PENYULUHAN PENGATURAN POLA ISTIRAHAT IBU DALAM PEMBERIAN ASI EKSKLUSIF PADA BAYI DI DESA PANDAU HULU 1

ABSTRAK Exclusive breastfeeding is breastfeeding for 6 months without the addition of other fluids, such as formula milk, oranges, honey, tea water, and water, and without added solid foods, such as bananas, milk porridge, biscuits, rice porridge, and team rice, except vitamins and minerals and medicine (Roesli, 2000). In addition, exclusive breastfeeding is also related to the act of giving breast milk to babies up to 6 months of age without other food and drinks, except medicated syrup. After the baby is 6 months old, then the baby begins to be given complementary foods, while breast milk can be given for up to 2 years or more (Prasetyono, 2005). Breastfeeding is not only beneficial for babies but also for mothers who are breastfeeding. The benefits of breastfeeding for babies include: ASI as nutrition, breast milk can increase the baby's immune system, develop intelligence, and can increase relationships of affection (Roesli, 2000).       The benefits of breast milk for babies are as nutrition. Breast milk is an ideal source of nutrition with a balanced composition and adapted to the baby's  growth. Breast milk is the most perfect baby food, both in quality and quantity. With proper breastfeeding management, breast milk as a single food will be sufficient to meet the growing needs of a normal baby up to 6 months of age. After 6 months of age, babies should be started on solid foods, but breastfeeding can be continued until 2 years of age or more .. &nbsp

STUDI KHASIAT DAUN KATU (SAUROPUS ANDROGYNUS) DALAM MENGATASI KERACUNAN ION TEMBAGA BERDASARKAN GAMBARAN HISTOPATOLOGI OVARIUM TIKUS BETINA

Kemampuan daun S.androgynus sebagai biosorben ion Cu(II) dari larutan berair diuji dengan menggunakan metode Batch. Hasil penelitian menunjukkan bahwa kapasitas adsorpsi daun S.androgynus diperoleh pada pH 4 dengan konsentrasi awal ion Cu(II) 1500 mg/L, dosis biosorben 0.1 g dan waktu kontak 15 menit. Pengujian dengan model isoterm Langmuir dan Freundlich menunjukkan nilai R2 0.9879 dan 0.9263. Hasil analisis FTIR menunjukkan terjadi pergeseran pada pita hiroksil (OH) dan karbonil (CO). Analisa SEM menunjukkan bahwa permukaan daun S.androgynus mempunyai permukaan yang berpori, berlekuk dan kasar . Pra perlakuan dengan antidote S.adrogynus sebelum dipaparkan dengan ion Cu(II) dapat menurunkan kadar SGOT, SGPT, urea, kreatinin dan MDA sebanyak 16,11%; 64,38%; 28,51%; 50% dan 38,7% secara berturut-turut. Pra perlakuan dengan daun S.androgynus dapat mengurangi derajat kerusakan organ ovarium tikus percobaan. Keywords: biosorpsi, Cu(II), daun katu, ovariu

HUBUNGAN PENGETAHUAN TENTANG KANKER PAYUDARADENGAN PARTISIPASI WANITA DALAM DETEKSIDINI KANKERPAYUDARA

Breast cancer is a condition in which cells have lost their normal control and mechanisms, resulting in abnormal growth that occurs in breast tissue. How to prevent breast cancer by doing a breast self-examination. Signs and symptoms of breast cancer include a lump in the breast, changes in the breast, nipple discharge, and breast engorgement. The purpose of this study was to determine the relationship between knowledge of breast cancer and women's participation in early detection of breast cancer in the first environment of Tanjung Gusta Village, Medan, which was held on 19-29 June 2019 with a population of 62 people. The sampling technique used a random sampling method. The data collection method in this research is using primary data. The results of this study indicate that the majority of women with sufficient knowledge about breast cancer are as many as 25 people (40.3%) and the minority of women who are knowledgeable enough about 24 people (38.7%), while the mothers who are well informed are 13 people (21.0%). From the results of the study, the number of women who had participated in breast self-examination was as many as 20 (32.3%) and the number of women who had never had their breast check-ups was 41 (67.7%). Based on the results of this study, it was concluded that the knowledge of women about breast cancer was mostly sufficient, while the participation of women in early detection of breast cancer mostly never did breast self-examination

