Factors Causing Breast Milk Dams in Postpartum Mothers at Ajangale Community Health Center Implementing Unit

This study employs a descriptive quantitative approach. A cross sectional design was adopted for the investigation. There are 35 samples that fit the requirements. The findings of this study indicate that 1) bivariate analysis using the chii square test yielded a p-value of 0.000 p0.05, indicating that Ha is accepted and H0 is rejected, implying that there is a relationship between breastfeeding on demand and the incidence of breast milk dam at UPT Ajangale Health Center. 2) bivariate analysis using the chii square test yielded a p-value of 0.001 and a p-value greater than 0.05. This suggests that Ha is accepted and H0 is rejected, implying that there is a correlation between breast care and the occurrence of breast milk dams at UPT Puskesmas Ajangale. 3) using bivariate analysis, the chi square test results were produced; the chi square test resulted in a p-value of 0.002 p>0.05. This indicates that there is a correlation between nursing postures and breast milk dams at UPT Puskesmas Ajangale.

Factors Affecting Nurse Performance at Datu Beru Takengon General Hospital

This study aims to determine the factors that influence the performance of nurses and to determine the most dominant factors affecting the performance of nurses at the General Hospital Datu Beru Takengon 2021. The research design used a quantitative analytic survey with a cross-sectional design. The population is all nurses in the Inpatient Room at RSU Datu Beru Takengon as many as 200 people. The sampling technique used was random sampling. Data analysis was performed by univariate, bivariate and multivariate analysis with chi_square. The results of the Chi-Square statistical test analysis obtained p-value = 0.003 < 0.05, which means there is a relationship between workload and nurse performance, while the length of service period obtained p-value = 0.652 < 0.05, which means there is no relationship between length of service and nurse performance, the training variable obtained p-value = 0.004 < 0.05 which means there is a relationship between training and nurse performance, the discipline variable obtained p-value = 0.005 < 0.05 which means it means that there is a relationship between discipline and nurse performance and the motivation variable is obtained p-value = 0.002 < 0.05, which means there is a relationship between motivation and nurse performance. The results of the Multivariate test analysis showed that the variables that influenced the performance of nurses were workload, discipline and motivation, while the most dominant variable was the workload variable with p = 0.002 <0.05.

Factors Affecting Eating Patterns on Blood Sugar Levels in Diabetes Mellitus Patients in UPT Puskesmas Narumonda

The purpose of this research was to identify and evaluate the major dietary components linked with blood sugar levels in diabetic patients at UPT Puskesmas Narumonda in Toba Regency. This sort of study employs a cross-sectional descriptive analytic survey. The population in this research was 118 individuals, whereas the sample size was 54. Univariate, bivariate, and multivariate analyses were used to analyze the data. The chi-square test results indicate that the sugar level of people with diabetes mellitus is related to the number of calories p = 0.000, the type of food p = 0.000, and the eating schedule p = 0.003, indicating that there is a relationship between obesity, the number of calories, the type of food, and the eating schedule and blood sugar levels in people with diabetes mellitus. The findings of multivariate analysis indicate that the most relevant variable in this research, with an OR value of 53, is the quantity of calories. The research concluded that the quantity of calories consumed is the most important factor influencing blood sugar levels in persons with diabetes mellitus at UPT Puskesmas Narumonda, Toba Regency. To help lower the occurrence of diabetes mellitus, it is intended that the Health Service, puskesmas, and health professionals would collaborate to give frequent counseling about diabetes mellitus and a healthy and balanced diet.

