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All Journal Jurnal Ilmu-Ilmu Peternakan (Indonesian Journal of Animal Science) JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Health Reproductive JHE (Journal of Health Education)
Harianja, Ester
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Computer Science & IT Health Professions Medicine & Pharmacology Public Health Other

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PENGARUH TEKNIK EFFLEURAGE MASSAGE TERHADAP NYERI AFTERPAINS PADA IBU NIFASMULTIPARA DI BPM WANTI DAN BPM SARTIKA DI KOTA MEDAN TAHUN 2020 Sitorus, Friska; Harianja, Ester
JURNAL HEALTH REPRODUCTIVE Vol 5 No 1 (2020): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Post-partum mothers often experience changes both physiologically and psychologically, one of which is a change in the body's reaction due to uterine contractions. The intensity of uterine contractions increases after delivery which causes pain and makes the mother uncomfortable. Many experienced pain disorders during the puerperium even in uncomplicated normal delivery. This causes discomfort in the mother, especially in the abdominal area due to uterine contractions called afterpains. This massage therapy can minimize and even suppress pain with minimal side effects or even no side effects, one of which is using effleurage massage techniques. This study aimed to determine the effect of effleurage massage technique on afterpains pain in multiparous postpartum mothers. This research is a quasi experiment or quasi-experiment. The design of this study used a one group pre-test-post-test design. The results showed that the pain intensity in postpartum mothers before the effleurage massage technique experienced moderate pain, namely 73.3%, and mild pain, namely 26.7%, after effleurage massage 83.3% experienced mild pain and did not experience pain, namely 16 7%. The results of this study concluded that the effleurage massage technique can be used as a non-pharmacological therapy that can overcome the afterpains pain in postpartum mothers, thereby reducing the pain felt by the mother and will make the mother feel comfortable.
ANALISIS KUALITAS PELAYANAN KESEHATAN DENGAN TINGKAT KEPUASAN PASIEN DI POLIKLINIK GIGI DAN MULUT RUMAH SAKIT BHAYANGKARA TK II MEDAN TAHUN 2021 Corry Aquino, Cut; Pane, Masdalina; Harianja, Ester; Nababan, Donal; Bancin, Dewi
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 7, No 2 (2021): OKTOBER 2021
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v7i2.1637

Abstract

Peningkatan kualitas pelayanan kesehatan sangat berhubungan dengan tingkat kepuasan pasien dalam menentukan keberhasilan suatu Rumah Sakit. Tujuan penelitian ini adalah untuk menganalisis kualitas pelayanan kesehatan dengan tingkat kepuasan pasien di Poliklinik Gigi dan Mulut Rumah Sakit Bhayangkara TK II Medan tahun 2021. Jenis penelitian ini adalah penelitian observational dengan desain cross sectional. Populasi penelitian ini adalah seluruh pasien yang berkunjung ke Poliklinik gigi dan mulut Rumah Sakit Bhayangkara TK II Medan dari Januari sampai Juli 2021. Teknik pengambilan sampel secara total sampling yaitu sebanyak 53 orang. Hasil penelitian menunjukkan bahwa kehandalan (p = 0,0000, r = 0,635), jaminan (p = 0,0100, r = 0,335), bukti langsung (p = 0,0000, r = 0,562), empati (p = 0,0000, r= 0,648), daya tanggap (p = 0,0010, r = 0,448) memiliki hubungan yang signifikan dengan kepuasan pasien. Analisa multivariat didapatkan empati merupakan variabel yang paling dominan terhadap tingkat kepuasan pasien dengan model Z= 0,946 + 0,597 Empati. Diharapkan kepada pihak Rumah Sakit untuk membuat kotak saran pelayanan kesehatan dan Komite Medik untuk melakukan evaluasi terhadap kinerja petugas kesehatan dalam memberikan pelayanan kesehatan sesuai dengan kompetensi dan profesionalisme kerja serta mengadakan pelatihan soft skills caring kepada petugas kesehatan dalam memberikan pelayanan kesehatan Kata Kunci : Kepuasan, Kualitas Pelayanan
Impact of Packaging Materials and Storage Duration on the Physical Properties of Mantangan (Merremia peltata)-Based Complete Wafers Fakhri, Saitul; Purba, Cici Franika; Harianja, Ester; Akmal; Suparjo; Kaswari, Teja; Novianti, Sri; Suryani, Heni
Jurnal Ilmu-Ilmu Peternakan Vol. 34 No. 3 (2024): December 2024
Publisher : Faculty of Animal Science, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jiip.2024.034.03.11