KONTEKSTUALISASI PROSES KEPERAWATAN DIABETES MELLITUS TIPE 2 BERBASIS NEEDS ANALYSIS

Although some previous studies have discussed the nursing process for type 2 diabetes mellitus; however, research that specifically discusses adapting the nursing process for type 2 diabetes mellitus through needs analysis has never been studied before. This systematic review aims to review some research publications on nurses' understanding of type 2 diabetes mellitus, the nursing process for patients with type 2 diabetes mellitus, and a needs analysis based type 2 nursing process training model. By using descriptive qualitative research methods, this study uses scientific journal publications in the last ten years as the object of research to describe the condition of nurses' understanding of type 2 diabetes mellitus, the nursing process of type 2 diabetes mellitus patients, and nursing training models based on needs analysis. The results of this systematic review revealed that most of the research journal articles focused on revealing the care of patients with diabetes mellitus by doctors, medical therapy for patients with diabetes mellitus, and comorbidities caused by diabetes mellitus. However, research on nursing training to intensify the implementation of the nursing process for patients with type 2 diabetes mellitus is still very rarely done. By observing this condition, research on the implementation of the nursing process for patients with type 2 diabetes mellitus based on analysis is very necessary to improve the quality of health services for patients with diabetes mellitus

PENGARUH PENGETAHUAN TENTANG INISIASI MENYUSU DINI TERHADAP PROSES LAKTASI PADA IBU NIFAS DI KLINIK SUNGGAL KOTA MEDAN TAHUN 2017

Mother's skin will adjust its temperature to the baby's needs. Warmth during breastfeeding can reduce the risk of death due to hypothermia (cold). Mother and baby feel more calm, so that helps breathing and baby heartbeats more stable. So babies are more rarely fussy. This study aims to determine the effect of knowledge on early breastfeeding initiation of lactation process in postpartum mother at Sunggal Clinic Medan Medan 2017. This research is quasy experimental with pre-test, treatment, and post-test. The population in this study 10 people. Thenik sampling in the study is to use saturated sampling that is as much as 10 people. The results of research conducted on 10 respondents in Sunggal Clinic Medan Medan in 2017 the majority of respondents are well knowledge as many as 8 people (80%), and a knowledgeable minority of 1 person (10%) and less 1 person (10%). With the obtained p-Value of 0.007 so that there is a difference of knowledge about initiation of breastfeeding before and after. The conclusion in this research is that the respondent's knowledge about Initiation of Early Breastfeeding on lactation process at Sunggal Clinic is good knowledge, and it is suggested to the respondent to further improve the knowledge about IMD. &nbsp

NARATIVE REVIEW: POTENSI INULIN UMBI DAHLIA SEBAGAI ANTI DIABETES

Inulin is a type of polysaccharide that is commonly found in nature derived from the dahlia tuber plant, and other plants such as chicory, Jerusalem artichoke, Yaco´n potato and asparagus. Inulin is widely used in industry and pharmaceuticals. In the industrial world, inulin is used as a source of natural sweetener, enhances the taste of food, ferments, and is a low-fiber food source. While in the pharmaceutical world, inulin can be used in several studies, one of which is as an anti-diabetic. This study aims to determine the potential of dahlia tuber inulin as an anti-diabetic. The type of research is a narrative review. Search data using three databases, namely Elsevier (SCOPUS), Pubmed and Google Scholar with a limitation of the last 10 years of articles with the keyword "inulin for diabetes", with the PRISMA method. The results showed that inulin works on glucose absorption in the intestine, lowers blood sugar levels, lowers hemoglobin A1c, increases circulating GLP-1, reduces hyperglycemia, reduces insulin resistance (IR) and hyperlipidemia, reduces oxidative stress, increases insulin and leptin levels, facilitates glucose transport of GLUT4 by activating the PI3K/Akt pathway, is anti-inflammatory, and is involved in the expression of several anti-hyperglycemic genes. The conclusion is that dahlia tuber inulin has an anti-diabetic effect

Relationship Between Nurse Management Functions And Work Functions Of Implementing Nurses In Non-Surgery Inpatient Efarina Etaham Hospital

Nurses play an important role in the administration of nursing services because nurses are the main key to the organization. However, there are still many roles and functions of nurses that have not been going well. The aim of this research is to determine the relationship between the management function of nurses and the work function of executive nurses in non-surgical inpatient care at Efarina Etaham Hospital. Type of quantitative research with a cross sectional approach. The study sample was 66 executive nurses in a non-surgical inpatient hospital at Efarina Etaham Hospital. The data was analyzed using the Spearmen's Rank test. The results of the study showed that there was a significant relationship between the management function of nurses and the work function of executive nurses in non-surgical inpatient care at Efarina Etaham Hospital, p value = 0.000. The level of strength of the relationship between the variables Nurse Management Function and Executive Nurse Work Function is 0.716 or strong.  The results of this research can be used as a source of information and analytical reports that can be useful for hospital management in terms of improving nurses' work functions. The results of this research are used as input and consideration for Efarina Etaham Hospital in making decisions, especially in addressing management function issues so that Efarina Etaham Hospital continues to develop and can carry out management functions well. Future research should direct research with a larger survey scope with more in-depth interviews or experiments and with a larger sample, so that the causal factors can be identified. Keyword: Function management, Nurse wor

