AbstrakBerat badan merupakan ukuran antropometri yang dipakai sebagai indikator yang terbaik untuk mengetahui keadaan gizi dan tumbuh kembang anak. Salah satu faktor yang paling mempengaruhi berat badan adalah pemberian Makanan Pendamping Air Susu Ibu (MP ASI). Data pemberian MP ASI pada anak usia 6-23 bulan di Puskesmas Cluwak Kabupaten Pati Jawa Tengah tahun 2015 masih sangat rendah yaitu sebesar 23,33%. Penelitian ini bertujuan untuk mengetahui hubungan faktor yang mempengaruhi pemberian Makanan Pendamping Air Susu Ibu (MP ASI) terhadap berat badan anak usia 6-24 bulan di Puskesmas Cluwak Kabupaten Pati Jawa Tengah. Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross sectional. Metode sampling yang digunakan adalah purposive sampling, dengan jumlah sampel 91 anak. Analisis data penelitian menggunakan uji Chi-Square dan regresi logistik. Hasil penelitian menunjukkan bahwa terdapat hubungan antara faktor yang mempengaruhi pemberian Makanan Pendamping Air Susu Ibu (MP ASI) yaitu faktor usia pertama (p = 0,000), jenis (p = 0,000), frekuensi (p value= 0,000 dan jumlah (p = 0,002) pemberian MP ASI terhadap berat badan anak umur 6-24 bulan di Puskesmas Cluwak Kabupaten Pati Jawa Tengah. Hasil analisis regersi logistik menunjukkan bahwa faktor yang paling mempengaruhi berat badan anak umur 6-24 bulan adalah jenis dan usia pemberian MP ASI.Kata Kunci: berat badan anak, MP ASI FACTORS AFFECTING OF COMPLEMENTARY FEEDING PRACTICES ON 6-24 MONTHS CHILDREN'S WEIGHT IN CLUWAK COMMUNITY HEALTH CENTER IN PATI DISTRICT AbstractBody weight is anthro-pometric measure to determine the nutritional status and child development. One of the most affecting factor of body weight is complementary feeding practices. Data from Cluwak community health center about complementary feeding practices on 6-24 months children are still very low, amounting to 23.33%. The aim of this research was to know the correlation between factors affecting of complementary feeding practices on 6-24 months children's weight in Cluwak community health center, district of Pati in central java. This research was used survey analytic observational method with cross sectional approach. The sampling method used was purposive sampling, with a sample size was 91 respondents. Analysis of the research was using Chi-Square and logistic regression. The results showed that there was a significant correlation between factors affecting of complementary feeding practices consist of age of children (p value=0,000), variety (p value= 0,000), frequency (p value= 0,000) and quantity (p value= 0,002) on 6-24 months children's weight in Cluwak community health center, district of pati in central java. The logistic regression analysis showed the most significant factors affecting of complementary feeding practices on children's weight was a variety of complementary feeding and the first age of giving complementary food.
Melasma is a hyperpigmentation arising due to the buildup of melanin in the epidermis, dermis, or both. Melasma can appear on the users of hormonal contraceptives such as the pill or injection combination and tend to appear on face areas so that it can be influencing the life's quality. The appearance of melasma on the user of injection and pill combination is affected by the presence of estrogen and progesterone hormones which is contained in contraception and it will cause kind of accumulation in the body. Estrogen and progesterone hormones are interrelated in affecting cells pigmentation, as one of melanocyte's receptor. The difference of hormonal substances can give different influence to the genesis of melasma. This research aims to know the correlation between melasma occurrence with the use of injection combination of hormonal contraceptives and pills combination in Dwi Astutik Maternity Home, Petungsewu Village in Dau District of Malang Regency. The research design was used the case-control sampling technique using a purposive sampling technique. The number of respondents as many as 34 people, on each group (case and control). Data analysis using the Chi-Square Test and obtained the value of α = 0.015 (significant) and the odds ratio of 3.378. The conclusion of this study is there is a correlation between injection and pill combination and the genesis of melasma. the use of injection combination 3.378 times is riskier to emerge melasma than the use of pill combination. ABSTRAKPeningkatan penggunaan kontrasepsi hormonal di Indonesia berhubungan dengan beberapa keuntungan yang diberikan, seperti efektif, murah, dan terjangkau berbagai kalangannamun terdapat salah satu efek samping yang dianggap merugikan bagi penggunanya, yaitu melasma. Melasma adalah hiperpigmentasi yang ditimbulkan akibat adanya penumpukan melanin pada