Abstract

This study evaluated how packaging materials (PM) and storage duration (SD) influence the physical properties of mantangan-based complete wafers (MbCW). The MbCW formulation consisted of 44% Merremia peltata, 16% Brachiaria mutica, and 40% concentrate. Ingredients were ground (2 mm), homogenized, steamed, and pressed to produce wafers. A 4 × 3 factorial completely randomized design assessed four PM types (WP: no packaging, PL: plastic, CB: cardboard, PS: plastic sack) and three SD levels (30, 60, and 90 days). Statistical analyses revealed significant PM × SD interactions (p < 0.01) for moisture content, impact resistance, and water absorption. SD alone affected density, specific gravity, shrinkage, and fungal concentration. Moisture content and water absorption increased over time, while plastic packaging uniquely improved impact resistance with extended storage. Other packaging types showed decreased impact resistance. Plastic packaging demonstrated superior performance, preventing fungal growth for up to 90 days, with only 1.06% mould at this time, compared to 4.43% without packaging. The effective shelf lives were 57, 54, 53, and 43 days for PL, CB, PS, and WP, respectively. In conclusion, plastic was the optimal packaging material for MbCW storage.
POLA ASUH IBU DENGAN KEJADIAN STUNTING PADA ANAK USIA 24-59 BULAN DI WILAYAH KERJA PUSKESMAS KELURAHAN SEKUPANG KOTA BATAM Tobing, Mastiur Lumban; Pane, Masdalina; Harianja, Ester
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 1 (2021): April 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i1.1630

Abstract

Stunting merupakan bentuk dari proses pertumbuhan yang terhambat, dan merupakan salah satu masalah gizi yang perlu mendapat perhatian serius. Pola asuh ibu yang kurang khususnya dalam pemberian asupan makanan pada anak merupakan salah satu penyebab terjadinya stunting. Penelitian ini bertujuan untuk mengetahui pola asuh ibu dengan kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Kelurahan Sekupang Kota Batam Tahun 2020. Jenis penelitian kualitatif dengan metode studi kasus. Informan penelitian berjumlah 7 orang yang terdiri dari 5 orang ibu yang mempunyai anak usia 24-59 bulan yang mengalami stunting, 1 orang petugas gizi dan 1 orang petugas posyandu di wilayah kerja Puskesmas Sekupang. Hasil penelitian diperoleh bahwa pola asuh ibu berdasarkan asuhan pemberian makanan, mayoritas ibu tidak memberikan ASI ekslusif, anak sudah diberikan makan dan minum di bawah umur 6 bulan, ibu memberikan sarapan pagi tetapi anak sulit makan dan lebih memilih jajan di warung, mayoritas ibu menyiapkan makanan anak dan mayoritas ibu memberikan hanya bubur nasi saja. Pola asuh berdasarkan asuhan perawatan dasar anak bahwa mayoritas ibu bekerja sehingga yang mengasuh anak adalah suami atau anggota keluarga lainnya, imunisasi dasar pada anak sebelum usia 1 tahun tidak lengkap. Pola asuh ibu berdasarkan asuhan hygiene dan sanitasi bahwa mayoritas ibu menyimpan makanan di tempat tertutup dan bersih dalam lemari, anak mandi dua kali sehari, anak potong kuku seminggu sekali, baju anak diganti apabila kotor, ibu membersihkan bagian dalam dan luar rumah serta menggunakan air galon isi ulang untuk memenuhi kebutuhan air minum keluarga. Disarankan kepada orang tua terutama para ibu yang mempunyai anak dengan kejadian stunting supaya lebih memperhatikan pola asuh anak khususnya pola pemberian makanan sesuai menu gizi seimbang dan imunisasi lengkap pada anak.
The Reality of Smoke-Free Area Policy in Healthcare: "Case Study in The Special Lung Hospital of North Sumatra Province, Medan, Indonesia" Tarigan, Frida Lina; Purba, Ivan Elisabeth; Zega, Winar Purnawan Sari; Harianja, Ester; Nababan, Donal
Journal of Health Education Vol. 10 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v10i2.31858

Abstract

Background: The Special Lung Hospital of North Sumatra Province, Medan, Indonesia is mandated by city regulations to implement the Smoke-Free Area (SFA) policy. In the fact, smoking by visitors and security personnel still occurs, posing health risks to patients and staffs. However, smoking activities by visitors and security staff were observed, posing health risks to patients and mployees. This study aims to analyse the implementation, challenges, and possible solutions related to the SFA policy. Methods:  Using a qualitative case study design, six informants were interviewed, including the Hospital Director, Health Safety Environment Committee, security staff, employees, cleaning staff, and visitors. Data were collected through interviews, observations, and documentation, with triangulation used to ensure validity. Result: The study indicates that, although the policy has been implemented, its effectiveness remains limited due to weak communication, insufficient resources, a lack of commitment, and an inadequate bureaucratic structure. Major obstacles include poor coordination with the government in Medan, limited no-smoking signage, low compliance and awareness among staffs, a lack of a dedicated task force, and weak law enforcement without clear sanctions. Conclusion: Additionally, socialization and outreach regarding SFA regulations remain minimal. To strengthen implementation, proposed solutions include improving interagency communication, enhancing enforcement and signage, issuing a director's circular, reactivating cessation clinics, and fostering collaboration among hospital units to promote and supervise continuous SFA
Co-Authors Akmal Bancin, Dewi Corry Aquino, Cut Elisabeth Purba, Ivan Frida Lina Tarigan, Frida Lina Masdalina Pane Nababan, Donal Purba, Cici Franika Saitul Fakhri Sitorus, Friska Sri Novianti Suparjo Suparjo Suryani, Heni Teja Kaswari Tobing, Mastiur Lumban Zega, Winar Purnawan Sari