Analysis Of The Effect Of Service Quality, Marketing Mix, On Interest In Service Reuse Hospitalization

The diversity of people's needs for health products and services means that hospitals are competing as much as possible to serve consumers. Hospitals must improve the quality of service and also hospitals need to design marketing programs so that products/services get a response from the target market and run successfully. The marketing mix is a set of marketing tools used by the company to continuously achieve one of the marketing goals, namely to provide satisfaction to the wants and needs of consumers and to generate profits for the company from the mix market. The purpose of this study was to determine the effect of service quality and marketing mix on the intention to reuse inpatient services at RSU Royal Prima Medan in 2022. This research is a type of quantitative research. The research design used was an analytic observational method with a cross sectional approach. The population in this study was the average patient who came for treatment at the Inpatient Installation of RSU Royal Prima Medan in the last 3 months, totaling 1,653 patients. Sampling used SEM analysis where the number of samples was 150 patients. Data analysis used univariate, bivariate and multivariate analysis. The results showed that service quality had a positive and significant effect on the intention to reuse inpatient services at RSU Royal Prima Medan p-value <0.05, the marketing mix had a positive and significant effect on the intention to reuse inpatient services at RSU Royal Prima Medan p-value < 0.05. Simultaneously or simultaneously service quality and marketing mix have a positive and significant effect on the intention to reuse inpatient services at RSU Royal Prima Medan p-value <0.05. The independent variable that has the most influence on the dependent variable in this study is the service quality variable.Keywords: Hospital, Interest in reus, Marketing mix, Quality of servic

Correlation Between Blood Glucose and Estradiol Levels in Women in Reproductive Age

Type 2 Diabetes mellitus (Type 2 DM) is a metabolic disorder characterized by an increase in blood sugar caused by decreased insulin secretion by pancreatic beta cells and/or impaired insulin function (insulin resistance). This study aimed to determine the specific levels of estradiol hormone in reproductive age women with diabetes mellitus in different age groups. This was an analytical study in  September at Royal Prima Hospital, North Sumatra, Indonesia. Twenty women participated in this study after informed consent and were divided into two age groups: 40–45 years old and 46–50 years old.  Blood samples were collected after 10-12 hours of fasting to assess blood sugar and estradiol hormone levels. Data were then analyzed using the dependent t-test dependent and compared. No significant difference in blood sugar level was found between the two age groups (p-value=0.113, p-value> 0.05) that there were no significant differences in blood sugar levels between the two age groups. The estradiol hormone level in the age group 40-45 years was lower than in the age group 46–50 years, and the difference was significant (p-value =0.000, p-value0.05) sehingga tidak ada perbedaan kadar gula darah yang bermakna antara kedua kelompok tersebut. Kadar hormon estradiol pada kelompok usia 40–45 tahun memiliki kadar estadiol lebih rendah dibanding dengan kelompok usia 46–50 tahun. Tidak terdapat korelasi antara DM tipe 2 dan hormon estradiol yang bermakna pada  penelitian ini.. Simpulam, bahwa usia bukan merupakan faktor penyebab utama peningkatan dan penurunan kadar gula darah dan DM tipe 2 tidak berhubungan dengan hormon estradiol

IGF-1 levels in Patients with Type 2 Diabetes Mellitus

Type 2 Diabetes Mellitus (Type 2 DM) is a metabolic disorder group with mechanisms that include hyperglycemia, insulin resistance and hyperinsulinemia. Type 2 DM has a close association with IGF-1, where the active form of the IGF-1 becomes elevated by reason of the fact that hyperinsulinemia inhibits the production of IGF-binding proteins (IGFBP) 1/IGFBP 2. The active form of IGF-1 has the ability to promote cell proliferation and inhibit apoptosis, hence becomes one of the risk factors for cancer cell growth. This was an analytical study conducted in August at the Harapan Bunda Clinic, Medan, Indonesia to determine the difference between the IGF-1 level and blood glucose level in type 2 DM patients in different age groups. Twenty subjects with Type 2 DM participated in this study and were divided based on their age into 35-50 years old or Group 1 and 51-65 year old group or Group 2. The IGF-1 levels in both groups were compared and analyzed using the T-test dependent method. Results showed that the IGF-1 and blood glucose levels were higher in Group 1 (35-50 years old) when compared to Group 2 and the difference was significant. The change in the IGF-1 level in diabetic patients cannot be determined only by the blood sugar level