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                <text>Manajemen Asuhan Kebidanan Berkelanjutan Continuity of Care (COC) Pada Ny. I di Klinik Pratama Rosni Alizar Kecamatan Percut Sei Tuan Kota Medan Tahun 2023</text>
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                <text>Prastika, Wilan Ayu&#13;
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                <text>Latar Belakang: Tujuan program kesehatan ibu diukur melalui indeks angka kernatian ibu atau kia dengan indikator kematian ibu disimpulkan sebagai semua kematian selama masa kehamilan, persalinan, dan nifas bukanlah karena penyebabnya melainkan seperti kecelakaan atau insiden dapat disimpulkan jumlah angka kematian ibu (AKI) yaitu semua kematian di r iruang lingkup dengan jumlah 100.000 kelahiran hidup (Profil Kesehatan 2020). Upaya kemajuan penurunan aki dapat dilakukan oleh setiap ibu memperoleh akses pelayanan kesehatan yang berkualitas, seperti pelayanan kesehatan bagi ibu hamil dan pertolongan persalinan oleh tenaga kesehatan yang kompeten serta perawatan pada ibu bersalin dan bayi, akan dilakukan rujukan jika terdapat masalah dan pelayanan bagi keluarga berencana termasuk post-partum (Goals, 2019). Indikator untuk menurunkan kematian pada neonatal usia (enam sampai empat puluh delapan) jam sesudah lahir yaitu melakukan kunjungan awal disebut KNI. KNI termasuk konseling pada bayi baru lahir tentang cara perawatan tali pusat, pemberian ASI secara eksklusif dan pemberian untuk vitamin kl dan memberikan Hepatitis BO suntik.&#13;
Metode: Metode yang digunakan untuk asuhan komprehensif pada Ny.I menggunakan deskriptif studí kasus yang secara sistematis menggambarkan suatu fenomena dengan adanya jenis data yang digunakan yaitu study kasus yang bersifat pengamatan memperoleh gambaran fenomena kesehatan atau kasus yang berkaitan&#13;
&#13;
dengan kehidupan, khususnya pada batas konteks dan fenomena yang tidak jelas. Dalam hal ini, penulis ingin menggambarkan asuhan kebidanan Ny.I.&#13;
Hasil: Manajemen perawatan ibu hamil, persalinan, nifas, bayi baru lahir hingga&#13;
&#13;
keluarga berencana sampai ada perbandingan antara kesenjangan secara teoritis. Kesimpulan: Asuhan Continiu Of Care yang diberikan mulai dari kehamilan, persalinan, nifas, bayi baru lahir, dan KB menggunakan 7 langkah Yarney dan dokumentasi Soap. Gestasi 37 minggu 1 hari, janin hidup, tunggal, preskep, intrauterine dengan ketidaknyamanan TM 3 dilakukan penatalaksanaan sesuai rencana. Pemantauan masa nifas berjalan normal tanpa adanya tanda bahaya dengan pengkajian data yang dipantau mulai 6 jam sampai 6 minggu post-partum. Evaluasi yang didapatkan dari hasil kunjungan.</text>
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                <text>Manajemen Asuhan Keperawatan Gawat Darurat Yang Service Excelent Pada Tn. M Dengan Stroke Hemoragik Di (IGD) RSUP H. Adam Malik Medan Provinsi Sumatera Utara Tahun 2024</text>
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                <text>Stroke merupakan penyebab kematian terbesar ketiga di dunia setelah penyakit jantung koroner dan kangker adalah stroke, yang merupakan ancaman serius baik di negara maju maupun berkembang. Stroke hemoragik sering kali terjadi akibat pecahnya pembuluh darah secara tidak normal. (Schrag &amp; Kirshner, 2020). Tahun 2022 data dari world Health Organization (WHO), secara global lebih dari 12,2 juta orang atau satu dari empat orang di atas usia 25 diperkirakan akan mengalami stroke, atau lebih dari 101 juta orang yang hidup saat ini. Lebih dari 7,6 juta atau sekitar 62% dari stroke hiskemik baru terjadi setiap tahun. Berdasarkan hasil riskesdas. prevalensi stroke di Indonesia telah meningkat sekitar 56% dati 7 per 1000 penduduk pada tahun 2013 menjadi 10,9 per 1000 penduduk pada tahun 2018. Prevalensi kejadian stroke di Sumatra Uara sebesar 6,3% menurut riset kesehatan dasar Provinsi Sumatra Utara, menempatkannya di urutan ke-21 dalam prevalensi. di Kota Medan, dari total kejadian stroke, terdapat 365 kasus, di mana 1/3 adalah stroke hemoragik dan 2/3 adalah stroke iskemik (Yastroki, 2013). Data dari catatan medis RSUP H. Adam Malik. menunjukan bahwa jumlah penderita stroke hemoragik mencapai 103 pada tahun 2021, meningkat menjadi 164 pada tahun 2022, dan kembali turn menjadi 149 pada tahun 2023. Orang yang mengalami stroke membutuhkan penangan yang komprehensif, termaksuk upaya pemulihan dan rehabilitasi jangka panjang. Menurut Malana (2021) Selama Penelitian Tanggal 29 April - 1 Mei Tahun 2024 Diruangan Instalansi Gawat Darurat Terdapat 1 Orang yang mengalami Stroke Hemoragik dan pasien banyak mengalami keluhan seperti sakit kepala yang hebat sehingga pasien harus cepat ditangani. Berdasarkan konteks tersebut, penelitian merasa tertarik untuk melakukan asuhan keperawatan darurat yang service excellent pada Tuan M yang mengalami stroke hemoragik di Unit Gawat Darurat Rumah Sakit Umum Pusat H. Adam Malik Sumatra Utara tahun 2024.</text>
