Education of Medical

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PENGARUH KONSEP DIRI TERHADAP PRESTASI AKADEMIK MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS RIAU TAHUN PERTAMA
(2012-11-05) Nurmadiah, Nur
ABSTRACT Self concept affects the individual's perspective. Perspective about themselves will affects academic achievement for student. This research analysed on the correlation of self concept on academic achievement of the first year of students Medical Faculty of Riau University. This research use analitycal methode with cross sectional approaching. The respondents is the students batch 2011 Medical Faculty of Riau University totalled 117 respondents. But only takes 106 responden the inclusion criteria. Respondents a total of 11 drop out because they do not answer all questions completely. Self concept is measured by self concept questionnaire modification Gordon and James Battle and Grade Point Average, which is reasured the academic achievement. The result of this research shows the low and non-significant the correlation self concept on academic achievement (r=0,153 and p=0,117). The conclusion there is no significant correlation that shows the positive correlation with very low point between the variable of self concept and academic achievement on first-year student Medical Faculty of University of Riau.
PENGARUH GLIBENKLAMID KOMBINASI MINYAK BUAH MERAH (Pandanus conoideus Lam.) TERHADAP TINGKAT KERUSAKAN KORPUSKULUM MALPHIGI RENALIS TIKUS JANTAN GALUR WISTAR DIABETES
(2012-11-05) Perkasa, Hendra
ABSTRACT Diabetes mellitus is one of a metabolism disorder with characteristic of the hyperglycemia caused by abnormal insulin secretion resistance, insulin metabolism, or both. Diabetes mellitus complications in kidney is related with hyperglycemia cause increasing oxidative stress and distrubance antioxidant defence. Pandanus conoideus Lam. oil containing β-carotene, β-cryptoxanthin and α-tocopherol can reduce oxidative stress. This study aimed to determine the effect of glibenclamide combination P. conoideus Lam. oil on histochemical changes corpusculum malphigi diabetes. Wistar rats were divided into four groups; normal group, DM group, diabetic group given glibenclamide and diabetic groups were given glibenclamide combination Pandanus conoideus Lam. oil. The results showed significant differences (p <0.05) on histological glomerulosclerosis, capillary dilatation, mesangial matrix expansion and mesangiolysis. Based on this study; it can be concluded that administration of glibenclamide combination Pandanus conoideus Lam. oil can prevent the progression of Corpusculum malphigi damage in diabetic rats
Identification Of Bacteria In Tonsilofaringitis Patients at Ear-Nose-Throat Department Arifin Achmad Pekanbaru Regional Hospital
(2012-11-05) Sari, Anne Fretha Permata
Background: Tonsilofaringitis is a inflammation of the oropharynx and palatine tonsil and most often caused by Gram-positive bacteria such as Streptococcus β-hemolyticus group A, Streptococcus pyogenes and Streptococcus viridians. Research Goals: This research was to determine the type and the dominant bacteria in tonsilofaringitis. Methode: The sample was the swab of entire population of patients that diagnosed tonsilofaringitis and already asked to fill out informed consent. variables in this study were Gram-positive and Gram-negative bacteria on tonsilofaringitis. The variables in this study were Gram-positive and Gram-negative bacteria on tonsilofaringitis. The Results: Bacteria caused tonsilofaringitis in Gram positive (+) : Staphylococcus aureus 30.3% and Staphylococcus albus 24.2%. In Gram negative (-): Klebsiella sp 6.1%, Enterobacter sp 3.1%, Pseudomonas sp 27.2%, and Proteus sp 9.1%.
