terapi birth ball 8.60 dan sesudah  5.73. Uji statistik di dapatkan nilai P-Value = 0,001 yaitu ada pengaruh pemberian terapi birth ball pada ibu bersalin kala I fase Aktif  terhadap penurunan nyeri persalinan sebelum dan sesudah diberikan terapi birth ball. Diharapkan dengan melakukan terapi birth ball dapat menurunkan nyeri persalinan dan angka secsio cesaria (SC).s
PENGARUH MENGKONSUMSI PISANG AMBON TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA IBU HAMIL
Authors: Tampubolon Nanda Pratama , Hayati Erlina , Singarimbun Elisabeth
Published: April 2022

Anemia is a condition in which the number and size of red blood cells or hemoglobin concentration is below normal limits, as a result it can interfere with the blood's capacity to carry oxygen around the body. Anemia is an indicator for poor nutrition and poor health. There are two efforts that can be made in the prevention and control of anemia, namely pharmacology by consuming Fe tablets. In addition to pharmacological therapy, non-pharmacological therapy can also be given. Ambon banana is one of the non-pharmacological therapies that is consumed as a staple food in the tropics. The purpose of this study was to determine the effect of consuming Ambon banana on increasing hemoglobin levels in pregnant women at the Suarti clinic, Old Deli District. This type of research uses a quasi-experimental method (Quasi-Experimental) with a One Group pretest - posttest design. The population in this study were all pregnant women who performed ANC examinations with anemia at the Suwarti clinic and the technique sampling used was total sampling with a total of 14 pregnant women. Engineering analysis using the Dependent T-test and the results obtained by using the Dependent T-test is p value <0.05, namely 0.000. So it is proven that there is a significant effect between the score of increasing hemoglobin levels (HB) before consuming Ambon banana and after consuming Ambon banana.
HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG PERAWATAN TALI PUSAT BAYI BARU LAHIR DENGAN LAMANYA PELEPASAN TALIPUSAT PADA BAYI BARU LAHIR DI PRAKTEK BIDAN DELPI SARAGIH TAHUN 2021
Authors: Sitepu Stefani Anastasia , Hutabarat Vitrilina , Siregar Gf Gustina , Sitepu Marlen Sadrina
Published: April 2022

Background: the Ministry of Health has implemented various programs related to maternal and child health and one of them is prevention of neonatal tetanus and newborn care including umbilical cord care (WHO). , 2017). about newborn umbilical cord care and the length of umbilical cord detachment in newborns at the Delpi Saragih Midwife Practice.
Methods: This study subjects were postpartum mothers who had newborns until the umbilical cord was separated at the Delpi Saragih Midwife Practice. Sampling technique with Total Sampling of 35 respondents with measuring instruments, namely questionnaires and observation sheets, data analysis using Chi-Square
The results of the study: the level of knowledge of mothers about newborn umbilical cord care showed that of the 35 respondents, most of the respondents had good knowledge, namely 14 people (40.0%), and a small proportion of respondents had sufficient knowledge, namely 9 people (25.8%). With the length of the release of the umbilical cord in newborns, most respondents were normal 5-7 days in releasing the umbilical cord in newborns, as many as 15 people (42.9%), and a small proportion of respondents were fast < 5 days and long > 7 days in releasing the cord. center for newborns as many as 10 people each (28.6%). The results of the Chi-Square analysis show that the value of p = 0.020 <α = 0.05
Conclusion: There is a relationship between the level of knowledge of the mother about newborn umbilical cord care and the length of time the newborn's umbilical cord is released.
THE EFFECT OF SOY MILK GIVING TO INCREASE BREAST MILK PRODUCTION IN PUBLIC MOTHERS
Authors: Hayati Erlina , Sari Husna , Siregar Gf Gustina
Published: April 2022

Low milk production is a major problem for new mothers, apart from drowning or flat nipples, swollen breasts, babies who are reluctant to breastfeed because of improper technique or babies with short tongues. The purpose of this study was to determine the effect of giving soy milk on increasing breast milk production in post-partum mothers at the Pratama Sehati Husada clinic, Blu-Biru District, Deli Serdang Regency in 2020. This study used a quasi experimental method with a One Group Pretest-Postest design. Sampling was done by total sampling method. The respondents used are postpartum mothers. The bivariate analysis used in this study was the nonparametric difference test with the Wilcoxon test. The results of statistical tests give a p value of 0.000 smaller than 0.05 (0.655 <0.05), so it can be concluded that Ha is accepted and Ho is rejected, which means that there is an effect of giving soy milk on increased milk production in postpartum mothers. His suggestions can add insight and knowledge for researchers about Soymilk Feeding on Increasing Breast Milk Production in Postpartum Mothers. And for mothers and families who already know how to consume soy milk and its benefits can be disseminated in society to support government programs to promote the reduction of breastfeeding that is not smooth. As well as providing knowledge to the community about the application of consuming soy milk in overcoming unsanitary milk production in postpartum mothers, so as to help postpartum mothers to facilitate the smooth production of breast milk.
FAKTOR–FAKTOR YANG MEMENGARUHI KOMITMEN AFEKTIF ORGANISASI PEGAWAI DINAS KESEHATAN
Authors: Nasution Syafrizal Amin
Published: April 2022