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                <text>Manajemen Asuhan Kebidanan Berkelanjutan Continuity of Care (COC) Pada Ny. R di Klinik Rimenda Br Tarigan Kecamatan Medan Denai Kota Medan Tahun 2023</text>
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                <text>Latar Belakang: Continuity of Care merupakan pelayanan yang berkesinambungan mulai dari Kehamilan, Persalinan, Nifas, Bayi Baru Lahir dan Keluarga Berencana (KB) yang dilakukan oleh bidan untuk kesejahteraan ibu dan bayi. Sedangkan menurut Susanti, 2018 asuhan berkesinambungan adalah ketika pasien dan/ pemberi asuhan menuju asuhan keperawatan yang bermutu tinggi dan hemat biaya dimana terdapat kerjasama yang baik antara ibu sebagai klien untuk menerapkan manajemen asuhan kebidanan yang berkelanjutan.&#13;
Metode: Penelitian deskriptif dengan pendekatan studi kasus dengan penerapan manajemen varney meliputi pengumpulan data, Interpretasi Data, Diagnostik Potensi dan antisipasi, Tindakan segera, Rencana tindakan, Implementasi, Evaluasi dan Catatan Kemajuan dalam bentuk SOAP sebagai informasi dalam bentuk karya tulis ilmiah yang berjudul "Manajemen Asuhan Kebidanan Berkelanjutan pada Ny. R Klinik Rimenda Br. Tarigan, Kec. Medan Denai Kota Medan Tahun 2023" yang dilaksanakan pada tanggal 29 November-28 Juli 2022 menggunakan teknik pengumpulan data yaitu wawancara ibu, melakukan observasi, melakukan pemeriksaan fisik pada bayi, dan mengumpulkan data melalui rekam medis ibu dan bayi.&#13;
Hasil: Dilakukan asuhan secara continuity dan didapatkan data bahwa selama hamil Ny.R rutin melakukan kunjungan antenatal 3 bulan terakhir menjelang persalinan, dan selama hamil tidak ada masalah atau komplikasi yang serius hanya keluhan seperti sesak nafas saat tidur telentang dan sering buang air kecill di malam hari, hal ini merupakan fisiologis pada ibu hamil trimester III. Masalah terselesaikan dengan baik dan tidak ada gap antara teori dan praktek.&#13;
Kesimpulan: Berdasarkan apa yang diperoleh, penulis mengidentifikasi bahwa tidak ada kesenjangan antara teori dan praktek.</text>
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                <text>Masa nifas (puerperium ) dimulai telah plasenta lahir dan berakhirnya ketika alat-alat kandung kembali seperti keadaan sebelum hamil. Masa nifas berlangung selama kira-kira minggu atau 42 hari, namun secara keseluruhan akan pulih dalam waktu 3bulan. Masa nifas atau post partum disebut juga puerperium yang berasal dari bahasa latin yaitu dari kata " puer" yang artinya bayi dan " paraous" berarti melahirkan. Nifas yaitu darah yang bertahan tidak bisa keluar dari rahim dikarenakan hamil. Maka ketika melahirkan, darah tersebut keluar sedikit demi sedikit. Darab yang keluar sebelum melabirkan disertai tanda-tanda kelahiran, maka itu termasuk darah nifas juga. (Anggraini, 2015). Kematian dan kesakitan ibu mash merupakan masalah kesehatan yang serius dinegara berkembang dan dijadikan sebagai salah satu indicator keberhasilan system pelayanan kesehatan suatu negara.Menurut laporan World Health Organization (WHO) tahun 2014 Angka Kematianbu (AK) di duniyaitu 289.000 jiwa. Beberapa Negara memiliki AKI cukup tinggi seperti Afrika Sub-Saharan 179.000 jiwa, Asia Selatan 69.000 jiwa, dan Asia Tenggara 16.000 jiwa. Kata Kunci: Perawatan luka perenium</text>
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                <text>Standar Kompetensi Kerja Bidang Kebidanan yang telah ditetapkan&#13;
oleh Menteri Kesehatan ini diharapkan sebagai acuan dalam penyusunan&#13;
skema sertifikasi kompetensi, pelatihan berbasis kompetensi, dan untuk&#13;
penguatan SDM Bidan.</text>
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                <text>Factors Affecting Mothers in Giving Vitamin A Capsules To Toddlers </text>
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                <text>Vitamin A is one of the nutrients from the vitamin group that is needed by the body which is useful for eye health (so you can see well) and for body health (increasing the body's resistance to fight diseases such as measles, diarrhea and other infectious diseases). According to the World Health Organization (WHO), as many as 250 million preschool children experience vitamin A deficiency events, with an estimated annual incidence of blindness of 250,000 to 500,000 children &#13;
