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The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Gizi buruk menyebabkan terhambatnya pertumbuhan pada anak-anak. Salah satu masalah pertumbuhan pada balita adalah terhambatnya pertumbuhan tinggi badan anak sehingga anak tumbuh tinggi tidak sesuai dengan umurnya yang disebut dengan balita pendek atau stunting. Penelitian ini bertujuan mengetahui gambaran dan factor-faktor yang berhubungan dengan kejadian stunting pada balita umur 24-59 bulan di wilayah kerja Puskesmas Ollot tahun 2019. Desain pada penelitian ini menggunakan cross sectional dengan penelitian survey analitik. Sampel yang sebanyak 91 responden. Analisis yang digunakan chi-square untuk melihat hubungan antar variabel. Hasil penelitian ini sebanyak 13% balita usia 24-59 bulan di Puskesmas Ollot yang berat lahirnya <2500gram BBLR, 75% berstatus infeksi penyakit (diare dan ISPA), 65% tidak mendapatkan ASI Eksklusif, dan 91% balita memiliki status imunisasi dasar lengkap. Dililihat dari hasil analisis terdapat hubungan beramakna antara faktor pemberian ASI Eksklusif dengan kejadian stunting pada balita usia 24-59 bulan di Puskesmas Ollot Tahun 2019. Diharapkan Dinas Kesehatan bersama Pemerintah Kabupaten untuk dapat memberikan informasi secara luas melalui penyuluhan maupun pelatihan kepada masyarakat ataupun kader kesehatan mengenai status gizi balita khusunya stunting.    

Motivation is the driving factor to achieve a quality services, especially in health. Work motivation is desirable in order to improve public health, it also can be expected to produce socially optimal production in accordance with the goals and ideals of the organization in the future. Research Purposes to determine the influence of work motivation on employee performance at Puskesmas Kairatu Method. This type of research used in this study was cross sectional. This research was conducted at the health center Kairatu West Seram regency. The population in this study were all employees of the health center Kairatu totaling 84 people. While the sample is done purposive sampling amounted to 69 people. The survey results revealed that respondents are less intensive relationship with the motivation to work as much (100%). For quite intensive relationship with the motivation does not support as many (10.8%) and motivational support as many (89.2%). known relationship with the working conditions are less motivation to work as much support categories (100%). For good working conditions to do with the motivation that does not support as many (11.4%) and support as many (88.6%). it is known that the relationship is less motivated colleagues support as many categories (100%). For a good relationship with co-workers motivation does not support as many (11.1%) sedangan motivational support as many (88.9%). Chi-square test results note that there is no significant relationship between the variables relationships with colleagues with the motivation which means p = 1.000 p> 0.05.

Pulmonary TB is a major problem in the prevention and eradication of TB in the world. This study aims to determine the relationship between the role of the family and compliance with taking medication for elderly people suffering from pulmonary TB at the Adam Malik Haji Central General Hospital, Medan in 2021. This type of research is descriptive correlation with a cross sectional research design. The number of samples was 43 from April to June 2021. The research was conducted at RSUP. Human Rights at the MDR TB Polyclinic. Bivariate analysis used the chi-square test to determine the relationship between the role of the family and the role of nurses on medication compliance, while the multivariate analysis used medication compliance for elderly people suffering from multiple logistic pulmonary TB. Based on hypothesis testing using chi-square with a confidence level of 95%, it was found that there was a significant relationship between family role and medication adherence (p=0.01). There is a significant relationship between. Based on multivariate analysis, the variable that was most related to medication adherence in MDR TB sufferers was informational family support (p=0.01). The conclusion of this research is that there is a relationship between the supportive role of nurses and compliance with taking medication in TB sufferers.

Background: Obesity is a pathological condition due to excessive fat accumulation than is needed for body function. Pregnant women with overweight and obesity are at high risk and have been shown to be associated with increased complications in pregnancy. Cesarean section is a surgery to deliver a fetus by opening the abdominal wall and uterine wall. Generally, in cesarean section, spinal anesthesia is performed. Objective: to determine the hemodynamic picture of obese caesarean section patients with spinal anesthesia. Method: The method used is observational analytic with a cross-sectional approach and consecutive sampling technique. Data analysis uses parametric statistics. The data in this study are the results of differences in obese and non-obese patients. Data collection techniques in this study include documentation and observation. Results: The pre-anesthesia results obtained an average systolic blood pressure = 138.31 ± 17.528, an average diastolic blood pressure = 82.54 ± 10.643 and an average pulse of 100.69 ± 15.315, while the results after 5 minutes obtained an average systolic blood pressure of 105.31 ± 12.572, an average diastolic blood pressure of 61.15 ± 11.753 and an average pulse of 99.54 ± 18.963. Conclusion: Changes in blood pressure and pulse before spinal anesthesia with after spinal anesthesia in obese patients undergoing cesarean section showed a decrease in blood pressure and pulse in the 5th minute after injection.