This study aims to the factors that influence organizational affective commitment among employees of health office of deli serdang district 2015. This research is a quantitative survey with cross sectional study . The population in this study were employees of the District Health Office Deliserdang In 2014 as many as 120 people and a sample of 120 people. Data analysis method by means of univariate, bivariate analysis with chi square test and multivariate analysis with multiple logistic regression test. The results showed statistically motivation and satisfaction associated with affective organizational commitment of employees the District Health Office Year 2015. Age, Educationis and long of work was not associated with affective organizational commitment of employees. Results Deliserdang multiple logistic regression test unknown variables that influence the affective organizational commitment to employee motivation and working conditions.
DAMPAK KEPUASAN KERJA TERHADAP KINERJA PERAWAT SELAMA PANDEMI COVID-19 DI LOKASI REHABILITASI BNN DELI SERDANG
Authors: Damanik Yunita Syahputri , Marbun Viktor Edyward , Siregar Ripai
Published: April 2022

Nurses are the spearhead of whether or not the health services provided to patients are good because for 24 hours the nurse always interacts with the patient. The success of nursing services and services is largely determined by the performance of the nurses, so that an increase in the performance of nurses is necessary and must always be carried out through a standardized system so that the results are more optimal. One of the efforts to improve the performance or quality of health services, in this case nurses, needs job satisfaction. This study aims to determine the effect of job satisfaction on nurses during the COVID 19 pandemic at the BNN Deli Serdang Rehabilitation Workshop in 2020. This type of research is a quantitative study with an analytical observational research design designed in a cross sectional manner. The population of this study were 14 nursing staff both ASN and PPNPN who worked at the Deli Serdang Rehabilitation Center. Data collection was carried out using primary data and secondary data. The research instrument was a questionnaire sheet. The data were then processed and analyzed using the Spearman test and multiple linear regression. After doing the research, the results show that sig. = 0.001 for the salary variable, sig = 0.046 for the promotion variable, sig. = 0.036 for the monitoring variable, sig. = 0.008 for the peer-to-peer relationship variable and sig = 0.853 for the job variable itself. The conclusion is that there is an effect of salary, promotion, supervision and peer-to-peer relations on the performance of nurses, but there is no effect of the work itself on the performance of nurses. So it is suggested to the BNN Deli Serdang Rehabilitation Workshop to increase the amount of salary and especially in providing fairer incentives, because salary is job satisfaction that has the greatest influence on nurses in implementing nursing care.
Pengaruh Edukasi Pengelolaan Sampah Plastik 3R Terhadap Pengetahuan Ibu Di Desa Helvetia Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2020
Authors: Damanik Yunita Syahputri , Ginting Rian Fedriko , Simbolon Esrinawati
Published: April 2022

The Pollution caused by plastic increasingly worrying if there is no attempt to resolve it. Lack of knowledge in management can cause health problems, Destroying the aesthetic value of the environment, flooding, and increasing disease vectors. Judging from the problems above, education is needed on 3R Plastic waste management, especially for housewives. The purpose of this study to determine the effect of 3R plastic waste management education on knowledge of housewives. The study was conducted in Helvetia Village, Labuhan Deli Deli Serdang. This type of research is Quasi Experimental, the  Sample was 70 respondents with simple random sampling. The Research tool used questionnaires and education using posters. The Analyzed used univariate  and bivariate analysis with statistical test Wilcoxson. Statistical results showed the value of p = 0.00 <0.05. That shows less than 0.05 then Ha is accepted. There was a significant effect between the  3R plastic waste management education on housewife's knowledge in Helvetia Village, Labuhan Deli, Deli Serdang in 2020.To the local government in Helvetia Village and their staff to promote education on independent plastic waste management to reduce the amount of plastic waste being disposed of making an application program for the use of plastic waste to become items of economic value.
ANALISIS FAKTOR YANG MEMPENGARUHI TENTANG STUNTING PADA ANAK DI KABUPATEN SIMALUNGUN TAHUN 2018
Authors: Manurung Evalina
Published: April 2022

