scholarly journals Hubungan Paritas, Umur Ibu Dengan Perdarahan Post- Partum Primer di Rumah Sakit Panti Rapih Yogyakarta Tahun 2017- 2018

2021 ◽  
Vol 1 (2) ◽  
pp. 111-120
Author(s):  
Theresia Heni Lestari ◽  
Theresia Endah Marianingsih ◽  
Yuliasti Eka Purnamaningrum

Background: The cause of AKI in DIY 2018, 11% of post-partum hemorrhage, with a gap in MMR target and achievement <102 / 100,000 live births, MMR in 2018: 111.5 / 100,000 live births, indicating an increase in MMR. In the same year at Panti Rapih Hospital, there was an increase in the incidence of post-partum hemorrhage by 6%, with 62.8% of parity at risk, 53.5% of age at risk. Objective: of the study was to determine the relationship between parity and maternal age with the incidence of primary post-partum hemorrhage at Panti Rapih Hospital in 2017-2018. Methods: observational, cross sectional design, sample 43 people. Chi Square Test data analysis. Results: There was a significant relationship between parity and the incidence of primary post partum hemorrhage (p-value = 0.011). There was a significant relationship between age and the incidence of primary post-partum hemorrhage at Panti Rapih Hospital (p-value = 0.014). Conclusion: There is a significant relationship between parity, maternal age <20 years or> 35 years with the incidence of primary post partum hemorrhage at Panti Rapih Hospital in 2017-2018.

Author(s):  
Wahyu Ida, Khodijah Wahyu Ida, Khodijah

ABSTRACT Influenza is a viral infection of the mucous membranes, nose, sinuses and respiratory tract large. Under-five mortality rate (IMR) in South Sumatra is higher than the national figure of 42 per 1000 live births. The purpose of this study is to determine hubungann toddler age and immunization status with the incidence of influenza in health center Basuki Rahmat Palembang in 2011, this study used survey methods of analytic approach "Cross Sectional". The population in this study were all mothers who bring young children with influenza symptoms seeking treatment at health centers Basuki Rahmat Palembang, sampling conducted in non-random techniques "Accidental Sampling" can be as many as 30 respondents. The research was conducted on 13 June to 24 June 2011. From the analysis of data showed the respondents who experienced influenza at (53.3%) while respondents are not influenza at (46.7%). Respondents who are at high risk for age (66.7%) and low-risk age (33.3%) and respondents with incomplete immunization status sebesr (56.7%) while those for incomplete immunization status (43.3%). From the results of Chi-Square test found no significant relationship between age of a toddler with the incidence of influenza in which the p value (0.001) and no significant relationship between the incidence of influenza immunization status where p Value = 0.001. Based on the results of the study researchers recommend to improve its performance in conducting health services and in an effort to reduce the incidence of influenza in infants.   ABSTRAK Influenza merupakan suatu infeksi virus pada selaput lendir, hidung, sinus dan saluran nafas besar. Angka kematian balita (AKB) di Sumsel lebih tinggi dibandingkan Angka Nasional yaitu 42 per 1000 kelahiran hidup. Tujuan penelitian ini yaitu untuk mengetahui hubungann umur balita dan status imunisasi dengan kejadian influenza di Puskesmas Basuki Rahmat Palembang Tahun 2011, penelitian ini menggunakan metode survei analitik dengan pendekatan ”Cross Sectional”. Populasi dalam penelitian ini adalah semua ibu yang membawa balita dengan gejala influenza yang berobat di Puskesmas Basuki Rahmat Palembang, pengambilan sampel dilakukan secara non random dengan teknik ” Accidental Sampling” didapatkan sebanyak 30 responden. Penelitian ini dilakukan pada tanggal 13 Juni – 24 Juni Tahun 2011. Dari hasil analisa data menunjukkan responden yang mengalami influenza sebesar (53,3%) sedangkan responden yang tidak influenza sebesar (46,7%). Responden umur yang beresiko tinggi sebesar (66,7%) dan umur yang resiko rendah (33,3%) dan responden dengan status imunisasi lengkap sebesr (56,7%) sedangkan yang status imunisasi tidak lengkap sebesar (43,3%). Dari hasil uji Chi-Square didapatkan ada hubungan bermakna antara umur balita dengan kejadian influenza dimana     p value (0,001) dan ada hubungan bermakna antara status imunisasi dengan kejadian influenza dimana p Value = 0,001. Berdasarkan hasil penelitian peneliti menyarankan untuk meningkatkan kinerjanya dalam melakukan pelayanan kesehatan serta dalam upaya menurunkan angka kejadian influenza pada balita.  


Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah ◽  
Rini Mayasari Rini Mayasari

ABSTRACT Low Birth Weight (LBW) was defined as infants born weighing less than 2.500 grams. WHO estimates that nearly all (98%) of the five million neonatal deaths in developing countries. According to City Health if Palembang Departement, infant mortality rate (IMR) in the year 2007 is 3 per 1000 live births, in 2008 four per 1000 live births, and in 2009 approximately 2 per 1000 live births. The cause of LBW is a disease, maternal age, social circumstances, maternal habits factors, fetal factors and environmental factors. LBW prognosis depending on the severity of the perinatal period such as stage of gestation (gestation getting younger or lower the baby's weight, the higher the mortality), asphyxia / ischemia brain, respiratory distress syndromesmetabolic disturbances. This study aims to determine the relationship between maternal age and educations mothers of pregnancy with the incidence of LBW in the General Hospital Dr Center. Mohammad Hoesin Palembang in 2010 This study uses the Analytical Ceoss Sectional Survey. The study population was all mothers who gave birth in public hospitals center Dr. Mohammad Hoesin Palembang in 2010 were 1.476 mothers gave birth with a large sample of 94 studies of maternal taken by systematic random sampling, ie research instument Check List. Data analysis was performed univariate and bivariate. The results of this study show from 94 mothers of LBW was found 45 people (47,9%) Which has a high risk age 26 LBW ( 27,7%) while the distance of low educations LBW (55,3%). From Chi-Square test statistic that compares the p value with significance level α = 0,05 showed a significant correlation between maternal age, where the p value = 0,002, of education mothers of pregnancy p value = 0,003 with LBW. In the general hospital center Dr. Mohammad Hoesin Palembang ini 2010. Expected to researches who will come to examine in more depth.   ABSTRAK Bayi Berat Lahir Rendah (BBLR) telah didefinisikan sebagai bayi lahir kurang dari 2.500 gram. WHO memperkirakan hampir semua (98%) dari 5 juta kematian neonatal di negara berkembang. Menurut Data Dinas Kesehatan Kota Palembang, Angka Kematian Bayi (AKB) pada tahun 2007 yaitu 3 per 1.000 kelahiran hidup, pada tahun 2008 4 per 1.000 kelahiran hidup, dan pada tahun 2009 sekitar 2 per 1.000 kelahiran hidup. Penyebab BBLR adalah penyakit, usia ibu, keadaan sosial, faktor kebiasaan ibu, dan faktor lingkungan. Prognosis BBLR tergantung dari berat ringannya masa perinatal misalnya masa gestasi (makin muda masa gestasi atau makin rendah berat bayi, makin tinggi angka kematian), asfiksia atau iskemia otak, sindrom gangguan pernafasan, gangguan metabolik. Penelitian ini bertujuan untuk mengetahui hubungan antara umur dan pendidikan ibu dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Penelitian ini menggunakan survey analitik Cross sectional. Populasi penelitian ini adalah semua ibu yang melahirkan di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2010 sebanyak 1.476 ibu melahirkan dengan besar sampel penelitian 94 ibu melahirkan yang diambil dengan tehnik acak sistematik, instrumen penelitian yaitu check list. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukkan dari 94 ibu didapatkan kejadian BBLR 45 orang (47,9%) yang memiliki umur resiko tinggi 26 kejadian BBLR (27,7%) sedangkan yang pendidikan rendah 52 kejadian BBLR (55,3%). Dari statistik uji Chi-square yang membandingkan p value dengan tingkat kemaknaan α = 0,05 menunjukkan bahwa ada hubungan yang bermakna antara umur ibu p value (0,002) , pendidikan p value (0,003) dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Diharapkan bagi peneliti yang akan datang untuk meneliti lebih mendalam.