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

The purpose of this study was to determine the effect of health education on early detection of cervical cancer on the motivation of women of childbearing age to carry out VIA examinations in the working area of ​​the Antang Health Center in 2021. This type of research was an analytical survey method with a cross sectional study approach. With a population of 197 people and a sample of 30 people, the sampling technique used was purposive sampling. Data analysis was performed by Mc.Nemar test. The results of statistical tests on all respondents using the Mc.Nemar test obtained p value of 0.000 < p value of 0.05. HO is rejected It has been accepted, then there is an influence on women of childbearing age carrying out an IVA examination in the Antang Health Center Work Area in 2021.

Blood is an important component of the human body, therefore the supply of blood at the Indonesian Red Cross must be maintained. In the era of the Covid-19 pandemic that hit Indonesia, the amount of blood supply at the Indonesian Red Cross decreased. Seeing this condition, lecturers and students from the Management Program of the Universitas Islam Batik Surakarta initiated blood donation activities to the community with the aim of providing education and socialization of the importance of blood donation in the pandemic era, increasing the number of blood bags, humanitarian efforts to help others and a concrete manifestation of the implementation of community service as one of the Tri Dharma of Higher Education. The activity was held on October 14, 2020 at the Keluarahan Tipes, Serengan with health protocol and 3M principles. Participants who registered were 28 participants, who qualified as donors as many as 25 participants. The amount of blood that was collected was as many as 25 bags. The result, the event can run smoothly and orderly and it is hoped that this activity can be held regularly.

In an effort to maintain the quality of education on the influence of the development of information technology contained in the SMK curriculum majoring in Building Information Modeling Design in building structure subjects, it is necessary to introduce to students that there is a computer program that can support it. The computer program is SAP 2000 which can be used to analyze the forces acting on the structure of beams, columns, plates, and the cross-section of a 2-story house construction. As a form of effort that can be made to maintain the quality of education on the influence of the development of information technology contained in the SMK curriculum, majoring in Building Information Modeling Design (DPIB) in building structure subjects, it is necessary to make a proposal to hold an activity "Training on Design and Modeling of 2 Floor House Buildings Using the SAP 2000 Program in the Department of Design and Building Information Modeling SMK PGRI 1 Gresik".

Penyakit Stroke adalah salah satu penyakit serebiovaskuler yang lebih sering terjadi di berbagai negara baik negara maju maupun negara yang sedang berkembang seperti Indonesia. Di RSUD H. Andi Sultan Daeng Radja, data pasien stroke tahun 2017 sebanyak 103 orang, tahun 2018 sebanyak 140 orang, dan tahun 2019 sebanyak 150 orang, ini artinya terjadi peningkatan pada pasien stroke setiap tahunnya. Akibat dari meningkatnya jumlah pasien stroke di RS ini, banyak dari pasien arus berbaring lama di perawatan. Periode Januari 2019 sampai Januari 2020, tercatat sebanyak 18 resiko dekubitus karena baring lama.Tujuan penelitian ini adalah untuk diketahuinya hubungan penggunaan matras anti dekubitus dengan integritas kulit pada pasien stroke di RSUD H. Andi Sulthan Daeng Radja Kabupaten Bulukumba. Desain penelitian menggunakan cross sectional. Cara pengambilan sampel yang digunakan yaitu probability sampling dengan tehnik sampling Consecutive Sampling. Penelitian ini telah dilakukan di RSUD H. Andi Sultan Daeng Radja Kabupaten Bulukumba pada bulan Agustus 2020. Hasil penelitian yaitu jumlah responden yang menggunakan matras antidekubitus sebanyak 13 orang (92,9%) sedangkan tidak menggunakan matras sebanyak 1 orang (7,1%) sedangkan jumlah responden berdasarkan integritas kulit selama kurang waktu tujuh hari perawatan  yaitu membaik sebanyak 13 orang (92,9%) sedangkan memburuk sebanyak 1 orang (7,1%). Uji analisis fisher exact test didapatkan nilai p = 0.041 (< α = 0.05). Berdasarkan hasil penelitian yang dilakukan ada hubungan penggunaan matras anti dekubitus dengan perubahan derajat dekubitus pada pasien stroke di RSUD H. Andi Sultan Daeng Radja Kabupaten Bulukumba. Diharapkan adanya penelitian lanjutan dengan jumlah sampel yang lebih banyak dengan pengkajian yang mendalam serta mengontrol faktor-faktor yang mempengaruhi dekubitus.

