<p>Stroke is one of the public health problems in the world. Stroke can cause disability and functional disorders. The incidence of stroke in Indonesia increased sharply to become the third leading cause of death after heart disease and cancer. This study aims to determine the level of disability of clients after stroke against depression. Observational analytic research design with a cross-sectional design, performed at dr. Doris Sylvanus Palangka Raya in the Neural Poly Room. The Barthel index instrument to measure the level of disability, and the Hamilton scale instrument (HDRS) to measure the level of depression. The population in this study were post-stroke clients with disabilities who went out to the neurology clinic of dr. Doris Sylvanus Palangka Raya Hospital in the period January-June 2017 as many as 58 clients after stroke, so that by using the Sugiyono formula the sample size in this study was 38 people. The results of the study showed a significant relationship between the age of the patients after stroke with the level of depression with a value of p-value=0,032 and with a level of disability with a value of p-value=0,006 (p-value<0,05), p-value=0,000 (p-value<0,05). The results of the analysis of the level of disability of patients after stroke against depression are shown with a value of p-value=0,018 (p-value<0,05). There is a significant relationship between the level of disability of patients post-stroke for depression. Health education is needed to improve disability and depression in post-stroke patients.</p>
The maternal mortality rate (MMR) and infant mortality rate (IMR) is a barometer of a country's health services. In developed countries, the incidence of severe preeclampsia and eclampsia ranges from 6-7% 0.1 to 0.7%. While the maternal mortality rate due to pre-eclampsia and eclampsia in developing countries is still high (Betty & Yanti, 2011). To analyze the risk factors of weight in Pre eclampsia Referral Hospital Sultan Imanudin Pangkalan Bun and Dr. Doris Sylvanus Palangkaraya. This was an observational study conducted using a cross sectional study design. A cross-sectional study is when the influence of independent variables (exposure) and the dependent variable (effect) is observed and measured at the same time. Based on multivariable logistic regression analysis of factors affecting the risk factors PEB is the mother's age, education, gestational age, parity, ANC. Factors unrelated significantly is work, spacing, PE history, history of diabetes, Gemelli, economic and social decision-making. Factors that increase the risk of PEB is the mother's age, education, occupation, gestational age, parity, history of PE, the ANC and the social economy. Factors unrelated significantly is spasing, history of diabetes, Gemelli, and decision making. For pregnant women can do a pregnancy without looking at risk factors for PEB or no risk factors, to see some of the risk factors determinants. For health workers to carry out pregnancy tests with a focus on the pregnancy.
Kehidupan suatu organisasi sangat erat sekali kaitannya dengan tuntutan organisasi dan kebutuhan anggotanya. Oleh karena itu, sebuah organisasi tidak akan mampu mencapai tujuan dan memenuhi kebutuhan organisasi dan anggotanya apabila organisasi ini dijalankan tanpa manajemen yang baik. Sehingga dalam hal ini dapat dikatakan bahwa kehidupan dalam organisasi sangat terkait erat dengan manajemen. Menurut Syafaruddin (2008) organisasi adalah sebuah sistem dan sistem merupakan satu rangkaian dari unsur-unsur yang saling terkait disatukan oleh desain untuk mencapai beberapa tujuan. Seperti halnya organisasi dapat dipandang sebagai sistem sosial sebab organisasi bergantung atas hubungan timbal balik diantara sejumlah orang. Hatch menjelaskan bahwa organisasi memang dapat didefinisikan dengan berbagai cara dan dapat dilihat sebagai struktur sosial, teknologi, kultur, struktur fisik, atau bagian
Multimedia usage has been becoming a good trend in language learning. The collaboration of application developers and educational practitioners has created many multimedia applications with various learning purposes. This study was purposed to determine the effectiveness of multimedia applications to improve students’ vocabularies. The interesting variable of this study was the subject. The subject is the children who live in the village near Rungan river bank, namely Petuk Katimpun village. It is located in a rural area, located about 25 kilometers from Palangka Raya city. Those children have limited access to the latest gadgets or e-learning applications, so the children got new experiences of learning language by conducting this study. The study results showed some positive effects of the use of multimedia applications for children in basic language learning. The children can recall their memory perfectly when they were tested on a vocabulary quiz. The children were also can imitate the pronunciation of the words given 80% correctly. However, for dictation, the children still found it difficult to write down the words they heard correctly. Overall, the multimedia application usage for teaching vocabularies is very beneficial for the children.
Organisasi Kesehatan Dunia merekomendasikan agar bayi baru lahir mendapat ASI Eksklusiif (tanpa tambahan apapun selama enam bulan) dan menyusui akan dilanjutkan sampai bayi berusia 2 tahun atau lebih. Hal ini dikarenakan ASI merupakan nutrisi alamiah terbaik bagi bayi dengan kandungan gizi paling sesuai untuk pertumbuhan optimal. Berdasarkan data dari Survei Demografi Kesehatan Indonesia (SDKI) tahun 2012 bahwa AKB di Indonesia sebesar 32 kematian per 1000 kelahiran hidup, angka ini lebih tinggi dibandingkan dengan AKB yang ditargetkan MDG’s 2015 yaitu 23/1000 kelahiran hidup. Penelitian ini bertujuan untuk mengetahui efektifitas kombinasi Pijat Oksitosin dan Breast Care terhadap Praktik Menyusui di RSUD dr. Doris Sylvanus Palangka Raya. Penelitian ini merupakan penelitian eksperimental dengan pendekatan dengan rancangan randomized controlled trial (RCT), dimana penelitian eksperimen bertujuan untuk meramalkan apa yang akan terjadi atau merupakan penelitian prosfektif. Berdasarkan hasil pengujian hubungan antara faktor kombinasi pijat oksitosin dan perawatan payudara dengan pendampingan mempengaruhi praktik menyusui. Faktor lain yang tidak berpengaruh adalah pendidikan, pekerjaan, paritas, Indeks Massa Tubuh, Inisiasi Menyusui Dini (IMD).
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