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KARAKTERISTIK PENDERITA HIPERTENSI YANG DIRAWAT INAP DI RUMAH SAKIT VITA INSANI PEMATANGSIANTAR TAHUN 2010-2011 Evi Susanti Sinaga; hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2012): JURNAL GIZI, KESEHATAN REPRODUKSI DAN EPIDEMIOLOGI
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Hypertension is one of the degenerative disease a public health problem in the world because hypertension often appears without symptoms. In Indonesia, people with hypertension are estimated at 15 million but only 4% controlled hypertension. According to the Ministry of Health of the Republic of Indonesia (2010) suggested that hypertension is the third cause of death is by PMR 6,7% of the population deaths in all age groups in Indonesia. To know the characteristics of patients who are hospitalized at Vita Insani Hospital Pematangsiantar, descriptive study has been done by using case series design and continued with the statistical analysis. The population and sample were 130 data patients (total sampling). From the recorded data, the results obtained by the highest proportion of female patients in the age group >60 years (30,8%), Batak (77,7%), Protestant (64,6%), house wives (24,6%), married (66,9%), out of Pematangsiantar (59,2%), headache (71,5%), third degree of hypertension (66,2%) without comorbidity (76,9%), stroke, and diabetes mellitus (33,3%), average length of stay 3,75 days, medically discharged and becoming out patient (83,1%). There is no significant difference between the sexes with the degree of hypertension (p= 0,252). There is no significant difference in the average length of stay patients with a degree of hypertension (p = 0,922). To hypertensive patients aged> 60 years for his blood pressure checked regularly and maintain a diet and a healthy life. Communities should be empowered, through education in order to contribute effectively to the prevention and control of hypertension. Keywords: hypertension, patient characteristics, Vita Insani hospital Pematangsiantar
KARAKTERISTIK PENDERITA SEPSIS NEONATORUM RAWAT INAP DI RSUD Dr. PIRNGADI MEDAN TAHUN 2010-2011 Dewi Lestari; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2012): JURNAL GIZI, KESEHATAN REPRODUKSI DAN EPIDEMIOLOGI
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Neonatal sepsis is a form of infectious disease in newborns with symptoms of systemic infection followed by bacteremia during the first month of life. Incidence of neonatal sepsis 1.5 to 3.72% in some referral hospitals in Indonesia with 37-80% CFR.To determine the characteristic of neonatal sepsis patients who are hospitalized at RSUD Dr. Pirngadi Medan in 2010-2011 with research descriptive case series design. Population and sample numbered 108 person (total sampling). Data obtained from medical records, analyze data using Chi-square, Mann Whitney dan ANOVA.The results obtained proportion of patients with neonatal sepsis based on the characteristics of infant is early neonatal 83.3%, sex ratio 1.8: 1, not twins 92.6% and low birth weight 56.5%. Proportion of patients with neonatal sepsis based on maternal characteristics such as age 20-35 years 74.1%, preterm gestational age 49.1%, 65.7%  parity (2-4), 57.4% a history of normal birth, and Early-onset sepsis 82.4%, 36.1% instead of referral, 38,9% own expense, the average threatment time of 7 days, cured 63%. There was no difference in the proportion of neonatal sepsis classification based on the history of birth (p>0,05).  There was no difference in the proportion of neonatal sepsis classification based on the origin of a referral (p>0,05), there was no differences in the average treatment time is based on the classification of neonatal sepsis (p>0,05), there are differences in the average treatment time is based on sources of cost (p<0,05) , there are differences in the average treatment time is based on the state of coming home (p< 0.05). To the Hospital Dr. Pirngadi Medan, in order to improve the quality of health care through curative efforts and particularly for the early diagnosis of neonatal sepsis reduces mortality and neonates, and to seek listing more complete patient data on the card status. Keywords: Neonatal Sepsis, Characteristics of Patients