PENGARUH KOMBINASI GLIBENKLAMID DAN MINYAK BUAH MERAH (Pandanus conoideus Lam) TERHADAP TINGKAT KERUSAKAN TUBULUS RENALIS PADA TIKUS JANTAN GALUR WISTAR DIABETES
(2012-11-05) Hardi, Elsi Rahmadhani
ABSTRACT Diabetes mellitus refers to metabolic group disease which is characterized by chronic hyperglicemia resulting from impaired insulin secretion, insulin action or both. Diabetes mellitus complications affect many organs like kidney. Kidney abnormalities are due to hyperglicemia period and oxidative stress. Pandanus conoideus Lam oil contains β-carotene and α-tocopherol that can reduce oxidative stress. The aim of this study is to observe the effect of glibenclamide and Pandanus conoideus Lam oil combination on rat’s renal tubule. Diabetes was induced by streptozotocin (60 mg/kg;intraperitoneal). Rats were randomly divided into normal group, diabetic group, diabetic group administered glibenclamide and diabetic group administered combination of glibenclamide and Pandanus conoideus Lam oil. The animals were treated with glibenclamide and Pandanus conoideus Lam oil once daily for 14 days. The diabetic group showed hypertrophy of proximal cells tubule, Ebstein Armanni lession and proximal tubular dilatation. These features were reduced on diabetic group administered combination of glibenclamide and Pandanus conoideus Lam oil. This study concludes that combination of glibenclamide and Pandanus conoideus Lam oil administration can prevent the progression of renal tubular injury on diabetic rats.
PREVALENSI DAN KARAKTERISTIK WANITA HAMIL PENDERITA BACTERIAL VAGINOSIS DI POLIKLINIK OBSTETRI DAN GINEKOLOGI RSUD ARIFIN ACHMAD PEKANBARU
(2012-11-05) Pratiwi, Eza Nia
ABSTRACT Bacterial vaginosis (BV) is a disturbance in vaginal ecosystem characterized by reduction of the normal vaginal Lactobacillus and overgrowth of other anaerobic bacteria, such as Mobiluncus, Bacteroides, Gardnerella vaginalis and Mycoplasma hominis. It presents homogeneous, thin and smells fishy odor. Bacterial vaginosis causing gynecologic complications, such as cervicitis, salpingitis, endometritis, postoperative infections, pelvic inflammatory disease and urinary tract infection; and obstetric complications, such as premature rupture of the membranes, preterm deliveries, chorioamniotitis and postpartum endometritis. The study was conducted using cross sectional study and implemented in July 2012 at Clinic of Obstetrics and Gynecology RSUD Arifin Achmad Pekanbaru. About 41 pregnant woman were enrolled by using Gram’s staining with Nugent criteria shows 17 suffer BV (41,5%). Characteristics of patients with BV were highest in the age group 20-34 (82,4%) with gestational age 28-40 weeks (64,7%). Most had a high education level (64,7%) and unemployed (70,6%). This study found gravidity 2-3 (52,9%), parity 0 (41,2%) and 1 (41,2%), history of prematurity (11,8%), history of low birthweight (23,5%), history of vaginal discharge (64,7%) and did not find any history of douching and a history of IUD used.
GAMBARAN KUALITAS PELAYANAN KESEHATAN POLIKLINIK LEMBAGA PEMASYARAKATAN KLAS II A PEKANBARU
(2012-11-20) Depari, Elva G.
Abstract Prisoner as other community members have the same rights as other people in obtaining optimal health. Inside the prison, the realm of health handling cannot be disregarded, it’s for all prisoner always be in good condition and good physics. The aim of this research was to see health service care for prisoners and to analys health service by SWOT analysis in Prison II Class A Pekanbaru. This research method used descriptive quantitative approach through questionnaires inmate perceptions about the quality of health care through polyclinic and qualitative approaches SWOT analysis on health care polyclinic. The results of the five dimensions of service quality were good enough, which is only 3 (three) of 16 (sixteen) items that otherwise were not satisfied by the prisoner, the conditions of the room clinic, regular health checks, the alertness of officers came to the block if there are sick prisioner . In the SWOT analysis, procurement of medicines was a strength, but the number of health personnel and facilities remains a weakness. Health counseling for inmates an opportunity while overcapacity are still a threat in the health care polyclinic.
