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The use of sea sand in construction work from an economic point of view does have advantages. One of them is increasing the income of the sea sand collectors who are spread throughout the area in Fakfak Regency. In addition, the potential availability of sea sand is quite large and is able to accommodate all types of concrete construction work in this area. This study aims to determine and analyze the use of sea sand in the AC-WC mixture of course by doing the Marshall test. This study uses variations in asphalt content of 5.0%, 5.5%, 6.0%, 6.5% and 7.0%, this study was carried out using Marshall testing in accordance with the general specifications of Bina Marga 2018. The results of the research conducted showed a relationship asphalt content and Marshall parameters such as stability value, VMA, density, MQ at an asphalt content of 5.0%-7.0%, meet the specifications of 1932 kg, 19.84%, 2.26 gr/cm3 and 1031 kg/mm. Values of VIM, VFWA and flow at 5.5% asphalt content are known to not meet the mix spasticity, namely 8.07%, 59.71% and 1.67 mm. Based on the Marshall parameter data, the Optimum Asphalt Content value is 6.5%.

: Family support is one of the factors that may affect relapse in patients with epilepsy. Epilepsy is one a illness of brains and nerve’s with the highest incidence to four from ten diagnose in the Mental Hospital of West Java Province in  January-march 2022, with the incidence rate of as much as 500 patients. This study aims to determine the relationship of social support of families with epilepsy patients relapse frequency in the out patient Mental Hospital of West Java Province. Design of quantitative research with cross sectional approach and the sample amounted to 62 patients with epilepsy. Results of that study (40,3%) less family support, (9,7%) were family social support, and (50%) good family support. Results for the frequency of relapse in patients with epilepsy (38,7%) high recurrence rate (32,3%) recurrence rate was, and (29%) recurrence rate is low. The results using spearman rank test was obtained ρ value of 0,000 < 0,05. Means Ho is rejected, this shows there is a relationship of social support for families with epilepsy patients relapse frequency in the out patient Mental Hospital of West Java Province. Spearman correlation coefficients obtained a value of 0,603 which means that there is a significant relationship between social support of families with the frequency of relapse in patients with epilepsy. So it is suggested that the education in the family in order to continue to provide support to patients with epilepsy and is expected to nurse a mental hospital to provide information to families about the importance of the meaning of family social support for patients with epilepsy.

  This research aims to investigate the role of growth opportunities in affecting the relationship of debt policy with firm value. I predict growth opportunities as variables that moderate the relationship of debt policy with the firm value. Sample using sub-sector Various Industries  2016-2019 period, Indonesia Stock Exchange (BEI), Using purposive sampling techniques got 171 samples separated in 93 samples of corporate growth and 78 corporate, not growth. The findings of this study 1) Sales growth is suitable as a proxy for growth opportunities. 2) opportunity growth strengthens the relationship between debt policy and firm value. 3) Corporate that does not grow, debt policies can weaken the firm's value 

Adolescents are residents aged 10-18 years, while according to the Population and Family Planning Family strength is one of the most important things in preventing the occurrence of risky sexual in adolescents. The purpose of this study is to find out the relationship of family strength to sexual behavior at risk in adolescents of environmental bailang village v. This study was conducted in the early teens of bailang lingungan v village, Population of 130 respondents with a sample number of 33 resonden. This was done in August. This type of research is research using descriptive analytical methods that are cross sectional. The sampling technique uses purposive sampling. Data collection using the processor then collected data and analyzed using the Chi-Square test with a α level (≤ 0.05. Test This means that there is a significant relationship between family strength relationships and risky sexual behavior in. adolescents in the neighborhood. The conclusion of this study is that there is a family strength relationship with sexual behavior at risk in adolescents in the neighborhood. Advice the results of this study for developments in the field of nursing in the future.

Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is disable to produce insulin, which isenergy. Good knowledge determines adherence to diet in patients with type 2 diabetes mellitus. The purpose of this study was to determine the relationship between knowledge and dietary compliance of patients with type II diabetes mellitus at WolterMonginsidiTk.IIHospital Manado. This study was conducted in August on patients with diabetes mellitus at WolterMonginsidiTk.IIHospital Manado with population are 141 respondents and 35 respondents was taken as samples of this research with using non-probability sampling technique type which is accidental sampling technique. The type of this research was using descriptive analytic method with a cross sectional approach, and used questionnaire as research instrument. The data was collected and analysed using Chi-square test with a significance (α) ≤0.01. The results of Chi-square statistical test obtained ρ-value (α = 0.01). This means that there is a significant relationship between knowledge and dietary compliance in patients with diabetes mellitus at the WolterMonginsidiTk.II Hospital Manado. The conclusion of this studythere is a relationship between knowledge and dietary compliance in patients with diabetes mellitus. The suggestion from this study is hopefully this study can give benefit in Nursing development.  

