scholarly journals Perbedaan Efektifitas Madu dan Air Gula Terhadap Nyeri Injeksi Imunisasi Campak Bayi Usia 9-15 Bulan Puskesmas Lubuk Buaya Tahun 2019

2019 ◽  
Vol 14 (2) ◽  
pp. 26-37
Author(s):  
Dewi Susanti ◽  
Alsri Windra Doni ◽  
Rizqi Twin Desfialni Putri
Keyword(s):  
Pain Management ◽  
Sample Size ◽  
Pain Score ◽  
T Test ◽  
Injection Pain ◽  
P Value ◽  
Sugar Water ◽  
Pain Scores ◽  
Post Test ◽  
The Mean

Coverage of measles immunization in Padang city is 88.8%, while the target of achieving national measles immunization is 95%. The reason a child is not immunized is 27.5% because it is delayed at another time. Pain management of nonpharmacological immunization with honey and sugar water can increase comfort so as to avoid delaying at another time. The purpose of this study was to determine the differences in the effectiveness of honey and sugar water against the pain of measles immunization injection in infants aged 9-15 months. This type of research is a Quasi experiment with post test only design. sampling with a sample size of 32 people. Pain score data obtained from observation sheets and analyzed univariately and bivariately using an independent t test with computerization. The results of the study mean the pain score in the honey group was 1.19 while the mean pain score in the sugar water group was 1.88. After an independent t test was obtained p value = 0.038 (α <0.05) means that there is a difference in the effectiveness of honey and sugar water against the pain of measles immunization injection. The results of the study concluded that honey was more effective on measles immunization injection pain scores. The suggestion of this study was to improve the comfort of children by minimizing the pain of immunization injection using honey and sugar water.

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

Outcome of Corticosteroid Injection in De Quervain's Tenosynovitis

2021 ◽  
Vol 15 (11) ◽  
pp. 3288-3292
Author(s):  
Wahid Bakhsh ◽  
Asad Ullah Jan ◽  
Muhammad Shafiq ◽  
Naveed Iqbal ◽  
Muzafar Hussain Buriro ◽  
...  
Keyword(s):  
Pain Score ◽  
Triamcinolone Acetonide ◽  
Corticosteroid Injection ◽  
Mean Value ◽  
Injection Pain ◽  
P Value ◽  
Duration Of Symptoms ◽  
De Quervain’S Tenosynovitis ◽  
Minimum Age ◽  
The Mean

Background: De Quervain's tenosynovitis is a painful and swollen stenosing tenosynovitis of the first dorsal compartment of the wrist. After analysing the patient's medical history and doing a physical examination, a diagnosis is made. Finkelstein's test is almost always positive. Objective: The goal of this study was to investigate the effectiveness of local corticosteroid injections in the treatment of de Quervain's tenosynovitis. Material & Methods: The study enrolled fifty patients with De Querven's Tenosynovitis. NSAIDs were provided orally and topically to all patients for an average of six weeks with no obvious improvement. Using a visual analogue scale, it was determined how much soreness would be felt in the first dorsal compartment and how much pain would be felt during the Finkelstein test. The edoema was removed by injecting a mixture of 1 mL (10 mg) triamcinolone-acetonide and 1 mL of 1% lidocain hydrochloride into the affected wrist's first dorsal compartment. They were subsequently examined every two weeks for twenty-four weeks. After a local triamcinolone acetonide injection, pain and discomfort on the radial side of the wrist were alleviated, and a negative Finkelstein test was done. Results: The mean age among the patients was 36.6 years with 12.4 SD. The maximum age was 60 years and the minimum age was 25 years old. The duration of symptoms in 4-8 weeks was observed, the mean value was 6 weeks with 1.4 as SD the minimum duration recorded was 4 weeks with 8 weeks as maximum duration. At the start of the week of appearance of symptoms the pain score was 6.44 with 1.6 as SD. The minimum pain score was 4 and maximum pain score was 8. Pain score at 4 weeks was 0.66 with 1.6 as SD. As per the independent t-test the p value was less than 0.05 so the test was significant statistically. Conclusion: One or two local steroid injections in the first dorsal compartment can give considerable pain and inflammation alleviation in people with de Quervain's tenosynovitis.

