Latar Belakang : Kasus Stunting  di  Puskesmas  Kerkap  nomor  dua  tertinggi  di  Kabupaten  Bengkulu  Utara  sebesar  18,75%. Balita  stunting  pada Maret  2018 sebanyak 68  balita (18,84%) dan  pada  Juni  2018 sebanyak 45 balita (18,75). Sebanyak 40%  masyarakat  tidak memiliki akses sanitasi yang baik terkait kepemilikan jamban dan Saluran Pembuangan Air Limbah (SPAL), sehingga memicu  berbagai  sumber penyakit seperti, diare, hepatitis B serta penyakit lainnya. Selain itu riwayat penyakit infeksi seperti diare ataupun ISPA dapat memperburuk kondisi balita jika tidak ditangani dengan tepat.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan sanitasi lingkungan dan riwayat penyakit infeksi dengan kejadian stunting di Wilayah Kerja Puskesmas Kerkap Kabupaten Bengkulu Utara tahun 2019.Metode : Desain  penelitian menggunakan deskriptif kuantitatif dengan pendekatan analitik cross sectional. Sampel penelitian sebanyak 91 Ibu yang memliki Balita, pengambilan sampel menggunakan teknik simple random sampling.Hasil : Hasil uji statistik menunjukkan ada hubungan sanitasi lingkungan dengan kejadian stunting dengan p value (0,008) (OR=3,8; 95% CI= 1,5-10,04), dan ada hubungan riwayat penyakit infeksi dengan kejadian stunting dengan p value (0,000) (OR=15,21; 95% CI= 4,6-49,4) di Wilayah kerja Puskesmas Kerkap Kabupaten Bengkulu Utara .Kesimpulan : Berdasarkan hasil penelitian terdapat hubungan yang bermakna antara sanitasi lingkungan dan riwayat penyakit infeksi dengan kejadian stunting Di Wilayah Kerja Puskesmas Kerkap Kabupaten Bengkulu Utara tahun 2019. Saran, Diharapkan pihak puskesmas melakukan sosialisasi terkait sanitasi lingkungan dan penyakit infeksi yang dapat berpengaruh terhadap kejadian stunting di Wilayah Kerja Puskesmas Kerkap.

ABSTRAKTujuan penelitian untuk mengetahui apakah ada hubungan frekuensi hemodialisis dengan tingkat stress pada pasien gagal ginjal kronik yang menjalani hemodialisis di Instalasi Hemodialisa RSUD Dr. M. Yunus Kota Bengkulu tahun 2016. Desain penelitian yang digunakan oleh peneliti adalah metode deskriptif analitik, yaitu penelitian yang bertujuan untuk menjelaskan masing-masing variabel yang diteliti. Hasil penelitian menunjukan dari 58 orang responden dengan frekuensi hemodialisis sering ada 28 orang responden (48,3 %) dengan tingkat stress sedang, ada 17 orang responden (29,3%) dengan tingkat stress ringan, dan ada 13 orang responden (22,4%) dengan tingkat stress berat sedangkan dari 9 orang responden dengan frekuensi hemodialisis tidak sering terdapat 5 orang responden (55,6%) dengan tingkat stress ringan, 3 orang responden (33,3%) dengan tingkat stress sedang dan 1 orang responden (11,1) dengan tingkat stress ringan. Simpulan, ada hubungan signifikan antara frekuensi HD dengan tingkat stress pada pasien CKD di instalasi Hemodialisa RSUD Dr. M. Yunus Bengkulu. ABSTRACTThe purpose of this study was to determine whether there is a correlation between hemodialysis frequency and stress level in chronic renal failure patients undergoing hemodialysis at the Hemodialysis Installation of RSUD Dr. M. Yunus Bengkulu City in 2016. The research design used by researchers was a descriptive analytic method, namely research that aims to explain each of the variables studied. The results showed that of 58 respondents with frequency of hemodialysis, there were often 28 respondents (48.3%) with moderate stress levels, 17 respondents (29.3%) with mild stress levels, and there were 13 respondents (22.4 %) with a high stress level while from 9 respondents with hemodialysis frequency there were not often 5 respondents (55.6%) with mild stress levels, 3 respondents (33.3%) with moderate stress levels and 1 respondent (11 , 1) with a mild stress level. Conclusion, There is a significant relationship between HD frequency and stress level in CKD patients at the Hemodialysis installation at RSUD Dr. M. Yunus Bengkulu.

