Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)

FACTORS ASSOCIATED WITH HISTORY OF EXCLUSIVE BREASTFEEDING AT MAHDARINA PRATAMA CLINIC MEDAN SELAYANG DISTRICT OF MEDAN CITY

Mey Elisa Safitri, Hafsah Us — Tue, 30 Apr 2024 00:00:00 +0200

Breastfeeding is a special pride for a woman to her baby. According to data from the WHO in 2017 globally, less than 40% of infants fewer than 6 are exclusively breastfed and the rest have been given complementary foods. The impact that will occur for the mother is the risk of breast cancer, ovarian cancer, uterine cancer, porous bones, maternal diabetes, stress, and anxiety. While the impact on infants is gastrointestinal infections, respiratory infections, risk of allergies, risk of decreased intelligence, risk of obesity, risk of vascular disease, risk of diabetes, risk of cancer in children, risk of chronic disease. This study aimed to analyze factors associated with history of exclusive breastfeeding at Mahdarina Pratama Clinic, Medan Selayang District, Medan City. This was analytical survey research with a cross sectional design. The population was mothers who had babies aged 7-12 months who came to the Clinic totaling 53 people and all of them were used as research samples. The data used primary data and tested by Chi Square test.The results of this study indicated that the majority of knowledge factors were knowledgeable enough was 41.5%, negative attitudes was 54.7%, the majority of mothers work 50.9%. The results of the Chi-Square test found knowledge p = 0.024 <0.05, attitude p = 0.035 <0.05 and work p = 0.002 <0.05.The conclusion shows that there is a relationship between knowledge, attitudes and work with a history of exclusive breastfeeding at Mahdarina Pratama Clinic, Medan Selayang District, Medan City. It is ecpevted to nursing mothers to pay more attention to information about exclusive breastfeeding through print and social media, especially working mothers.

Keywords: knowledge; attitude; occupation; history of exclusive breastfeeding

Utilization of Audiovisual Media as an Effort to Prevent CED and Anemia in Pregnancy

Septalia Isharyanti Septalia Isharyanti — Tue, 30 Apr 2024 00:00:00 +0200

Women of reproductive age as expectant mother would pay attention to their nutritional status. Balanced nutrition during pregnancy must been prepared from the pre-conception period. Lack of nutritional intake during pregnancy had a negative impact on both the mother and baby. One of the nutritional problems in pregnant women was Chronic Energy Deficiency (CED) and anemia. Efforts to reduce the incidence of CED and anemia in pregnancy by providing health education regarding balanced nutritional intake during the pre-conception period. The use of audiovisual media was an option for providing education to the public, because it was considered easier to remember and understand. Research purpose was to determine the effectiveness of using audiovisual media on the level of knowledge, attitudes and motivation in women of reproductive age in preventing CED and anemia in pregnancy. The method was quasi-experiment using a pre-post test design with control group. The study was divided into 2 groups, the treatment group was given health education by using audiovisual media and the control group was given health education using flipchart media. The treatment group consisted of 18 samples, the control group consisted of 19 samples. Data were collected before and after being given health education to determine the level of knowledge, attitudes and motivation of women of childbearing age in preventing of CED and anemia in pregnancy using a questionnaire. The result showed there was a difference in knowledge before and after being given health education using both audiovisual media and flip sheets with a p value for both groups of 0.005. There was no difference in attitudes and motivation before and after being given health education using either audiovisual media or flip sheets with a p value > 0.05. The difference test between the two groups showed no significant differences in the use of audiovisual media and flip sheet media with a p value for each knowledge, attitude and motivation variable > 0.05.

PENYULUHAN KESEHATAN GIGI DAN MULUT DENGAN MENGGUNAKAN MEDIA AUDIO VISUAL TERHADAP PENGETAHUAN PADA KELAS VIII-1

Irma Syafriani Br Sinaga, Paska Wira Tigape Sitohang, Berliana Sari — Tue, 30 Apr 2024 00:00:00 +0200

Counseling with Audio Visual Media is a very important means of information because it contains elements of sound and images, which in the process of absorbing material involves the senses of sight and hearing. Lack of knowledge of elementary school age children about oral health is influenced by the lack of information obtained, including in the form of counseling, especially Audio Visual Media. This type of research was descriptive survey method with the aim to find out the description of dental and oral health counseling by using audio-visual media on the knowledge of students of Class VIII-1 at SMP Mulia Pratama Private Medan, with a sample size of 30 people. Data collection was carried out by distributing questionnaires before and after counseling using audio visual media. The results obtained by the data that the level of knowledge of students about oral health before counseling the majority of poor criteria, amounting to 11 people (36.6%). Whereas after counseling, the level of knowledge of students increased to a majority of good criteria, amounting to 27 people (90%), and none of them had bad criteria. The conclusion of this study is an increase in student knowledge about oral health after counseling with audio-visual media and in line with the objectives of counseling. It is expected that schools will provide communication media to increase knowledge, especially dental and oral health for students.