KARAKTERISTIK PENDERITA DIABETES MELLITUS DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT VITA INSANI PEMATANGSIANTAR TAHUN 2011 merlyn sinaga; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2012): JURNAL GIZI, KESEHATAN REPRODUKSI DAN EPIDEMIOLOGI
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Diabetes Mellitus (DM) is a chronic degenerative disease with a prevalence continue to increase. World Health Organization (WHO, 2003) estimates that 5,1% of the people in the world with diabetes aged 20-79 years. Based on data Riskesdas 2007, the national prevalence of diabetes based on blood glucose measurements population aged > 15 years residing in urban areas was 5,7%. The objective of this research to know the characteristics of patients DM admitted to the Pematangsiantar Vita Insani Hospital in 2011. This research is descriptive study with case series design. The population in this study was 123 people, sample was the same as the population (Total Sampling). The results showed  the proportion of patients with complications of DM was highest in the age group 51-60 years (33,3%), female (65,0%), Batak (74,8%), Christian Protestant (56,9% ), senior high school education (32,7%),housewife (28,5%), out of Pematangsiantar (52,8%), type 2 diabetes mellitus (99,2%), Gastritis complication (32,5%), chronic complications (89,4%), Hypoglycemic oral medicine (63,4%), own expense (86,2%), average length of stay (5 days), and becoming outpatient (78,9%). According to statistic, there was no difference between age based on category complication (p=0,501)and there was difference betwen average lenght of stay based on expense surces (p=0,000). It is suggested to the Vita Insani Hospital can give information to DM patient with discharge and becoming out patient to control blood glucose regularly, adopting a healthy lifestyle and taking medication regularly so that blood sugar levels can be controlled. Keywords:Characteristic, Diabetes Mellitus with complication
KARAKTERISTIK PENDERITA KONJUNGTIVITIS RAWAT JALAN DI RSUD.DR.PIRNGADI MEDAN TAHUN 2011 Fivit Y Hutagalung; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 1 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Characteristics of patient with outpatient conjungtivitis in RSUD. Dr. Pirngadi Medan 2011. Conjunctivitis is inflammation of the conjunctiva or inflammation was largely a mucous membrane that cover the back of the eyelid and eyeball. Conjunctivitis is one of the ten greatest diesease in RSUD Dr. Pirngadi Medan. Total cases of conjunctivitis and other disorders of conjunctiva 355 visits to the eye departement. To determint the characteristics of patient with conjunctivitis in RSUD Dr.Pirngadi Medan in 2011 with research descriptive case series design. Data were collected from medical records of patient with conjunctivitis in RSUD Dr.Pirngadi Medan in 2011.population were as many as 355 data and sample were as many as 182 data and data obtained by random tables of C.survey program. Data analysis with Chi-Square and Exact-Fisher test. The result showed the highest proportion of patients with conjunctivitis in April of 20,9%, the age group 21-30 years with sex ratio of 1,25, the level of high school education 35,9%, 28,1% student work, where living in Medan 84,1%, the main complaint 100% red eyes, conjunctivitis location decstra-sinistra 52,9%, the type of acute conjungtivitis cataralis 57,1%, non-cobble stones 90,2%, visits an everage of 1 times 71,4% and general cost sources 62,1%. There is statistical test  result  showed a significant difference in proportion between the ages based  on the type of conjunctivitis (p<0,05), conjunctivitis located by type of conjunctivitis (p<0,05), visits an everage by type of conjunctivitis (p<0,05) and visits an everages by cost sources (p<0,0).  Expected to people with conjunctivitis in order to increase endurance, hygiene, sanitation and the environment and to the doctors and nurses in RSUD Dr. Pirngadi Medan field in order to provide understanding to patient and their families about the disease conjunctivitis to reduce transmission of the disease to others. Keywords: Conjunctivitis, Characteristics of patiens
