Abstract:Pharmacy Department an important role in the hospital service because almost 80% of patients will have medical prescription. However, the pharmacy department in this hospital has a different between the standard which have been set by the Government and the implementation of pharmacy service. Furthermore, after the intervention applied, it showed the decreased number of waiting time for medicine and also this decline has influence the patient satisfaction. In Karsa Husada general hospital the percentage of patient satisfaction is about 68.50% and the patients who satisfy with the service said that they will visit the hospital again. The purpose of this research is to find out whether the quality improvement of outpatients pharmacy service influence the patient loyalty through patient satisfaction. The method of this research was quantitative research with observational analytical study and used the cross sectional as the approach. The population of this research is about 1.143 patients who have been received outpatient pharmacy service, meanwhile the sample is about 89 patients who are not using insurance. The data analyzed using PLS which using SMART PLS program. Based on the result, it showed that the quality improvement of pharmacy service has positive effect and also significant towards patient satisfaction. However, the result showed that the quality improvement of pharmacy service and patient satisfaction has positive effect but not significant towards patient loyalty, then it also showed that the quality improvement of pharmacy service has positive effects but not significant towards patient loyalty through patient satisfaction in Pharmacy Department on Karsa Husada general hospital. Suggestions that can be given to the hospital that is to keep facilities and do strategy to prevent medicine void.

insufficient breast milk production is the primary cause why mothers cease breastfeeding early. The content of cypinone and polyphenol compounds within the leaves of lengthy beans (Vigna Sinensis L) has a lactation effect, so it can growth breast milk secretion and stimulate breast milk. This examine aimed to reveal the impact of feeding babies with long-leaf bean sprouts on growing lactation in postpartum mothers. This form of take a look at is a semi-experimental examine with a pre-test and publish-check group. A sample of 16 postpartum mothers who met the inclusion and exclusion criteria received postnatal mothers up to 250 g for 7 days. The device used become a survey. This observe was conducted the use of Wilcoxon's take a look at, and it changed into discovered that contributors who have been fed lengthy bean sprouts have been capable of growth their milk production by using 75%, which is sufficient for a 25% boom. The results of the analysis reached p 0.000 (p £ 0.05) indicating an increase in postnatal breast milk manufacturing. it could be concluded that the leaves of fenugreek which might be saved for a long term can increase lactation in postpartum mothers.

Puskesmas is a health service facility that organizes public health efforts and first-level individual health efforts, with greater emphasis on promotive and preventive efforts, to achieve the highest level of public health in the working area. Puskesmas Accreditation is an acknowledgment given by an independent Accreditation provider established by the Minister after meeting Accreditation standards. The purpose of this study was to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This type of research is analytic to determine the relationship between Puskesmas Accreditation Status and Service Quality in Simalungun District. This study uses a case control study approach (case and control), where independent variables are determined first, then the dependent variable is searched through a questionnaire that has been tested. A sample of 92 people, 46 were sampled for cases (Puskesmas Tiga Dolok) and 46 for controls (puskesmas Huta Bayu) using consecutive sampling techniques. Based on the results of bivariate test studies, that the dimensions of service quality related to the health center accreditation status (p <0.05) are tangibles, reliability, responsiveness, and assurance dimensions. Factors that are not related to the health center accreditation status (p> 0.05) are empathy dimensions. From the multivariate test results, it is known that the most dominant factor on the status of puskesmas accreditation is the quality of service based on the dimensions of responsiveness.

Babies are very sensitive to everything around them, but one of the most common skin problems in infants and children is diaper rash/rash. Diaper rash occurs due to moisture in the baby caused by the diaper overflowing due to feces and urine. VCO is virgin coconut oil that is processed at high temperatures and without the addition of chemicals. VCO contains medium chain fatty acids (MCFA), which consist of lauric acid, capric acid, caprylic acid and myristic acid. The quality of VCO is determined by lauric acid, its levels reach 45%. This study aims to determine the effect of extra virgin coconut oil on diaper rash in infants at the Pratama Kasih Ibu clinic, Deli Tua, Deli Serdang Regency in 2022. Rash 0-12 months The study was conducted using the Wilcoxon test. The results of the analysis showed a p-value of 0.009 (p < 0 0.05) for the reduction of respondents, indicating the effect of virginity. Coconut oil for skin rashes in babies. We conclude that virgin coconut oil can reduce diaper rash in babies.

In 2007 the incidence of cesarean section in Indonesia was 921,000 out of 4,039,000 deliveries (22.8%) of all deliveries. The operation to give birth to a child through an incision in the abdominal wall and uterus is called a cesarean section. If a person experiences deep feelings and pressures that cause psychiatric problems which can develop over a long period of time it can cause anxiety that happens to everyone. Anxiety that is not handled seriously will have an impact and impact on the physical and psychological aspects of pregnant women, both for the mother and the fetus. The fear that is usually expressed directly is the anxiety that can be seen in every individual who will undergo surgery. The five finger relaxation technique is one of the nursing interventions that can be done. The problem that occurs is that surgery often causes fear that has an impact on anxiety, resulting in decreased uteroplacental circulation, reduced blood and oxygen flow to the uterus and decreased uterine contractions. An alternative way out of this problem that can be done is to provide education about non-pharmacological therapy, namely five finger therapy. The services provided for pregnant women who will perform a caesarean section in the Hybrid room of the Sembiring Hospital are 19 people. The results showed that the education provided went smoothly and the level of anxiety in pre-cesarean mothers decreased.