P91 Post-operative pain in neurosurgery

2019 ◽  
Vol 90 (3) ◽  
pp. e46.1-e46
Author(s):  
PM Haigh ◽  
F Al-Hatimi ◽  
H Stewart ◽  
S Rajagopal ◽  
S Khalifa ◽  
...  
Keyword(s):  
Pain Score ◽  
Spinal Surgery ◽  
Foramen Magnum ◽  
P Value ◽  
Inflammatory Agent ◽  
Pain Scores ◽  
Post Operative Period ◽  
Post Operative Pain ◽  
Significant Difference ◽  
The Mean

ObjectivesAre the analgesic guidelines for those neurosurgical operations associated with major and complex major pain consistently followed? Is there a correlation between adherence and post-operative pain?DesignPatients undergoing spinal surgery and foramen magnum decompressions were visited on the first post-operative day (D1). They provided their pain score subjectively (0=nil; 10=worst ever experienced); objectively we recorded whether they could move in/out of bed without pain limitation.Subjectsn=57 consecutive patients undergoing elective major and complex major pain neurosurgery between April and June 2018 at the NHNN, Queen Square.MethodsA proforma was completed on D1. The patients consented to take part and answered three questions. We examined what (if any) analgesics they were admitted on, and what had been prescribed to cover the post-operative period. This was compared against the appropriate guideline for that category of operation.ResultsGuidelines were only followed in 16/57 (28.1%) cases; not followed in 41/57 (71.9%). On an unpaired T-test: 2-tailed P value=0.0195. Where guidelines were followed, the mean pain score reported was: 3.75 (SD 2.72) Where not followed, the mean pain score was 5.46 (SD 2.29). So with a 95% confidence interval −3.41 to −0.29, there is a significant difference between the pain in those prescribed according to the guidelines and those that were not.ConclusionsThe pain guidelines are not routinely followed. Most commonly this was due to no prescription for a non-steroidal anti-inflammatory agent. We suggest regular sessions of education of the guidelines. Cycle 2 closed the loop of the audit. We re-reviewed adherence and pain scores and found guidelines were followed in 34% of cases, which represented a 6% improvement. On a paired two-tailed P value=0.0794. The mean pain score where guidelines were followed=3.42 (SD1.62) against a mean=4.74 (SD 1.89) where guidelines were not followed.

scholarly journals The Effect of the Emotional Demonstration Method of Mealing Schedule on the Knowledge of Mothers to Children in Posyandu V Mulyorejo Surabaya

2021 ◽  
Vol 2 (1) ◽  
pp. 17-21
Author(s):  
Nidya Comdeca Nurvitriana ◽  
Setiana Andarwulan
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Mean Value ◽  
T Test ◽  
P Value ◽  
Children Under Five ◽  
Under Five ◽  
Post Test ◽  
The Mean ◽  
Paired T Test

Background of research on mother's knowledge of toddlers in providing feeding schedules, especially snacks. Giving snacks that are not right on schedule will have an influence on the growth and development of infants. Through the Emotional Demontration method, eating schedule for snacking can be controlled. Emotional Demonstration is the provision of education not only through lectures but also through games so that the key messages conveyed can be remembered by mothers of toddlers in Posyandu V Mulyorejo Surabaya. The Emo Demo method is one solution to reduce the stunting rate. In 2017 the stunting rate in Indonesia reached 22.2%. Based on the results of the survey conducted through interviews with nutritionists, it was explained that there were 16 stunting toddlers in Posyandu V Surabaya. Quantitative Research Methodology, a quasi-experimental research design method with one group pretest posttest approach. The population in this study were all mothers of children under five in Posyandu V Mulyorejo Surabaya as many as 36 people, samples as many as 36 mothers of toddlers. With a total sampling technique. Analyze data with Paired T-test. The results showed the mean value of the pre test was 6.06, the mean value after the post test reached 8.16. While the significance value of p value = 0,000 with α = 0.05 through the Paired T-test. The conclusion is that there are differences in the knowledge of pre and post test among mothers of children under five in Posyandu V Mulyorejo Surabaya, p value = 0,000 with α = 0.05. Suggestions for health workers to continue to make improvements in practicing emotional demonstration to participants because it is very useful in increasing knowledge to prevent increased stunting rates.

scholarly journals The effectof using reciprocal teachingtowards students’ reading ability of recount text inthe eighth grade of SMPN 1 Sine