Effects of Dietary Inclusion of Ginger (Zingiber Officinale) and Garlic (Allium Sativum) Oil (GGO) Mixtures on Carcass Characteristics and Sensory Evalaution of Broiler Chickens

An experiment was conducted to assess the influence of GGO on carcass features and sensory assessment of broiler chickens. 120 1-day-old (Arbo acre) birds were separated into five treatments, each with three replicates of 8 birds. Throughout the 8-week trial, clean feed and water were available at all times. NRC's basal diet was designed to suit avian nutritional needs (1994). A 0% GGO meal was given to the birds in treatment 1, whereas GGO levels of 0.1, 0.2, 0.3 and 0.4 percent were given to the birds in treatments 2, 3, 4, and 5. As well as studying the phytochemical content of (Zingiber officinale) and garlic (Allium sativum) oil, carcass and organ features of birds were also studied. Zingiber officinale contains phenols (8.21%), alkaloids (5.12%), flavonoids (7.49%), tannins (6.52%), saponins (3.18%), streiods (2.38%), glycosides (0.18%), oxalates (0.07%), and phytate (0.07%). (0.02 %). Sativum contains flavonoids (10.67%) alkaloids (7.02%) tannins (4.72%) steroids (3.65%) saponin (2) glycoside (0.33%) oxalates (0.26%) and phytate (0.26%). (0.05 %). Dressing %, carcass and relative organ weights differed across treatments (P0.05). The liver, kidney, spleen, and other internal organs showed no signs of inflammation. GGO altered meat sensory assessment (tenderness, juiciness, taste, and fragrance) except meat color which was not significantly (P0.05) different across treatments. GGO may be fed to broilers up to 0.4 percent without affecting their health or performance.

A Critical Analysis on the Social Determinants of Health in Disabled Population

This paper addresses the social determinants of health affecting the disabled population. It is considered that the prevalence of disability among the general adult population is significant. Furthermore, this paper presents a comprehensive analysis to identify the key social determinants which are highly applicable to health inequities and inequalities. Correspondingly, recommendations are critically proposed and laid out to address the issues impacting the given population. The health interventions and stakeholders involved are also critically examined to provide a broader perspective on the issue.

The Relationship of Pharmaceutical Service Quality with Outpatient Satisfaction in Internal Medicine Polyclinic

It is a direct and responsible service to patients in the pharmaceutical field, which aims to enhance the quality of life of patients by attaining certain goals. Satisfaction is a result of how people perceive their own and others' performances. The performance of the health services received by new patients will be pleased if it meets or surpasses their expectations, and patient disappointment or discontent will develop if the performance of the health services received does not meet their expectations. The purpose of this research was to find out whether there was a link between patient satisfaction at H. Adam Malik Hospital and the quality of the pharmaceutical services provided. Researchers at Medan's Haji Adam Malik Hospital used cross-sectional survey analysis to examine the link between the independent and dependent variables, namely, the quality of pharmaceutical services provided and patient satisfaction. Aromatherapy wind oil preparations using small white ginger essential oil (Zingiber officinale Roscoe) concentrations of 4%, 5%, and 6% meet the criteria, the organoleptic test is a light yellow, clear liquid, had a distinctive smell and felt warm, homogeneity, the wind oil pH test is 6, the irritation test was non-existent, and the hedonic test was successful. Outpatient satisfaction with pharmaceutical services at H. Adam Malik Hospital Medan was shown to be associated with the quality of pharmaceutical services, according to the study's findings.

Handling Social Stigma Around Covid-19 Case Study in Lut Tawar District

The aim is to analyze the handling of the social stigma of Covid-19 in terms of social aspects and aspects of government policy, the case study of Lut Tawar District, Central Aceh Regency. The research design used qualitative research with a descriptive approach. There were 7 informants in this study, consisting of 1 head of the covid task force, 1 head of the puskesmas, 1 village head, 3 community leaders who were exposed to covid 19 and 1 community member who was not exposed to covid 19 in Lut Tawar District, Central Aceh. Data analysis techniques with data reduction, data presentation, and drawing conclusions. The results showed that the informants knew the covid 19 virus and its prevention, fear and worry appeared stigma on people who had cough, flu and fever were considered symptoms of covid 19, people stayed away and did not want to be in contact with the informant even though they had recovered. lack of village officials paying attention to communities exposed to covid 19. The government, heads of health centers and village heads have carried out their duties in dealing with stigma in the community by establishing command posts, coordinating patients exposed to health workers, driving vaccination programs, prohibiting people from gathering and making protocol regulations health. The conclusion obtained from the results of this study is that efforts to involve influencers to strengthen messages that can reduce stigma, change patterns of friendship behavior and prevention efforts have been carried out starting from lower levels of government to upper levels.