STUDY ON PHARMACOTHERAPY OF NATURAL INGREDIENTS (TOGA) AS GASTRITIS THERAPY IN STUDENTS OF IBRAHIMY 1 SUKOREJO VOCATIONAL SCHOOL SITUBONDO

burhanudin gasim soka, Nur Diana Kholidah — Tue, 30 Apr 2024 00:00:00 +0200

Family Medicinal Plants (TOGA) are nutritious plants planted in yards and fields and managed by families. The types of plants grown fulfill the family's need for traditional medicines that can be made by themselves. The medicinal plants chosen are usually plants that can be used for first aid. The presence of medicinal plants in the home environment is very important, especially for families who do not have easy access to medical services such as clinics, health centers or hospitals. Each family can cultivate medicinal plants independently and use them so that the principle of independence in family medicine will be realized. Objective: to know the natural ingredients used to treat gastritis. Knowing the effectiveness of using natural ingredients as gastritis therapy, knowing the side effects of natural ingredients as gastritis therapy. Design: This research is descriptive research, namely literature review. Results: TOGA which has pharmacotherapeutic effects and is effective in treating gastritis is meniran, ginger, turmeric, ginger, white ginger, cinnamon, nutmeg. The average side effect of TOGA as a gastritis therapy is stomach ache.

ANALISIS FAKTOR-FAKTOR YANG MEMENGARUHI PELAYANAN KEBIDANAN DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP RSUD PANYABUNGAN TAHUN 2022

Tue, 30 Apr 2024 00:00:00 +0200

Users of hospital services, namely patients, demand quality service. Patients will feel satisfied when they get quality service. Surveys conducted at Panyabungan Hospital, there were several problems found such as patients felt officers were not fast in providing action, lack of cleanliness of toilets in the room, officers sometimes not friendly to respond to patients, and officers sometimes incomplete providing information about patient complaints. This study aims to analyze the factors that affect midwifery services with patient satisfaction in the Inpatient Room of Panyabungan Hospital in 2022. The type of research used is analytical with a cross sectional design. The population in this study was all elective post-sectio inpatients at RSUD Panyabungan. The sample in this study amounted to 73 people, the sampling technique used purposive sampling techniques. Data were obtained through the results of interviews using questionnaires. The data analysis method was analyzed univariately, bivariately using the Chi-Square test at a 95% confidence level (P<0.05) and a multivariate test with multiple regression tests. The results showed that assurance, tangible, empathy, responsive variables were related to patient satisfaction at Panyabungan Hospital. The most dominant variable is assurance. It is recommended to RSUD Panyabungan to conduct periodic and continuous patient satisfaction surveys to evaluate the performance of health services and service quality at RSUD Panyabungan.

Study fenomenologi: Intervensi Sosial Untuk Mereduksi Stigma Terhadap WUS Dalam Memutus Mata Rantai Penularan Covid-19

Tue, 30 Apr 2024 00:00:00 +0200

Social stigma can encourage people to hide their illness so that they are not discriminated against, prevent them from seeking medical assistance immediately, and prevent them from carrying out healthy lifestyle behaviors without realizing it will cause more transmission to others. The aim of the study was to carry out a phenomenological survey of social interventions to reduce the stigma against WUS in breaking the chain of transmission of Covid-19 in the working area of the Medan Helvetia Health Center. The target to be achieved from this research is the formation of cooperation in tackling the transmission of Covid-19 which involves all community leaders, especially WUS. The research was carried out in Helvetia District, the working area of the Helvetia Health Center, Medan City. The research method was carried out using a qualitative approach. The qualitative approach used is participatory action research. The research procedures to be carried out are engagement/intake, data collection and need assessment (phenomenological survey), model formulation, intervention and monitoring and evaluation and termination. Data collection methods were carried out by sharing, in-depth interviews, (FGD) and questionnaires. Interactive model analysis is used to analyze qualitative data on phenomenological surveys and the process of conducting participatory action research. The results of the research, the phenomenological survey generally closed oneself when exposed to Covid-19, did not tell neighbors, friends or family but after recovering they were told, with the aim of not being ostracized or avoided by the local community. The FGD was conducted to look at the problems found in the phenomenological survey, and the results of the discussion resulted in a social intervention, namely the training of the Covid-19 Task Force as counselees in reducing the stigma of Covid-19, carried out for 3 days. Implementation of participatory action research requires a long time to be able to see changes in behavior and social change, for this reason further research is needed to see the persistence of interventions carried out by the Covid-19 Task Force.

PENGARUH LAMA PENYIMPANAN DARAH TERHADAP JUMLAH TROMBOSIT PADA WHOLE BLOOD SEBELUM DAN SESUDAH DISIMPAN SELAMA 3 HARI DI UNITDONOR DARAH PMI KOTA MEDAN

Nelma, Roida Yuni Friski Purba — Tue, 30 Apr 2024 00:00:00 +0200

Blood transfusion is a series of blood transfer process from a donor to a recipient. Blood is stored in the refrigerator with temperature 2-8 °c. In the blood storage process will experience changes in blood components such as platelet count. The researcher aims to determine the effect of long blood storage on platelet count on whole blood before and after being stored for three days at PMI Medan Blood Donor Unit. This research was done by descriptive method of Hematology Analyzer presented in table form. This research took place from 21-23 May 2018 at the Laboratory of Blood Transfusion Unit of Indonesian Red Cross Medan. Thenumber of samples used for the research is 10 samples. The result is the effect of storage duration on the decrease of platelet count where there is a decrease of platelet count in all donor blood samples stored for three days at PMI Medan Blood Donor Unit.Based on existing conclusions, then the suggestion that can be taken is every blood donor unit always do repeat examination for blood component level which will be transfused. For patients who will melaksanakna transfuse, you should use fresh blood. Blood should not be taken out frequently and blood refrigerator do not often open the lid. It is recommended for the same researchers in the future to increase the number of samples so that the results can be more accurate