KARAKTERISTIK PENDERITA FIBROADENOMA MAMMAE (FAM) RAWAT INAP DI RS SANTA ELISABETH MEDAN TAHUN 2007-2011 Helfiana Agustina Sidauruk; Rasmaliah .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 1 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Fibroadenoma mammae is a benign tumors which are mainly found in young women. Prevalence of fibroadenoma occurred in more than 9% of the female population. There are 103 cases in Santa Elisabeth Hospital Medan during 2007-2011. To know the characteristics of fibroadenoma mammae patients who are hospitalized in Santa Elisabeth Hospital Medan descriptive study has been done by using case series design. The population and sample were 103 data patients (total sampling). Data was analyzed by using test of chi square and t- test. Proportion based on sosiodemography, highest age £ 35 years old 72,8%, Batak ethnic 77,7%, Protestant religion 55,4%, student 30,1%, not married 61,2%, lives in Medan 68%. Lies in the right breast 39,8%, the size of fibroadenoma £ 5 cm 82,7%, one fibrodenoma 55,3%, physical examination and radiological 54,4%, operation 98,1%, average length of stay 4,01 days, discharged under medical treatment 96,1%. There were significant differences between age and marital status (p=0.000), age with location of FAM (p=0,005), age with number of FAM (p=0.000) and  the location of FAM with number of FAM (p = 0.000). There were no significant difference between marital status with the location of FAM (p=0.467), marital status with the number of FAM (p = 0.244), treatment time based on the average during medical treatment (p=0,599), and treatment time based on the average during the home state (p=0,452). Suggested at the hospital to complete the recording of the status of the card especially in relation to the fibroadenoma mammae such as education, body mass index, history of contraceptive, parity, family history, type of fibroadenoma and history of nursing. Keywords : Fibroadenoma mammae, characteristics of the patients
KARAKTERISTIK PENDERITA TIFUS ABDOMINALIS DENGAN PEMERIKSAAN TEST WIDAL RAWAT INAP DI RSU. Dr. F.L.TOBING SIBOLGA JANUARI 2010 - JULI 2012 Alista Br Simanjuntak; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 1 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Typhus abdominalis is one of the communicable diseases related to the environment which do not up to standart of health. Based on WHO (2003) there are 17 million Typhus abdominalis cases with CFR of 3,5%. On 2010 at the F.L. Tobing Sibolga Hospital proportion Typhus abdominalis sufferer is 1,5%, on 2011 is 2,1% and 2012 as of July the proportion is 2,9%. The population in this research are 358 sufferer were taken by purposive random sampling with criteria have Widal Test laboratory are 181. For analyzing, it is used chi-square and t-test. The results obtained that the highest sociodemographic proportion are age 1-10 years old 59.1%, men 55.8%, 42.3% not attending school, not working 42.5%, unmarried 86.7%, and the city came Sibolga 58.6%.The highest proportion of Typhus abdominalis sufferer with 100% fever symptoms,89.5% without complications, 36.8% respiratory complications, average of length stay 3.73 days, 84.0% discharge with outpatient treatment, 54.1% not expense by self, O titer (=1/160) 54.7%, H titer (=1/320) 37.6%. There is no significant difference between the proportion of ages, sexes,the average treatment time, O titer, H titer based on the status of complications. There are significant differences between the average treatment time based on the source cost. There is no significant difference between coming home condition based sourcing costs.Expected to the hospital to give information to the people who have recovered for further examination once a month and maintain personal hygiene and the environment. Keywords: Typhus abdominalis, characteristics
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN STATUS GIZI ANAK BALITA DI DESA TELUK RUMBIA KECAMATAN SINGKIL KABUPATEN ACEH SINGKIL TAHUN 2012 Muhammad Ihsan; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 1 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Malnutrition is a disorder caused by a deficiency or imbalance of nutrients needed for growth and development. Basic Health Research reported that prevalence rate of children with overweight is 4,2%, good nutrition status is 72,1%, mild nutrition status is 16,6%, and severe nutrition status is 7,1%. The purpose of this study is to determine factors related to nutritional status children under five years old in Teluk Rumbia Village, Singkil Sub-District, Aceh Singkil in 2012. This study is a descriptive study with Cross Sectional Design.  