2019 ◽  
Vol 6 (1) ◽  
pp. 38
Author(s):  
S. Sukini ◽  
Nuri Ati Ningsih ◽  
Dwi Rosita Sari
Keyword(s):  
Reading Ability ◽  
T Test ◽  
Reciprocal Teaching ◽  
Eighth Grade ◽  
Control Group ◽  
P Value ◽  
Equality Of Means ◽  
Post Test ◽  
The Mean ◽  
Experimental Group

The purpose of this research is to know the effects of Reciprocal Teaching toward students’s reading ability of recount text in the eighth grade of SMPN 1 Sine in the Schooling year of 2016/2017. Reciprocal Teaching has four strategies, such as; Predicting, Questioning, Clarifying and Summarizing. The method that is used by the researcher is Experimental Design. The researcher used two classes, the first class as control class and the other one is expeimental class. Each class consists of 20 students. They had different treatment. The control class is not treat by the Reciprocal Teaching but the experiment class treated Reciprocal Teaching. The researcher got the data by using pretest and postest for each class. The test is 50 items of multiple choices. The researcher used SPSS v23 to count the result of the data. The data analysis showed the significancy of the data. The mean score for experimental group has 49, 20. Then, the mean score for control group has 43, 25. Based on the two means, it can be considered that both of the groups are significantly different. The results of the sig. of the Lavene’s test for equality of variances show that it exceeds the level of tolerance p. value .05. The result of sig. is .095. It means that there is no significant different from the two groups and Ho can be rejected. The mean score for group which is treated by using Reciprocal Teaching has 79, 55. Then, the mean score for the group which is not treated by using Reciprocal Teaching has 73, 55. The results of post-test both of the groups show significantly different. The result of independent sample t-test shows the significantly different can be seen from the sig. 004 in t-test for equality of means. This result is lower than the p value .05 of significance tolerance. It can be concluded that Reciprocal Teaching Technique is effective toward students’ reading ability of recount text in the eighthgrade of SMPN 1 Sine.

scholarly journals Efektifitas Media Leaflet dan Power Point Pada Pengetahuan Remaja Putri Tentang Menstrual Personal Hygiene

2021 ◽  
Vol 8 (2) ◽  
pp. 104
Author(s):  
Sri Wahyuni M.Keb ◽  
Fachry Amal ◽  
Ulfatunnisa Ulfatunnisa
Keyword(s):  
Point Group ◽  
T Test ◽  
Personal Hygiene ◽  
P Value ◽  
Post Test ◽  
The Mean ◽  
Power Point ◽  
Female Teenagers ◽  
Media Power ◽  
Paired T Test

ABSTRAKPermasalahan tentang menstruasi merupakan salah satu tantangan menggapai kesehatan reproduksi yang sehat bagi remaja. Tujuan penelitian ini untuk mengetahui perbedaan pengetahuan remaja putri sebelum dan sesudah diberikan penyuluhan dengan menggunakan  leaflet dan power point.Jenis penelitian ini adalah quasy eksperimen dengan melakukan pre test dan post test sebelum dan sesudah diberikan penyuluhan yang dilaksanakan pada Maret-April 2021 di kampung Putali wilayah kerja Puskesmas Ebungfauw. Sampel sejumlah 40 remaja putri. Intrument yang digunakan adalah media leaflet dan media power point dan kuesioner yang telah diuji validitas dan relibilitas. Analis data menggunakan uji Paired T-test dan uji Independen t-tes. Rerata pretest pengetahuan kelompok leaflet 53,00 dan posttest 61,25. Rerata pretest pengetahuan kelompok power point 59,75 dan posttest 78,75. Uji paired t-test pengetahuan kelompok leaflet yaitu p-value 0,000 dan pada kelempok power point yaitu p-value 0,000. Uji Efektifitas kelompok leaflet dan kelompok power point adalah 0,008 dengan perbedaan mean 10,00 kelompok leaflet dan mean 19,00 kelompok power point. Sehingga kelompok power point lebih efektif dalam meningkatkan pengetahuan remaja. Media power point lebih efektif dalam meningkatkan pengetahuan remaja putri tentang personal hygiene saat menstruasi. Kata Kunci : pengetahuan; personal hygiene; menstruasi; power point; leaflet ABSTRACT Menstruation is one of problems in achieving healthy reproductive female teenagers. The purpose of this study was to determine the difference in knowledge of female teenagers before and after being given counseling using leaflets and power point media.This research was a quasi-experimental study by conducting a pre-test before being given counseling and a post-test after being given counseling, carried out in March-April 2021 in Putali village, the working area of Ebungfauw Health Center. The sample of this research is 40 female teenagers. The instruments used are leaflet media and power point media and questionnaires that have been tested for validity and reliability. Data analysis used Paired T-test and Independent t-test. The mean of the pretest knowledge of the leaflet group was 53.00 and the posttest was 61.25. The mean of the pretest knowledge of the power point group was 59.75 and the posttest was 78.75. The paired t-test for the knowledge of the leaflet group is p-value 0.000 and for the power point group, the p-value is 0.000. The effectiveness test for the leaflet group and the power point group was 0.008 with a mean difference of 10.00 for the leaflet group and 19.00 for the power point group. So that the power point group is more effective in increasing the knowledge of teenagers. Power point media was more effective in increasing the knowledge of young women about personal hygiene during menstruation. Keywords: knowledg; personal hygiene; menstruation; power point; leaflet

