Smoking is one of the public health problems in Indonesia by remembering that smoking is one of the main risk factors of several chronic diseases that can lead to death. Smoking among adolescents is caused by curiosity or trying out new experiences, trying to eliminate boredom, wanting to be considered more male and want to be accepted in the group. The purpose of this study was to analyze the effect of the use of whatsapp social media and booklets on knowledge about cigarettes and student attitudes at SMA Negeri 13 Medan. This research is a quasi experimental study. The study population was all students of SMAN 13 Medan class 11 in 2018/2019 with 128 male students and the sample was 21 male students for the social media group WA) and 21 male students for the booklet group. Data analysis methods used in this study consisted of univariate and bivariate analyzes. The results were obtained as follows: 1) The use of whatsapp social media affected the knowledge of cigarettes and student attitudes, 2) The use of booklet media influenced the knowledge of cigarettes and student attitudes. From the research results obtained, suggestions are given that students can increase their knowledge through a number of ways including finding information through internet media or books relating to smoking and smoking as well as the dangers posed by smoking so that they can understand it and change attitudes towards more and produce good behavior, also. AbstrakMerokok merupakan salah satu masalah kesehatan masyarakat di Indonesia dengan mengingat bahwa merokok merupakan salah satu faktor risiko utama dari beberapa penyakit kronis yang dapat mengakibatkan kematian.Merokok dikalangan remaja disebabkan oleh rasa ingin tahu atau mencoba-coba pengalaman baru, mencoba menghilangkan kejenuhan, ingin dianggap lebih jantan dan ingin diterima dikelompoknya. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh penggunaan media sosial whatsapp dan booklet terhadap pengetahuan tentang rokok dan sikap siswa di SMA Negeri 13 Medan. Penelitian ini merupakan penelitian eksperimen semu. Populasi penelitian adalah seluruh siswa SMAN 13 Medan kelas 11 tahun ajaran 2018/2019 sebanyak 128 orang laki-laki dan sampel diperoleh sebanyak 21 siswa laki-laki untuk kelompok media sosial WA) dan 21 siswa laki-laki untuk kelompok booklet. Metode analisa data yang digunakan dalam penelitian ini terdiri dari analisa univariat dan bivariat. Hasil penelitian diperoleh sebagai berikut: 1) Penggunaan media sosial whatsapp berpengaruh terhadap pengetahuan tentang rokok dan sikap siswa, 2) Penggunaan media booklet berpengaruh terhadap pengetahuan tentang rokok dan sikap siswa. Dari hasil penelitian yang diperoleh disampaikan saran yaitu siswa dapat menambah pengetahuannya melalui beberapa cara diantaranya dengan mencari informasi melalui media internet atau buku yang berkaitan dengan rokok dan merokok serta bahaya yang ditimbulkan akibat merokok sehingga dapat memahaminya dan merubah sikap kearah yang lebih dan menghasilkan perilaku yang baik pula.

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.

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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.

Cervical cancer is a malignant tumor that grows inside the cervix (the lowest part of the uterus attached to the top of the vagina). A Pap smear is a method in which a cell is taken from the cervix and examined under a microscope. Any woman who is 18 years old, or a woman who has been sexually active should begin a Pap smear. This check should be done every year, although there are no symptoms of cancer. An examination of more than a year if it reaches the age of 65 years or three previous consecutive checks shows normal results. The purpose of the study changed the behavior of the midwife profession in order to perform cervical cancer screening with pap smear examination at Tk II Putri Hijau Hospital Medan. The design of this research is qualitative through phenomenology approach. The result of the research was obtained by the informant as many as 8 people consisting of 1 male informant that is obgyn doctor, 7 person work as midwife consisting of informant 2 often doing pap smear examination. Informants who do not routinely perform pap smear examination of informants 3 informants 3 times, informant 4 as much as 1 times, informant 5 as much as 3 times, informant 6 as much as 2 times. While informant 7 has never done pap smear examination, and informant 8 as much as 1 times. Some of the reasons that changed the behavior of the midwife profession to the Pap smear examination were shyness (fear), fear, no complaints (abnormalities), kesetrilan (medical equipment), lazy and cost. Here is found the expression of the eight informants is a more dominant shame words. Suggestion for the Tk II Putri Hijau Medan, submitted to the leader to oblige all female sex workers who have been actively engaged in sexual intercourse to perform cervical cancer screening by Pap smear examination routinely according to procedure and done at Tk II Putri Hijau Hospital Medan for free with existing health insurance facilities.Keyword: Cervical cancer screening, Pap smear Examination, Midwife Profession.