GAMBARAN PERILAKU DIET PADA REMAJA SMAN 1 PEKANBARU
(2012-11-21) Khudin, Mifta
ABSTRACT Adolescence is a period of transition from childhood into adulthood. The transition period is the critical period which many changes that occur in adolescence. Adolescence start concern about body weight and body shape. It encourages young people to go on a diet. Many factors related to the reasons why teenagers do diet. Individual factors, family and the environment contribute to dietary behavior in adolescents, but body image dissatisfaction and motivation to become thinner is the biggest factor. Unhealthy dietary behaviors that develops in adolescents will have effect on physical growth, nutritional deficiencies, and psychosocial development in adolescence. And increases the risk of deviant eating behaviors (eating disorder) such as anorexia nervosa and bulimia nervosa. This research is descriptive. The aim of this descriptive research was to dieting behavior in adolescent in SMAN 1 Pekanbaru. The samples of this study were the students of SMAN 1 Pekanbaru. Samples were selected by proportionate stratified random sampling method. Nutritional status was assessed by measuring BMI. Body image was assessed by Silhouttes questionnaire. Dietary behavior was assessed by using a questionnaire eating attitude test / EAT-26. Samples obtained from 87 adolescents with eating disorders likely 8 persons (9.2%).
ARTIKEL PENELITIAN Pengetahuan dan Sikap Tentang Kehamilan Risiko Tinggi Pada Wanita Usia Subur di Wilayah Kerja Puskesmas Muara Fajar Sebelum dan Sesudah Penyuluhan
(2012-11-21) Rakhmadian, Kahfi
Abstract Knowledge and Attitude about Woman in Childbearing Age at Primary Health Care of Muara Fajar about High Risk Pregnancy to Before and After the Counseling By Kahfi Rakhmadian Counseling is one of the approaches attempt to do to improve the knowledge and attitudes. This study aimed to determine the effect of education on knowledge and attitudes of women of childbearing age about high-risk pregnancies in the Muara Fajar village of Pekanbaru. The study was pre-post test one group study. The result is done by pre and post high-risk pregnancy counseling with slide method, and the distribution of leaflets. Data measurement knowledge and attitudes do as much as 2 times, before and after counseling. The number of samples is as much as 96 women of childbearing age. Analysis of the results is done by using the Wilcoxon test. From the analysis of data obtained knowledge score decrease in 17 people (17.7%), an increase in 61 people (63.5%) and remained 18 people (18.8%). Attitude scores decreased in 29 people (30.2%), an increase in 44 people (45.8%) and remained 23 people (24%). The test results showed no significant difference with p = 0.109 knowledge, but no diffrences significat attitude with p = 0367
GAMBARAN DIATOM PADA SUNGAI KAMPAR KAWASAN BULUH CINA SEBAGAI PENUNJANG DIAGNOSIS INDENTIFIKASI LOKASI KORBAN MATI TENGGELAM
(2012-12-03) Esha, Indi
Description of the diatom species existed in water column were of a key information in forensic science, especially in diagnosing the drowning site. Examining the diatom presence on the tissue, lung, blood, kidney as well as in the lymph of the victim (death person), were performed to confirm whether the death due to drowning or that other reason. Qualitative description of diatom in the part of body victim were compared to that in water, prior to confirmation the location of death. The study were located around Buluh Cina, middle part of Kampar river, in October 2012. The key identification of diatom were referred to Masaharu (1977) and Yungfang (1995), while diatom density were calculated following method of American Public Health Association (APHA). It revealed that 16 diatoms species were identified which consisted of Amphipora sp, Asterionella sp, Cocconeus sp, Gyrosigma sp, Melosira sp, Nitzschia sp, Pleurosigma sp, Ephitemia sp, Eucampia sp, Gomphonema sp, Isthmia sp, Streptotheca sp, Aulacoceita sp, Coconeis sp, Denticula sp and Rhizosolenia sp. Total abundance of diatom account 5801 cells/L. Apparently, Eucampia sp were dominant in the water which abundance of 2002 cells/L which average of all stations were 1933 cells/L.
