Efforts to strengthen the health services provided to patients rely heavily on the use of high-quality, complete, accurate, and timely data to inform decision-making at the clinical, facility, and policy levels in hospitals. However, evidence of gaps in the quality of medical records is often found. At RSU Royal Prima Medan there are still some incomplete data such as writing the actions that have been done to the patient. The purpose of this study was to analyze the factors that affect the quality of medical records as part of the initiative to strengthen the health care system. The research was conducted using a survey method with an explanatory research design. The research population was 612 people and as many as 100 samples analyzed were taken by stratified random sampling. The univariate test showed that most of the respondents had filled out medical records completely (78.0%) and on time (72.0%), but there were 41.0% medical records that were inaccurate and did not meet the legal requirements of medical records (59 ,0%). Bivariate analysis with Chi-Square showed that the variables of knowledge (p=0.001), procedures (p=0.006) and supervision (p=0.003) had an effect on the quality of medical records, while equipment had no significant effect. Of the three factors, the most dominant factor influencing the quality of medical records is the knowledge obtained through multiple logistic regression tests with an OR value of 4 times the risk of affecting the quality of medical records. This research is an indication that poor knowledge will affect the quality of medical records so that the Royal Prima Hospital Medan needs to conduct socialization and training to increase the knowledge of health workers (doctors, nurses, medical recorders).

The government has a responsibility to ensure that every citizen gets health services. Minimum Service Standards Indicators aim to be a benchmark of achievement in hospital performance. The indicator that is often used is the Bed Occupancy Rate (BOR). The state of the inpatient installation is an internal determinant of increasing satisfaction from consumers (patients). The aim of the research is to help local governments to improve the level of public health. As well as helping Royal Prima General Hospital Medan provide the best health services, and high quality standards. This research is a quantitative analytical-observational study with a cross sectional approach. Performed at the private public hospital Royal Prima Medan. Primary and secondary data collection was carried out in March-May 2021. Data analysis used a quantitative analysis approach; Data editing, data coding, univariate analysis, bivariate analysis.This analysis was carried out by using the Analysis of Variance (ANOVA) test on the program IBM SPSS. The research subjects came from inpatient room respondents from grades 1, 2, and 3. Based on the results of the study, the attitude of medical personnel was significant (P=0.04) towards services. Medical and medical services were not significant (P=0.13) on health services. Public facilities and infrastructure are significant (P=0.03) on health services. Distance and location of settlements are not significant (P=0.18) to health services. In conclusion, the attitude of medical personnel and public facilities affects the patient's interest. Meanwhile, distance, residential location, and medical services did not affect the patient's interest. Suggestions from this research are to improve the performance of medical personnel and hospital workers, by conducting training and training gradual coaching, to support more conducive health services at Royal Prima General Hospital Medan

This study aims to analyze the factors influencing students' snacking habits on the incidence of acute diarrhea. The method used is a cross-sectional survey with an explanatory research approach. The results showed that there was an effect of attitude (p = 0.024), trust (p = 0.007), availability of snacks (p = 0.012), peers (p = 0.013), the role of the family on acute diarrhea (p = 0.021), but there was no effect the amount of pocket money (p = 0.466) and the role of the mass media in acute diarrhea (p = 0.0869). In conclusion, attitudes, beliefs, availability of snacks, peers and the role of the family affect acute diarrhea, while the amount of pocket money and the role of the mass media do not affect acute diarrhea.  Keywords: School Age Children, Acute Diarrhea, Snacking Habits

Rosella flowers are able to provide a moisturizing and smoothing effect because they contain many substances that are useful for the skin, rosella flowers are also synonymous with a sour taste so that it gives a fresh sensation. In this study, the ethanolic extract of rosella flowers used was at a concentration of 2%, 2.5%, 3%, and 5%. This type of research is experimental research using a pre-test and post-test control group design. The sample of this research is Rosella flower extract lotion (Hibiscus Sabdariffa L.). Data analysis using ANOVA. The results showed that the entire concentration group of rosella flower (Hibiscus Sabdariffa L.) ethanol extract in this study was effective in moisturizing the skin. Ethanol extract of rosella flower (Hibiscus Sabdariffa L.) which is most effective in moisturizing the skin is ethanol extract with a concentration of 5%. The entireconcentration group of Rosella flower (Hibiscus Sabdariffa L.) ethanol extract in this study was effective in smoothing the skin. The ethanol extract of rosella flower (Hibiscus Sabdariffa L.) which was most effective in smoothing the skin was ethanol extract with a concentration of 5%.

Covid-19 virus began in December 2019, and the coronavirus (COVID-19) has impacted several countries, affecting more than 90,000 patients and making it a global pandemic. Where health workers include doctors, nurses, and other health workers, play a role in treating infected patients and become the vanguard in the handling of coronavirus. Based on data Indonesia positive cases of Covid-19 as many as 3,872,738 people and patients recovered 3,381,884 people and patients who died as many as 118,883 people and 48.3% of the cases of COVID-19 patients in Indonesia are elderly. The actual SARS-CoV-2 outbreak caused a highly transmissible disease with a tremendous impact on elderly people. This study focused on very elderly patients (over 80 years old) was created with the aim of analyzing the relationship of some diseases in the elderly that affect covid-19 at Royal Prima Hospital Medan in 2020, And the conclusion of this study based statistically shows that there is no link between DM, heart and kidney diseases in the elderly that affect covid-19, as well as the presence of hypertensive disease and ARI in the elderly that affects covid-19.