This study aims to prove the influence of paint applications on children's fine motor skills through coloring activities. This study uses a quasiexperimental design quantitative research design with a pretest-posttest controlled group design model. Learning in the control group used a conventional model in the form of a picture book while the experimental group applied the paint application. The study was conducted at the Mentoring State Kindergarten with research subjects 30 children for the control group and 30 children for the experimental group. The results showed that the experimental class children using the paint application had a higher average compared to the control class that used the conventional model in the form of a picture book. The average number of the experimental class is 83.25, and the average number of the control class is 76. Based on the data analysis that has been done that t-test > t table, which is 2.161 > 2.07387. Thus it can be concluded that the application of paint affects the fine motor skills of early childhood.

BACKGROUND:Medical waste is a problem when its amount is accumulated as well as the way the private dental healthcare still manages improperly.AIM:This study aims to define types and the number of medical wastes, also to analyse behaviour toward waste management and its associated factors.MATERIAL AND METHODS:The research used a quantitative analytic approach and cross-sectional design with 149 private dental practice populations in total. There were 60 dentists obtained using systematic random sampling in Pekanbaru. Data processed by conducting summation medical waste and counting the percentage of behaviour’s variables. Data collected within 20 days were processed with dental waste laboratory tests and chi-square analysis.RESULTS:The result showed that dental, medical wastes average was 0.3 ± 0.07 kg/day which is 69% infectious, 27% toxic, and 4% radioactive. Overall results showed associated factors related to waste management behaviour were knowledge, training attainment, availability of facilities, and the use of personal protective equipment.CONCLUSION:The numbers of medical waste from dental health services in Pekanbaru were still low. More than half the Dentist had poor behaviour in dental, medical waste management. It is recommended to the dental profession organisation to cooperate with City Health Office to hold management training on medical waste in dental health care to educate and raise dentists’ awareness to be able to manage the waste of dental health services properly and by the regulations.

One indicator of the minimum standards service medical record is the complete filling of an informed consent sheet of 100%. Based on the initial survey at the 3rd Level Hospital of Dr.Reksodiwiryo Padang, it was found that from the 20 informed consent sheets, the average number of incomplete informed consent forms was 29%. The purpose of this study was to determine the number of completeness and causes of incomplete filling of surgical patients' informed consent sheets at the 3rd Level Hospital of Dr.Reksodiwiryo Padang. This study is a mixed methods research with sequential explanatory design carried out at the 3rd Level Hospital of Dr.Reksodiwiryo Padang in March to July 2017. In quantitative research, the sampling technique was simply random sampling, sample number 67, and the analysis used was descriptive. While the qualitative research technique for determining informants was used by purposive sampling, the number of informants was 15 people, and the analysis used content analysis techniques. The results of quantitative research obtained an average informed consent score of 66,3% optimal and the process in the implementation of the medical record has not been implemented properly. The conclusion of this study is the number of completeness in filling out the information sheet of the medical record has not reached the SPM medical record in the hospital. This is because the implementation of the medical record service system is not optimal.

Penyakit DBD adalah penyakit menular yang disebabkan oleh virus dengue dan ditularkan oleh nyamuk Aedes aegypti, dan masih menjadi masalah kesehatan masyarakat. Di wilayah kerja Puskesmas Harapan Raya pada tahun 2017 terjadi sebanyak 98 kasus ( IR = 85,0 per 100.000 penduduk) dan sudah melebihi batas endemisitas Indonesia yaitu ≤ 49 per 100.000 penduduk. Tujuan penelitian adalah diketahuinya determinan kejadian DBD di wilayah kerja Puskesmas Harapan Raya tahun 2015-2017. Desain penelitian adalah Studi Kasus Kontrol Unmatch. Populasi kasus adalah seluruh penderita DBD dari tahun 2015-2017 yang berjumlah 228 orang dan populasi kontrol adalah seluruh kasus yang bukan DBD pada bulan yang sama saat terjadi penyakit DBD tahun 2017 yang berjumlah 8.529 orang. Jumlah sampel 180 kasus dan 180 kontrol. Data dianalisis secara univariat, bivariat dan multivariat. Hasil analisis multivariat, variabel yang paling berpengaruh adalah umur (CI 95% = 7,889– 38,224), keberadaan sampah (CI 95% = 1,750-5,069), tidak melakukan 3M berisiko (CI 95% = 2,226-6,243), kebiasaan tidur pagi/sore (CI 95% = 1,019- 2,877), tidak memiliki kawat kasa pada ventilasi (CI 95% = 1,268– 3,571). Disarankan masyarakat memakai obat anti nyamuk, menyediakan tempat sampah yang tertutup, menggunakan kawat kasa dan melakukan 3M minimal 1x seminggu. Pihak puskesmas untuk melakukan penyuluhan cara mengolah sampah yang padat dengan baik dan benar serta pentingnya melakukan 3M sekali seminggu.

STBM (Sanitasi Total Berbasis Masyarakat) yang terdiri dari 5 pilar kegiatan: Stop BABS (Buang Air Besar Sembarangan), Mencuci Tangan Pakai Sabun (CTPS) dengan air mengalir, Pengelolaan Air Minum dan Makanan Rumah Tangga (PAM-RT), Pengelolaan Sampah Rumah Tangga serta Pengelolaan Limbah Cair Rumah Tangga. Kota Pekanbaru adalah ibu kota Provinsi Riau yang sebagian wilayahnya berada di tepian sungai Siak yaitu Kecamatan Rumbai Pesisir yang memerlukan perhatian untuk program kesehatan lingkungan dengan STBM. Tujuan dari kegiatan ini untuk dapat mengevaluasi dan mendukung program STBM berkelanjutan kepada Kader STMB di Lingkungan Puskesmas Rumbai Pesisir. Metode kegiatan yaitu sosialiasasi dan pemicuan kepada 34 kader STBM dari 4 kelurahan bekerja sama dengan  Puskesmas serta Dinas Kecamatan pada bulan Februari 2021. Hasil sosialiasi dan diskusi dengan kader disimpulkan umumnya permasalahannya adalah pengelolaan sampah dan pengelolaan air limbah rumah tangga yaitu pilar nomor 4 dan 5 pada STBM. Buang sampah sembarangan oleh masyarakat serta pengambilan sampah di TPS oleh pihak ketiga sering tidak tepat waktu dan menumpuk berhari-hari sehingga menyebabkan pencemaran lingkungan serta limbah rumah tangga yang belum dikelola secara baik. Kader STBM, Kecamatan dan Puskesmas memerlukan dukungan akademis agar program ini di evaluasi secara berkala melalui kegiatan pengabdian masyarakat. Kegiatan ini diharapkan berkelanjutan untuk mencegah penularan penyakit serta menjaga kebersihan lingkungan di masa Covid-19.