GAMBARAN DIATOM PADA PERAIRAN DANAU BUATAN LIMBUNGAN SEBAGAI PENUNJANG DIAGNOSIS IDENTIFIKASI TEMPAT KORBAN MATI TENGGELAM
(2012-12-03) Abizar, Hafizhah
ABSTRACT The principal of the diatom test in drowning is correlate diatoms from research area and recovered from lung tissue or other organs, reinforce drowning as a cause of death and localize the site drowning. This research is a descriptive study to determine form, type and abundance of diatoms in Limbungan Man Made Lake. It was conducted from April 2012 to May 2012 with two sampling times. Identification of diatom’s species refers to the Masaharu and Yunfang. Abundance was calculated by the method American Public Health Association (APHA) Form of diatoms commonly in research is quadrangle shape. The result of diatom test in Limbungan Man Made Lake show 7 species of diatoms: Asterionella sp, Aulacoseira sp, Melosira sp, Navicula sp, Thalassiosira sp, Fragillaria sp and Diatoma sp. Total diatom’s abundance was 5193,33 cell/L. The highest abundance of diatom is Aulacoseira sp (1688,89 sel/L). Average abundance per station 1298,33 sel/L.
PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG KECUKUPAN ZAT GIZI SAAT KEHAMILAN SEBELUM DAN SESUDAH PENYULUHAN DI WILAYAH KERJA PUSKESMAS MUARA FAJAR RUMBAI PESISIR MEI 2012
(2012-12-03) Dahliati, Julia
ABSTRACT Macro and micronutrients needs increase during pregnancy. Inadequate dietary intake during pregnancy can lead to adversely effects for mother and also the fetus. Dietary intake during pregnancy is influenced by knowledge and attitude of pregnant mothers about adequate nutrition during pregnancy. The aim of this study is to determined the influence of counseling on knowledge and attitude of pregnant mothers about the adequate nutrition during pregnancy in working area of Muara Fajar Public Health Center in Rumbai Pesisir Mei 2012. This study is pre eksperiment design with one group pretest-posttest. The samples are 43 pregnant mothers. The instrument of this study is questionnare that is filled twice, before and after counseling. Analysis of the results are carried out using Wilcoxon test. The results showed knowledge of pregnant mothers before nutrition counseling are moderate category (53,5%) and low (46,5%). After counseling, the knowledge of pregnant mothers become good (7,0%), moderate (60,5%) and low (32,6%). The attitude of pregnant mothers before counseling are positive category (25,6%), neutral (65,1%) and negative (9,3%). After counseling, the attitude of pregnant mothers become positive (39,5%), neutral (55,8%) and negative (4,7%). The results showed that there was difference of knowledge after counseling, namely the improvement score of knowledges with the value of p=0,038 and there was not difference of attitude after counseling with the value of p=0,103. The conclusion is the counseling influences on improving pregnant mother’s knowledge and not influence on improving pregnant mother’s attitude about the adequate nutrition during pregnancy in working area of Muara Fajar Public Health Center in Rumbai Pesisir Mei 2012.
HUBUNGAN PERILAKU HIGIENE DAN STATUS GIZI DENGAN INFESTASI Soil Transmitted Helminths PADA MURID SDN 008 SUKAPING KECAMATAN PANGEAN KABUPATEN KUANTAN SINGINGI
(2012-12-03) nur, Alta ikhsan
Investment Soil Transmitted Helminthes (STH) is a disease caused by infestation of Ascaris lumbricoides, Trichuris trichiura, and hookworm. The prevalence of STH infestation found many elementary school students are related to poor hygine behavior. One result of STH infestation associated with nutritional status. This research aimed to determine the relationship between hygiene behavior and nutritional status with STH infestation on SDN 008 Sukaping Subdistrict Pangean District Kuantan singingi. This research use method an analytical cross sectional study in in 61 respondents. To see the relationship between hygiene behavior and nutritional status of the infestatin STH assessed with chi square test to test alternatives Fisher. From the data analysis it was found that hygiene behaviors related to the investment STH (p value = 0,002). Disciples who behave badly hygiene risk 16 times of infestation STH more likely than students who good hygiene behavior (OR = 15,7, 95% CI = 1,907-128,952). In addition there is also a relationship between STH infestation and nutritional status (p value = 0,00).