(1% -2%), and within 12 months half of children died as a result of vitamin A &#13;
deficiency (WHO, 2019). This study aims to determine the factors that influence mothers in giving vitamin A capsules to toddlers at UPT Puskesmas Bahorok, Langkat Regency in 2021. The type of research is an analytical survey with a cross sectional study approach. The population is all mothers who have toddlers UPT Puskesmas Bahorok Langkat Regency in 2021 totaling 248 people. The number of samples used was 62 people obtained by using the 25% Arikunto formula. Data analysis technique using chi square. The results showed that 62 respondents were mothers who had toddlers, the results showed that the majority of respondents had good knowledge, 37 respondents (59.7%) and a minority of respondents who had bad knowledge, 25 respondents (40.3%), had higher education, 34 respondents (54.8%) ) and a minority of respondents with low education as many as 28 respondents (45.2%), a negative attitude as many as 32 respondents (51.6%) and a minority of respondents who had a positive attitude as many as 30 respondents (48.4%), and gave Vitamin A capsules as many as 32 respondents (51.6%) and a minority of respondents did not provide Vitamin A Capsules. As many as 30 respondents (48.4%) and there was a relationship between mother's knowledge (0.000), mother's education (0.003), attitude (0.01) &#13;
in giving Vitamin A capsules In Toddlers. It is suggested to the public to be able to pay attention, add insight about giving vitamin A to toddlers so that the need for vitamin A can be fulfilled according to age. </text>
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                <text>Ingka Kristina Pangaribuan </text>
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                <text>Differences in the Effectiveness of Pelvic Rocking and Rebozo &#13;
Movements in the Lowering of the Fetal Head during First Stage &#13;
of Maternity at the Clinic in Kwala Bekala Village</text>
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                <text>and physiological event. Despite the inherent pain experienced by the mother and the extended duration of complete opening, some opt for alternative interventions, such as cesarean sections. &#13;
Additionally, pharmacological drugs may be administered to facilitate the timely expulsion of the &#13;
fetus and placenta. Aim: The purpose of this study was to analyze the effectiveness of pelvic rocking and rebozo movements in lowering the fetal head in women in the first stage of labor. Methods: This study used a quantitative analytic method with a quasi-experimental research design with a two&#13;
group comparison of pretest-posttest design. Results: The results of the study showed that before and after the pelvic rocking movement was carried out, the asymptote sig value was obtained. The 2-tailed &#13;
was found to be 0.000 less than the alpha level of 5% (0.05), so it can be concluded that there is a significant difference in decreasing the fetal head. An asymptote sig value was found for the rebozo &#13;
movement. The fetal head's descent varied significantly before and after the rebozo movement, as &#13;
shown by the 2-tailed statistic's finding that it was 0.003 less than the 5% alpha threshold (0.05). &#13;
Conclusion: The conclusion of this study was that the significance value of pelvic rocking was 0.000, &#13;
which was smaller than the rebozo significance value of 0.003, which means that the pelvic rocking &#13;
group was more effective in decreasing the fetal head compared to the rebozo group. So, it is very useful if the pelvic rocking movement service is carried out when passing through the first stage of labour.&#13;
 Keywords: First Stage of Labour; Pelvic Rocking; Rebozo </text>
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                <text> Ester Simanullang, Santhna Letchmi Panduragan, Ingka Kristina Pangaribuan, Sandeep Poddar</text>
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            <name>Title</name>
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                <text>Stunting Care Application (SCATION) and Its Effect in Early Detection of &#13;
Stunting in Toddlers in Langkat District </text>
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                <text>Introduction: According to WHO data from 2020, 144 million children &#13;
around the world had stunted growth in 2021. Based on the results of &#13;
the Indonesian Nutrition Status Study (SSGI), Ministry of Health, the &#13;
prevalence of stunting among children under five is 24.4% in 2021. &#13;