Puskesmas is a community first aid center. Therefore the Puskesmas was established in the community. Utilization of health services is the process of interaction or relationship between consumers who use services and health service providers. The service process provided starts from the registration stage until the patient gets treatment and healing. This study aims to determine the relationship of facilities and infrastructure, human resources, and distance with the utilization of health services at Bah Bolon Health Center, Simalungun Regency in 2019. This type of research uses analytic descriptive with cross sectional approach with sampling technique using Non Probability Sampling with Accidental Sampling technique. The number of samples in this study were 77 respondents namely Patients who used the Bah Bolon Puskesmas Service. Data were obtained using a questionnaire then in the data analysis using logistic regression test. Based on the analysis of the logistic regression test the most dominant variable associated with the low utilization of health services at the Bah Bolon Health Center is Facilities and Infrastructure the value of p = 0.037 and OR = 3.205. It can be concluded that incomplete Facilities and Infrastructure is a factor in the low utilization of services at the Bah Bolon Health Center in Simalungun District, which is 3,205 times more influential than the Puskesmas with complete facilities and infrastructure.
ANALISIS PERENCANAAN KEBUTUHAN SUMBER DAYA MANUSIA DALAM KESEHATAN DENGAN METODE WORKLOAD INDICATORS OF STAFFING NEED (WISN) DI PUSKESMAS NAMORAMBE
Authors: Sitio Sri Sudewi Pratiwi , Pasaribu Usrawati , Ginting Dewi Safitri
Published: April 2022

Public  Health  Center  is  a  technical  unit  of health official in regency / town that responsible to take care  health development  in  work  area. The success of   health care in organization viewed from the availability of health workers. Human  resources    is  a major asset  of health center, it is necessary to do planning and calculation of health workers  who are in any specific units. The purpose of this research was to see the representation of necessity planning of human resources  in health by using  the method of  Workload   Indicators   Of   Staffing   Need (WISN)  at  health  center of Namorambe. The type of  this research was quantitative descriptive research by using observation, interviews, questionnaires and document study. The sample of this research were all health workers  at  health  centers  of  Namorambe  on work units, namely: General checkup  9 persons, Emergency Room  8 persons,  Dental chekup  4 persons,   Maternal and child health centers 3 person, Pharmacies 5 persons, Poli of  children 2  persons, obstetrician  at KB  1 person,    and analysis at Laboratory 1 person. Based on the calculations  by the method  of    WISN  Human Resources needs, to persons health workers in general  checkup,  Emergency Room  needs  one person, and it needs one person for Pharmacies. It is expected for human resources development, especially in the Section of Planning and Human Resources   Development   of   North   Sumatra Health Official so that follow up the proposal on the demand for health workers.
Keywords: Public  Health  Center, Human Resource Necessity, Method of WISN
HUBUNGAN INDIKATOR MUTU PELAYANAN DENGAN TINGKAT KEPUASAN PASIEN POLI KESEHATAN IBU DAN ANAK DI PUSKESMAS PLUS PERBAUNGAN
Authors: Satria Beni
Published: April 2022

Health services was one of the main factors affected the health status of the community. The organization of  health care providers such as community health centers was aform of health resources provider have quality service in appropriate with community expectations. The aim of this research was to known the correlation between the indicators quality of service (technical competence, access to service, human intercourse, security, convenience, continuity of service, efficiency and effectiveness) with the patient health maternity and child health (KIA) level at community health center Plus Perbaungan. The type of research use was quantitative research with cross sectional design. The number of samples of 48 respondents conducted by using accidental sampling technique. The data collection used questionnaires. Data were analyzed quantitatively with Chi-Square test with 95% α=0,05 and logistic regression p=0,25. Data analysis showed 5 service quality indicator that related to patient satisfaction of KIA that is technical competence (p = 0,024), relation between man (p = 0,020), comfort (p = 0,024), service continuity (p = 0.027), efficiency (p = 0.003). From 7 variables that enter into logistic regression test there was 1 variable have p value ≤ (0,05) that was efficiency variable with value (p = 0,003, B = 1,732) concluded that there is effect of efficiency to satisfaction of patient KIA with big influence 1,732 meaning Efficiency variables 1,732 times affect patient satisfaction KIA. It was expected that the Plus Plus Community Health Center improves the quality of service in order to maintain patient satisfaction especially pay more attention to efficiency services.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIK (KEK) PADA IBU HAMIL DI PUSKESMAS TINGGI RAJA KABUPATEN ASAHAN
Authors: Siregar Annisa Febriana
Published: April 2022