STATUS DEBRIS INDEX SEBELUM DAN SESUDAH DILAKUKAN DEMONSTRASI MENYIKAT GIGI DENGAN CARA ROLL TECHNIC PADA SISWA KELAS IV & V SEKOLAH DASAR KARTIKA XXI-5 MANADO

Ni Made Yuliana, Jeineke E. Ratuela, Jeana L. Maramis, Yenny Lisbeth Siahaan — Tue, 30 Apr 2024 00:00:00 +0200

Demonstration of how to brush teeth is a teaching method by presenting lessons through direct demonstration of the object or showing a process or procedure. Roll Technique is the method most often recommended because it is simple but efficient and can be used throughout the mouth. Debris Index (DI) is a score (value) of soft deposits that occur due to food residue attached to the tooth surface. This study aims to determine the status of the debris index before and after a demonstration of brushing teeth using the roll technique. The type of research is experimental research with a One Group Pretest-Posttest design. The total population was 52 students and the total sample was 48 students, the time of the research was in May 2019 at Kartika XXI-5 Manado Elementary School. This research was to see the difference in debris index status before and after the demonstration method of brushing teeth using the roll technique using a paired sample t test. The results of this study showed that the average debris index before the demonstration of brushing teeth using the roll technique for 48 respondents was 2.31, while the average debris index after the demonstration of brushing teeth using the roll technique for 48 respondents was 1.48. The calculated t value is 10.335 with a sig of 0.000. because sig <0.05, it can be concluded that Ho is rejected and H1 is accepted, which means there is a difference in the status of the debris index before and after a demonstration of brushing teeth using the roll technique for students in class IV & V at Kartika XXI-5 Elementary School, Manado.

HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG ANEMIA DENGAN KEJADIAN ANEMIA DI PUSKESMAS PORIAHA KABUPATEN TAPANULI TENGAH TAHUN 2020

Maria Magdalena Saragi — Tue, 30 Apr 2024 00:00:00 +0200

The most common anemia in pregnancy is anemia due to iron deficiency. Anemia during pregnancy can cause health problems during pregnancy or during childbirth. Serious disorders can cause death in the mother. Maternal deaths are related to pregnancy, childbirth and the postpartum period. Anemia in pregnancy can be detected by checking the Hb/Haemoglobin levels in the blood of pregnant women. The first examination is carried out before the 12th week of pregnancy and the 28th week. If the Hb level is <11 gr% in pregnancy, it is declared anemia and must be given iron tablet supplements regularly, 1 tablet/day for 90 days. This type of research is descriptive with an analytical survey method with a cross-sectional design with the aim of finding out the relationship between pregnant women's knowledge about anemia and the incidence of anemia. The number of samples is the total population, namely all 30 pregnant women who visited the Poriaha Health Center. Data collection was carried out by distributing questionnaires about anemia and checking the Hb of pregnant women. The results of the research showed that the majority of respondents had sufficient knowledge about anemia, namely 19 people (63.3%) and the minority of respondents had insufficient knowledge, namely 3 people (10.0%). It was found that the majority of pregnant women did not experience anemia, namely 18 people (60.0%) and the minority of respondents experienced anemia, namely 12 people (40.0%). So there is a significant relationship between the variable level of knowledge and the incidence of anemia at the Poriaha Community Health Center, Central Tapanuli Regency with a value of p = 0.041 < 0.05. The conclusion of this study is that there is a relationship between pregnant women's knowledge about anemia and the incidence of anemia. It is hoped that the Community Health Center will further improve services to pregnant women in dealing with the risk of anemia by providing health education to increase knowledge about anemia during pregnancy.

HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP TINDAKAN HIGIENE SANITASI PENGOLAHAN MAKANAN JAJANAN PEDAGANG KAKI LIMA DI PERUMNAS SIMALINGKAR KECAMATAN MEDAN TUNTUNGAN KOTA MEDAN TAHUN 2023

Deli Syaputri — Tue, 30 Apr 2024 00:00:00 +0200

Street vendors' knowledge regarding food processing sanitation hygiene will determine their attitudes, and this will influence the vendors' actions when processing food. Sanitary hygiene in street food processing is a health effort by maintaining and protecting cleanliness. Personal hygiene in food processing can be achieved if an understanding of the importance of maintaining personal health and cleanliness is embedded within oneself. The aim of this research is to determine the relationship between knowledge and attitudes towards sanitary hygiene measures for processing street food snacks at Perumnas Simalingkar in 2023. This research is analytical with a cross sectional design, which means a study where the variables including effects are observed. The sample used in this research used total sampling. The total sample size is all 35 street food traders. The data was analyzed using the chi square test. Based on the results of the chi square test, there is a relationship between knowledge of food sanitation hygiene measures with a p value of 0.019, and there is a relationship between attitudes towards food sanitation hygiene measures with a p value of 0.019. The research conclusion is that there is a relationship between knowledge and action and there is a relationship between attitude and action. The advice that researchers can give is to take part in training and counseling on food sanitation hygiene in order to guarantee the quality of the food to be sold.

