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<![CDATA[HUBUNGAN NEUTROFIL LIMFOSIT RASIO DENGAN LAMA RAWAT INAP PADA PASIEN SEPSIS AKIBAT PNEUMONIA PADA TAHUN 2019-2020 DI ICU RSUD H. AMRI TAMBUNAN ]]>
<![CDATA[DINA YASMIN NASUTION]]>;
<![CDATA[IRFAN HAMDANI]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 1 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Sepsis due to bacterial infection in the blood is a serious medical emergency that requires prompt and appropriate treatment. Worsening of this condition can lead to septic shock, which is characterized by severe circulatory and/or metabolic abnormalities, and can lead to death. Pneumonia is the most common cause of sepsis in many reported case reports. NLR can be used as a screening for septic patients because it has better sensitivity and accuracy but is confirmed by blood culture as the standard. The association of organ dysfunction with mortality and high mortality rates in septic patients and the increasing costs in the ICU indicate the need to predict the length of stay of patients to provide information to patients and their families related to the patient's disease prognosis. This prompted this study to find out the relationship between neutrophil lymphocyte ratio and length of stay in patients with sepsis due to pneumonia. This study aims to determine the relationship between neutrophil lymphocyte ratio and length of stay in patients with sepsis due to pneumonia in 2019-2020 in the ICU of Drs. H. Amri Tambunan Deli Serdang. This study used a descriptive analytic method with a cross sectional design. The data was processed using SPSS Chi-Square. The result showed that the relationship between neutrophil lymphocyte ratio and length of stay in patients with sepsis due to pneumonia in 2019-2020 in the ICU of RSUD Drs. H. Amri Tambunan Deli Serdang showed a p-value of 0.0051 (p<0.05). There is a significant relationship between the neutrophil lymphocyte ratio and length of stay in patients with sepsis due to pneumonia in 2019-2020 in the ICU of RSUD Drs. H. Amri Tambunan Deli Serdang]]>
<![CDATA[GAMBARAN KLINIS PASIEN FIBROADENOMA MAMMAE TERKAIT OBESITAS ]]>
<![CDATA[SASKIA PUTRI NISRINA ZULKARNAIN]]>;
<![CDATA[RINI SYAHRANI HARAHAP]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 1 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Obesity is a disease characterized by abnormal or excessive fat accumulation in adipose tissue which can be a health risk. In young women, obesity can lead to benign breast tumors. The most common benign breast tumor is fibroadenoma mammae (FAM). Fibroadenoma mammae (FAM) is defined as a benign breast tumor in the form of a lump that can be moved (mobile), well-defined, with a firm consistency. Benign breast tumors are more common in young and post-menopausal women, this is related to high levels of estrogen in the blood which is a risk factor for breast lumps. A high body mass index (BMI) appears to be a substantial risk factor for the development of FAM, especially in young women. Other studies have shown high BMI is associated with a histopathological pattern of active FAM reflecting estrogenic stimulation; therefore, concluded that increased BMI was a significant risk factor for the formation of FAM. This study aims to determine the clinical manifestations in patients with fibroadenoma mammae associated obesity. This research uses a descriptive method using secondary data from medical records and primary data in the form of patient interviews in medical records. In this study there was a clinical manifestations in the form of age, the majority in the early adult group (51.9%). Based on the age of menarche, menstrual cycle and duration of menstruation, the most groups were found to be normal. Meanwhile, the majority of patients experienced mild pain in menstrual pain (63.0%) and breast pain (63.0%). The most common tumor size was ≤ 3cm (59.3%), with a springy consistency (100.0%). The proportion of body mass index in this study was mostly in the obese group I as much as 48.1%. Characteristics of mammary fibroadenoma by age, the majority in the early adult group. Based on the age of menarche, menstrual cycle and duration of menstruation, the most groups were found to be normal. Meanwhile, the majority of patients experienced mild pain in menstrual pain and breast pain. The most common tumor size is ≤ 3cm in size, with a springy consistency. The proportion of body mass index in this study was mostly in the obese group I]]>