scholarly journals Comparison of Letrozole versus Danazol for the Pain Management of Females Presented with Endometriosis

2018 ◽  
Vol 23 (4) ◽  
pp. 514-518
Author(s):  
Sadaf Ghulam Rasul ◽  
Uzma Yaqub ◽  
Maida Manzoor ◽  
Hafsa Mubasshar
Keyword(s):  
Pain Management ◽  
Pain Score ◽  
Pelvic Pain ◽  
P Value ◽  
Test Results ◽  
Treatment Groups ◽  
Estrogen Production ◽  
Group A ◽  
The Mean ◽  
Group B

Endometriosis is an estrogen-regulated disease, and is signified by the existence of a particular endometrial tissue exterior to the uterus. It is a principal cause of long lasting morbidity, mostly from serious pelvic pain(1). Endometriotic tissue has the potential for aromatase gene expression that leads to aromataseand estrogen production. Danazol is a synthetic androgen whereas Letrozole is aromatase inhibitor. This study was conducted to compare the mean decrease in visual analogue scale (VAS) pain score with Danazol versus Letrozole for the pain management of endometriosis in females. A total of 140 females fulfillinginclusion criteria were registered and an non-probability purposive technique of sampling was used. Diagnostic laparoscopy was conducted to make a diagnosis of endometriosis. Females were divided into two groups. Females in group A received treatment with Letrozole tablets (2.5 mg/day) and in group B receivedDanazol tablets (600 mg/day) for 3 months. Pelvic pain was assessed using VAS score and the mean decrease in pain score was assessed between two groups using independent sample student t-test. Results of this study demonstrate that the mean age of the patients was 29.99±5.80 and the mean pain score before treatment in Letrozole group was 3.04±1.01 while in Danazol group was 5.05±1.02. Post-three months of treatments, mean pain score was 2.01±0.95 and 2.78±0.99 in Letrozole and Danazol groups, respectively. The mean decrease in pain score in Letrozole group was 1.02±1.09 (p-value=0.00) while in Danazol group; it was 3.06±1.23 (p-value=0.00). This difference in pain score was considerably different in both treatment groups. A higher decrease in pain score was observed in Danazol compared to Letrozole treated groups.

scholarly journals Knowledge Outcome of Essential Care for Every Baby Training in Southern Nations, Nationalities, and People’s Region, Ethiopia: A Pre- and Post-Test Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110129
Author(s):  
Lalisa Chewaka Gamtessa ◽  
Kindie Mitiku Kebede ◽  
Yared Deyas
Keyword(s):  
Training Session ◽  
Knowledge Score ◽  
T Test ◽  
Health Centers ◽  
P Value ◽  
Test Study ◽  
Post Test ◽  
The Mean ◽  
Using Data ◽  
One Way Anova