The hospital is a health service institution that provides comprehensive health services that have a high risk of patient safety, patient companions, visitors, and human resources. The purpose of this study was to determine the relationship between correct patient identification and patient satisfaction in the uptd emergency department at the Menbo-nembo Bitung Hospital. Methods The design of this study used a descriptive analytic design with a cross sectional approach. The population is 998 respondents, the sample in this study is 99 respondents using a questionnaire measuring instrument. Then the data collected was analyzed using the Chi-Square test. With a significant value (a) 0.05. The results of the Chi-Square test showed that there were 0 cells that had an expected count value of less than 5, then the reading of the results was continued on the Fischer exact test with a p value = .000 where if the value was smaller than the value = 0.05. The conclusion in this study is that there is a relationship between correct patient identification and patient satisfaction in the uptd emergency department at the Menbo-nembo Bitung Hospital.  

ABSTRACT Background: Cancer is a disease that arises due to abnormal growth of body tissue cells that turn into cancer cells. Breast cancer is one type of cancer with the highest percentage among other cancers. The number of breast cancer in adolescents aged 15-24 years as many as 16 people was recorded in the records of the Riau Provincial Health Office in 2015. The results of medical research at the Johns Hopkins Research Center in America stated that 40% of cancer patients who were detected early through regular home self-examinations were successful. healed. Purpose: This study aims to determine the relationship between knowledge and action on early detection of breast cancer. Methods: This research is quantitative with an analytical design that uses primary data. The research sample was 84 young women using the Proportionate Stratified Random Sampling technique. Data for knowledge and action for early detection of breast cancer were obtained by using a questionnaire and analyzed by univariate and bivariate using chi square test with SPSS. Results: The results of the univariate analysis were 50 (60%) young women with sufficient knowledge, and 69 (82%) young women did not do early detection of breast cancer. The results of the chi square test show that there is no relationship between knowledge and action on early detection of breast cancer. Every young woman is expected to increase knowledge related to early detection of breast cancer so as to raise awareness to carry out breast self-examination.   Keywords: Knowledge, Action, Early Detection of Breast Cancer   ABSTRAK Latar Belakang: Penyakit kanker adalah penyakit yang timbul akibat pertumbuhan tidak normal sel jaringan tubuh yang berubah menjadi sel kanker. Kanker payudara merupakan salah satu jenis kanker dengan persentase tertinggi diantara penyakit kanker lainnya. Jumlah kanker payudara pada remaja berusia 15-24 tahun sebanyak 16 orang tercatat dalam catatan Dinas Kesehatan Provinsi Riau Tahun 2015. Hasil penelitian medis John Hopkins Research Centre di Amerika menyebutkan bahwa 40% penderita kanker yang terdeteksi sejak dini melalui pemeriksaan sendiri di rumah secara teratur berhasil sembuh. Tujuan:Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan tindakan terhadap deteksi dini kanker payudara. Metode: Penelitian ini bersifat kuantitatif dengan desain analitik yang menggunakan data primer. Sampel penelitian sebanyak 84 orang remaja putri dengan menggunakan teknik Proportionate Stratified Random Sampling. Data untuk pengetahuan dan tindakan deteksi dini kanker payudara diperoleh dengan menggunakan kuisioner dan dianalisis secara univariat dan bivariat menggunakan uji chi square dengan SPSS. Hasil: Hasil analisis univariat terdapat 50 orang (60%) remaja putri dengan pengetahuan cukup, serta 69 orang (82%) remaja putri tidak melakukan deteksi dini kanker payudara. Hasil uji chi square menunjukkan tidak ada hubungan antara pengetahuan dengan tindakan terhadap deteksi dini kanker payudara. Setiap remaja putri diharapkan meningkatkan pengetahuan terkait deteksi dini kanker payudara sehingga menimbulkan kesadaran untuk melakukan pemeriksaan payudara sendiri.   Kata Kunci :Pengetahuan, Tindakan, Deteksi Dini Kanker Payudara

This research was conducted to determine how big the relationship between the role of the family in providing Islamic education to children's abilities and to find out how big the ability of parents to provide basic Islamic education to their children. The method used in this research is to use quantitative methods using a correlation approach. We took samples from the parents of the students of the Al-Husna female dormitory. The results of this study state that there is a correlation between the ability of families to basic Islamic education in children. This is based on the calculation of r + 0.611 which is then consulted with the price of "r" tanel with N = 25 and a significance level of 1% = 0.505, thus 0.611> 0.505 , so it is accepted while H is rejected. And if interpreted on the correlation index "r" momentct product, then 0.611 is between 0.40-0.70, which means there is a moderate or moderate relationship between the family's ability to basic Islamic education in children.