Online mass media is one of the preferred sources of information because of its speed in conveying information. Despite its advantages, issues have emerged about the lack of credibility of online news due to the news being presented concisely and not providing perspective. Readers do not get actual information because the title and content of the news in the news script presented in online media do not match. This research will analyze the news content presented by the online mass media Radar Bogor to determine the extent to which this media provides news content that is trusted as a source of information using qualitative methods. Radar Bogor media news content analysis will be carried out by selecting 10 news stories published on Radar Bogor's Instagram feed for the period May 2021-June 2021 regarding information on cross-border bans during the Covid-19 pandemic situation. Based on the analysis carried out, news values ​​(characters, closeness, interesting, actual, impact) influence the level of reader trust in the news presented, readers do not like inappropriate headlines and news content.

ARI is an acute infection that attacks the respiratory tract, namely the organs that start from the nose to the alveoli along with the adnexa. In general, the risk factors for ARI are physical environmental factors, host factors, agent factors and social environmental factors, physical environmental factors, namely indoor air pollution. , the physical condition of the house. The purpose of this research is to find out how the correlation of knowledge and the environment with the incidence of ARI in the community in Nania Village, Ambon City. The research design used in this research is descriptive analytic research with a cross sectional approach. This research was carried out in Nania Village, Ambon City in July-August 2020. The research sample used was 60 people. The sampling method in this study was simple random sampling. From the research results, it was found that there was a relationship between the incidence of ARI and room occupancy density, a value of 0.000 was obtained, there was a relationship with the type of floor, a value of 0.000 was obtained, there was a relationship with the type of wall, a value of 0.000 was obtained, there was a relationship with the ceiling of the house, a value of 0.000 was obtained, there is a lighting relationship obtained a value of 0.000. So it can be concluded that there is a significant relationship with the incidence of ARI in the Nania village community, Ambon city.  

An integrated service post or often called posyandu is a health effort that is sourced from community resources, managed and organized from, for, by and with the community. The aim of the research is the influence of the Covid-19 pandemic on visits by toddlers to the posyandu in Alaa Wanggudu Village, Asera District, North Konawe Regency. The type of research used is a Cross Sectional Study. The samples in the research were all mothers with toddlers who came to the Alaa Wanggudu Village Posyandu, totaling 32 toddlers. The results of the research show that there is an influence of the COVID-19 pandemic on visits by toddlers at the posyandu in Alaa Wanggudu Village, Asera District, North Konawe Regency (p value = 0.039 < ? value = 0.05,) there is an influence of education on visits by toddlers to the posyandu in Alaa Wanggudu Village, District Asera, North Konawe Regency (p value = 0.031 < ? value = 0.05), there is an influence of anxiety level on toddler visits at the posyandu in Alaa Wanggudu Village, Asera District, North Konawe Regency (0.032 < ? value = 0.05), there is an influence of work on toddler visits at the posyandu in Alaa Wanggudu Village, Asera District, North Konawe Regency (p value = 0.027 < ? value = 0.05). The conclusion is that there is an influence of the COVID-19 pandemic, anxiety levels, work, education on visits by toddlers at the posyandu in Alaa Wanggudu Village, Asera District, North Konawe Regency. Suggestion: Mothers should continue to regularly take their children to the posyandu while still implementing health protocols.

Kontaminasi bakteri patogen dalam produk makanan mahal bagi masyarakat dan industri. Metode tradisional untuk mendeteksi dan mengidentifikasi patogen bawaan makanan seperti Listeria monocytogenes biasanya memakan waktu 3-7 hari. Pada makalah ini, sistem klasifikasi dikembangkan untuk mengidentifikasi pengambilan citra bakteri menggunakan alat optical light scattering dan menghasilkan citra berbentuk grayscale. Algoritma klasifikasi yang diusulkan didasarkan pada Invariant Zernike Moment berbasis Support Vector Machine pada kernel Radial Chebyshev Moments yang dihitung dari dataset citra bakteri apda 4 genus yang digunakan sebagai dataset. Sebanyak 400 citra bakteri dengan 100 citra pada masing-masing jenis genus telah di uji dan menghasilkan akurasi pada proses indetifikasi dengan capaian sebesar 78,33% pada 5-fold Cross Validation.

