Diabetes mellitus (DM) is a dangerous disease known by the people of Indonesia by the name of diabetes. DM is a metabolic disorder that occurs chronic or chronic because the body does not have enough insulin due to interference with the secretion of insulin, insulin hormone that does not work properly or both. The purpose of this study was to determine the effect of counseling with flipcharts and brochures on lifestyle knowledge in Type 2 DM patients in the Outpatient Clinic of Deli Serdang Hospital in 2019. This study used a quasi experimental design using the two group posttest design. The population was all patients with Type 2 DM in the Outpatient Hospital Deli Serdang as much as 199 and the sample was obtained by 48 respondents with the provisions of 24 for the flip sheet media group and 24 for the brochure media group. Data were analyzed using univariate and bivariate analysis. The results were obtained: a) There was an influence of counseling with flipchart media (p = 0,000) and media brochures (p = 0,000) on lifestyle knowledge in patients with Type 2 diabetes. B) Media brochures more effectively influenced knowledge about lifestyle in patients with Type 2 diabetes (p = 0.002). From the results of the study it is expected that sufferers of type 2 DM can maintain a healthy lifestyle by doing the right diet to maintain body fitness and control blood sugar levels in the body so that the disease is not a complication and the hospital can counsel with patients with type 2 DM using media brochures and flipchart media as a manifestation of concern for patients and the community. AbstrakDiabetes Melitus (DM) merupakan salah satu penyakit berbahaya yang dikenal oleh masyarakat Indonesia dengan nama penyakit kencing manis. DM adalah penyakit gangguan metabolik yang terjadi secara kronis atau menahun karena tubuh tidak mempunyai hormon insulin yang cukup akibat gangguan pada sekresi insulin, hormon insulin yang tidak bekerja sebagaimana mestinya atau keduanya. Tujuan penelitian ini adalah untuk mengetahui pengaruh konseling dengan media lembar balik dan brosur terhadap pengetahuan tentang gaya hidup pada pasien DM Tipe 2 di Poliklinik Rawat Jalan RSUD Deli Serdang Tahun 2019. Penelitian ini menggunakan quasi eksperimental design dengan menggunakan rancangan two group posttest. Populasi adalah seluruh pasien dengan penyakit DM Tipe 2 yang terdapat di Poli Rawat Jalan RSUD Deli Serdang sebanyak 199 dan sampel diperoleh 48 responden dengan ketentuan 24 untuk kelompok media lembar balik dan 24 untuk kelompok media brosur. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil penelitian diperoleh: a) Ada pengaruh konseling dengan media lembar balik (p = 0,000) dan media brosur (p=0,000) terhadap pengetahuan tentang gaya hidup pada pasien penderita DM Tipe 2. b) Media brosur lebih efektif berpengaruh terhadap pengetahuan tentang gaya hidup pada pasien penderita DM Tipe 2 (p = 0,002). Dari hasil penelitian diharapkan penderita DM tipe 2 dapat menjaga gaya hidup yang sehat dengan melakukan  diet  yang  benar  untuk  menjaga  kebugaran  tubuh  dan  mengontrol  kadar  gula  darah  dalam  tubuh sehingga penyakitnya tidak menjadi komplikasi serta pihak rumah sakit dapat melakukan konseling kepada penderita DM tipe 2 menggunakan media brosur dan media lembar balik sebagai perwujudan kepedulian kepada pasien dan masyarakat.

Puskesmas Pematang Jaya as one of the Puskesmas located in Langkat Regency has a population of 15459 people. From the results of observations at the Pematang Jaya Community Health Center, the planning for the need for health personnel is still not perfect, so the policy in planning the need for personnel in one part of the Puskesmas is not sufficient. The number of tasks performed by a health worker affects the number and results of work that can be completed by each worker. The suitability of the number of employees with tasks in one of the activities can affect the productivity of the work unit which is carried out which results in unproductive work time and if there is a shortage of employees, excessive work will occur and affect the workload. This study aims to determine the amount of workload and how many health workers are needed in order to complete work programs at the Puskesmas effectively and efficiently. This research uses descriptive quantitative method. Research design by making direct observations of health workers and reviewing documents. calculating the energy requirements using the WISN method and then analyzed the results of the workload. The results showed that the need for personnel in the Puskesmas Pematang Jaya registration section according to the WISN calculation rounding instructions was 2.25, the Nursing section was 2.601 and the Puskesmas Laboratory section was 0.572. It is hoped that the results of this study can be a consideration to add personnel to the medical service division, such as doctors and nurses, and to add or replace parts that are not suitable for professional fields such as laboratory analysts, medical recorders and services that do not exist at all such as the nutrition department.