EFEKTIFITAS EDUKASI KESEHATAN GIGI MENGGUNAKAN PERMAINAN TRUTH OR DARE TERHADAP TINGKAT KETERAMPILAN MENYIKAT GIGI PADA SISWA-SISWI SD NEGERI 106166 MARINDAL II KECAMATAN PATUMBAK DELI SERDANG

sondang, Asnita Bungaria Simaremare — Tue, 30 Apr 2024 00:00:00 +0200

Dental health is important for individuals, including children. Childhood is a very important time to maintain healthy teeth. The condition of the milk teeth (deciduous) really determines the condition of the replacement teeth, therefore it is very important to maintain dental health at this time. Dental health education using the truth or dare game media can have an impact on increasing students' knowledge, attitudes and actions to maintain the health of their teeth and mouth. The aim of this research is to determine the effectiveness of dental health education using the truth or dare game on the level of toothbrushing skills in elementary school students. The type of research carried out was descriptive analytical research using the quasi-experimental method which was carried out at SD Negeri 106166 Marindal II, Patumbak Deli Serdang District. This research will be carried out from June to October 2023 with a sample size of 30 people. The results of this research, the average level of tooth brushing skill before being given dental health education using the truth or dare game to students was 12.3 and the average after being given dental health education using the truth or dare game was 15.8. There is the effectiveness of dental health education using the truth or dare game on the level of tooth brushing skills among students at SD Negeri 106166 Marindal II, Patumbak Deli Serdang District in 2023 with a p-value of 0.000<0.05. It is hoped that this research can increase students' insight and knowledge about toothbrushing skills.

PENGARUH BERKUMUR LARUTAN MADU HUTAN (APIS DORSATA) TERHADAP INDEKS PLAK PADA MAHASISWA TINGKAT 1 JURUSAN KESEHATAN GIGI POLTEKKES KEMENKES MANADO

I Ketut Harapan, Mustapa Bidjuni — Tue, 30 Apr 2024 00:00:00 +0200

Plaque is a soft and sticky layer that sticks to teeth consisting of protein and bacteria. Removing plaque from the surface of the teeth is not only by brushing your teeth, but also by gargling with mouthwash that contains antibacterial substances. Honey is able to stop the development of bacteria in the mouth which causes a reduction in the plaque layer so that it can influence a decrease in the plaque index in a person's mouth. The aim of this research is to determine the effect of gargling forest honey solution (Apis Dorsata) on the plaque index in Level 1 Students of the Department of Dental Health, Health Polytechnic of the Ministry of Health Manado. This research method uses a tru experimental method to determine the influence between variables. This research was carried out on 19-23 May 2023 at the Department of Dental Health, Poltekkes, Ministry of Health, Manado. The total population is 51 people, and the sample is the total population. Sampling was determined based on inclusion and exclusion criteria. So the sample obtained in this research was 50 people. The data obtained was tabulated and analyzed using the paired sample t-test statistical test. And this research instrument uses a diagnostic tool and plaque index assessment format. The results of the study showed that the average before gargling with honey solution was 3.16 and after gargling with honey solution was 1.19, with a difference of 1.97. Based on analysis using the paired sample t-test, it shows that there is a significant difference seen from the p value = 0.000 (0.000 <0.05). This means that gargling with honey solution has an effect on reducing the plaque index.

POLA SEBARAN DAN ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE

Tue, 30 Apr 2024 00:00:00 +0200

Dengue hemorrhagic fever (DHF) is a disease that causes death, known for > 200 years, and has become a health problem in the world, especially in developing countries, including Indonesia. Deli Serdang Regency had the highest number of cases in North Sumatra Province in 2019 with 1,326 cases, in 2020 there were 974 cases, IR: 50.4. In 2021, the Regency/City ranked 14th out of 514 Regency/City in Indonesia for the highest number of dengue fever cases in 2021 with 803 cases, IR/morbidity rate: 34.63/100,000 population, CFR/death rate: 0.12%. It is possible to identify the location of the patient to the address of the individual's location, so as to obtain information regarding the distribution pattern of cases in each region using the Geographic Information System (GIS) and analysis of factors related to the incidence of dengue hemorrhagic fever.This type of research is analytical observation with a case control approach. The sample in this study was all people living permanently in the working area of ??the Tanjung Morawa Community Health Center, totaling 48 respondents, 24 cases and 24 controls. The sampling technique was carried out using Simple Random Sampling, data was analyzed using the Chi Square test. Based on the research results, it shows that the variables related to the incidence of dengue fever are knowledge (p-value = 0.00; OR = 0.06), attitude (p-value = 0.00; OR = 21), 3M PSN (Mosquito Nest Eradication) actions Plus (p-value=0.000; OR=17) and unrelated variables are occupation (p-value=0.029; OR=0.23) and age (p-value=0.081; OR=0.29). It is recommended that the community health center be better able to increase public understanding about the management and prevention of dengue fever.

