Resiko Kejadian Asfiksia Neonatorum pada Ketuban Pecah Dini di Rumah Sakit Kalisat Jember

Ketuban pecah dini adalah keluarnya cairan ketuban dari jalan lahir sebelum ada tanda-tanda persalinan.Ketuban pecah dini merupakan salah satu faktor penyebab terjadinya asfiksia neonatorum karena akibat dariadanya penekanan pada tali pusat di dalam kandungan sehingga bayi mengalami gangguan pertukaran O2 danberlanjut menjadi asfiksia. Tujuan penelitian mengetahui ada resiko kejadian asfiksia neonatorum pada ketubanpecah dini di Rumah Sakit Kalisat Jember. Desain penelitian analisis korelasi dengan pendekatan case control,jumlah sampel 69 responden menggunakan data sekunder rekam medik RS Kalisat Jember bulan Oktober -Desember 2017 dan dianalisa dengan uji chi square, Koefisien Kontingensi dan odd ratio. Hasil penelitianterdapat 42,02% ketuban pecah dini dan bayi yang mengalami asfiksia sebesar 31,88%. Analisa menggunakanchi square didapatkan X2 hitung sebesar 20,987 > X2 tabel sebesar 3,841 dan Koefisien Kontingensi 0,483artinya ada hubungan yang cukup kuat. Analisa menggunakan odd ratio didapatkan nilai 14,727 artinya adaresiko (efek negatif). Kesimpulan ada hubungan antara ketuban pecah dini dengan asfiksia neonatorum dan adaresiko kejadian asfiksia neonatorum pada ketuban pecah dini Sebaiknya bagi tenaga kesehatan di rumah sakituntuk melakukan pelayanan dan perawatan yang konservatif pada ibu bersalin yang mengalami ketuban pecahdini sehingga dapat mengurangi resiko terjadinya asfiksia pada bayi baru lahir. Key words: Resiko Kejadian Asfiksia, Ketuban Pecah Din

Gambaran Derajat Asfiksia Neonatorum pada Persalinan Pervaginam Letak Sungsang di RSD Kalisat

Asfiksia Neonatorum adalah keadaan dimana bayi tidak segera bernafas spontan dan teratur setelahlahir. Dampak dari asfiksia yaitu henti nafas dan kerusakan pada otak.Data di RSD Kalisat tahun 2017dari 43 bayi lahir pada letak sungsang, yang mengalami asfiksia ringan (41,86%), sedang (46,51%),berat (11,63%). Penelitian ini bertujuan untuk mengetahui gambaran derajat asfiksia neonaturum padapersalinan pervaginam letak sungsang di RSD Kalisat tahun 2017. Desain yang digunakan adalahdeskriptifdata sekunder tahun 2017. Populasinya adalah semua bayi yang dilahirkan secarapervaginam pada letak sungsang, sejumlah 65. Sampel adalah total populasi. Analisis datamenggunakan analisis data deskriptif yaitu frekuensi dan prosentase. Dengan hasil bayi lahir padaletak sungsang yang mengalami asfiksia ringan 36,92% (24 bayi), asfiksia sedang 52,31% (34 bayi)dan asfiksia berat 10,77% (7 bayi). Kesimpulan yang dapat diambil yaitu setengahnya bayi mengalamiasfiksia sedang, dan sebagian kecil mengalami asfiksia berat. Diharapkan peneliti selanjutnya dapatmelanjutkan penelitian dengan metode lain, misalnya dari segi desai n penelitian dan variable lebihdari satu variable, serta tenaga kesehatan mampu memberikan asuhan pada ibu hamil agar tidak terjadikomplikasi pada kehamilannya serta asuhan bayi baru lahir dengan asfiksia secara maksimal demikeselamatan dan kelangsungan hidup bayi.Kata Kunci : Asfiksia, Persalinan Pervaginam Letak Sungsang

Application of Solar Energy-Based Pest Control Tools to Improve the Quality of Rice Plants to Reduce Farmer Losses

Rice is one of the most important staple crops in Indonesia. Rice is the main source of food for the majority of Indonesia's population, including the Stabat area, which is a small town part of Langkat Regency, North Sumatra Province. Rice itself needs water to grow and develop, and is a plant that is no stranger to pests in the form of birds, mice, javelin, and so on. In dealing with pests, farmers in Stabat usually still use traditional methods by installing scarecrows and using pesticides to kill the pests. The work carried out by always going to the fields takes up a lot of energy and time from farmers. The University of North Sumatra Community Service Team offers a solution, namely making tools to protect rice plants from pests (javelin, aphids, caterpillars, mice, fungi) using pest detection sensors to help farmers in caring for rice to maintain the quality and quantity of rice through spraying pests to reduce losses incurred by farmers, especially during the harvest period. Solar energy-based pest control tool to improve the quality of rice plants to reduce losses. Farmers can also reduce the spraying of rice pests using chemicals so that soil fertility is maintaine

