Support from family and friends is needed in the management of people with hypertension. The family is a support system in the life of people with hypertension, so that their condition does not get worse and avoid complications due to hypertension. The purpose of this study was to determine the relationship between family support and the behavior of the elderly in controlling hypertension at Tiga Balata Health Center, Simalungun Regency. This study uses a quantitative method, this type of research is analytic with a cross sectional approach. The population of this study were 33 hypertensive patients at Tiga Balata Health Center. The sample of this research is 33 respondents. Most of the elderly have good family support as many as 17 respondents (52.8%). And most of the elderly have good behavior as many as 20 respondents (60.6%). Chi-square test results with a significance level of 0.05 indicate that the p value is 0.000 ± 0.05, meaning H, it is accepted that there is a relationship between family support and elderly behavior in controlling hypertension at Tiga Balata Health Center, Simalungun Regency. The result of Chi Square 0.573 is positive, which means that the poorer the family support, the lower the behavior of the elderly. Good family support with good elderly behavior 14 respondents (87.5%) and good family support with bad elderly behavior 2 respondents (12.5%), poor family support with good elderly behavior 3 respondents (17.6%) and family support not good with the behavior of the elderly is not good 14 respondents (82.4%). The behavior of the elderly in controlling hypertension must at least be accompanied by a good family and also good motivation from the family.
The pursuit of oil recovery enhancement is an important matter in petroleum industry. Besides explore and exploit new opportunities, the optimization of existing well through New-Zone-behind-Pipe (NZBP) is one of the main tools to optimize brown field production. North Area of Roger Block, in Central Sumatera, consists of several brown fields; still have opportunities for production enhancement through NZBP candidacy optimization. Abundant unperforated zones were still unproduced due to difficulty in evaluating and prioritizing remaining NZBP prospects. Recently, there is no standardized method to prioritized NZBP opportunities. Therefore, this study was conducted to improve understanding of reservoir for NZBP ranking, and also develop selection criteria with objective to increase success rate. Furthermore, enhancing field performance by executing NZBP will be achievable. To develop screening process, this study is implementing Lean Sigma statistical tools such as CNX, Pareto, and scatter plot to define and improve NZBP selection process. This study also implemented Design of Experiment (DOE, related to statistics) methods to evaluate dependency between reservoir dynamic parameters and NZBP result. The result itself then came up with 4 major parameters which are most influential to NZBP historical oil gain result: water cut, sand thickness, resistivity, and permeability. In addition, a scientific cut off for each of those parameters were introduced for ranking the existing NZBP candidates empirically and statistically. After generating a screening process, the next step is to build reliable forecasting methods for future NZBP job. Therefore, we utilize the equation resulted from previous multi-variable linear regression and 2nd degree polynomial regression to estimate oil gain. This process is currently in place and results enormous financial revenue up to 9.4 MMUSD within 1 year. It has successfully increased success ratio to 70% and increase average oil gain by 246%. Lesson learned from this study was the development of good screening process to improve the candidacy. There is a big opportunity to adopt and adapt this small yet significant effort to other field worldwide.
Menstruation (menstruation) is the periodic discharge of blood and body cells from the vagina that originate from the lining of a woman's uterus. Menstruation begins at puberty and marks a woman's ability to bear children, although other health factors may limit this capacity. This event is so natural and natural that it is certain that all normal women will experience this process. However, in reality many women experience menstrual problems, one of which is menstrual pain (dysmenorrhea) (Admin, 2008). The research was conducted at Panei Tongah Public Middle School 1, Simalungun Regency, on 139 respondents. There is a relationship between knowledge and the effect of using menstrual pain relievers at SMP Negeri 1 Panci Tongah, Simalungun Regency, with the P-Value of 0.001 0.05. There is no relationship between attitudes towards the effect of using menstrual pain relievers at Panei Tongah 1 Public Middle School, Simalungun Regency, where the value obtained is greater than the expected value (P Value 0.250 0.05). There is a relationship between action and the effect of using menstrual pain relievers at Panei Tongah 1 Public Middle School, Simalungun Regency. From the results of the Chi-square test, the P-Value is 0.001 0.05, so the hypothesis is accepted. It is hoped that young women will pay more attention to the effects of excessive use of pain relievers because this can be bad for health. It is hoped that the school will work closely with health workers to conduct health education in schools, especially for young girls.
Diarrhea is a condition in which there is an imbalance in absorption, secretion of water and electrolytes, resulting in a frequency disorder of defecation more than 3 times a day with liquid or semi-solid stools, with or without mucus or blood. Diarrheal disease is still a global problem with a high degree of morbidity and mortality in various countries, especially in developing countries, and is one of the main causes of high child morbidity and mortality in the world. This study aims to determine the profile and rationality of using diarrhea drugs in pediatric patients at the Dolat Rayat Health Center, Karo Regency. This research was conducted using a retrospective descriptive method. The results of the study from the Dolat Rayat Health Center in Karo Regency showed that of the 235 patients who suffered from diarrhea the most were men (63-83%) and at the age of 2 years old infants (48.51%) with an average per patient of 1.28 drug items. The most widely used type of diarrhea drug was zinc (62.67%) in the form of syrup (54.67%). The rationality for using diarrhea medicines based on the 2011 Indonesian Ministry of Health guidelines includes the criteria for right indication (100%), right drug (100%), right patient (99.15%), and right dose (96.17%). Most of the use of diarrhea drugs in pediatric patients at the Dolat Rayat Health Center in Karo Regency is rational.
If necessary, a special officer is appointed who is directly responsible for the implementation of IMD administration to newborns. It is hoped that in the teaching and learning process both in the classroom and in the laboratory the administration of IMD can be mastered by every student. This research can be used as evidence based in conducting research with the same variables or with several variables related to the provision of Early Breastfeeding Initiation (IMD).
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