POLA RESISTENSI BAKTERI DARI SPUTUM PENDERITA PENYAKIT PARU OBSTRUKTIF KRONIK (PPOK) EKSASERBASI BAGIAN PARU RSUD ARIFIN ACHMAD PEKANBARU
(2012-12-03) Yuhamzi, M.Ogi
Abstract Chronic obstructive pulmonary disease (COPD) is a progressive airway obstruction, irreversible and often experience exacerbations because of bacterial colonization has occurred. Management of COPD exacerbations are caused by bacteria still rely on antibiotics to decrease mortality and morbidity rate. The purpose of this study were to find out the pattern of the bacteria that cause COPD exacerbation and it sensitivity to various antibiotics. Samples were sputum of patients with COPD exacerbation Lung Poly and inpatients at RSUD Arifin Achmad. Of the 30 sputum samples obtained 23 isolates of pathogenic bacteria and 9 non- pathogenic bacterial isolates, 56.52% were Gram-positive and 43.47% were Gram-negative bacteria. The pattern of bacterial isolates obtained were 12 coagulase negative Staphylococcus (37.50%), 1 isolate of Streptococcus pyogenes (3.12%), 6 isolates of Pseudomonas aeruginosa (18.75%), 3 isolates of Klebsiella spp (9.37%), 1 isolate of Escherichia coli (3.12%) and 9 isolates of Streptococcus viridians (28.12%). The sensitivity test results showed Gram-positive bacteria have the highest sensitivity to ciprofloxacin (30.77%), levofloxacin (23.08%), cefotaxime and ertitromisin (7.69%) while the highest resistance to cefixime, ceftriaxone, gentamicin, and amox-klav meropenem (100%). For Gram-negative bacteria have the highest sensitivity was found to ciprofloxacin, levofloxacin, and meropenem (40%) and cefepime (20%) while the highest resistance to cefixime, cefotaxime, ceftriaxone, erythromycin, gentamicin and amox-klav
PENGETAHUAN DAN SIKAP IBU-IBU HAMIL DI WILAYAH KERJA PUSKESMAS MUARA FAJAR TENTANG PENTINGNYA ANTENATAL CARE SEBELUM DAN SESUDAH PENYULUHAN
(2012-12-03) devita, Yelvira
ABSTRACT Complications in pregnancy is a major cause of the increase in maternal mortality rate. One of the efforts to decrease maternal mortality rate is by doing Antenatal care (ANC). As for the factors that influence of pregnant mother to doing ANC are knowledge and attitude of pregnant mother about ANC. Goal of this research is to assess the effectiveness of counseling to increase knowledge and attitudes about the importance of ANC in pregnant woman in working area of Muara Fajar Public Health Center. The method of this research is pre-experimental with pre test-post test one group study desaign. The sample of this research is 43 people using total sampling technique. The research variable is analyzed using wilcoxon test with α=0,05. The result of this research showed respondents have good knowledge (9,3%) and positive attitude (65,1%) before counseling and there are an increasing number of respondent who has good knowledge (20,9%) and positive attitude (81,4%) after counseling. The test of analyzed show that there is not effectiveness of counseling to improve pregnant mother’s knowledge about the importance of ANC with p value 0,101 and there is not effectiveness of counseling to improve pregnant mother’s attitude where is p value 0,135. In conclusion, counseling is not effective to improving knowledge and attitude of pregnant woman despite there are an increasing knowledge and attitude after counseling.