Customer Relationship Management (CRM) merupakan sebuah strategi yang digunakan oleh suatu perusahaan untuk dapat mengkontrol, pengecekan, menciptakan dan mempertahankan suatu hubungan yang baik dan berkelanjutan dengan pelanggannya dan mengurangi kemungkinan para pelanggannya pindah ke perusahaan atau rekanan lain. CV Mediatama Percetakan merupakan sebuah perusahaan yang menjual berbagai macam buku pendidikan. CV Mediatama Percetakan membutuhkan sebuah strategi untuk dapat menjalin hubungan dan meningkatkan layanan kepada pelanggannya agar pelanggannya tetap loyal kepada CV Mediatama. Penelitian ini bertujuan untuk merancang dan membangun sebuah Tampilan Website / Interface Customer Relationship Management (CRM) yang berbasis web pada CV Mediatama agar menjalin hubungan dan meningkatkan pelayanannya kepada pelanggan. Desain Interface Website  CRM menggunakan model prototype. Dari penelitian ini akan menghasilkan sebuah Desain Interface Customer Relationship Management (CRM) berbasis web yang kemudian akan di uji dengan menggunakan metode pengujian Black-Box ,yaitu menguji perangkat lunak dari segi spesifikasi fungsional tanpa menguji desain dan kode program. Dengan perancangan dan pembangunan Customer Relationship Management (CRM) ini diharapakan CV Mediatama dan menjalin hubungan yang berkelanjutan dan dapat meningkatkan layanannya kepada pelanggan.

Patient safety is a basic thing in the quality of health and nursing services. During the handover process, a nurse must be as effective as possible, as clearly as possible, as short as possible and as comprehensively as possible regarding nurses' independent and collaborative actions. The purpose of this study was to determine the relationship between the role and function of the head of the room with the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. This research method uses descriptive analytic with a cross sectional approach where the independent and dependent variables are studied simultaneously. The sample of respondents as many as 32 people using random sampling. Data collection using a questionnaire sheet. Analyzed with Chi Square ? 0.05 statistical test. The results of the study obtained p value = 0.036, where p value = 0.000, which is smaller than = 0.05, meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between the role and the quality of handovers at Tk.II Robert Wolter Mongisidi Hospital Manado. p value = 0.000 where p value = 0.000 which is smaller than = 0.05 meaning that the alternative hypothesis (Ha) is accepted or there is a relationship between function and handover quality at Tk.II Robert Wolter Mongisidi Hospital Manado The conclusion of this study is that there is a relationship between the role and function of the head of the room with the quality of handover at the Tk.II Robert Wolter Mongisidi Hospital, Manado. Suggestions from the results of this study can be used as input for hospital considerations that are used to improve health services and design nursing service policies in terms of patient handover by conducting ongoing education or training so that the level of knowledge and nursing actions becomes better.

Pulmonary TB is an airborne infectious disease that mostly attacks the lungs. Knowledge is information that is captured by the five human senses, then developed through language and ways of thinking. Noncompliance and lack of understanding of the community in the use of drugs is one of the causes of therapy failure. Providing knowledge and understanding of patients in the use of drugs will have an impact on medication adherence and success in using drugs for therapy. The purpose of this study was to determine the relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City. This study uses an analytical descriptive research design with a cross-sectional approach. The sampling technique in this study used a sampling technique using total sampling with a total of 42 respondents. The data collection technique was carried out using a questionnaire and using the Chi-Square test with a significance level of a = 0.05. The results of the study respondents had a low level of knowledge on medication adherence with a p value = 0.00, and had a low attitude towards medication adherence with a p value = 0.032. The conclusion of this study is that there is a relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City.

This increase in the elderly population makes the government need to formulate policies and programs aimed at elderly population groups so that they can play a role in building public health. One of the government policies is that health services are provided at health centers, such as providing good and quality services, giving priority to elderly people and providing safe and easily accessible facilities, providing support or guidance to the elderly and their families on an ongoing basis. The purpose of this study was to determine the relationship between the role of health workers and the participation level of Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. The study used a cross sectional analytic descriptive research method. The sample of respondents was 88 people using purposive sampling. Data collection using questionnaires and observation sheets. Analyzed with the chi square statistical test. The results of the study were 68 respondents (77.3%) with the highest age, 73 respondents (83.0%) had the highest education. Chi square test results obtained p value <? 0.05. The conclusion in this study is that there is a relationship between the role of health workers and the participation level of the Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly. 