Poor nutrition during pregnancy and the early years of childhood has &#13;
the terrible side effect of stunting. Children that are stunted may never &#13;
reach their full height potential, and their brains may never fully mature &#13;
cognitively.  &#13;
Methods: This study is quantitative in nature, with an analytic &#13;
approach and a quasi-experimental design with a pre-post test design by &#13;
using scation (stunting care application). The population in this study &#13;
were parents who had children aged 0–5 months, with a total sample of &#13;
212 mothers.  &#13;
Result: The median value of knowledge is 55.0 and 50.0 for skills after &#13;
being given an intervention by scation (stunting care application), &#13;
while the median value for the control group is 45.0 for knowledge and &#13;
45.0 for skills. The increase in knowledge was 5.0 in the intervention &#13;
group (scation) and 2.0 in the control group, and there was an increase &#13;
in the same skills in both groups, namely 5.0 with a p-value of 0.004 for &#13;
knowledge and 0.007 for skills.  &#13;
Conclusion: There is an effect of the SCATION application on &#13;
increasing mothers' knowledge and skills in the early detection of &#13;
stunting in toddlers </text>
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            <name>Creator</name>
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              <elementText elementTextId="10183">
                <text>Ingka Kristina Pangaribuan, Faridah Mohd Said, Salbiah Binti Abdul Rahim, &#13;
Hafizah Che Hassan, Sandeep Poddar </text>
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                <text>2023</text>
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                <text>English</text>
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          <element elementId="50">
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                <text>Development of Health Promotion-Based Education Methods to Increase &#13;
Accessibility of Adolescent Mental Health </text>
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                <text>Good health and well-being are still significant problems in the world of health and are top priorities in health goals in the short and long term. Mental health disorders or depression are mental problems that are one of the factors that have not achieved a level of health in Indonesia and the world, so the transformation of adolescent mental health continues to &#13;
be carried out throughout the world (1). Mental health is very vulnerable to teenagers. WHO data (2022) states that 1 in 7 children aged 10-19 years are known to experience psychological problems. The prevalence rate for mental health disorders in Asia ranges from 1.81% to 23.3%. (2) Data in Indonesia shows that 6.1% of the Indonesian population aged &#13;
15 years and over experiences mental health disorders. According to the 2022 Indonesian National Adolescent Mental Health Survey (I-NAMHS), as many as 15.5 million or 1 in 3 adolescents (34.8%) in Indonesia experience mental health. This research aims to analyze the development of health promotion-based education methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. (b) To determine the feasibility of health promotion-based education &#13;
methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. The research method used is Research and Development, with stages of analyzing the method to be developed, the method development process, product testing, and the revision and evaluation stage to improve method weaknesses. The research results on developing health promotion-based education methods to increase mental health accessibility among adolescents in Bangun Rejo &#13;
Village show that the results of the first hypothesis test are accepted, namely that there is an influence between self awareness and self-awareness. Emotional and mental regulation of teenagers in Sudi Rejo Village, Tanjung Morawa District, means higher self-awareness. A person has higher emotional and mental regulation, and the development of Health Promotion-Based Education Methods, namely self-awareness and self-efficacy, increases the accessibility of adolescent mental health. </text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Isyos Sari Br Sembiring, Lidya Natalia Br Sinuhaji, Basaria Manurung, Nopalina Suyanti Damanik, Perkasa Ginting, Ingka Kristina Pangaribuan , Ninsah Mandala Putri Sembiring, Lusia Sadarni Gulo8</text>
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            <description>A language of the resource</description>
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