HUBUNGAN IgG DAN IgM DENGUE TERHADAP JUMLAH TROMBOSIT PADA PASIEN DEMAM BERDARAH DENGUE DI RUMAH SAKIT PENDIDIKAN PROF.dr.CHAIRUDDIN PANUSUNAN LUBIS UNIVERSITAS SUMATERA UTARA

Ice Ratnalela Siregar, Muhammad Iqbal — Tue, 30 Apr 2024 00:00:00 +0200

The immune responses that play a role in DHF cases are Immunoglobulin M (IgM) and Immunoglobulin G (IgG). In primary Dengue infection, IgM begins to form and is detected on the third to fifth day, whereas in secondary Dengue infection, IgG levels will increase and then remain in the human body with low titers for life. Thrombocytopenia occurs in DHF patients due to antigen-antibody reactions and activation of the complement system which causes deposition of IgM and IgG immune cells on the surface of platelet cells. This causes reticuloendothelial cells to destroy platelets so that DHF patients will experience thrombocytopenia. To find out the analysis of dengue IgG and IgM examination on the results of platelet counts in dengue hemorrhagic fever patients at Prof. Teaching Hospital. dr. Chairuddin Panusunan Lubis, University of North Sumatra. The research used is descriptive quantitative. The examination method used is Dengue IgG and IgM Dengue Rapid Test, Platelet Count Examination using a Hematology Analyzer. The number of respondents is 11 samples taken by total sampling technique. Based on the results of a study of Dengue IgG and IgM in Dengue Hemorrhagic Fever patients at Prof. Teaching Hospital. dr. Chairuddin Panusunan Lubis, University of North Sumatra who had IgG + and IgM levels - more, namely 10 (92%) patients, IgG - and IgM + as many as 1 (8%) patients. Based on the number of platelets obtained in Dengue Hemorrhagic Fever patients at Prof. Teaching Hospital. dr. Chairuddin Panusunan Lubisa, University of North Sumatra, which decreased by 9 patients, and there were some who had normal platelet counts of 2 patients. There is no relationship between Dengue IgG and IgM on platelet count in Dengue Hemorrhagic Fever patients.

EFEKTIVITAS BERKUMUR LARUTAN DAUN BINAHONG TERHADAP INDEKS PLAK PADA SISWA KELAS III – IV ANAK SEKOLAH DASAR NEGERI 21 MANADO KOTA MANADO

Jeineke Ratuela, Anneke Tahulending — Tue, 30 Apr 2024 00:00:00 +0200

Dental plaque is a soft deposit that adheres tightly to the surface of the teeth, consisting of icroorganisms that multiply in an intercellular matrix if a person neglects dental and oral hygiene. Anredera cordifolia (Ten) Steenis or commonly known as binahong or gondola is a creeping plant that is perennial (long-lived). The benefits of the binahong leaf plant are enormous in the world of medicine, empirically binahong can cure various types of diseases. In medicine, the part of the plant used can come from the leaves. Research using boiled leaves has found many ingredients, which were stated by (Setiaji, 2009) that flavonoids have various effects, namely analgesic, anti-inflammatory and as a vasolidator. The aim of this research was to determine the effectiveness of gargling binahong leaf solution on plaque index. This type of research is True Experiment research with a "one group pre-post test" design, conducted in June located at SD Negeri 21 Manado, Manado City. The total population of class III and IV students was 50 respondents with a total research sample population based on the inclusion criteria of 34 respondents. The instruments that will be used in this research are dental examination tools in the form of diagnostic sets, disclosing agents, personal protective equipment, plaque examination formats, mouthwash cups and precision digital scales. The data obtained was tabulated and analyzed using paired sample t-test. Based on the results of the Paired sample t test showing that there is a significant difference seen from the value of P = 0.000 (P<0.005), it can be concluded that H1: rinsing the mouth with binahong leaf solution is effective on the accepted plaque index.

IDENTIFIKASI KADAR ASAM FOLAT PADA IBU HAMIL DI WILAYAH KERJA SUKOREJO, BANYUPUTIH, SITUBONDO

Rahmawaty Hasan, Fauzah Cholashatul I'anah — Tue, 30 Apr 2024 00:00:00 +0200

Preeklampsia masih merupakan masalah dalam pelayanan obstetrik dan merupakan penyebab meningkatnya mortalitas dan morbiditas ibu hamil dan neonatal. Patogenesis preeklampsia tahap 1 dimulai dengan plasentasi abnormal diantaranya berhubungan dengan nutrisi. Pada ibu hamil dengan preeklampsia ditemukan kadar folat yang rendah. Peningkatan satu unit kadar serum asam folat menurunkan risiko preeklampsia secara signifikan. Tujuan penelitian ini adalah menganalisis kadar asam folat pada ibu hamil dengan preeklampsia dan kehamilan normal di wilayah kerja Banyuputih, Situbondo. Metode penelitian yang digunakan adalah case control dengan pengambilan sampel berupa non propability sampling untuk mengetahui perbedaan kadar asam folat pada preeklampsia dan kehamilan normal di wilayah kerja Sukorejo Banyuputih Situbondo. Jenis instrumen penelitian yang digunakan dalam penelitian ini adalah lembar observasi yang berisi hasil pemeriksaan kadar asam folat. Hasil penelitian menunjukkan ibu hamil dengan usia yang tidak berisiko (<40 tahun) dalam kehamilan namun dengan pemeriksaan tekanan darah tinggi 84%. Analisis atau identifikasi kadar asam folat pada ibu hamil di wilayah kerja Sukorejo Banyuputih Situbondo menunjukkan kadar yang rendah, yaitu sebesar 24%. Hal tersebut selaras dengan adanya pemeriksaan bidan yang menunjukkan tidak melakukan suplementasi asam folat selama kehamilan. Suplemen asam folat adalah upaya penting dari layanan kesehatan reproduksi untuk mewujudkan kesehatan ibu hamil, menjamin pertumbuhan dan perkembangan janin, serta mencegah komplikasi klinis selama kehamilan.

