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KARAKTERISTIK PENDERITA MALARIA DENGAN PARASIT POSITIF YANG DIRAWAT INAP DI RSUD DR. M. YUNUS KOTA BENGKULU TAHUN 2012 Dwi Putri Sulistya N; Sori Muda Sarumpaet; Hiswani .
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

API national in 2011 is 1,75‰. API Bengkulu in 2011 is 3,02‰. CFR malaria Indonesia in 2011 is 0,03%. There are 711 malaria patients of parasites positive hospitalized in RSUD Dr. M. Yunus Kota Bengkulu in 2012 (IR is 53,61%). To determine the characteristics of malaria patient of parasites positive hospitalized in RSUD Dr. M. Yunus Kota Bengkulu doing research with a descriptive case series design. The sampel is 248 patient were taken at Systematic Random Sampling. Sociodemographic highest proportion in the age group 1-10 years 41,5%, male 54,4%, Muslim 96%, unemployer 34,4%, and living in Bengkulu city 63,7%. The highest parasites species proportion is Plasmodium vivax 94,4%. The highest malaria symptom is fever 100%. The highest complication types is >1 complication 2,4%. The average length of stay is 3,63 (4 days). The highest condition of patients after treatment is recover42,3%. There was no significant difference in the proportion ages based on complication types (p=0,319), duration of treatment on eaverage based on parasites species (p=0,370), duration of treatment on average based on complication status (p=0,842). There was significant difference in complication status based on  parasites species (p=0,00), and complication status based on condition patients after treatment (p=0,00). There is no statistical test can be done parasites species based on condition patients after treatment because there are 3 cell (37,5%) with expected frequency <5. CFR in 2012 5,24%, based on parasites species P. falciparum 78,5% and P. vivax 0,85%. RSUD Dr. M. Yunus Kota Bengkulu should give increased illumination, socialization active management and malaria treatment and then completing the inspection records Splenomegali. Keywords: Characteristics, Malaria Parasites Positive, RSUD Dr. M. Yunus Bengkulu
KARAKTERISTIK PENDERITA ABORTUS INKOMPLETUS DI RSUD DR.PIRNGADI KOTA MEDAN TAHUN 2010 – 2011 Rizqiana Halim; Sori Muda Sarumpaet; Hiswani .
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

Abortion is an important public health problem. It’s often associated with maternal mortality in the form of bleeding complications (30%). The most common type of abortion is incomplete abortion. It should be addressed cause can make heavy bleeding and death. According to Panjaitan study in Martha Friska Hospital (2011), there were 105 cases of incomplete abortion from 175 cases of abortion. According to the data of Labuang Baji General Hospital (2012), there were 200 cases of incomplete abortion from 270 cases of abortion. To know the characteristics of incomplete abortion patients in Dr.Pirngadi General Hospital Medan in 2010 - 2011, conducted a study with case series design and total sampling for 100 patients. The highest proportion is 61% at low risk age group (20-35 years), 96% married, 59% senior high school, 69% a housewife, 56% Muslim, 78% in the city of Medan, 38% of gestational age 9 week, 54% multiparous, 70% miscarriage, 73% normal labor, 70% have a history of spontaneous abortion, 87% no history of the disease, 98% no complications, 94% curettage, The old patient care average is 2.23 days, and 59% healthy after treatment. The job by pregnancy history (housewife 70% had miscarried),age by  parity (p=0.001), parity by pregnancy history (p=0.042), parity by abortion history (p=0.042), medical management by circumstances after treatment (healthy 96,5% curettage), length of treatment by the average gestational age (5-10 weeks of 2.09 days, 11-16 days 4.14 weeks). Dr.Pirngadi General Hospital expected to increase quality of services, especially on incidence of incomplete abortion. The authorities expected to increase the health promotion and education of abortion on adolescents and adults as a preventive incidence of abortion, including incomplete abortion. Keywords: Characteristics,  Incomplete Abortion, Dr.Pirngadi General Hospital
KARAKTERISTIK ORANG TERSANGKA RABIES DI KLINIK BESTARI MEDAN TAHUN 2011 Mainan Mutiara S.Pane; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