Pregnant woman who suffered nutrition has risk delivered babies with low birth weight.   Chronic energy deficiency cause of major problem for pregnant women. This study aims to see the factors related to occurrence of cronic energy deficiency on pregnant woman in Puskesmas Tinggi Raja, Kab. Asahan. This research method is an observational description with cross-sectional design. The sample is pregnant woman in Puskesmas Tinggi Raja, Kab. Asahan. The sample is 50 people. The data analysis used in this study was the Chi-Square test (95% CI) From the result of this research showed that 83,3% of pregnant woman under twenty years old,  with occurrence of cronic energy deficiency. 83,3% mothers education mostly elementary school graduates and junior high school graduates. The majority of mothers as a house wife (85,2%) and their in come less than UMR per month (82,8%). The level of knowledge of mothers on chronic energy deficiency is still lacking (79,2%). The conclusion factors related to occurrence of cronic energy deficiency
HAZARD IDENTIFICATION USING THE HAZARD IDENTIFICATION AND RISK ASSESSMENT AND DETERMINING CONTROL (HIRADC) TECHNIQUE (CASE STUDY AT LABORATORIES AT UNIVERSITAS ISLAM NEGERI SUMATERA UTARA)
Authors: Syahlan Nabila
Published: April 2022

Every workplace has a risk of accidents and health problems. The university is a workplace that has a variety of laboratories with a variety of risks, so prevention and control efforts are needed to prevent accidents and health problems for lecturers, staff, and students. Prevention and control efforts are attempts to build a culture of Occupational Safety and Health (OSH) in Higher Education. This study was conducted to determine the type of hazard, risk assessment based on the source of danger and risk assessment based on the type of hazard in all laboratories at UINSU. Hazard identification and risk assessment were analyzed with Hazard Identification and Risk Assessment and Determining Control (HIRADC) Technique. The identification results obtained by sources of hazards in the form of chemical hazard. Public Health Science Faculty has 2 sources of potential hazard in high risk level and 2 sources of potential hazards in high risk level were in Science and Technology Faculty. It is expected that the identification results can be evaluated and used as reference material to determine efforts to repair and control the risk of hazards in the laboratory at UINSU. The laboratories need to have guidelines and procedures for Occupational Safety Health.
THE ANALYSIS PREPAREDNESS SEMBIRING GENERAL HOSPITAL DELI TUA, DELI SERDANG REGENCY FOR FACING DISASTER
Authors: Simanjuntak Afrilius , El-Matury Herlina J. , Sinambela Megawati , Sinaga Jon Piter , Batubara Saiful
Published: April 2022

Indonesia as a country with a high risk of disaster needs to prepare hospital health facilities with an optimal level of preparedness. This study aims to analyze the preparedness of the Sembiring Deli Tua General Hospital in dealing with disasters based on the 2nd edition of the Hospital Safety Index (HSI) instrument issued by WHO in 2015 in Indonesian language which is validated. This study uses a mixed method, which combines quantitative and qualitative methods to answer the research objectives. The key informants in this study were the Deputy Director of the Sembiring Deli Tua Hospital in the field of General Administration and Human Resources, and tough informants from a number of hospital employees who were related to the research topic. The research begins with an assessment of the preparedness of the Sembiring Deli Tua Hospital with the HSI instrument. The results of the assessment are analyzed based on Structural Elements, Non-Structural Elements, and Elements of Emergency and Disaster Management. Further analysis is carried out by verifying the results of the assessment with observational data, in-depth interviews, and reviewing documents to reveal things that are considered important to answer research problems.Based on the analysis of Structural Safety Elements with an HSI score of 1 including level A (ready to face disasters), Non-Safety Structural Elements with a score of 0.952 including level A (ready to face disasters), and Emergency and Disaster Management Elements with an HSI score of 0.763 including the level category A (ready to face disaster). Based on the analysis of these three elements, it was found that the Sembiring Deli Tua General Hospital had a total HSI score of 0.938, including the level A category (ready to face disasters).
ANALISIS HUBUNGAN KUALITAS PELAYANAN KEFARMASIAN TERHADAP KEPUASAN PASIEN RAWAT JALAN RUMAH SAKIT UMUM SEMBIRING TAHUN 2021
Authors: Syahfitri Anggun
Published: April 2022

Patient satisfaction is a leading indicator of service success that affects satisfaction in pharmaceutical services. If the service is in accordance with expectations, of course the quality of service is considered good and satisfactory, otherwise the service received is not satisfactory then the quality of service is considered bad. The purpose of this study was to analyze the relationship of physical evidence, reliability, responsiveness, assurance, and empathy to the satisfaction of outpatients of Sembiring general hospital. The type of research used mix methods with cross sectional design on quantitative research and sequential explanatory strategy on qualitative research.  The population were 1160 people, with a sample of 92 people obtained using purposive sampling. Data collection in quantitative research by means of questionnaire dissemination while in qualitative research by way of indept interview. The results of the study obtained variables related to the satisfaction of outpatients of sembiring general hospitals, namely: Physical evidence (p value = 0.003), Reliability (p value = 0.001), Responsiveness (p value = 0.003), Guarantee (p value = 0.005), and Empathy (p value = 0.000). The results in depth interview found that the variable most associated with patient satisfaction was empathy. It is recommended to The Outpatient Pharmacy of Sembiring General Hospital to maintain a good quality of service and continue to improve the quality of service to patients.