This study was aimed to evaluate the knowledge outcome of ECEB training given to reduce neonatal mortality in Ethiopia. The study was conducted by using data from training given for 98 health professionals. Data were entered into Epi info7 and analyzed by SPSS version 21. Accordingly, the paired sample T-test, the independent sample t-test, and one way ANOVA were calculated at P-value <.05. Likewise, the mean knowledge score of the trainees increased from 59.10 (SD ± 13.180) before the training to 73.73 (SD ± 14.173) after the training. The increment was statistically significant ( t (97) = 11.684, CI = 12.147-17.118, P < 0.001). The mean knowledge score was significantly varied between female and male trainees at pre-test t (96) = 2.424, P = .017 and post-test t (96) = 2.944, P = .004. Similarly, it was significantly varied between trainees from hospitals and Health centers at post-test t (96) = 2.403, P = .018. To sum up, the overall knowledge outcome of trainees significantly improved after the training. However, regarding knowledge outcome in relation to different variables, there was a significant mean knowledge score difference by sex both at pre- and post-test. Concerning the knowledge outcome in relation to facility type of the trainees, knowledge outcome significantly increased only those who came from hospitals at post-test. Therefore, to further enhance female trainees and those who come from Health Centers, a separate training session with extra support should be arranged by programmers.

Employing Personal Reading Logs through Short Stories to Enhance Students’ L2 Reading Comprehension Achievement

2019 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Eliyas Sulaiman Mohandas ◽  
Nik Mastura Nik Ismail Azlan ◽  
Salwa Othman ◽  
Muhammad Aizat Azhari
Keyword(s):  
Short Stories ◽  
Reading Comprehension ◽  
P Value ◽  
L2 Reading ◽  
Reading Score ◽  
Paired Samples ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
L2 Reading Comprehension

This study aims to investigate whether the use of six selected short stories throughout the duration of a 14-week course could enhance students’ reading comprehension achievement at the end of the semester. Out of the six short stories read, three were chosen as in-class assignments known as ‘Personal Reading Logs’ (hereafter, PRLs). One group of semester two Diploma students taking a reading skills course was selected through a convenience sampling method. A pre-test was conducted by having the students answer a past semester reading quiz of which the results would then be compared to their post-test (final reading exam) results. A paired samples t-test revealed no significant difference in the reading scores of the pre-test and the post-test, t (17) = -.265, p > .05. Since the p-value was bigger than 0.05, this indicated that the mean reading score of the post-test (M = 50.556) was not significantly higher than the mean reading score of the pre-test (M = 49.722). Therefore, the null hypothesis which stated that there was no difference in the mean score of the pre-test and post-test was retained. Overall, the result refuted the findings of other studies promoting the effectiveness of using short stories to enhance L2 reading comprehension achievement.

PENGARUH HEALTH EDUCATION TERHADAP KEPATUHAN PERILAKU HIDUP BERSI SEHAT (PHBS) WARGA

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Tatiana Siregar ◽  
Nelly Febriani
Keyword(s):  
Health Education ◽  
T Test ◽  
P Value ◽  
Purposive Sampling ◽  
Post Test ◽  
Paired T Test ◽  
Quasi Experiment

Latar belakang: Kondisi sasaran pencapaian Indonesia Sehat 2015 dari program MDG’s yang belum tercapai, sehingga dilanjutkan dengan program SDGs menjadikan Indonesia harus banyak berperan dalam semua kegiatan khsusnya di bidang kesehatan. Proses pencapaian cakupan program kesehatan sangat dipengaruhi oleh Health education yang dilakukan petugas kesehatan kepada warga, kesehatan masyarakat. Tujuan: Penelitain ini bertujuan untuk mengetahui perubahan perilaku hidup bersih sehat yang  dilaksanakan warga setelah diberikan intervesi health education.  Metode: Metode penelitian dilaksanakan secara quasi experiment pre dan post test.  Teknik mengambil sampel secara purposive Sampling pada 30 reponden kelompook intervensi dan 26 responden kelompok kontrol. Analisa data dilakukan secara paired t test. Hasil: Hasil di dapat ada perbedaan yang bermakna antara pengetahuan dan perubahan perilaku hidup bersih sehat repsonden sebelum dan sesudah diberi penyuluhan p value = 0,000. Saran: Diharapkan pemerintah setempat menggerakkan petugas kesehatan bersama-sama dengan warga melakukan perilaku hidup bersih sehat dalam kehidupan sehari-hari dengan memfasilitasi  sarana penunjang untuk menjalankan perilaku hidup bersih sehat, dengan maksimal pada warga. Kata kunci: Health eduation,  Perilaku Hidup Bersih Sehat

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