Analysis of Factors Affecting Waiting Time for Results of Clinical Laboratory Examinations at Medan Haji General Hospital

The purpose of this study was to analyze the factors that affect the waiting time for clinical laboratory examinations at RSU Haji Medan in 2021. This study is a mixed method. Using a total sampling of 17 people, namely all laboratory workers, the main informants in this study were clinical pathology doctors, room coordinators, clinical laboratory analysts at Haji Medan General Hospital (RSU) totaling 3 people and patients totaling 3 people. 1 additional informant, namely the Management section at RSU Haji Medan. The quantitative results are that there is a relationship between the qualifications of laboratory personnel having a value of p = 0.000, at the facility p = 0.044, there is no relationship between the transportation of specimens, the value of p = 0.099, there is a relationship between pre-analytical, analytical and pre-analytical problems. post analytic p value = 0.022, there is no electrical stability relationship p value = 0.235. Based on the results of research according to information and informants about the qualifications of officers running smoothly. have to send the sample to a private laboratory. Based on these results, it was concluded that the waiting time for laboratory results at RSU Haji has reached the standard that is in accordance with the minimum service standards at the Haji General Hospital in Medan City.

Relationship between workload and job satisfaction of nurses at the Young Inpatient Installation Ready for Surgery at the Aceh Tamiang Regional General Hospital

The purpose of this study was to determine the relationship between workload and job satisfaction of nurses in the Young Inpatient Installation available for surgery at the Aceh Tamiang Regional General Hospital.This research is a cross sectional analytic survey type where the independent variable and the dependent variable are examined simultaneously. The population in this study were 30 nurses in the Young Inpatient Installation available for surgery at the Aceh Tamiang Regional General Hospital. The results of the bivariate analysis with the chi-square statistical test showed that there was a relationship between qualitative workload and job satisfaction of nurses with a p-value of 0.005 (p <0.05), there was a relationship between quantitative workload and job satisfaction of nurses with a p-value of 0.019 ( p <0.05) after the chi-square statistical test was performed. It is recommended to the Aceh Tamiang Regional Hospital for the placement of the need for nurses to be adjusted in quantity and quality to increase job satisfaction of the nurses in charge, to conduct surveys and analysis of job satisfaction periodically for evaluation as a basis for improving and improving employee performance from the aspect of job satisfaction of nurses, and for other researchers. It is hoped that they can carry out more specific research with other factors that can lead to job satisfaction of nurses related to different methods and data analysis.

Analysis of the Role of the Midwife in Increasing Exclusive Breast Milk at UPT Puskesmas Mare

The kind of research that was utilized in this study was an analytical questionnaire. In this study, a cross-sectional design was employed to collect data. Sixty-six individuals were included in the samples that fulfilled the requirements. The findings revealed that 1) the midwife's attitude toward promoting exclusive breastfeeding at the UPT Puskesmas (Community Health Center) Mare had no impact on the outcomes of the study. The results of the chi square test revealed that the p-value was 0,089, indicating that the hypothesis was correct (0,05). There is an association between midwife assistance and an increase in exclusive breastfeeding at the University of Puskesmas Mare, according to the findings of the chi square test (p-value =0,007 for exclusive breastfeeding at the UPT Puskesmas Mare) (0,05). The rise in exclusive breastfeeding at the UPT Puskesmas Mare may be attributed to the midwifery program, according to the findings. The results of the chi square test reveal that the p-value is 0,0002, which indicates a significant difference (0,05). 4) Midwife assistance had a 12,7-fold higher impact on the rise in exclusive breastfeeding, with a p-value of 0.028 0.05 for the effect of midwife support. The midwife program, on the other hand, had a moderate impact on the rise in exclusive breastfeeding, with a p-value of 0,038 0.05 and a moderate effect of 11,1 times on the increase in exclusive breastfeeding.