Osteoarthritis is a group of rheumatic diseases that most often causes joint disorders, causes pain and disorders in the elderly which generally attacks weight-bearing joints, especially the knee joints. Being overweight can cause damage to joint cartilage. populations with overweight or obesity have greater risk factors for knee osteoarthritis than populations with normal negative weight. excess body weight can reach four to five times greater, thereby accelerating damage to joint cartilage structures. The purpose of this study was to find out the relationship between obesity and knee osteoarthritis in the Working Area of the Batu Aji Health Center, Batam City in 2020. The type of research was analytic with a cross-sectional design, using purposive sampling by looking at secondary data. There were 67 respondents in this study. The results of this study obtained the results of the statistical test chi suare p value = 0.001 (0.05), this indicates that there is a significant relationship between obesity and the incidence of knee osteoarthritis in the elderly in the Batu Aji Health Center Work Area, Batam City in 2020. It is recommended for the elderly to can do physical activities such as gymnastics, morning walks and consume foods and drinks rich in calcium such as milk and fruits in order to maintain bone health in the elderly

The Relationship between Work Shift and Work Fatigue in the Emergency Room Nurses and the Ward Room of RSUD Piru, West Seram Regency in 2020. Therefore, shift work every day, namely the morning shift starting at 08.00-17.00 WIT while the night shift starts at 17.00-08.00 WIT. The health of nurses is very important so that health services in the community can be optimal, considering that nurses are human resources who play an important role in the hospital for 24 hours. And one of the efforts to improve the quality of service with work shift regulations. Work shifts need to be considered the time or biological clock that corresponds to our body for work accidents. Work fatigue contributes to the occurrence of work accidents caused by fatigue factors. This type of research uses quantitative research with a cross-sectional study design (cross-sectional) where measurement of the variables can be done at the same time so that it is quite effective and efficient. Research subjects were taken 30 nurses from the ER and Ward at PIRU Hospital. The measurement results show the relationship between work shifts and work fatigue of nurses in the ER and Ward there are 8 respondents (26.7%) who have a morning shift schedule and experience fatigue and 7 respondents (23.3%) respondents who have a night shift schedule and do not experience fatigue. The statistical test results show a significant value α <0.003, which means that Ha is accepted by Ho is rejected.  

Immunization is one of intervention to give immune for the baby/child with the procedure input vaccine into the body so the body could make antibody against  to disease spesificly. Immunization services for baby/child at tatinang have not yet reached Universal Child Immunization. It was mean more than 90%  had achieved. They are BCG (50%), DPT (40%), Hepatitis B (20%), Polio (60%) and Campak (10%).  The aim of this research to know sttitude related  to mother’s effort for giving immunization in children at tatinang. This research is analysis description with cross sectional study. All of mothers who have child 12-23 month at tatinang, as respondent have taken by total sampling (30 respondent) and used chi-square with significant level ?=0,055. Result of research has showed that there was relationship between attitude p=0,000. For respondent to more interesting in giving immunization for children base on their ages to protection from some disease

Cervical cancer is a malignancy in the cervix or cervical uterus. Efforts made to detect cervical cancer include cervical cancer screening with Inspection of Visual Acetate (IVA) method. The purpose of this study was to analyze the factors that influenced the interest in visiting the inspection of Visual Acetate (IVA) Inspection by Productive age women in Sipahutar Health Center in 2019. The type of this study was the Cross Sectional method. The population in the study was productive age women in Sipahutar Public Health Center. The eligible women were 4408 women and 96 women were taken as sample . The results of the study stated that there was a significant influence between age and interest in visiting; education; knowledge; access to information; health services; support of health and socio-cultural personnel with p value <0.05. The variable that most influenceing was the interest in IVA examination visits is access to information with a value of Rp. 95,615. It is hoped that productive age women will increase its knowledge about the dangers of cervical cancer and participate in the early detection of cervical cancer using the IVA method at the health care facility.

Online learning is carried out as a form of health protocol in order to inhibit the spread of the corona virus. The method is descriptive correlation type, cross sectional study approach. The populations were all the students in grades V and VI of SDN 2 Kota Barat, amounting to 66 people. With the Total Sampling technique. The results showed most of the school-age children at SDN 2 Kota Barat had a high category of online learning adaptation and experienced mild anxiety. The relationship between online learning adaptation and anxiety levels in school-age children during the pandemic at SDN 2 Kota Barat. Children who have been able to adapt well have also indirectly succeeded in reducing the anxiety they face during the teaching and learning process. It is recommended for nursing students not only to focus on studies related to health and nursing, but also to examine the world of education which of course is related to health problems

The use of masks during the Covid-19 pandemic is very important to protect yourself and others from the risk of transmitting this virus. As it is known that most of the transmission of Covid-19 is through droplets, it is felt necessary to protect yourself. Masks can be a barrier for droplets both coming from within and from others. The purpose of research was to determine the description of compliance with the use of masks in the community during the pandemic in Kota Tengah District. This research method uses a quantitative descriptive approach with a cross sectional design. Samples were taken using cluster random sampling technique, Data was collected using a questionnaire sheet and data analysis was carried out using a frequency distribution table. The results showed that most of the people of Kota Tengah district were obedient in using masks but there were still many who did not comply with using masks