ARTIKEL PENELITIAN EVALUASI PELAKSANAAN PELAYANAN DI INSTALASI FARMASI MENGACU PADA STANDAR PELAYANAN MINIMAL DI RSUD SAWAHLUNTO TAHUN 2012
(2012-12-03) Listi, Cendra Viola
Hospital must give health service that originate with minimal standard of service of hospital. Realization of minimal standard of service of hospital must do at all of unit service. Pharmacy service is a direct service and be responsible to patient that related with pharmacy product to get sure output for raise quality of life of patient. For that purpose, must have to evaluation of service realization that originate from the standard of minimal service. This research aimed to evaluate the service realization at outpatient pharmacy at RSUD Sawahlunto. This research use method an qualitative and quantitative description quota sampling study in 138 respondents. To get describe of waiting time of medicine preparation and costumers satisfaction, research uses a questionnaire that calculated using SPSS program. From the research it was found that waiting time for preparation finished drug 5,4 minutes for each medicine, waiting time for preparation personalized drug 13 minutes and 2 seconds for each medicine, waiting time for preparation finished drug 20,1 minutes for each recipe, and waiting time for preparation personalized drug 32,8 minutes for each recipe. From the research it was found that the number of costumers satisfaction is 81,9%.
HUBUNGAN SISTEM PEMBELAJARAN DAN FREKUENSI DOKTER MUDA MENGHADAPI ISU ETIK DENGAN TINGKAT REFLEKSI KODE ETIK KEDOKTERAN INDONESIA DI RSUD ARIFIN ACHMAD
(2012-12-03) Yuliana, Tri Wahyu
ABSTRACT The Indonesian Code of Medical Ethics or Kode Etik Kedokteran Indonesia (KODEKI) is a reference of moral to guide the Indonesian physicians applied in their medical practice in the community. This study aims to obtain the reflection levels of the clerkships of KODEKI and to get the correlation between the learning system and clerkships frequency in dealing the ethical issue with reflection levels of KODEKI. This is a cross sectional study among 213 clerkships in RSUD Arifin Achmad. To measure the clerkships reflection levels of KODEKI, we used Clerkships KODEKI Reflection Quesionnaire (KRKodDM) and for clerkships frequency in dealing the ethical issue, we used Ethical Issue Frequency Quesionnaire (KFIE). Personal data sheet was used to obtain characteristic respondent. The clerkships reflection levels of KODEKI was moderate and good. The Clerkship reflection levels of KODEKI with Problem-based learning system and conventional system were 60 (52.6%) and 40 (40.4%) respondent with moderate level; 54 (47.4%) and 59 (59.6%) respondent with good level. There was no significant correlation between learning system (p=0.075) and ethical issue frequency (p=0.952) with reflection levels of KODEKI.
TINGKAT PENGETAHUAN PASIEN TERHADAP HAK KEWAJIBAN PASIEN DI RSUD ARIFIN ACHMAD PEKANBARU DAN
(2012-12-03) Aulia, Siska Miftakhul
ABSTRACT In the implementation of the medical profession often encountered conflict between doctor and patient, don’t be solved by the rules of ethics. This is because un the end must be returned on completion of the aspects of the rights and competencethat are comparable to the obligations and responsibilities. The right is the power or authority of a person or a legal entity to acquire or decide to do something. Obligation is something that should be done or to be done by an individual or a legal entity. Starting in September 1981, the conference 34th World Medical Association in Lisbon, for the first time declared the rights of patients. In the legislation no. 29 Year 2004 on the Practice of Medicine Section (52) patients in receiving medical care on medical practice, have the rights and obligations. The research is conducted using cross sectional study and implemented in March 2012 at RSUD Arifin Achmad Pekanbaru with a total sample of 60 people. High knowledge level on the right has a greater percentage (98.3%). At the level of knowledge of the patient to the obligations of patients had a high level of knowledge that is 100%. Influential factor is the age and socio- economic condition of the patient.
