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Faktor Faktor yang Berhubungan dengan Hipertensi Pada Lansia di Desa Belang Malum Kabupaten Dairi Tahun 2014 Susi Napitupulu; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACTHypertension is a degenerative disease that shown the rising of diastole and/or sistoles  blood presur and attack the elder. Hypertension be a health concern because would lead to complications in target organs and make dying World Health Organizatio identified that hypertension as the first causes of cardiovascular mortality 20 until 50% of the mortality.  Hypertension kills nearly 8 million people annually worldwide and nearly 1.5 million people every year in Southeast Asia. Hypertension is associated with several factors, obesity, physical activity, smoking habit, the habit of eating natrium.,and family history.To determine factors associated with hypertension in Desa Belang Malum Kabupaten Dairi tahun in 2014, conducted research using cross sectional design. 100 samples were taken by simple random sampling methodh. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi square test with 95% CI.Based on the results obtained proportion prevalence of hypertension 44,00%, the highest proportion of hypertension respondents is male group (64.86%), workers (45,26%), Academik/College education (75.00%), nutritional status obesity (61.10%), insufficient physical activity (63.63%), the habit of smoking (64.51%), eating salt ≤ 3 time /week (55.26%), and family history (53.33%).The results of  bivariate analyzes, in general there is a significant association between gender (p = 0.001), nutritional status (p = 0.010),  physical activity (p = 0.036), and smoking habit (p = 0.006). And there was no significant relationship between level of education,  the habit of eating natrium, and family history with incident hypertension.The elderly routinely check  the blood pressure , balancereduce the nutritional status by controll the food consumtion or have the sport routinity, add the physical activity by old-age gymnastics, reduce or stop the smooking habit as a risk factor for hypertension. Parties are expected to influence elderly to want  participating in the activities of Posyandu elderly and the worker of Posyandu to held the Health Promotion of the risk of Hypertension, and how the way to prevent the hypertension in elderly.Keywords: Hypertension, Elderly, Risk factors
KARAKTERISTIK PENDERITA MALARIA DI WILAYAH KERJA PUSKESMAS SAMBAU KECAMATAN NONGSA KOTA BATAM TAHUN 2012 Chrisnina Novelina; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Malaria is a disease caused by parasites of the genus Plasmodium that transmitted through the intermediary of a bite Anopheles spp. API Indonesia during the year 2012 amounted to 1,69/1.000. Malaria is still an endemic disease in the Batam City. Nongsa sub-district is one of the districts where malaria is endemic, where the malaria morbidity rate is still quite high at API in 2012 was 1,65/1.000. The research was done as descriptive study by using case series design, to determine the characteristics of malaria patients in work area Health Center of Sambau District Nongsa Batam City in 2012. Population was all patients with malaria was recorded in Health Centers of Sambau totalling 113 people. Sample is the total population. Data were statistically analyzed using Chi Square test. The highest proportion of malaria patients in the age group 25-32 years (23,0%), Male (57,5%), fisherman (26,5%), and 65,5% place in Sambau village. The highest type of diagnosis is positive malaria (58,4%) and cause of malaria is Plasmodium vivax (43,1%). There was no significant difference between gender based on cause of malaria (p= 0,793). For community, malaria control can be done by using mosquito repellent, clean up mosquito breeding nests, and preserve larva-eating fish, such as tilapia and head tin fish, and use mosquito nets during sleep to avoid mosquito bites.
KARAKTERISTIK WANITA PENDERITA KISTA OVARIUM DI RUMAH SAKIT VITA INSANI PEMATANG SIANTAR TAHUN 2011-2013 elicia fadhilah; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2015): Jurnal 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 their reproductive life. Based on Indonesia Demographic Health Survey incidence of ovarian cysts in Indonesia reached 37.2%, and most often found in women aged between 20-50 years and rarely at puberty. To defind the characteristics of women with ovarian cysts patient who are Hospitalized  at Vita Insani Hospital in 2011-2013 was a descriptive study  with case series design. Population and sample of data 124 patients (total sampling). Data of patient were analyzed by chi-square test, Fisher's Exact and ANOVA. The Research Found Proportion of patients with ovarian cysts: age 28-35 years (32%), Batak (60.5%), Islam (48.4%), high school education (71%), occupation Housewife (50%) , married status (90.3%), lower abdominal pain (56.2%), menstrual irregularities (70.2%), the size of the cyst diameter 2-9 cm (47.6%), benign ovarian cysts (82.3%), surgical treatment (91.9%), the  average treatment length 4.5 days or 5 days, the cost of their own (76.6%). There were a significant difference between the proportion of cysts by age (p = 0.000), chi-square test can not be carried out to determine the proportion of the size of the cyst is based on a complaint because there are 5 cells (62.5%) who had epected count <5,there was no significant difference between the proportion of married by medical treatment (p = 0.596). Expected to the hospital  in order to improve and maintain the quality of caring the patients with ovarian cysts. And for woman to be more attention to symtoms of ovarian cyst so that disease can be detected quickly.