Author(s):  
Bina Aquari Bina Aquari

ABSTRAK   Kontrasepsi Hormonal sebagai salah satu alat Kontrasepsi meningkat dan tajam. Menurut World Health Organization (WHO) 2014, Pengguna alat kontrasepsi suntik yaitu 35,3%, pil yaitu 30,5%, IUD yaitu 15,2%, Implant 7,3%, dan 11,7% Kontrasepsi lainnya. Tujuan penelitian ini untuk mengetahui apakah ada hubungan peningkatan berat badan dan ketidakteraturan siklus haid dengan KB suntik pada akseptor KB di Puskesmas Pembina Palembang Tahun 2018.Rumusan masalah penelitian ini adalah hubungan antara umur dan pengetahuan akseptor tentang KB Suntik di Puskesmas Pembina Palembang Tahun 2018.Penelitian ini menggunakan survey analitik dengan pendekatan cross sectional yang dilakukan dengan kuesioner.Uji Statistic yang dipakai adalah Uji Chi-Square. Populasi dalam penelitian ini berjumlah 62 orang dan seluruh Populasi dijadikan sampel. Dari hasil analisa univariat responden yang memakai KB Suntik lebih besar yaitu sebanyak 36 orang (58,1%), dan 26 orang (41,9%) yang tidak memakai KB Suntik. Responden yang berat badannya meningkat memakai kontrasepsi sebanyak 33 orang (53,2%), sedangkan responden yang berat badannya tidak meningkat sebanyak 29 orang (46,8%) dibandingkan dengan responden yang siklus haidnya tidak teratur adalah sebanyak 32 orang (51,6%). Hasil analisa statistik dengan menggunakan Uji Chi-Square dengan df = 1 ada hubungan yang bermakna peningkatan berat badan dengan KB Suntik pada akseptor KB diperoleh p value (0.006) lebih kecil dari (0,05) dan ada hubungan yang bermakna ketidakteraturan siklus haid dengan KB suntik pada akseptor KB diperoleh p value (0,011) lebih kecil dari (0,05). Saran agar petugas kesehatan meningkatkan kinerja dan sistem informasi mengenai masalah yang berhubungan dengan pemakaian KB Suntik.       ABSTRACT   The hormonal contraception as becoming on of the contraceptions tools which is increasing sharply. Based on world Health Organitation (WHO) the user of injected contraception is 35,3%, pill 30,5%, IUD 15%, implant 7,3%, and 11,7% for another contraception. The purpose of this research is for knowing wheter there is the increasing of weight and the irregular of monthly period with injected contraception for the acceptor at Puskesmas Pembina Palembang in 2014. The main case of this research is the relationship between the increasing of the weight and the irregular monthly period at Puskesmas Pembina Palembang in 2014. This research using analytic survey with cross sectional closing yhat was done by using questioner, the statistic test which take is Chi-Square test. The population in this reseacrh are 62 peoples, and all off them as becoming the sample from the result of respondent univariat analyze whom using the injected contraception in bigger that is exactly 36 people (58,1%) and 26 people (41,9%) whom do not using it. The respondent with their weight is increasing because of using contraception is 33 people (53,2%), while the respondent whom the weight do not increasing is 29 people (46,8%), when we compare with the respondent whom the monthly period is irregular are 32 people (51,6%). The result for statistic analyze by using the Chi-Square test with the df = 1 says that there is a significant relationship between the weight increasing with the injected contraception for the acceptor we get p value (0,006) is smaller than (0,05) and there is significant relationship between the injected contraception for the acceptor we get p value (0,011) with is smaller than (0,05). The sugestion of the health workes to increasing the performance the information sistem about the problem that is connected with the inject contraception using


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


2020 ◽  
Vol 9 (2) ◽  
pp. 153
Author(s):  
Rolita Efriani ◽  
Dhesi Ari Astuti

One of the efforts of the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) to reduce the Infant Morbidity and Mortality Rate (IMR) is to recommend that babies should only be breastfed for the first six months of life (exclusive breastfeeding). The coverage of exclusive breastfeeding in the Special Region of Yogyakarta was 73.3%. The lowest was in the city of Yogyakarta at 59.52%. This achievement had not yet reached the government's target of 80%. Puskesmas Umbulharjo 1 is the health center with the lowest exclusive breastfeeding coverage in Yogyakarta City at 39.15%. This study aims to determine the relationship between mothers' age and occupation with exclusive breastfeeding at Puskesmas Umbulharjo 1 Yogyakarta City. This research is an analytic survey with a cross-sectional approach. A sample of 64 mothers was taken from a population of 179 mothers who had babies aged 6-12 months. Data were analyzed by using the Chi-Square test. The results of the analysis of maternal age with exclusive breastfeeding obtained a p-value of 0.007 (p <0.05), while the analysis of maternal age with exclusive breastfeeding showed a p-value of 0.000 (p <0.05). In conclusion, there is a relationship between the mother's age and occupation and exclusive breastfeeding in the working area of Puskesmas Umbulharjo 1 Yogyakarta City