Banyaknya pasien yang datang di IGD membuat perawat harus memilah pasien dengan cepat dan tepat sesuai prioritas. Hal tersebut memerlukan pengetahuan dan sikap dalam hal pemisahan jenis dan kegawatan pasien dalam triase, sehingga penanganan pasien bisa lebih optimal dan terarah. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan dan sikap perawat tentang triage. Penelitian ini menggunakan metode penelitian korelasi dengan pendekatan cross-sectional. Penelitian dilakukan di IGD RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun dari bulan Januari sampai Agustus 2020. Sampel dalam penelitian ini sebanyak 46 perawat yang bertugas di IGD RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun yang diambil secara total sampling. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan korelasi spearman rank pada taraf kepercayaan 95%. Hasil analisis univariat menunjukkan mayoritas perawat memiliki pengetahuan tentang triase yang cukup (48%) dan mayoritas perawat bersikap positif (77%). Hasil analisis statistik spearman rank memperoleh nilai koefisien korelasi spearman sebesar 0,753 dengan ρ-value 0,000 < 0,05, sehingga Ha diterima. Kesimpulan dalam penelitian ini terdapat hubungan antara pengetahuan dan sikap perawat tentang triase di RSUD Dr. H Kumpulan Pane Kota Tebing Tinggi, RSUD Rantau Prapat, dan RSUD Tuan Rondahaim Simalungun.

Domestic wastewater is used water that cannot be used anymore for its original use, either containing human waste (feces) or from kitchen, bathroom and washing activities. The more dense the population in a settlement the more waste must be controlled. One simple way to treat domestic wastewater is to use anaerobic biofilter based on the type of media. The media used were broken stones, plastic sheets, and coconut shell charcoal. The purpose of this study was to determine the ability of anaerobic biofilter based on the type of media in domestic wastewater treatment. The parameters measured are BOD, COD and PH. Anaerobic biofilter performance is determined by looking at the difference in levels before and after using the media. This research is a quasi-experimental research with one group pretest-posttest design. The sample of this study were 10 samples taken from repetition 3 times in one experiment, the process was done by a batch system. The results showed an average reduction in BOD on plastic sheet media by 84.76%, COD by 84.77%, PH by 32.3%. The average reduction in BOD in the stone medium was 80.57%, COD was 80.59%, PH was 29.66%. The average reduction in BOD in coconut shell charcoal media was 69.72%, COD was 77.84%, PH was24%.

Continuous improvement of service quality is one of the important keys in facing the era of globalization which implies that services must be carried out according to standards and meet quality rules that are oriented to the interests of consumers. With these programs and facilities, it is hoped that the community will no longer be reluctant to seek treatment at the Puskesmas. The purpose of this study was to analyze the effect of the quality of health services on the satisfaction of inpatients at the Sei Mencirim Health Center.This research is a survey research, conducted at the Sei Mencirim Health Center. The population was all patients who were hospitalized at the Sei Menistrim Health Center in January-July 2021 totaling 74 people and the entire population was taken as a sample. Primary data obtained from interviews and secondary data in the form of inpatient data. The hypothesis was tested using the Multiple Regression test.Based on Bivariate analysis revealed that there was no effect of physical evidence on patient satisfaction. There is an effect of reliability, responsiveness, assurance and empathy on patient satisfaction.The most dominant variable affecting patient satisfaction is empathy.                Considering that empathy is the dominant variable affecting patient satisfaction, puskesmas need to improve quality individual service and patient family time for consultation is met.Keywords: Service Quality, Patient Satisfaction, Puskesmas Sei Mencirim