Objective: Exercise is a risk factor for infertility in women. However, research on the effects of different intensities of exercise on folliculogenesis has not yielded clear results. This study was conducted to analyze the effects of differences in the intensity of exercise on folliculogenesis in mice. Methods: Nineteen female BALB/c mice (age, 3–4 months; weight, 13–25 g) were randomly divided into four groups: control, mild exercise, moderate exercise, and high-intensity exercise. The mice in the exercise groups engaged in swimming, with additional loads of 3%, 6%, or 9% of body weight, respectively. There were five swimming sessions per week for 4 weeks, with a gradually increasing duration every week. At the end of the treatment, ovarian extraction was carried out and hematoxylin and eosin staining was performed to identify folliculogenesis. Results: There were significant differences in the number of total follicles between the control and moderate-exercise groups (p=0.036) and between the mild- and moderate-exercise groups (p=0.005). The mean number of primary follicles was higher in the moderate-exercise group than in the mild-exercise group (p=0.006). The mean number of secondary, tertiary, and Graafian follicles did not differ significantly among groups (p≥0.05). However, the number of total follicles and follicles in each phase tended to increase after exercise, especially moderate-intensity exercise. Conclusion: Exercise of different intensities affected the total number of follicles and primary follicles. The number of follicles of each phase tended to increase after exercise. Moderate-intensity exercise had better effects than other intensities of exercise.

The diptheria outbreak in Surabaya indicated that immunization program failure. Immunization is primary preventif effort to decrease morbidity of disease. An immunization service is very important to protect vaccine quality through cold chain so that vaccine potency be optimal. The purpose of this study was to analysis of factors which are assosiated with midwive’s practice of DPT vaccine distribution and storage to outreach. This study is applying observational approach using cross sectional method. Populations are all village midwives in public health center East Surabaya. The numbers of sample were 38 midwives taken using simple random sampling. The dependent variable was midwive’s practice of DPT vaccine distribution and storage to outreach and the independent variables of this study were work duration, a history of training of cold chain, sosialization, knowledge, attitude. Primary data were obtained through observation and interview. The results showed that 68.4 % midwive’s practice on DPT vaccine distribution and storage at outreach is good. Independent variable which are significant assosiated with midwive’s practice on DPT vaccine distribution and storage at outreach is sosialization about vaccine distribution and storage (p = 0.026) and value of phi and Cramer’s V = 0.431. Enhancement of socialization again be needed to village midwive as efforts for increase knowledge and attitude.Keywords: midwive, cold chain, vaccine distribution, DPT

Stunting is a condition of growth failure in children under five. The impact of stunting is impaired brain development, intelligence, impaired physical growth, and metabolic disorders in the body. The WHO estimates that there are 162 million short toddlers, if the trend continues without any attempted decline, it is projected to be 127 million. Stunting cases at the Kerkap Health Center are the highest in North Bengkulu Regency at 18.75%. Stunting toddlers in March 2018 were 68 toddlers (18.84%) and in June 2018 there were 45 toddlers (18.75). The implementation of the 1000 HPK program has been implemented but stunting cases are still high in the Kerkap Health Center Working Area. The purpose of this study was to determine the multifaceted determinants of stunting events in toddlers in the Kerkap Health Center Working Area, North Bengkulu Regency. This research method is quantitative with a cross sectional design.  Veriabel This research is an indentent variable (Exclusive Breastfeeding, Environmental Sanitation, Utilization of Health Services, Hygiene / Hygiene Practices, History of Infectious Diseases, Culture and energy intake) and Depedenden Variable (Stunting Incidence). Data analysis is carried out in stages, namely univariate, bivariate, and multivariate analysis. The results showed that there was a significant relationship between exclusive breastfeeding (p=0.002), Environmental Sanitation (p=0.008), hygiene hygiene practices (p=0.000), history of infectious diseases (p=0.000) and culture (p=0.001) with stunting in toddlers. There was no significant relationship between health services (p=1,000) and stunting in toddlers. The variables shown to be risk factors for stunting events are infectious diseases (OR=37.1:95%CI10,2-55.1), Hygiene success practices (OR=19.6:95%CI 3,7-43,2),Culture (OR=14.5:95%CI 2.6-39.9), Environmental Sanitation (OR=12.1:95%CI 2,2-37.4). This study concluded that the infectious disease variable is the most dominant risk factor for stunting in toddlers in the Puskesmas Kerkap Working Area, North Bengkulu Regency. Expect mothers who have toddlers. It is recommended for mothers under five to provide exclusive breastfeeding, improve access to environmental sanitation, PHBS, access to health information, and immediate treatment for toddlers who experience diarrhea and acute respiratory infections.