HUBUNGAN KOMPONEN RUMAH DENGAN KEJADIAN TUBERKULOSIS DI DESA SAMURA KECAMATAN KABANJAHE KABUPATEN KARO TAHUN 2023

Helfi Nolia Tambunan, Risnawati Tanjung, Erba Kalto Manik — Tue, 30 Apr 2024 00:00:00 +0200

the lungs, but it is not uncommon for these bacteria to attack other organs of the body such as bones, lymph nodes, kidneys and other organs. The aim of the research is to determine the relationship between ventilation, floor type, wall type, residential density and humidity with tuberculosis in Samura Village, Kabanjahe District, Karo Regency in 2023. Of the 125 data on tuberculosis cases in the working area of Kabanjahe community Health Center in 2022, Samura Village is the village that has the highest TB cases in Kabanjahe sub district, Karo Regency. This research was an analytic observational study using a case control study design that analyzes casual relationships by first determining the disease (outcome) and then identifying the causes (risk factors). The number of samples in this study was 23 case samples and 23 control samples. Data analysis carried out in this research was univariate analysis and bivariate analysis. The statistical test used is the chi-square test at a confidence level of 95% (?=0.05). The results of this study indicate that there was correlation between the physical condition of the house and the incidence of tuberculosis in the ventilation variable (p-value = 0.007), occupancy density variable (p-value = 0.037), and humidity variable (p-value = 0.039). While there is no relationship between the type of floor and the type of wall with the incidence of tuberculosis in Samura Village, Kabanjahe Sub District, Karo Regency. Multivariate analysis shows that ventilation makes the highest positive contribution to tuberculosis in Samura Village, Kabanjahe District, Karo Regency in 2023. The contribution of the positive beta coefficient (?) is 2.623 with Exp (?) namely 13.773. The results of this analysis show that air ventilation at home has a 14 times risk of contracting tuberculosis.

STRATEGI PENGURANGAN STIGMA TB MEMBUKA JALAN UNTUK PEMBICARAAN KESEHATAN MENTAL

Sri Wahyuni, Dewi Setiyawati — Tue, 30 Apr 2024 00:00:00 +0200

This study aims to analyze strategies for reducing Tuberculosis (TB) stigma and its impact on mental health discussions in Medan, considering the close relationship between TB stigma and mental health issues. A qualitative method was used, involving in-depth interviews, focus groups, document and media analysis, and participatory observations to gain a deep understanding of perceptions, experiences, and the social context related to TB stigma. The results indicate that public education and information, media engagement, social and psychological support, and public policy and advocacy are key strategies in reducing TB stigma. This not only helps reduce TB-related stigma but also opens up space for improved discussions and support for mental health, showing the importance of a comprehensive approach in addressing TB.

The Relationship between Knowledge and Length of Work with the Preparedness of Health Workers Facing Flood Disasters at Community Health Centers

ruri maiseptya sari, Dewi Aprilia Ningsih I, Anisah Tifanii — Tue, 30 Apr 2024 00:00:00 +0200

Flood Disaster is an event or situation where an area or land is submerged due to the increasing volume of water, flood disasters often occur in Bengkulu City, so this research aims to study the relationship between knowledge and length of work with the preparedness of health workers in facing flood disasters in community health centers. This research uses an Analytical Survey approach with a cross sectional design. The population of all health workers at the Nusa Indah Community Health Center, Bengkulu City in 2023. A sample of 39 people was taken by accidental sampling. Data collection uses secondary and primary data. Data analysis using the Chi-Square test (X2) and Contingency Coefficient Test (C). The research results obtained; Of the 39 people there are 14 people who are less prepared and 25 people who are ready. Of the 39 Health Workers there are 10 Health Workers who have sufficient knowledge and 29 Health Workers whose knowledge is good. Of the 39 people there are 20 people who have worked for <10 years and 19 people >10 years, there is a relationship between knowledge and preparedness which is categorized as close, there is a relationship between length of work and the preparedness of officers in facing floods which is categorized as moderate.

ANALISIS PENURUNAN RASA MUAL DAN MUTAH PADA IBU HAMIL DENGAN PENGGUNAAN INHALASI AROMA THERAPI LEMON DI SALAH SATU PUSKESMAS KABUPATEN BANDUNG

Iceu Mulyati, Linda Rofiasari, Amirah Salwa Mainuha — Tue, 30 Apr 2024 00:00:00 +0200

