AbstrakHipertensi merupakan faktor risiko utama penyebab kematian. Desa Hulu adalah desa yang memiliki jumlah penderita hipertensi tertinggi di Puskesmas Pancur Batu, Kabupaten Deli Serdang. Penderita hipertensi pada tahun 2014, berjumlah 44, 2015, berjumlah 56 orang dan pada tahun 2016 berjumlah 108 orang. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan, sikap dan dukungan keluarga terhadap pelaksanaan diet hipertensi di desa kecamatan Batu Pancur Hulu. Penelitian ini merupakan penelitian cross-sectional dengan pendekatan explanatory. Penelitian ini dilakukan antara bulan April dan Juni 2016 dengan populasi dalam penelitian ini adalah semua pasien hipertensi di desa kecamatan Batu Pancur Hulu berjumlah 108 orang dan seluruh populasi dijadikan sampel. Data diperoleh dengan wawancara kuesioner, dianalisis dengan regresi logistik ganda pada α = 0,05. Hasil penelitian menunjukkan bahwa secara statistik pengetahuan (hipertensi diet, hipertensi asupan makanan) dan sikap terhadap (hipertensi diet, diet hipertensi diet) dan dukungan keluarga meliputi (dukungan harapan, dukungan nyata, dukungan informasi, dukungan emosional) pengaruh yang signifikan terhadap pelaksanaan dari diet hipertensi di desa Hulu kecamatan Batu Pancur. Pengaruh variabel pengetahuan lebih besar pada pelaksanaan diet hipertensi. AbstractHypertension is a major risk factor causes of death. Hulu village is a village that has the highest number of hypertensive patients in Puskesmas Pancur Batu, Deli Serdang regency. Patients with hypertension in 2014, totaling 44, 2015, amounted to 56 people and in 2016 This study aimed to analyze the influence of knowledge, attitude and family support for the implementation of hypertension diet in the village of Batu Pancur Hulu subdistrict. The study was crosssectional study with explanatory approach. This study was conducted between April and June 2016. The population in the study were all patients with hypertension in the village of Batu Pancur Hulu subdistrict totaled 108 people and the entire population sampled. The data were obtained by questionnaire interviews, analyzed by multiple logistic regression at α = 0.05. The results showed that statistically the knowledge of (diet hypertension, food intake hypertension) and attitudes toward (diet hypertension, dietary diet hypertension) and family support include (support hope, real support, information support, emotional support) a significant effect on the implementation of the diet hypertension in the village of

<p>Hasil kajian gizi buruk di Kota Medan tahun 2011 menunjukkan bahwa anak balita yang tergolong gizi kurang dan berisiko gizi buruk masih cukup serius. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan terhadap pengetahuan dan tindakan kader dalam pemantauan pertumbuhan balita. Penelitian ini dilakukan di kota Medan tahun 2014,  jenis penelitian eksperimen semu (quasi experimental) dengan rancangan nonrandomized pre test-post test design. Penelitian ini dilakukan pada 28 orang kader posyandu di kota Medan pada tiga wilayah Puskesmas yaitu Puskesmas Sunggal,  Puskesmas Desa Lalang dan Puskesmas Tuntungan. Hasil penelitian menunjukkan terjadi peningkatan rata-rata skor pengetahuan dan tindakan  kader setelah diberikan pelatihan. Skor pengetahuan kader meningkat sesudah pelatihan sebesar 2,428 poin, demikian juga terjadi peningkatan rata-rata skor tindakan sebesar 1,071 poin setelah mengikuti pelatihan. Hasil uji statistik dengan uji beda Paired T Test diperoleh  perbedaan yang signifikan pada pengetahuan dan tindakan kader sebelum dan sesudah mengikuti pelatihan tentang pemantauan pertumbuhan anak balita. Hal ini berarti ada pengaruh pelatihan terhadap pengetahuan dan tindakan kader dalam menilai dan memantau pertumbuhan balita.</p><p> </p><p><em>The malnutrition research in Medan at 2011 showed that children under five years are classified as at risk of severe undernutrition are still quite serious. The aim of research was to analyze the effect of training on knowledge and action cadres in growth monitoring of under five years old. This research was a quasi-experimental study with nonrandomized design of pre-test-post-test design. This research was conducted 28 cadres in Medan city at 2014 in the work area Sunggal Health Center, Desa Lalang Health Center and Tuntungan Health Center. The results showed that an increase in the average score of knowledge and action after being given the training cadre. Knowledge scores increased after the training cadre 2,428 points, as well as an increase of action score in the average score of 1,071 points after training. The results of statistical tests with paired T test obtained significant differences in knowledge and action cadres before and after the training on growth monitoring of children under five years old. This means that there are influences of training  on knowledge and action cadres in the growth monitoring of under five years old.</em></p>