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Idha Suparwati ◽  
Murwati Murwati ◽  
Endang Suwanti

Abstract: The smoothness of Breastfeeding, Post Partum Blues Occurrence. The incompleteness of breast milk (ASI) is one of the problems when the mother begins to breastfeed her baby. If not addressed immediately will result in anxiety and anxiety about the mother's ability to breastfeed. If this condition is left it will continue to be post partum blues and even postpartum depression. The purpose of this study was to determine the relationship between the smoothness of breastfeeding expenditure and postpartum blues incidence in the Trucuk II Klaten district. This research design is analytical descriptive research with cross sectional approach. The sample is normal postpartum day 3-10 at Trucuk II Klaten Health Center in May 2017 as many as 48 people, by purposive sampling. Analysis of univariate and bivariate data with chi square test correlation. Maternal breastfeeding expenditure was 93.8% in the current category. Post partum blues events were 44.2%. Statistic test results obtained p value = 0.001. There is a relationship between the smooth expenditure of breast milk with Postpartum Blues Occurrence in Trucuk II Klaten District Health Center.


2019 ◽  
Vol 8 (2) ◽  
pp. 11-21
Author(s):  
Solihati ◽  
Lastri Mei Winarni ◽  
Rini Sartika ◽  
Mega Suciani

Latar belakang :Kasus disfungsi seksual kurang menjadi perhatian pemerintah, kurangnya promosi konseling fungsi seksual tidak banyak dibicarakan. Sebagian besar ibu post partum memiliki persepsi bahwa membahas seksualitas merupakan hal yang tabu, disfungsi seksual khususnya pada ibu post partum dapat memberikan dampak buruk bagi ibu, bayi dan keluarganya. Disfungsi seksual ibu post partum dapat menyebabkan stress hingga perceraian. Tujuan Penelitian : adalah untuk mengetahui faktor-faktor yang mempengaruhi prevalensi disfungsi seksual ibu post partum dengan luka episiotomi dan sectio sesarea di wilayah kerja Puskesmas Tigaraksa. Metode Penelitian : Penelitian ini menggunakan desain penelitian deskriptif analitik dengan metode kuantitatif dengan pendekatan cross sectional sehingga diperoleh 120 responden dengan analisa uji statistik chi square test. Hasil Penelitian : Didapatkan hasil uji analisa dengan usia ibu, paritas dan menyusui adalah p- value 0,000, 0,000 dan 0,004 < α (0,05) sedangkan pendidikan, pekerjaan dan jenis persalinan memiliki p-value 0,251, 0,810 dan 0,584 > α (0,05). Kesimpulan: Dari hasil penelitian terdapat hubungan antara usia ibu, paritas dan menyusui serta tidak adanya hubungan antara pendidikan, pekerjaan, dan jenis persalinan terhadap prevalensi disfungsi seksual.


2020 ◽  
Vol 12 (2) ◽  
pp. 966-970
Author(s):  
Tantri Dwi Kaniya Retno Hapsari ◽  
Mardheni Wulandari ◽  
Haryadi Haryadi ◽  
Salma Restiany Sabilla

Background: Sinusitis and rhinitis are closely related diseases, especially chronic rhinitis. Allergic rhinitis is an allergic reaction to the nose that exposed to allergens. Sinusitis is an inflammatory disease that occurs in the sinus mucosa caused by inflammation of the nose with symptoms in the form of nasal congestion and pressure in the infected sinus area. Purpose: This study aims to determine whether there is a relationship between Allergic Rhinitis and Sinusitis on Paranasal Sinus Photo Examination at RSUD DR. H. Abdul Moeloek Bandar Lampung in 2019. Research Method: The research method used in this study is a descriptive analytic study with a cross sectional approach because it intends to analyze the influence or relationship in the study. The research design is cross sectional, which is a type of research conducted by collecting data only once at a time. The result: By using the Chi Square test, it shows a p-value = 0.000 which is less than the significance value of 5% (0.05), this shows that there is a significant relationship between allergic rhinitis and sinusitis. From the above analysis, it was found that the OR value = 17.28, which states that patients who experience allergic rhinitis have 17.28 times to experience sinusitis. By using the Chi Square test, it shows a p-value = 0.000 which is less than the significance value of 5% (0.05), this shows that there is a significant relationship between allergic rhinitis and sinusitis. Conclusion: There is a significant relationship between allergic rhinitis and sinusitis on the paranasal sinus photo examination at RSUD DR. H. Abdul Moeloek Bandar Lampung in 2019.


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