AbstractRabies ( hydrophobia ) is a disease caused by Lyssa zoonosa – virus ( rabies virus ) and istransmitted to human through the bite of rabid animal patients. In 2008 it was reported that thecase of a dog suspected of having rabies that rabies humans as much as 20.926 cases, 104 positiverabies and all of them died ( CFR 100% ). In 2010, the number of cases of rabies in Indonesia withGPHR 78.203 rabies positive cases as many as 206 people and all of them died ( CFR 100% ).Clinic Bestari in Medan in 2011 there were 365 cases of bites HPR in Medan, number of bite casesindicated/ VAR as many as 178 cases and 3 death from rabies (CFR 1.69%).To determine the characteristics of the suspected Rabies Clinic Bestari in Medan in 2011conducted a descriptive study using a case series design. Population of 178 people suspected rabiesand sampled 178 people.Results showed that the highest proportion of people suspected rabies by the age of 2-9years 28.7%, ie gender male 52.8%, where the bite of the legs 32.6%, which is in the bite exposuretype 75.8%, where is the Medan District Tuntungan 22.5%, while the June 14.6%, HPR type of dogthat is 92.7%, which is a complete vaccination status of 82.6%. There is a differences in theproportion of age with suspected Rabies sex with p =0.029 ( <0.05 ), There were age differences inthe proportion of type exposure with p = 0.003 (<0.05 ), There were no differences in theproportion of age with type HPR p value = 0.092 ( >0.05 ), There were no differences in theproportion of vaccine status type exposure with p = 0.0492 ( >0.05 ), statistical analysis of thestatus of the vaccine according to the location of the bite and age according to the location of thebite can not be done with chi – square test because there are 2 cells ( 33.3% ) who expected count<5. Department of Health is expected to increase efforts to educate the public about rabies andreport immediately if the bite, licking at the paws or by HPR. Peer – to clinics to increase the datarecording and reporting of suspected rabies ( VAR, administration, ATS or SAR ).
Karakteristik Penderita Stroke Iskemik dengan Infark yang Rawat Inap di RSUP Haji Adam Malik Medan Tahun 2012 Iza Fauziah Simargolang; Jemadi .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Stroke is a circulatory disorders in the brain that cause physical disability greatest of all degenerative diseases. Stroke is divided into two by pathological is ischemic stroke and haemoragic.To know the characteristics of stroke ischemic patients with infark conducted a Research with case series design in RSUP. Haji Adam Malik Medan. Population and sampel was 117 people in 2012 were recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square test, Mann-whitney and Kruskal wallis. Based on the sociodemographic in highest proportion is age group 45-65 years 65,8%, males 57,3%,Moeslem 60,7%, married 97,4%, Senior high school 44,4%, Housewife 38,5%, dan outside the city of Medan 66,7%. Proportion based on the highest treatment status, weak arm and left leg 38,5%, hypertension 38,5%, basal ganglia 39,3%, hemiparesis sinistra 48,7%, not source 94,9%, Askes 52,9%, the average length ofstay 6,57 or 7 days, outpatient expense control 55,6%. There was a significant difference between infark location with location of the paralysis (p=0,000), and the average treatmenttime with condition while returning (p=0,000).Patient who have a history of hypertension to perform the routine control and Health lifestyle. For the medical records department of RSUP. Haji Adam Malik Medan to complete patient data recording such as ethnic.
Karakteristik Penderita Gagal Ginjal Kronik Yang Rawat Inap Di Rumah Sakit Umum Haji Medan Tahun 2012-2013 Imelda Sari; Jemadi .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Chronic Renal Failure (CRF) is a failure of kidney function and metabolism to maintain fluid and electrolyte balance due to the progressive destruction of kidney structure. The report of  Riskesdas 2013, the prevalence of CRF in Indonesia had been diagnosed by doctors 0,2%. To know the characteristic patients with CRF, conducted a research with a case series design in RSU Haji Medan. Population and sample was 180 people in 2012-2013 were recorded in hospital medical record. Univariate data were analyzed by descriptive while bivariate data were analyzed using Chi square test, Kruskal-Wallis test. The highest proportion of CRF patients in the age group 48-55 years (25,6%), Male (50,6%), Moslem (91,7%), Housewives (38,9%), come from Medan (69,4%), the main complaints of nausea + vomiting (38,3%), diseases history of Hypertension (28,3%), medical treatment of Medicine + Diet + HD (71,1%), average length of stay 7.22 days (7 days), clinical recovery out patient (76,1%), and Askes (35,0%). There was a significant difference between the proportion of age based medical management, the average long treatment by medical management.. There was no difference in the proportion of age by the state as home, the average long care by the state during the home. The writer suggest to improve the early detection and prevention of the disease CRF early age. The hospital is expected to complement a data-stage CRF patient on the status of the patient and insight into the diet to patients who have a history of hypertension and diabetes mellitus.