Background: Behavior that can influence the status of the health cannot be separated from the cultural habits, particularly in activities such as care and treatment of diseases. Mandailing Natal (Madina) district is one of the regions with high maternal and neonatal mortality rate in Sumatera Indonesia. The life of its community is very much influenced by their tradition and culture. Objective: To determine intervention effectiveness in improving the maternal and neonatal health status. Materials and Methods: This quasi-experimental study with an intervention involving the community members in health education counseling care was conducted with emphasis on local culture and education using local languages. The program was implemented from March to August 2014. The study population included all pregnant mothers in Madina district. The sample comprised 78 mothers selected through purposive sampling technique. The data were obtained through survey using a questionnaire. Result: The intervention used by the Health Awareness Community Team significantly improved the health status of mothers and neonatal, obtaining a p-value of <0.05. The health status consisted frequency antenatal care, hemoglobin of pregnant mother, infant and maternal morbidity rate, birth attendant, health center, and pregnancy high-risk detection. Conclusion: Intervention has an impact on improving public health, especially for mothers and their babies, through health care. The government and health workers should involve the community members in the implementation of health program and pay attention to local culture.

Background: Someone who approves the PRC must have been transfused no more than 24 hours after the creation of the PRC; some also apply 3 days. But there are also those that apply up to 1 week. PRC is still feasible to be transfused immediately by seeing changes that occur in the value of hemoglobin (Hb), hematocrit (Ht), and plasma needed when storing. Methods: 30 whole blood bags (WB) were taken for this study. The WB is at the request of the doctor for the manufacture of PRC. The blood bag is rotated at a speed of 4,000 RPM for 15 minutes. From the PRC, 3 cc of blood was taken on 1,3,5,7 days for hemoglobin (Hb), hematocrit (Ht), and glucose plasma. Data were analyzed Latar Belakang: Seseorang yang menyetujui PRC harus sudah ditranfusikan tidak lebih dari 24 jam setelah pembuatan PRC; namun terdapat juga yang menggunakannya dalam 3 hari. Di samping itu, masih terdapat beberapa kasus yang memberlakukan sampai 1 minggu. Sehingga belum ada kepastian berapa hari pasca pembuatan PRC masih layak untuk segera ditransfusikan dengan melihat perubahan yang terjadi pada nilai hemoglobin (Hb), hematokrit (Ht), dan plasma glukosa menurut waktu simpan Metode: 30 kantong whole blood (WB) diambil untuk penelitian ini. WB tersebut adalah atas permintaan dari dokter untuk pembuatan PRC. Kantong darah diputar dengan kecepatan 4.000 RPM selama 15 menit. Dari PRC tersebut diambil 3 cc darah pada hari 1,3,5,7 untuk pemeriksaan hemoglobin(Hb), hematokrit (Ht), dan plasma glukosa. Data di analisis dengan piranti lunak SPSS versi using SPSS version 21 software for Windows. Results: After 1-day taking 3 cc of blood, PRC was stored at 4 ° C, and then 3cc was taken also on days 3, 5, 7. The results showed that hemoglobin (Hb), hematocrit (Ht) increased from day 1 until day 7 but not significant (P> 0.05), plasma plasma showed a decrease from day 1 to day 7 and significant (P <0.001) but the value was still within normal limits. Correlation value between Hb and PRC retention time; r = 0.127, Ht with the shelf life of PRC, r = 0.160, plasma glucose with the length of time the PRC is stored; r =-0,844. Conclusion: PRC stored for 7 days is still feasible to use. There was a decrease in plasma glucose but still within normal limits. 21 untuk Windows. Hasil: Setelah hari-1 pengambilan 3 cc darah, PRC disimpan pada 4 ° C, dan selanjutnya diambil 3cc juga pada hari 3, 5, 7. Hasil penelitian menunjukkan bahwa hemoglobin (Hb), hematokrit (Ht) meningkat dari hari ke-1 sampai hari ke-7 namun tidak signifikan (P>0,05), pada plasma glukosa menunjukkan penurunan dari hari-1 sampai hari-7 dan siginifikan (P <0,001) tetapi nilainya masih dalam batas normal. Nilai korelasi antara Hb dengan lama simpan PRC; r = 0,127, Ht dengan lama simpan PRC, r =0,160, plasma glukosa dengan lama simpan PRC; r =-0,844. Kesimpulan: PRC yang disimpan selama 7 hari masih layak dipergunakan. Terjadi penurunan pada plasma glukosa namun masih dalam batas normal.