The population is all children under five year old specifically ranged from 12 to 59 months in Teluk Rumbia Village totaling 106 samples. The sampling technique is total sampling totaling 106 children under five. The results of study found that prevalence rate of children under five who good nutrition status is 69.8%, mild nutrition status is 27.4%, and severe nutrition status is 2.8%. Further, the majority of children under five is  male (60.4%), age range from 12 to 35 months (66%), no exclusive breastfeeding (67, 9 %), complete immunization (59,4%), low education of mother (92,5%), lack of knowledge (55,7%), unemployed mother (90,6%), number of child more than 2 children (68,9%), having a history of infection disease (55,7%), having no a history of upper respiratory infection (73.6%) and getting good health service (80,2%). Results of bivariate analysis consists of six variables that have a significant correlation with malnutrition among children under five are exclusive breastfeeding (p=0,005, RP=3,306), immunization (p=0,010, RP=2,141), knowledge of mother (p=0,027, RP=2,063), history of infection disease (p=0,027, RP=2,036), history of upper respiratory infection(p=0,029, RP=1,906), and history of diarrhea (p=0,000, RP=2,973). Thus, it is recommended to the relevant institutions to increase health education programs in order to increase knowledge and awareness of mothers who have children under five about health of their children. Key Word: nutritional status, children under five years old, cross sectional.
KARAKTERISTIK PENDERITA KISTA OVARIUM YANG DIRAWAT INAP DI RUMAH SAKIT ST ELISABETH MEDAN TAHUN 2008 - 2012 Dumaris Siringo-ringo; hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Ovarian cyst is one of the gynecological benign tumor most often found in women in the reproductive life. Most of the cysts are formed due to changes in hormone levels that occur during the menstrual cycle, the production and release of eggs from the ovaries. The incidence of ovarian cyst disease in Indonesia is not yet known with certainty because the recording and reporting unfavorable. As an illustration in the hospital. Dharmais cancer was found about 30 patients each year. At RSUP H. Adam Malik Medan are the total number of patients with ovarian cysts in 2008-2009 as many as 47 people. General Hospital Medan Dr.Pirngadi Januari - October 2010 ovarian cysts sufferers in women of childbearing age totaling 34 people. To determine the characteristics of patients with ovarian cysts who are hospitalized at St. Elisabeth Hospital Medan in 2008 - 2012 was a descriptive study, with case series design. Population and samples of data 116 patients (total sampling). Data were analyzed by chi-square test, Fisher Exact, and T-test. The research found ovarian cysts proportion of patients: age 29-37 years (29.7%), Batak (80.2%), Protestant (56.9%), education Colleges / Universities (47.4%) , occupation Housewife (33.6%), marital status (71.6%), benign ovarian cysts (94.8%), the size of the cyst diameter 3.83 to 7.52 cm (40.5%), pain lower abdomen (67.7%), still menstruating (87.9%), surgical treatment (68.1%), the average treatment length 6.01 (6 days), outpatient home (95.7%). There is a significant difference in the proportion of types of cysts by age (p = 0.012), chi-square test can not be performed to determine the proportion of the size of the cyst is based on complaints because there are 4 cells (66.7%) who had expected count <5, there is no significant difference in the proportion of the diameter of the cyst by cyst type (p = 0.400), chi-square test can not be performed to determine the proportion of the diameter of the cyst by level of education because there are 4 cells (50.0%) having an expected count <5, there is a significant difference between the average long maintainability based medical management (p = 0.001), there is no significant difference in the proportion of state while returning by type of cysts (p = 0.237). Expected for the hospital St. Elisabeth Medan field in order to improve and maintain the quality of care of patients with ovarian cysts and ovarian cysts sufferers complete recording of such parity, history of the use of contraceptives. Keywords: Ovarian Cyst, patient characteristics, RS St. Elisabeth Medan 2008-2012, Case Series