<![CDATA[KARAKTERISTIK BAKTERI PENYEBAB INFEKSI SALURAN KEMIH, SERTA POLA ANTIBIOTIKA PADA REKAM MEDIK PASIEN PEREMPUAN DEWASA DI RSU SYLVANY BINJAI ]]>
<![CDATA[NADHILAH SARI NASUTION]]>;
<![CDATA[ANCE ROSLINA]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 1 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Urinary tract infection (UTI) is a condition in which germs or microbes grow and multiply in the urinary tract in significant amounts. Urinary Tract Infections can affect both men and women, but Urinary Tract Infections tend to be more common in women because of the shorter urethra in women than in men. The high prevalence of Urinary Tract Infections and the increasing resistance to antibiotics make this research necessary. To determine the characteristics of bacteria that cause urinary tract infections and the pattern of antibiotics in adult female patients at Sylvani Binjai General Hospital. This study used a descriptive method with a cross sectional case study design. Data on female patients diagnosed with Urinary Tract Infections were collected from the medical record section at the Department of Internal Medicine at Sylvani Binjai General Hospital in the period May-October 2021. The majority of female patients diagnosed with urinary tract infections caused by gram-negative bacteria such as Escherichia coli and using ciprofloxacin as therapy]]>
<![CDATA[FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEKAMBUHAN PASIEN SKIZOFRENIA DI RUANG RAWAT INAP RUMAH SAKIT JIWA DAERAH PROVINSISUMATERA UTARA MEDAN TAHUN 2022 ]]>
<![CDATA[MURNI ARITONANG]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 7 No 4 (2022): JURNAL ILMIAH MAKSITEK ]]>
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<![CDATA[Schizophrenia is the most severe mental illness experienced by humans, it can even be considered worse than sufferers of the Human Immunodeficiency Virus (HIV), not because it cannot be treated, but because it takes a long time to heal, and relapses occur at times. The population in this study were families of patients who had family members with schizophrenia who were treated more than once. The data obtained in this study were statistical tests using the chi-square test showing that there was a relationship between the incidence of recurrence and the regularity of taking medication with a probability value (pv = 0.047 < pv = 0.05). And the incidence of recurrence with family support has a probability value (pv = 0.025 < pv = 0.05).]]>
<![CDATA[EVALUASI KUALITAS UDARA DAN DAMPAKNYA TERHADAP KESEHATAN PERNAFASAN PENDUDUK KOTA MEDAN ]]>
<![CDATA[ALEXANDER PARLINDUNGAN MARPAUNG]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Medan City As one of the cosmopolitan cities is a buffer of several cities outside Medan City, where Medan City has been densely populated and also dense traffic conditions, as well as on the outskirts of Medan City has emerged industry, where exposure to motor vehicle smoke and industrial smoke can make the weather in Medan City worse. During 2022, there were around 209 people affected by respiratory illness, 6,300 people exposed to penunomia, and there were around 3.2 million deaths due to respiratory illness caused by exposure to pollution or air pollution. The purpose of this study is to evaluate the air quality in Medan City and identify its potential impact on the respiratory health of Medan City residents, where poor air quality in urban areas can cause serious health problems, especially in the respiratory system. The purpose of this study is to evaluate the air quality in Medan City and identify its potential impact on the respiratory health of Medan City residents, where poor air quality in urban areas can cause serious health problems, especially in the respiratory system. This study uses an analytical descriptive method with a cross sectional approach. The number of respondents amounted to 75 people in several clinics and hospitals in Medan City, where data collection techniques were carried out using documentation studies, interviews with questionnaires and also by using observation. Data analysis techniques can be performed using the distribution of respondents, and Univariate analysis. Based on the results of the study, it can be concluded that the residents of Medan City who are vulnerable to respiratory health in the form of lung disorders or penunomia are in the age range of >60 years, as well as the source of respiratory health problems experienced by Medan City residents, then the source of respiratory problems experienced by Medan City residents is derived from motor vehicle smoke that contains high pollutants that can cause acute respiratory problems penunomia)]]>