No abstract

Acute appendicitis in paediatric patient is among the causal of abdominal emergency which requires immediate operation (Victor, et al, 2012; Ballester et al., 2009; Huckins et al., 2013). The incidence of acute appendicitis in paediatric patient in the world ranges from 1 to 8 % of all pediatric patients coming to the Emergency Department (ED) with acute abdominal pain (Jangra et al., 2013). Appendicitis is rare in children under 5 years, and very rare in the first year of life. In some instances, boys are more than girls around 55% to 65% of patients (Stevenson, Edward, 2003). The incidence rate of perforated appendicitis in the age group of children is about 30% to 40%. Appendicitis in the neonate is very rare, and the surgeon should be careful of the accompanying conditions, such as Hirschsprung’s disease and necrotic enterocolitis. (Stevenson, Edward, 2003).

--Chronic energy malnutrition (CEM) and anemia in pregnancy may affect the weight of babies born will have an impact on the quality of human resources. Anemia in pregnant women potentially endanger the mother and child and to this day it happened is still high in Indonesia, because that CEM and anemia require serious attention of all parties involved in health care. This study aims to determine the magnitude of the problem of anemia and chronic energy malnutrition (CEM) in pregnant women and analyze the relationship between CEM with the incidence of anemia in pregnant women in Medan. This study included a survey explanatory research with cross sectional design, conducted in four working area of community health centers in Medan (Belawan, Pekan Labuhan, Medan Deli and Terjun) on 114 pregnant women. CEM is determined by measuring the Upper Arm Circumference (MUAC). Blood hemoglobin concentration was measured by a "Hemoglobin Testing System: Quik-Check", plus the characteristic data of pregnant women (age, gestational age, pregnancy spacing, and parity) was obtained by questionnaire interviews. The results showed that of 114 pregnant women with 14,0 % was aged <20 years, 42.1% in the 2nd trimester of gestation and 47.4% trimester 3. 52.6% of pregnant women with pregnancy spacing <24 months and 27 2% parity > = 3. Chronic energy malnutrition (CEM) in pregnant women was 23.7% and 44.7% anemia. Chi square analysis results obtained significant relationship between CEM with anemia in pregnant women with OR of 4.082 95% CI 1.604 to 10.387. This shows that pregnant women who are at risk of anemia CEM four times greater compared with pregnant women who are not CEM. There was a significant correlation between anemia and CEM, and CEM was a risk factor for anemia in pregnant women in Medan. Thus one of the efforts that need to be done in the context of prevention of anemia of pregnant women in Medan is to reduce the incidence of CEM. Improvements nutrition not only during pregnancy but before the mother into their pregnancy, so that mothers begin pregnancy at a good nutritional condition.

Background:Obesity is associated with a decrease in iron status, possibly it is an increase in hepcidin, an inflammatory protein that reduces iron absorption. Hepcidin is associated with iron homeostasis and inflammation. This study aims to determine differences in levels of hepcidin and ferritin of obesity pregnant women and normal weight before pregnancy. Subjects and Method: This was an analytic observational study with a case control design. A total of 62 pregnant women was selected by consecutive technique sampling and divided into 2 groups, namely obesity and normal weight before pregnancy. The study was conducted at RSIA Badrul Aini Medan and at RSUP H.Adam Malik Medan from September to December 2016. The dependent variable of this study was the weight before pregnancy. The independent variable washepcidin levels examined by ELISA method, ferritin content with Immunochemiluminescent method. The data analysis employed Mann Whitney's different test. Results: Median of hepcidin level in obese pregnant women before pregnancy was higher than pregnant mother with normal weight of 7.08 ng / mL (2.14 to 78.18). There was no difference in hepcidin level in both groups (p = 0.578). Median ferritin levels in obese pregnant women were higher than the normal weight of 20.57 μg / L (3.66 to 102.25). There was no difference of ferritin levels in both groups (p = 0.598). Conclusion:This study showed no difference in hepcidin levels and ferritin levels in obese pregnant women and normal weight before pregnancy.