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DISMENORE PADA SISWI SMA NEGERI 2 MEDAN TAHUN 2014 Deby Shinta O. Sirait; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Dysmenorrhea is lower abdominal pain that is felt just before or during menstruation that can interfere with daily activities. The prevalence of dysmenorrhea in Indonesia in 2008 was 64.25%. The purpose of this research was to determine the factors associated with the incidence of dysmenorrhea in female students of SMAN 2 in 2014. This research is an observational study with cross sectional approach. Sample was many 128 students were taken by simple random sampling. The research instrument used was a questionnaire as well as the scales of measuring instruments and gauges. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi-square test with 95% confidence level (α = 0.05). The results of the research shown that proportion prevalence of dysmenorrhea in SMAN 2 in January to August 2014 was 85.90% with mild pain intensity 79.10%, moderate pain 8.20%, and severe pain 12.70%. The highest proportion of the dysmenorrhea of the respondent at category ages 14-15 years olds (86.00%), age of menarche ≤ 12 years old (87.70%), longer menstrual <7 days (86.30%), normal menstrual cycles (87 , 40%), frequency of exercise (96.90%), overweight (100.00%), and no family history (90.50%). The result of bivariate analysis, there is a significant association between exercise habits (p = 0.040) and family history (p = 0.001). There was no significant correlation between age,, age of menarche, duration of menstruation, the menstrual cycle, and nutritional status. It is suggested to SMA Negeri 2 field for exercise regularly. For those girls who have a history of dysmenorrhea and dysmenorrhea in a family to see a doctor to prevent other endometris. Keywords: Dysmenorrhea, Risk Factors
FAKTFAKTOR YANG BERHUBUNGAN DENGAN USIA MENARCHE PADA SISWI SMP NEGERI 3 SUMBUL TAHUN 2014 Fidrin Eni S Sipayung; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACTMenarche is the first menstrual cycle experienced by women. Ages of menarche variated, but normal in 13-14 years. The result of Health Research Association (Riskesdas) 2010 showed the average ages of menarche in Indonesia is 13 year. The purpose of this research was to determine the factor associated with the ages of menarche in female students of SMP Negeri 3 Sumbul by 2014. This research is an observational study with cross sectional approach.. Sample was many 126 students were taken by stratified random sampling. The research instrument used was a questionnaire as well as the scales of measuring instruments and gauges. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi square test with 95% CI. The results showed the average ages of menarche is 13,67 years and the highest proportion of the ages of menarche of the respondent is normal(85,70%). The highest proportion of the responden is normal nutritional status (57,10%), mother ‘s ages of menarche is normal (84,90%), normal fisic activity (61,10%). The result of bivariate analysis, generally there is a significant association nutritional status (p = 0.024) and ages of menarche. There was no significant correlation between mother’s ages of menarche (p = 0,10), physical activity (p=0,65) and ages of menarche. It is suggested to SMP Negeri 3 Sumbul who have early to maintain healthy lifestyle so that risk factors for degenerative diseases such as breast cancer, ovarian cancer, uterine myomas and impact young marriage can be minimized. Keywords: Ages of menarche, nutritional status, physical activity
Faktor-Faktor Yang Berhubungan Dengan Obesitas Pada Siswa/i Kelas VII Dan VIII Di SMP Negeri 34 Medan Tahun 2014 Ratu Afrienny; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Obesity is a condition where a person has a weight heavier than their ideal weight because of a build up of fat in his body. SUSENAS 2004 data show that obesity in children has reached 11%. The purpose of this study was to determine the factors associated with obesity in children SMP 34 Medan in 2014This research is an observational anality with cross sectional approach. Sample of 100 students were taken by purposive sampling. The research instrument used was a questionnaire as well as the scales of measuring instruments gauges, direct observation. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi square test with 95% CI.The results were obtained proportion of obesity prevalence in SMP 34 field as much as 56%. The highest proportion of respondents were in the age 11-13 years (69%), female gender (62%), Batak tribe (40%), Islam (94%), self-employed parents (68%), the pattern of unhealthy lifestyle (51%), not excess eating (65%), light activity (72%), there was no family history (68%) and high economic status (80%). Bivariate results indicate a significant relationship between age (p = 0.014), physical activity (p = 0.035) and family history (p = 0.002) with the incidence of obesity.It is suggested to student of SMP Negeri 34 Medan who are obese to maintain a healthy lifestyle and increasing physical activity in order to minimize risks associated with obesity later in life.Keywords: Obesity, Age, fisic activity, family history