Exclusive breastfeeding is breastfeeding for 6 months without any additional foods or drinks others. Based on reports Nutrition Ditjen and Kemenkes RI 2014, exclusive breastfeeding in Indonesia was still low (52.3%) and in the East Java provincial 74.0%, it has not reached yet from the target 80%. The purpose of this research is to analyze the factors that influence the success of exclusive breastfeeding to 6 months at mothers who have 6-12 months aged babies in the Kemantren village Jabung District of Malang. Observational cross sectional research conducted to 63 respondents whom choosen by purposive sampling methode. Data collected by quistionnaire that measure family support, maternal employment status, maternal education, and mother's knowledge of breast milk's level. The obtained data were analyzed by using Chi-Square. The results of this study showed most of the mother got enough support from family (57.1%), and mother's knowledge of breast milk's level have been good (54,0%). The variable had effect on exclusive breastfeeding was mother's knowlegde of breast milk's level (p=0,005). The variables who had no effect on exclusive breastfeeding were family support (p=0,051), maternal employment status (p=0,263), and maternal education level (p=0,145). The conclusion of this study is the mother's knowledge of breast milk level has effects on exclusive breastfeeding so must to do promotion to the mothers before pregnancy and her families about the importance of breastfeeding.ABSTRAK ASI eksklusif merupakan pemberian ASI selama 6 bulan tanpa tambahan makanan atau minuman yang lain. Berdasarkan laporan Ditjen Gizi dan KIA Kemenkes RI 2014 pemberian ASI eksklusif di Indonesia masih rendah (52,3%) dan di provinsi Jawa Timur sebesar 74,0%, masih belum mencapai target yang ditetapkan yaitu 80%. Tujuan penelitian ini yaitu menganalisis faktor-faktor yang mempengaruhi keberhasilan pemberian ASI eksklusif 6 bulan pada ibu yang memiliki bayi usia 6-12 bulan di Desa Kemantren Kecamatan Jabung Kabupaten Malang. Penelitian observasional dengan pendekatan cross sectional ini dilakukan pada 63 responden yang dipilih menggunakan metode purposive sampling. Pengumpulan data menggunakan kuisioner mengukur dukungan keluarga, status pekerjaan ibu, tingkat pendidikan, dan tingkat pengetahuan tentang ASI. Analisa data menggunakan chi-square. Hasil penelitian ini menunjukkan sebagian besar ibu mendapat dukungan yang cukup dari keluarga (57,1%), dan pengetahuan tentang ASI baik (54,0%). Variabel yang berpengaruh terhadap pemberian ASI eksklusif adalah tingkat pengetahuan ibu tentang ASI (p=0,005). Variabel yang tidak berpengaruh terhadap pemberian ASI eksklusif adalah dukungan keluarga (p=0,051), status pekerjaan ibu (p=0,263), dan tingkat pendidikan ibu (p=0,145). Kesimpulan dalam penelitian ini bahwa pada empat variabel yang diteliti hanya tingkat pengetahuan ibu tentang ASI yang memiliki pengaruh terhadap pemberian ASI eksklusif sehingga perlu dilakukan upaya promotif terhadap ibu sebelum hamil dan keluarga mengenai pentingnya ASI.
Menarche is the first menstruation in women which indicates the maturity of a healthy women and not pregnant. The first menstruation occurs at the age of 10-13 years, even in some children occurs faster so that children need to be prepared early to face menarche. There are at least 24% students from 75 students who are not ready to face menarche. This unpreparedness can cause feelings of fear and confusion in the face of menarche. This study aims to find out whether there is a relationship between mother and child communication, parenting style, and sources of information with preparation for facing menarche in early adolescents. This study uses an observational analytic design with cross sectional approach. The sample used was adolescents aged 10-12 years in SD Negeri Model Kota Malang who lived with mothers and had not experienced menarche. Data collection using questionnaire sheets and analyzed using chi square test. The results of chi square analysis of communication variables mother and child obtained p value = 0.00, parenting styles variables obtained value p = 0.444, and information source variables obtained p value = 0.144. The conclusion of this study is that there is a relationship between mother and child communication with readiness to face menarche in early adolescents and there is no relationship between parenting styles and the number of sources of information with readiness to face menarche in early adolescents.