Pengosongan Payudara dengan Pompa ASI Meningkatkan Produksi ASI Ibu Bekerja

Background: Breastfeeding mothers often face a lack of milk production due to factors like changes in diet when returning to work and not breastfeeding or pumping frequently. In a previous study conducted at Arjasa Public Health Center, 100% of respondents reported inadequate milk production. Purpose : This study aims to analyze the effect of breast emptying using a breast pump on milk production in the Arjasa area. Methods: This study used a posttest-only control group design with 34 respondents, 17 in the control group and 17 people in the treatment group. Data were collected through a questionnaire and analyzed using the independent t-test statistical technique. Results: Independent t-test showed that the p-value was 0.001 < α = 0.05, leading to H0 rejection and Ha acceptance. This indicates that breast emptying using a breast pump affects breast milk production in working mothers in the Arjasa Community Health Center area. Conclusion: Breast emptying using a breast pump increases milk production. This increases prolactin hormone levels, the more milk emptied, the more milk produced. Thus, educating and supporting breastfeeding mothers in using a breast pump properly and the benefits of breast emptying is crucial for optimizing milk production

Decentralised control of DC microgrid based on virtual admittance to enhance DC voltage and grid frequency support

DC microgrid technology has become one of key smart grid research topics in recent years. In comparison to AC microgrids, DC microgrids are more manageable to operate in grid-connected and islanded modes, and also offering improved efficiency and better controllability. Services, such as voltages and AC system frequency support can also be potentially provided by optimally controlling the DC microgrids converter interfaces and their local distributed energy resources. These will require a good understanding of the dynamic interactions between the DC microgrid and the host AC system, and implementation of the appropriate control strategies. This paper investigates the dynamic resilience of a DC microgrid connected to an AC system under different frequency and voltage disturbances. A decentralised droop control strategy within the DC microgrid is used for fast active power control and wider system frequency support. A virtual admittance method is also utilised to enhance the local DC microgrid voltages during the AC frequency events and DC fault test scenarios. The effectiveness of the control strategy is evaluated by simulation studies in MATLAB/Simulink

Hubungan Riwayat Usia Penyapihan dengan Status Gizi Usia 24-36 Bulan

Weaning age is the time when breastfeeding is stopped and replaced with complementary foods. Based on a preliminary study at the Posyandu Aster, Tegal Besar Village, Kaliwates District, Jember Regency, of the 10 respondents who had children aged 24-36 months who had weaned their children, only 2 were on time and the nutritional status of their children was good, and 8 people who did the weaning incorrectlytime. The purpose of this study was to determine the relationship between the history of weaning age and the nutritional status of children aged 24-36 months. Correlation analytic research design with cross sectional approach. The population is 128 mom who have children aged 24-36 months, the sample is 96. The technique used is simple random sampling with data collection using questionnaires, obtained =24 month weaning age as 28(29.16%), <24 months were 68 (70.84%). Nutritional status over 13 (13.54%), both were 26 (27, 08%), approximately as many as 42 (43.75%), poor as many as15 (15.62%). Statistically Based on Chi Square test and df = 1 and the 5% error level obtained x2 count is greater than x2 tables (9.12> 3.481) and KK forb 0,295. The conclusion is that there is a relationship between the history of weaning age and the nutritional status of children aged 24-36 months with a low/ weak but definite relationship strength. Health care workers should provide education on properweaning and weaning effects of improper weaning so that people do right on time

Resiko Kejadian Asfiksia Neonatorum pada Ketuban Pecah Dini di Rumah Sakit Kalisat Jember

Ketuban pecah dini adalah keluarnya cairan ketuban dari jalan lahir sebelum ada tanda-tanda persalinan.Ketuban pecah dini merupakan salah satu faktor penyebab terjadinya asfiksia neonatorum karena akibat dariadanya penekanan pada tali pusat di dalam kandungan sehingga bayi mengalami gangguan pertukaran O2 danberlanjut menjadi asfiksia. Tujuan penelitian mengetahui ada resiko kejadian asfiksia neonatorum pada ketubanpecah dini di Rumah Sakit Kalisat Jember. Desain penelitian analisis korelasi dengan pendekatan case control,jumlah sampel 69 responden menggunakan data sekunder rekam medik RS Kalisat Jember bulan Oktober -Desember 2017 dan dianalisa dengan uji chi square, Koefisien Kontingensi dan odd ratio. Hasil penelitianterdapat 42,02% ketuban pecah dini dan bayi yang mengalami asfiksia sebesar 31,88%. Analisa menggunakanchi square didapatkan X2 hitung sebesar 20,987 &gt; X2 tabel sebesar 3,841 dan Koefisien Kontingensi 0,483artinya ada hubungan yang cukup kuat. Analisa menggunakan odd ratio didapatkan nilai 14,727 artinya adaresiko (efek negatif). Kesimpulan ada hubungan antara ketuban pecah dini dengan asfiksia neonatorum dan adaresiko kejadian asfiksia neonatorum pada ketuban pecah dini Sebaiknya bagi tenaga kesehatan di rumah sakituntuk melakukan pelayanan dan perawatan yang konservatif pada ibu bersalin yang mengalami ketuban pecahdini sehingga dapat mengurangi resiko terjadinya asfiksia pada bayi baru lahir. Key words: Resiko Kejadian Asfiksia, Ketuban Pecah Dini</jats:p