KARAKTERISTIK PENDERITA TUBERKULOSIS PARU ANAK YANG RAWAT INAP DI RUMAH SAKIT UMUM DAERAH KOTA PADANGSIDIMPUAN TAHUN 2012 CHARACTERISTICS OF PULMONARY TUBERCULOSIS PATIENTS WHO WERE HOSPITALIZED IN GENERAL HOSPITAL PADANGSIDIMPUAN CITY IN 2012 veni hardianti; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Pulmonary tuberculosis (TB) is a infection disease of pulmonary chronic caused by Mycobacterium tuberculosis. In 2011, number of case pulmonary TB in the age group 0-14 years 1727 cases in Indonesia, North Sumatera province there were 104 cases. In 2010 in Medan city there were 194 children who suffer from TB. In 2011, there were 1580 Padangsidimpuan City children who suffer from TB. To determine the characteristics of pulmonary tuberculosis patients who were hospitalized in RSUD Padangsidimpuan city in 2012, conducted a research with case series design and statistical analysis with Chi-Square, Exact Fisher, t-independent and Anova test. Population was 115 patients data with samples all of population (total sampling). Based on sosiodemographic, the highest population is in the age group of 0-4 years old (57.4%), male (53.0%), Islam (87.8%), came from outer Padangsidimpuan City (51.3%), primary pulmonary TB (97.4%), had history of pulmonary TB in the family (60.0%), maintainability long on average 4.64 days, not alone cost (60.0%), recover (90.4%). There was no significant difference between the sexes based on the natural history of disease (p=0.600), there was no significant difference between the average long care based on natural history of disease (p=0.990), there was no significant difference between the average long care based on costs source (p=0.137), there was no significant difference between the average long care based on while come back of home (p=0.528). For parents to give BCG immunization as soon as the child was born because there were many TB case in children and more respon to complaints and symptoms of pulmonary TB in children. To family members who suffer from pulmonary TB as soon as checked up and complete their treatment regularly until 6 months. Keywords : Child Pulmonary Tuberculosis, Characteristics
Karakteristik Penderita Diabetes Mellitus Dengan Komplikasi Yang Di Rawat Inap Di RSUD Deli Serdang Tahun 2012 Fitriana Butarbutar; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Diabetes Mellitus (DM) is a group of metabolic diseases that a problem in many countries including Indonesia. According to the American Diabetes Association (2004) the number of people with diabetes in Indonesia ranked 4th largest (8.4 million people) in the world. In North Sumatra province in 2008, prevalence of DM 1.21%. DM is known as "the great imitator" because it can affect all organs of the body and cause complications slowly. Studies using case-series design and sample size was as same as 186  equal to the number ofpopoulasi data The results showed the proportion of diabetic patients with complications of the highest in the age group 51-60 years (41.4%), female (58.6%), Malay (45.2%) Islam (75.3%), graduated primary school (40.9%), housewives work (43.5%), type 2 (96.2%), type of complications of hypertension (34.9%), chronic complications (88.2%), treatment OHO (66.1%), average length of stay (ALOS) 5.61 days (6 days), not cost alone (74.7%), outpatient home (91.4%). Statistical test results, there was no significant difference in age by sex (p = 0.720), ALOS by category of complications (p = 0.994) and there was significant difference in the ALOS based on funding source (p = 0.009). It couldn’t be performed statistical tests age bycategory of complications, categoryof complicationsby sex, category of complications based medical treatment, and category of complications based on the circumstances when home To the hospital should undergo HbA1c levels to monitor patient compliance in treatment, it is also expected pay attention to the efficiency of ALOS so that patients can be dealt with quickly and appropriately. The DM patients with complications to perform HbA1c checks, perform the recommended diet, regular exercise and taking medication on a regular basis so that blood sugar levels can be controlled to prevent more serious complications. Keywords: Characteristics, Diabetes Mellitus with Complication