Pregnancy is a natural event that occurs in women. The average incidence of nausea and vomiting in 2019 was 67.9%. Where this incidence occurs in primigravida and multigravida pregnant women. Nausea and vomiting in medical parlance is called emesis. Emesis is a state of nausea that is sometimes accompanied by vomiting with a frequency of less than 5 times. Nausea and vomiting are caused by an increase in the HCG hormone. Nausea and vomiting can be overcome using pharmacological or non-pharmacological therapy, one of the non-pharmacological therapies is lemon aromatherapy. This study uses a descriptive type of research with a one group pre-test and post-test approach. The population used was 30 pregnant women who experienced nausea and vomiting at the Ibun Health Center in Bandung Regency in 2022 and the sample used was total sampling. The variable in this study is inhalation of lemon aromatherapy to reduce nausea and vomiting in pregnant women. The data used are primary data by conducting interviews using the PUQE-24 questionnaire research instrument. Data analysis in this study used univariate analysis. The results showed that the frequency before being given inhalation of lemon aromatherapy was that most experienced mild nausea and vomiting as many as 20 people (66.7%) and after being given inhalation of lemon aromatherapy most experienced mild nausea and vomiting as many as 17 people (56.7%). The average decrease before being given is 6.37 and after being given is 4.37. So that there is a decrease before and after being given lemon aromatherapy inhalation. Suggestions for health workers to be able to provide education regarding the provision of this alternative therapy to pregnant women who carry out examinations to overcome the nausea and vomiting.

ANALISIS KADAR SERUM GLUTAMIC PIRUVIC TRANSAMINASE DAN SERUM GLUTAMIC OXALOACETIC TRANSAMINASE PADA PASIEN TUBERKULOSIS YANG MENJALANI PENGOBATAN OBAT ANTI TUBERKULOSIS

Tue, 30 Apr 2024 00:00:00 +0200

Introduction: Since 1995, Indonesia began to adopt the Directly Observed Treatment Shortcourse Chemotherapy (DOTS) system in controlling tuberculosis. The main drugs recommended in this system are Antituberculosis Drugs (OAT) consisting of Isoniazid (H), Rifampicin (R), Pyrazinamide (Z), and Ethambutol (E). The use of Anti-Tuberculosis Drugs can cause side effects which are still other problems, such as liver damage which is characterized by an increase in transaminase enzymes. Therefore, monitoring liver function is very important. The routine examination carried out is a serum transaminase examination, namely SGOT (AST) and SGPT (ALT). Therefore, monitoring liver function is very important. The routine examination carried out is a serum transaminase examination, namely SGOT (AST) and SGPT (ALT).

Objective: the aim of this study is to determine whether there is a difference between SGOT and SGPT levels before and after treatment with Antituberculosis Drugs .

Method: The research design was cross-sectional analytic using secondary data from examination results of SGOT and SGPT levels from adult tuberculosis sufferers who were undergoing treatment at Cileungsi Regional Hospital, totaling 70 people. The research was conducted from January to August 2023.

Results: There was an increase in SGOT levels by 104%, namely from 21.61 IU/L before treatment to 43.47 IU/L and SGPT levels increased by 107%, namely from 16.41 IU/L before treatment to 34.47 IU /L.. The Wilcoxon test showed a significant difference of 0.000 (p <0.05) for SGOT and SGPT levels before and after treatment..

Conclusion: there is a significant difference between SGOT and SGPT levels before and after treatment with antituberculosis drugs.

PENGARUH BERMAIN MERONCE TERHADAP PERKEMBANGAN MOTORIK HALUS PADA ANAK USIA 4-5 TAHUN KELOMPOK A KECIL DI TK BAITUL MAKMUR KOTA MALANG

Ruri Lufitasari, Anik Purwati, Rani Safitri — Tue, 30 Apr 2024 00:00:00 +0200

The golden age of childhood is characterised by an era of fast physical and psychological development, during which the kid becomes sensitive to environmental cues and educational initiatives made both purposefully and inadvertently. Play activities like tying are one way to enhance early childhood stimulation development. To determine the effect of playing tying on fine motor development in early childhood. Research MethodeThis study's pre-experimental approach and one group pre-posttest design were employed in its design. A tiny number of people made up the study's population. a total of 20 responders, ages 4-5, at Baitul Makmur Kindergarten in Malang City. Purposive sampling was used in this study to create a sample of 18 respondents. An STPPA-style observation sheet was the instrument utilised in this investigation. The Wilcoxon test was used to analyse the data, which SPSS 16 was used to process. The Wilcoxon test research results indicate that the p value ? ? (0.05) is 0.000 <0.05, indicating the acceptance of H1 and the rejection of H0. This suggests that playing meronce has an impact on the development of fine motor skills in children between the ages of 4-5 years. Conclusion: Based on this study, it can be said that playing merging has an impact on the fine motor development of kids in small group A at Baitul Makmur Kindergarten in Malang City who are between the ages of 4 and 5.”

PENGARUH SENAM OTAK TERHADAP MOTORIK HALUS PADA ANAK USIA DINI DI TK MUSLIMAT NU 27 MALANG

Intan Ramadani D.P, Rifzul Maulina, Sulistiyah — Tue, 30 Apr 2024 00:00:00 +0200

A person in their early years is going through a crucial developmental stage that will affect them in the future. The aim of this study was to ascertain how early infancy fine motor abilities are affected by brain snam.Pre-experiment with a single group pre-posttest design was used in this study. 22 young children made up the study's population. Using the purposive sampling approach, a sample of eighteen respondents was collected. An observation sheet in the KPSP format was the instrument utilized in this investigation. SPSS16 was used to process the study data that were collected. The study's interpretation of the impact of brain gymnastics on enhancing children's fine motor development is supported by the Wilcoxon Test data, which indicate that the p value ? ? (0.05) is 0.000 <0.05, indicating that H1 is accepted and H0 is rejected. This study's findings indicate that brain gymnastics at TK Muslimat NU 27 Malang, both before and after the intervention, has an impact on young children's fine motor development.