ARTIKEL PENELITIAN EVALUASI KINERJA KEUANGAN RSUD SAWAHLUNTO SETELAH PENERAPAN POLA PENGELOLAAN KEUANGAN BADAN LAYANAN UMUM DAERA TAHUN 2011
(2012-12-03) Rosyadi, Andria Prima
Financial performance reports are used to provide relevant information on financial and Position of all transactions made during the period. Financial performance assessments conducted to compare the results with the expected results, and to analyze the deviation from the target set at the beginning. The purpose of this study is to assess the financial performance of the District General Hospital Sawahlunto After application of Financial Management Pattern of Regional Public Service Board Sawahlunto Year 2011. This study uses financial data Sawahlunto Hospital in 2011. The research was carried out since july- november 2012. The result showed -35.71% Profitability, Liquidity, which consists of quick ratio, current ratio and cash ratio by 1109.61%, 701.42% and 260%., Solvency 0.77%. Assessment of cost recovery rate is 55, 47%. achievement of revenue target of 88.68%. Assessment of the efficiency of 116.77% financing.
FAKTOR-FAKTOR YANG MEMPENGARUHI SEKS PRANIKAH PADA REMAJA SMA DI RENGAT KABUPATEN INDRAGIRI HULU
(2012-12-04) Putri, Anggia Fraselia
The aim of this reseach was to prove the influence of knowledge, source of information, attitude and parents role related toward before married sexual at senior high school students in Rengat. The research was analytic with cross-sectional approach and qualitative and kuantitative method. The subject was students with 15- 18 years old who study in senior high school in Rengat The population were students in SMAN 1 and SMA PGRI in Rengat who ever or was having experience for dating, with the amount was 1158 students and the sample were amount 114 students. The sampling technique was simple random sampling. The analysis use chi squere test and multiple regression statistics with significant level 95% confidence interval (α =0,05). The results could be presented that the significant level of knowledge got p=0,022 (p<0,05) and coefficient value (-0,129), attitude got p=0,002 (p<0,05) and coefficient value (- 03915), the information resource got p=0,022 (p<0,05) and coefficient value (0,201), and the parents role got p=0,000 (p<0,05) and coefficient value (-0,394). Based on the result it can be concluded there are influence of knowledge, source of information, attitude, and parents role toward before married sexual at of senior high school students in Rengat.
EVALUASI PENETAPAN TARIF PELAYANAN DI UNIT RAWAT INAP VIP CENDRAWASIH RUMAH SAKIT UMUM DAERAH SAWAHLUNTO TAHUN 2011DENGAN MENGGUNAKAN ANALISIS BIAYA SATUAN
(2012-12-04) sibarani, Nasrani widiyanata
In order to rising up the quality of health care and remind that the hospital was an organitation of act, capital and technology it need to carry out by capable system of financing that can make a balance cost and revenue. In this context, the determination of a rational tariff based on unit cost becomes necessary. Analysis unit cost helps find maintenance and operational cost in VIP Cendrawasih nursing room General Hospital Sawahlunto which is useful to determine with tariff and can be used as basic to implementation the tariff. The research of this descriptive study applying cost analysis with using double distribution method and instrument spreadsheet double distribution to calculate the unit cost and the component included in the unit cost in VIP Cendrawasih nursing room General Hospital Sawahlunto and compare it with the currently tariff. The data for this study were obtained from the medical record, the financial reports for the period of January to December 2011.The result of this study reveals that the unit cost actual calculated Rp. 812.256,- and the variable cost Rp.408.048 is larger than the VIP Cendrawasih nursing room currently existing tariff in the hospital Rp.260.000,- that mean VIP Cendrawasih nursing room general hospital Sawahlunto get defisit.It is suggested that the of General Hospital Sawahlunto still need subsidize from the goverment

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