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All Journal Majalah Kedokteran Nusantara The Journal Of Medical School
Rusli P. Barus
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Health Professions Medicine & Pharmacology

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Hubungan karakteristik dengan tingkat pengetahuan, sikap dan perilaku bidan puskesmas di Kota Medan tentang pap smear dan kanker serviks Hilma P. Lubis; Rusli P. Barus; Melvin NG. Barus; Letta S. Lintang; Indra G. Munthe; Sarah Dina
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 2 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Objective : To determine the correlation between characteristics and the level of knowledge, attitudes and behavior among midwife in primary health care in Medan about pap smear and cervical cancer.Method : This study was a descriptive analytical with cross sectional design conducted using a 3-sections questionnaire containing 15 knowledge questions, 12 attitude questions, and 8 behavior questions at 100 midwives in 39 primary health care in Medan from October until November 2013. Data was collected by.Data analysis was performed using two way Chi Square with a significance level of 95% (p<0.05).Results : Majority of respondents were good in knowledge (84%), attitude in adequate level (52%), and behavior in good level (52%). In Chi Square analysis, no significant relationship found between educations and knowledge, attitudes, behavior (p=0.184; p=0.417; p=0.185); no significant relationship found between age yet length of working with knowledge, attitudes (p=0.191; p=0.478 and p=0.22; p=0.649) while significant correlation found between age yet length of working with behavior (p=0.003 and p=0.0037).Conclusion : Based on these results, it is shown that better behavior is found in midwife who has an older age and long working age.Keywords : midwife; cervical cancer; pap smear
Perbandingan berat badan pada akseptor kontrasepsi hormonal oral kombinasi sebelum, sesudah 6 bulan dan 12 bulan penggunaan Dewi Andriyati; Rusli P. Barus; Khairani Sukatendel; Muldjadi Affendy; Henry Salim Siregar; Johny Marpaung
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Background : Hormonal contraceptive is the most effective and reversible contraceptive method to prevent a pregnancy. Combined hormonal oral contraceptive primarily work by preventing ovulation. Ovulation was blocked by an action in hypothalamushypophyse-ovarium axys to reduce luteinizing hormone (LH) dan folicle-stimulating hormone (FSH). One of side effect of combined hormonal oral contraceptive pill use is increase the body weight, especially in the first year of use. Because of this side effect can lead to noncompliance or discontinuation of COCs, it takes knowledge of the patients about the side effects that can occur and how to prevent it.Methods : This study is observational analytic, which uses secondary data from medical records of family planning acceptors who use combined hormonal oral contraceptive pill for at least 12 months which is carried out in December 2014 - January 2015 in Public Health Center Helvetia Medan.Results : Mean value of maternal body weight before use of combined hormonal oral contraceptive pill is 57.35 kg, after 6 months of use is 58 kg, and after 12 months of use is 58.28 kg. Based on these results, with the paired t-test between maternal body weight before and after 6 months of use, it gets p value <0.05, which means there is a significant difference between body weight before and after 6 months use of combined hormonal oral contraceptive pill. In the paired t-test comparing the maternal body weight before and after 12 months of use, it gets p value <0.05, which showed a significant difference between body weight before and after 12 months use of combined hormonal oral contraceptive pill. And paired t-test comparing body weight after 6 months and 12 months of use, it gets p value <0.05, which means there is a significant difference between body weight after 6 months and after 12 months use of combined hormonal oral contraceptive pill.Conclusion : There is a significant maternal weight gain before, after 6 months and after 12 months use of combined hormonal oral contraceptive pill.Keywords : body weight, oral contraceptive, family planning
Co-Authors Dewi Andriyati Henry Salim Siregar Hilma P. Lubis Indra G. Munthe Johny Marpaung Khairani Sukatendel Letta S. Lintang Melvin NG. Barus Muldjadi Affendy Sarah Dina