KARAKTERISTIK PENDERITA EPILEPSI RAWAT INAP DI RSUP HAJI ADAM MALIK MEDAN TAHUN 2011-2013 Efrida Sirait; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Epilepsy is a chronic brain disorder that recurrent seizure. In the world epilepsy have 80%, have alot of in the developing countries. Based on the World Health Organization (WHO) report in 2006, the incidence of epilepsy in Europe and North America ranges from 24- 53 per 100.000 per year.  Based on data the Association of Physician Spesialist Nerve (PERDOSSI) patient with active epilepsy in 2012 reached 1,8 million of the total population.This research done to know the chracteristic epilepsy patient who are taken treatment in Haji Adam Malik General Hospital Medan in 2011-2013. Descriptive study with case series followed by statistical analysis. Located in RSUP Haji Adam Malik Medan for Juli-Agustus 2014. The population are 126 and sample are all patient epilepsy who are hospitalized   ( total sampling) Epilepsy patient with the highest proportion in the age group 0-11 years (47,6%), male gender (52,5%), Islam (62,7%), not attending school (43,6%), other work ( 77,8%), unmarried status (84,9%), outside Medan (61,9%), family tie ( 92,9%), no head trauma (68,3%),  classification of primary generalized seizure (79,4%), seizure frequency 1-3x/days (65,9%), no aura (53,2%), long treatments that take about 6 days and condition that come back for treatment (73,0%). From the result of statistical analysis there were significant differences between age and classification of seizure ( p=0,029), and employment and classification of seizure (p=0,006). There is no significant difference between sex with the classification of seizure ( p= 0,136), and education with classification of seizure (p=0,136). Statistical analysis seizure frequency with classification of seizure and classification of attacks while returning state can not be tested. Recommended to the Haji Adam Malik General Hospital Medan to complete the recording on the card status such as etnic group, and precipating factors. Saving the card status well, because 16,7% of the card unknown. People with epilepsy are expected to obey take medicine as directed by doctor and keep a healthy diet an personal higiene. To communities should be care  healtiness, specially children. Keywords : Epilepsy, Patient Characteristic
KARAKTERISTIK PENDERITA ASMA BRONKIAL RAWAT INAP DI RUMAH SAKIT UMUM DAERAH ARIFIN ACHMAD PEKANBARU TAHUN 2011-2013 Melyana Melyana; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2014): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Bronchial asthma is a chronic inflammatory disease (inflammation) in airways characterized by episodic wheezing, coughing, and tightness in the chest due to airway obstruction, included into a group of chronic respiratory disease. Basic Health Research 2013 reports Asthma prevalence in Indonesia is 4.5%. This research is a descriptive study using case series design. The purpose of the research is to determine the characteristics of bronchial asthma patients who are hospitalized in Arifin Achmad Hospital Pekanbaru in 2011-2013. The population of this research is the total number of Bronchial Asthma patients who are hospitalized in Arifin Achmad Hospital Pekanbaru in 2011-2013 which is 237 cases. Data were obtained from medical records (secondary data). The highest proportion of Bronchial Asthma patients are in the age group >45 years (37.6%), female (62.9%), Moslem (93.3%), occupation housewives (38.4%), senior high school education (25.7%), married (64.1%), lives in Pekanbaru (75.5%), non-allergen trigger factors (86.9%), have a family history (56.1%), average length of stay 3.9 days (4 days), not their own source of charge (69.6%), and clinical recovery out patient (89.5%). There is a significant difference between the resource of charge based on the condition when go home (p = 0.003). There was no difference in the average length of stay based on the condition when go home (p = 0.301). There was no difference in the average length of stay based on the resource of charge (p = 0.089). There were no differences in the origin area based on the condition when go home (p = 0.582). The hospital is expected to suggest an allergy test for Bronchial asthma patients to ensure Asthma trigger factors and provide room for the evaluation of patients with Bronchial Asthma. Bronchial Asthma sufferers are expected to always control the disease and avoid the trigger factors of Asthma.