FAKTOR-FAKTOR YANG MEMPENGARUHI PRAKTIK IBU DALAM PEMBERIAN MAKANAN BAGI BALITA USIA 12-60 BULAN BERSTATUS GIZI KURANG DI WILAYAH PUSKESMAS LENGKONG KABUPATEN NGANJUK

Yolanda Purwana, Raden Widiatrilupi, Rosyidah Alfitri — Tue, 30 Apr 2024 00:00:00 +0200

Nutritional status in children under five is closely related to various factors, including maternal age, maternal education, family income, maternal nutritional knowledge, maternal attitudes and maternal practices in providing food. This study aims to determine the factors that influence mothers' practices in providing food to toddlers aged 12-60 months with malnutrition status in the Lengkong Community Health Center area. Method The type of research is quantitative research, with a cross sectional study approach. The research sample was mothers who had toddlers aged 12-60 months with malnutrition, a total of 30 children taken using purposive sampling. Nutritional status data based on anthropometric measurements of BW/U is compared with the WHO_NCHS Z-score value. Data analysis was carried out using univariate analysis and bivariate analysis. The results of bivariate analysis showed mother's age (p= 0.713), mother's last education (p=0.015), family income (p=0.256). maternal nutritional knowledge (p-0333), and maternal attitude (p=0.006). Meanwhile, from the multivariate analysis, it was found that maternal education (p=0.216), maternal family income (p=0.462) and maternal attitude (p=0.998). Based on the results of the multivariate analysis, the mother's attitude factor is the factor that has the most influence on the malnutrition status of children under five because the value obtained is <0.998. The discussion of factors that influence mothers' practices in providing food for toddlers with low nutritional status is due to the characteristics of the mother, education and family income), knowledge and attitudes. In conclusion, it can be concluded that there are three factors that influence mothers' practices in providing food for toddlers aged 12-60 months with malnutrition status, namely maternal education, family income and maternal attitudes.

GAMBARAN PENGETAHUAN DAN MOTIVASI IBU TENTANG PEMELIHARAAN GIGI TERHADAP STATUS KESEHATAN GIGI BALITA DI DESA GUNUNG TINGGI KECAMATAN PANCUR BATU KABUPATEN DELI SERDANG

Rawati Siregar, Sri Junita Nainggolan, Nurhamidah, Netty Jojor Aritonang — Sat, 04 May 2024 00:00:00 +0200

Dental and oral health have a great role in human life. Tooth is also related to one’s body health especially in food processing. This study is aimed to determine the description of knowledge and motivation of mothers towards dental care of children Gunung Tinggi Village, Village III Sub District Pancur Batu Sub District Deli Serdang District. The type of this research is descriptive research with survey method . The data were collected by using questionnaires finding out the description of knowledge and motivation of mothers towards dental care of children aged 1-5 years. The sample of this research were 30 mothers and children in Gunung Tinggi Village, Dusun III Pancur Batu Sub District, Deli Serdang District. The results of this study indicate that the knowledge of 10 mothers (33.3%) is in good category, and 20 people (66.7%) are in moderate category, and there was no mother in poor category. Based on mothers’ motivation, 22 peoples (73,3% ) were in good criteria, 8 people (26.7%) were in moderate criteria, and no mother with poor criteria. Based on dental health status,10 people (33,3%) had caries and 20 people (66,7%) had no caries. The results showed that the level of knowledge and motivation is very influential towards the dental care among the children. It is expected that mothers put effort to maintain the dental health of their children by guiding the children to good and proper dental health care.

PENGETAHUAN DAN SIKAP IBU YANG MEMILIKI ANAK BALITA TENTANG PERTOLONGAN PERTAMA PADA LUKA BAKAR DI KELURAHAN KEMENANGAN TANI KECAMATAN MEDAN TUNTUNGAN

Amira Permata Sari Tarigan, Endang Susilawati, Afniwati, Septiani Waruwu — Tue, 30 Apr 2024 00:00:00 +0200

Mothers' knowledge and attitudes in treating burns are inadequate. Burns, if not treated immediately, will quickly cause complications in children under five such as dehydration and scarring. Burns are one of the most common injuries in children and adults, and the 11th cause of death in children aged 1-9 years. This study aims to determine the knowledge and attitudes of mothers and toddlers regarding first aid for burns. This research was designed with a cross-sectional design, and examined 105 respondents obtained through total sampling technique. Research data was collected through questionnaires. Through research, the level of knowledge of respondents was found: in the good category it was 43 people (41.0%), in the fair category it was 29 people (27.6%), in the poor category it was 33 people (31.4%); and the level of attitude of the respondents is: in the good category it is 91 people (86.7%), and in the fair category it is 14 people (13.3%). Through the results of the research, it is known that the level of knowledge and attitudes of mothers is in the good category, but some mothers still have knowledge in the fair and poor categories. It is hoped that health workers provide counseling and education about first aid for burns, so that the public, especially mothers with toddlers, can treat burns to their children.