<![CDATA[EVALUASI PENETAPAN NILAI KRITIS PARAMETER HEMATOLOGI DI INSTALASI LABORATORIUM KLINIK RSUD WATES ]]>
<![CDATA[PRITA MURANI NUGRAHETI]]>;
<![CDATA[TEGUH TRIYONO]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Timely and accurate reporting critical value of laboratory examination helps support decision making, improves patient safety, and promotes successful therapy. A very extensive or very exclusive list of critical values has the potential to cause problems. This study is aimed to evaluate the determination of critical values, especially hematological parameters, in the Clinical Laboratory Installation of RSUD Wates. This study is a descriptive study of laboratory examination data for hematological parameters at RSUD Wates on January-June 2021. The proportion of critical values is calculated according to the cut off determined by the Clinical Laboratory of RSUD Wates. The cut off of critical values for the Laboratory of RSUP Dr. Sardjito was used as a comparison. The difference in proportion between the two groups was analyzed using the Chi Square test with p<0.05 is statistically significant. The most examination data was leukocyte count (7903 or 25.1%) and the examination with the most critical values is hematocrit (363 or 4.59%). There is a statistically difference in the number of critical values on the parameters of hematocrit, platelet count, leukocyte count and APTT, between the use of the cut off critical value of the clinical laboratory of RSUD Wates compared to the laboratory of RSUP Dr. Sardjito (p<0.01). The different two cut offs has the potential to increase the workload of laboratory staff and more time in reporting critical values. The cut off of critical values at the Clinical Laboratory of RSUD Wates should be reviewed, revised and updated regularly.]]>
<![CDATA[PANCASILA SEBAGAI SOLUSI PLURALISME DI INDONESIA ]]>
<![CDATA[RICKY BANKE]]>;
<![CDATA[STEVEN STEVEN]]>;
<![CDATA[NICHOLAS SUSANTO]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Pluralism has become one of the characteristics of the Indonesian nation with its diversity in culture, ethnicity, beliefs, etc. Indonesia's plural cultural structure if not managed properly can be a challenge as well as a threat of conflict. Therefore, a solution is needed as a common agreement, namely Pancasila, which must be a reference in establishing unity and resolving / eliminating potential. Pancasila can be the main foundation for running the life of the nation and state in the face of plurality. Each precept of Pancasila is elaborated in relation to pluralism and other principles. Godhead, humanity, Indonesian unity, democracy, and justice are very important precepts to foster the spirit of communication, mutual understanding and cooperation among various plural groups with an approach based on Pancasila values. Pluralism in Indonesia can be a useful asset that encourages progress and social harmony. Pancasila education has a vital function in building citizens' awareness to adopt Pancasila values as a solution to overcome the obstacles of pluralism and turn it into a force for the prosperity and welfare of the nation.]]>
<![CDATA[THE RELATIONSHIP OF KNOWLEDGE OF BREASTFEEDING MOTHERS TO THE PROVISION OF COMPLEMENTARY FOOD TO BABIES TOO EARLY IN PIDOLI LOMBANG VILLAGE, SUB-DISTRICTMANDAILING NATAL DISTRICT PANYABUNGAN 2023 ]]>
<![CDATA[DEWI SRI RAHAYU TINENDUNG]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[Breastfeeding is one of the most effective ways to ensure the health and survival of the child. However, almost two days three babies are not breastfed exclusively during the recommended six months. Breast milk (breast milk) is an ideal food for babies. Improper feeding of complementary breast milk (MP-ASI) continues to drive efforts to increase the rate and duration of breastfeeding worldwide. This study aims to determine the Relationship of Breastfeeding Mothers' Knowledge to Breastfeeding Babies Too Early in Pidoli Lombang Village, Panyabungan District, Mandailing Natal Regency, 2023. The type of research used is descriptive research with a cross sectional approach The population in the study was mothers who had babies 0-5 months in Pidoli Lombang