Untuk menekan angka kematian bayi maka beberapa tindakan perlu ditingkatkan, seperti pemberian ASI eksklusif. Salah satu indikator yang menunjang keberhasilan pemberian ASI eksklusif adalah dengan memulai menyusu dalam waktu 1 jam setelah lahir atau Inisiasi Menyusu Dini (IMD). Pada penelitian ini ingin dibandingkan pengaruh durasi pelaksanaan IMD dengan tahapan pelaksanaan IMD terhadap keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama di Puskemas Cluwak. Desain penelitian yang digunakan adalah observasional analitik dengan pendekatan studi kohort. Sampel yang digunakan adalah seluruh bayi baru lahir sebanyak 61 bayi. Data berasal dari observasi langsung pelaksanaan IMD dari kelahiran bayi sampai menyusu pertama selesai, dan pemberian ASI eksklusif setiap minggunya selama 1 bulan. Hasil penelitian menunjukkan bahwa keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama dipengaruhi oleh durasi pelaksanaan IMD (p = 0,001), sedangkan tahapan IMD tidak mempengaruhi keberhasilan pemberian ASI (p = 0,114). Penelitian di Puskemas Cluwak ini menyimpulkan bahwa keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama lebih dipengaruhi oleh durasi pelaksanaan IMD daripada tahapan IMD.
Dysmenorrhea is a common cause of pain in young women. The discomfort of dysmenorrhea causes unstable emotions, sleep disturbances, diet changes, and increased stress and depression that can degrade women quality of life. This non-pharmacological Randomized Controlled Trial aimed to obtain the optimal dose of green coconut water as a magnesium source for reducing dysmenorrhea pain. Twenty-one participants divided into three groups. Treatment group 1 obtained 330 ml of green coconut water, treated group 2 obtained 165 ml of green coconut water, and the control group obtained 330 ml of mineral water where each dose repeated three times every 4 hours. VAS questionnaire used to measure the value of pain intensity before and after administration. The 330 ml green coconut water dose is the effective dose compared to control (VAS=4.14, p=0.000), while another dose has a weak effect (VAS=1.86, p=0.124). This finding proves that green coconut water can be a non-pharmacological alternative in handling dysmenorrhea pain.
Breast cancer is a disease which has the highest prevalence rate in targeting women. One of the prevention efforts is by improving the knowledge about breast cancer as early as possible. The purpose of this research is to know the effectiveness comparison between brain storming and simulation game health promotion towards knowledge improvement about breast cancer on 12th grade students of Senior High School 4 Malang. This research used quasi-experimental design through nonequivalent control group design approach. The samples of the research were 72 12th grade students of Senior High School 4 Malang who met the inclusion criteria. The research used purposive sampling technique. In this research, questionnaires were used to collect data. The data was analyzed using Kruskal Wallis test and continued with Post Hoc test using Mann Whitney test. The post test result displayed significant differences between brain storming and simulation game groups (p 0,000) regarding the knowledge improvement about breast cancer. The conclusion of this research is that both simulation game and brain storming can improve the knowledge about breast cancer on 12th grade Senior High School 4 Malang students and simulation game method is more effective than brain storming in improving their knowledge about breast cancer.
Learning Center for Midwifery Service Management and Entrepreneurship to manage management reports, proposals, and role plays. The first purpose and benefit of this research is to design and build a prototype software application "E-MPKK" as a Learning Media for Clinical Practice Management of Midwifery and Entrepreneurship Services for Midwifery Department Students, FKUB so that the learning process is more effective and efficient, including easy access to reporting, monitoring student assignments, and the effectiveness of the duration of clinical guidance between lecturers and students. With this software application, students are expected to be able to analyze the correct information with the right method and time. The right time is meant to shorten the time to work on data collection, problem analysis, and making strategic plans. the process of storing the resulting soft file. assessment, analysis results, and planning to be better, structured, and measurable. With this software application students can analyze the correct information with the right method and time. storage of soft files of assessment results, analysis results, and planning to be better, structured, and measurable. by assessing the effectiveness and efficiency of working on reports with software applications. With this software application, it is expected that Midwifery Service Management reporting will be more effective; and reporting time is shorter, storage is also better and safer and reduces paper usage With this software application students can analyze the correct information with the right method and time. storage of soft files of assessment results, analysis results, and planning to be better, structured, and measurable. by assessing the effectiveness and efficiency of working on reports with software applications. With this software application, it is expected that Midwifery Service Management reporting will be more effective; and reporting time is shorter, storage is also better and safer and reduces paper usage With this software application students can analyze the correct information with the right method and time. storage of soft files of assessment results, analysis results, and planning to be better, structured, and measurable. by assessing the effectiveness and efficiency of working on reports with software applications. With this software application, it is expected that Midwifery Service Management reporting will be more effective; and reporting time is shorter, storage is also better and safer and reduces paper usage With this software application, it is expected that Midwifery Service Management reporting will be more effective; and reporting time is shorter, storage is also better and safer and reduces paper usage With this software application, it is expected that Midwifery Service Management reporting will be more effective; and reporting time is shorter, storage is also better and safer and reduces paper usage.
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