The background of this research focuses on the complexity of the relationship between central and local governments in the context of governance in Indonesia. One manifestation of this decentralization concept is the Local Government Implementation Report (LPPD), which is a key instrument in ensuring local government accountability. This research was motivated by problems such as lack of complete data, delays in collection, and budget limitations in the preparation of LPPD. The purpose of this study is to understand the extent of coordination of the local government of Ambon City in the practice of LPPD, as well as the supporting and inhibiting factors of the process. The method used is qualitative, with primary data from interviews and secondary data from documentation. The results show that effective coordination is a key element in the preparation of LPPD Ambon City. Key factors in coordination include effective communication, awareness of the importance of coordination, commitment from relevant parties, participant competence, and coordination incentives. This study offers recommendations to improve the effectiveness of coordination in the preparation of LPPD to support local government development goals and community welfare.

Background: Globally, cervical cancer ranks fifth and ranks second in all cancers in women in Indonesia. One of the factors that influence the incidence of cervical cancer is the age of first sexual intercourse. About 33.3% of female adolescents started dating when they were not yet 15 years old, at that age it was feared that they did not have adequate life skills, so they were at risk of having unhealthy dating behaviors such as premarital sex. Providing information related to HPV vaccination can increase their knowledge so that it will affect how young women behave towards prevention of cervical cancer through HPV vaccination. This study aims to determine the relationship between knowledge and attitudes of young women to prevent cervical cancer through HPV vaccination. Methods: The cross sectional survey was conducted on 269 people. Data was collected in December 2016-January 2017 using questionnaire. Bivariate data analysis using Rho Spearman test to determine the relationship between knowledge and attitudes of young women to prevent cervical cancer through HPV vaccination. Results: The results showed that there was a significant relationship between knowledge and attitudes of young women towards the prevention of cervical cancer through HPV vaccination with p values <0.05 and r = 0.859. Conclusion: The attitude of young women towards the prevention of cervical cancer through HPV vaccination is related to the knowledge possessed by the teenager.Keywords: Attitude; HPV vaccination; Knowledge; Teenage girl

Background: The prevalence of anemia in adolescent girls in Indonesia according to WHO reaches 30%, and in the 2013 Riskesdas report recorded 18.4% of adolescents have anemia with the highest percentage in the female sex of 23.9%. Anemia in adolescents can cause delay in physical growth and behavior and emotional disorders. This study aims to determine the relationship between knowledge about anemia and nutritional status with the incidence of anemia in young women in Badung Regency. Method: This study uses analytic cross sectional design with a sample of 106 adolescent girls aged 15-18 years in high school, Badung Regency. Data collection was carried out directly on respondents in each school, for anemia data was collected by examining blood samples or hematology panels (hemograms) with an Hematology Autoanalyzer tool, data on knowledge of anemia was carried out by means of interviews using questionnaire guidelines, and nutritional status data was carried out by how to measure anthropometry (body weight and height) to get a IMT value. The analysis conducted is univariate analysis to determine the distribution and frequency of variables and bivariate analysis using the Kai-Kuadrat/Chi-Square test with the help of the SPSS program. Result: The prevalence of anemia in young women is 13.2%. Most had normal nutritional status of 77.4%, while others were categorized as abnormal / malnutrition (2.8% thin, 17.0% fat, 2.8% obese). For the level of knowledge obtained, the majority of 77.4% have a good level of knowledge in the category of anemia. Kai-Square / Chi-Square test results showed that, there was a significant relationship between knowledge about anemia and anemia in adolescent girls (95% CI: 1.93-20.77; p = 0.003). There was no significant relationship between nutritional status and anemia in adolescent girls (p = 0.301). Conclusion: Poor knowledge about anemia is associated with the incidence of anemia in young women, whereas nutritional status is not related to the incidence in young women. It is expected that related parties make a policy regarding anemia screening and education activities especially for young women. Keywords: Anemia; Knowledge; Nutritional status