Village. The sampling technique uses Random Sampling with a large sample of 45 people. Data collection by using primary and secondary data. Data analysis using the chi -square test with a significant level of p<0.05). The results of the analysis showed that there was a relationship between the knowledge of breastfeeding mothers to the administration of complementary food in infants too early with a value of P = 0.002 where P = <0.05. It is hoped that health workers will provide information to increase maternal knowledge, through counseling at Posyandu and the community environment for mothers who do not visit Posyandu. Make information in the form of brochures about the benefits of exclusive breastfeeding and the right time to provide complementary foods that aim to increase mothers' knowledge about complementary foods and can change the mother's attitude towards a more positive direction.]]>
<![CDATA[HUBUNGAN ANTARA ASUPAN MIRONUTRIEN DAN RISIKO TERJADINYA PENYAKIT JANTUNG KORONER PADA POPULASI URBAN DI KOTA MEDAN ]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
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<![CDATA[There are still 315 people and in 2022 as many as 335 people with coronary heart disease and become patients at the hospital, which is an increase from 2021. This situation indicates that the people of Medan City are prone to coronary heart disease, where the lifestyle of some people from the upper middle class group still consumes food intake that is high in fat and heavy nutrition, and there are still those who do not consume food intake that contains micronutrients or contains nutrients that are good for the body, as well as light nutrition. Therefore, the right thing or policy is needed for the Ministry of Health, especially the Medan City Government in overcoming and reducing coronary heart disease through educational activities so that the public is aware of the dangers of coronary heart. The purpose of this study is to evaluate how the consumption of food intake containing micronutrients is able to reduce obesity rates, and prevent coronary heart disease for people in Medan City. This study used analytical descriptive method with cross sectional approach. Based on the results of research that has been put forward that heart health is caused by age factors and unhealthy habits or diets, where some people as coronary heart disease patients state that coronary heart disease appears at the age of 50-59, and carry out unhealthy food consumption patterns, so that foods that have micronutrients that are little fat and low in nutrients are needed.]]>
<![CDATA[PERANAN MANAJER DALAM MENINGKATKAN KINERJA KARYAWAN PADA PT. ANTARA KESUMA MEDAN ]]>
<![CDATA[RIANTO RIANTO]]>;
<![CDATA[AMRIL AMRIL]]>
<![CDATA[ JURNAL ILMIAH MAKSITEK Vol 8 No 2 (2023): JURNAL ILMIAH MAKSITEK ]]>
Publisher : <![CDATA[LP2MTBM MAKARIOZ ]]>
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<![CDATA[The purpose of this research is to find out whether the role of the manager has been effective enough in improving the performance of the employees of PT. Antara Kesuma Medan?, and to find out how much influence managers have on the performance of company employees. As well as to know the implementation and benefits of delegation of authority to increase employee motivation in the company. The research method is to obtain relevant data in preparation, the authors conduct research on companies by: (a). library research, namely collecting data by studying books, dictates and other writings that are relevant to the object to be discussed. (b).Field Research (Field Research). This research was conducted by going directly to the field, namely the company to obtain the necessary primary data. To collect the data the research method used was: direct interviews with related parties and direct observation.The results of this study are tasks carried out by subordinates which remain the responsibility of superiors, so that superiors can always provide guidance, direction and supervision of the implementation of tasks. But trust and direction as well as supervision of the implementation of employee duties. With the hope that the trust and expectations given by the manager to employees will arouse the motivation of subordinates to show loyalty for what is entrusted to them. In providing accountability reports, it is done in writing so that subordinates know clearly the boundaries of the implementation of their duties.]]>