Background: Premarital sexual behavior is one of the result of promiscuity. This problem tends to be carried out by middle adolescent groups (15-18 years). Around 63% of junior high school, high school and university-age adolescents in Indonesia claimed to have had premarital sex. Some permissive dating behaviors performed by adolescents include holding hands when dating (92%), kissing (82%), and petting (63%). Purpose: This purpose ostudy aims to determine the relationship of parental supervision and information media with premarital sexual behavior in adolescents at State High School No 1 Kotamobagu. Method: This study applied an analytic cross-sectional design with a sample of 299 school-age adolescents aged 14-18 years. The sampling technique used was stratified random sampling. Data were collected by direct interviews with respondents and analyzed univariately and bivariately using the chi square test. Results: The results of the study based on the chi square test showed that there was a relationship between parental supervision (p=0.006) and information media (p=0.001) with premarital sexual behavior in adolescents. Conclusion: There was a relationship between parental supervision and information media with sexual behavior in adolescents at State High School No 1 Kotamobagu. It is recommended to the relevant parties to play an active role in conducting supervision and providing sexual education early on so that students avoid premarital sexual behavior.Keywords: Information Media; Parental Supervision; Premarital Sexual Behavior

Background: One of the factors of the high MMR in Indonesia is due to the relatively low coverage of help by health workers. Puprose: The purpose of this study was to determine the relationship of family and socioeconomic support with the choice of delivery place in Puskesmas Tebing Tinggi. Methods: This study is analytic survey with cross sectional design. The research population in this study was trimester III pregnant women in Puskesmas Tebing Tinggi in July 2019, amounting to 52 people. The sample in this study was third trimester pregnant women who are in Tebing Tinggi Health Center taken in total sampling. Data collection is done using primary data. Results: The results of the study of 52 pregnant women respondents who chose non-health service facilities were 31 respondents and those who chose health service facilities were 21 respondents. From 52 family respondents who support as many as 30 respondents and do not support as many as 22 respondents, from 52 respondents with socioeconomic <UMR as many as 35 respondents and ? UMR as many as 17 respondents. Chi-square test results obtained value ?2 = 4.278 with p value = 0.05 meaning that there is a relationship of family support with the choice of delivery place in Tebing Tinggi Health Center with a moderate category. Chi-square test results (Pearson chi-square) obtained value ?2 = 8.27 with p value = 0.05 means that there is family support by choosing the place of delivery at Tebing Tinggi Health Center with a moderate category. Conclusion: It was concluded that there was a significant relationship between family support and socio-economics with the choice of delivery place in the Tebing Tinggi Health Center with a moderate category.Keywords: Family Support; Economic Sociology; Selection of Childbirth

Background: Menstrual cycle is the time since the first day of menstruation until the arrival of next menstrual period. Menstrual cycle ideally regular every month with a span of time between 21 to 35 days each time the menstrual period and menstrual cycle can vary in women during different times of life depending on various things, one of which in the stress factor. In it’s effect on the menstrual cycle, stress involves the neoro-endocrinological system as a large system of it’s role in female reproduction. This menstrual cycle disorder involves an integrative regulatory mechanism that affects the body biochemical and cellular processes including the brain and psychological. Purpose: The pupose of this study was determine the relationship of stress to the menstrual cycle for students of Islamic Boarding School of Ummu Sulaim Pekanbaru Year 2018. Method: This research uses quantitative analytic research type, with cross sectional design using questionnaire as a measuring tool as well as sampling was stratified random sampling. Results: The results of this study indicate that moderate stress with irregular menstrual cycles that have equal to 57,1% p value 0,001 > ? 0,005 means there is a relationship of stress to the menstrual cycle on students. Conclusion: The researcher’s suggestion is expected for students of Islamic Boarding School of Ummu Sulaim Pekanbaru in order to make good time management so that all activities, duties and memorization do not accumulate so it does not become burden which make student stress and consequently will affect the cycle of menstruation.Keyword : Stres, Menstrual cycle

Background: Dementia in the elderly is a chronic confucius condition and the loss of cognitive abilities globally and progressively is associated with physical problems. Family health tasks as a support system are very important for people with dementia in order to do their daily activities. Purpose: This research aims to find out the relationship between family health tasks and dementia rates in the elderly. Methods: This research used analytical research type with cross sectional approach. Sample as much as 40 dementia elderly with total sampling technik. The dependent variable in this study was the dementia level in the elderly, while the independent variable was the family health task. Results: Based on the results of research, it was found that most of them have less family health duties and almost half of them with the level of dementia was severe. The Spearman Rank test resulted obtained p = 0.000 (?= 0.05), there was relationship between family health duties and the level of dementia in the elderly. Conclusion: Efforts made need to provide comprehensive and effective counseling from all sectors to the community to provide correct information about the importance of family duties or family roles to family members who have health problems, so that the community can pay attention to and care for sick families.Keywords: Family health tasks; Dementia; Elderly

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age