KARAKTERISTIK PENDERITA DIABETES MELLITUS DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT MARTHA FRISKA TAHUN 2014 riris lumban; Hiswani .; Taufik Ashar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACTDiabetes Mellitus (DM) is a degenerative disease with a prevalence continue toincrease from year to year. Based on data Riskesdas 2013, the national prevalence ofdiabetes mellitus in 2007 was 1,1%, increase in 2013 to 2,1%.This study was aim to know the characteristics of patients DM with complicationsadmitted to the Martha Friska Hspital in 2014, descriptive study has been done by using caseseries design. The population were 835 DM patient data, sample were 101 DM patient data,by using simple random sampling technique.The results showed the proportion of patients with complications of DM was highestin the age group 61-70 years (35.7%), female (57.4%), batak (52.5%), PNS/BUMN (38.7%),high school (64.3%), in Medan (70.3%), type 2 DM (99.0%),dyspepsia complication (55,4%),chronic complications (83.1%),without HbA1C test (86,1%), HbA1C levels are not controlled(78,6%), hypoglycemic oral medicine (84.2%), health assurance (84.2%), average length ofstay (7 days), becoming outpatient (71.3%). According to statistic,there was no differencebetween the proportion of age based categories of complications (p = 0.239), gender basedcategories of complications (p = 0.454), treatment with categories of complications (p =0.588) and long treatment by category of complications (p = 0.918). There is a relationshipbetween the proportion of type DM by category complications (p = 0.024).It is suggested to the Martha Fiska Hospital to have HbA1C check for the patient andto improve education for patient especially DM complication. It is also suggested to DMpatient with complication to check glucose routine and HbA1C, to use insulin in curing andto apply health life style in controlling blood glucose.Keywords: Characteristic, Diabetes Mellitus with complication
KARAKTERISTIK IBU BERSALIN DENGAN SEKSIO SESAREA DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2013-2014 evita sartika hutagalung; Hiswani .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Caesarean section is giving birth of fetus by abdominal wall dissection and uterus wall. At Santa Elisabethhospital, in 2013-2014the proportion of Caesarean section is 71%. The intention of the study were to the determine characteristics of the mother who underwent caesarean section at Santa Elisabeth Hospital Medan 2013-2014. Descriptive study using a case series design has been conducted. The Population was 352 mothers who is underwent Caesarean section lodge counted, 77 cases a sample, and sampling  was systematic random sampling. The highest proportion of mother who gave birth based on sociodemograph is in of the age group is 20-35 years old (81,8%), Bataknese (88,3%), Christian (62,3%),enterpreneur/private employee (46,8%). The most medico obstetrics factor on nullipara 46,8%,the distance of giving a birth > 2 years (80,5%),no history of disease (89,6%),no history of pregnancy (90,9%),the caesarean section history (73,2%),nocomplication(92,2%),medical indication (92,2%),the previous caesarean section history (53,7%), fetus dislocation (47,1%),Length of stay>3 days (76,6%),own expense (75,3%),return after recovered (94,8%).The results of the statistical test with exact fisher shows that there were no significant differences between maternal age with indications of cesarean section (p=0,702), maternal parity(p=0,073) with indications of cesarean section.There were no significant differences between length of stay with history of disease(p=0,397); mother pregnancy history (p=0,668); complication (p=0,570); caesarean section indications (p=0,430). Health professions are expected to provide an informationabout the negative impacts to the mother and baby if doing caesarean section and the benefits of doing a normal parturition.The pregnant mothers are expected to do gymnastics pregnant before delivery to avoid the risk factors that lead to indications for cesarean section deliveries performed. Keywords : Caesarean section, characteristics
KARAKTERISTIK PENDERITA DIABETES MELLITUS YANG DI RAWAT JALAN DI KLINIK ALIFA DIABETIC CENTRE MEDAN TAHUN 2013-2014 siti elsandi; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACTDiabetes mellitus (DM) is the degenerative disease which the prevalence keeps increasing. Based on International Diabetes Federation Atlas (IDF Atlas, 2014) the prevalence of DM in Indonesia reached 5,8%. Based on Kemenkes in 2013, the proportion of DM in North Sumatra reached 2,3%. The aim of this research is to find out the characteristics of the DM outpatients at Alifa Diabetic Centre Clinic Medan from 2013 to 2014.This study is descriptive by using case series design. The population were 433 outpatients of DM in Alifa Diabetic Centre Clinic Medan from 2013 to 2014. The sample size were 207 cases by using simple random sampling. The data analysis uses a secondary data by using Chi-Square and Fisher’s Exact.The results of this research showed that the highest proportion of patient with DM was at the age group 55-63 years is male (10,6%) and women (19,8%), Muslim (74,4%), unemployee (37,7%), staying of Medan Maimun district (67,1%), married (86,5%), the family history of disease (64,7%), type 2 DM (97,6%), ≤6 visits in a year (78,8%), with complications (59,4%), complication of diabetic neuropathy (41,9%), ≤5 year (55,2%), OHO (75,4%) and the bad end of KGD (86,7%). According to the statistical test with Exact Fisher, there was significant differences between age by the type of DM (p = 0,000). There was no significant differences between the gender by the type of DM (p = 1,000), the types of complications by the type of DM (p = 0,155), the age by the types of complications (p = 0,099), gender by the types of complications (p = 0,521), occupation by the types of complications (p = 0,334) and the type of complications by the long history of diabetes (p = 0,051). The results of statistical test by Chi-Square between KGD end by long history of diabetes and KGD end based on the number of visits in a year could not be done because there were 4 cells (66,7%) with expected counts which were less than 5.It is expected for the clinic to use HbA1C test methods to control blood sugar levels in diabetic patients. The patients with DM in the clinic should have a healthy diet and lifestyle in their daily life at home and environment around.Keywords : Diabetes Mellitus, Characteristic, Alifa Diabetic Centre Clinic
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN FILARIASIS DI WILAYAH KERJA PUSKESMAS GAMBOK KAB. SIJUNJUNG PRONVISI SUMATERA BARAT TAHUN 2013 olivia via; Hiswani .; Taufik Ashar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACTFilariasis disease is an infectious disease caused by a filarial worm infections, is transmitted by mosquito vectors intermediary Mansonia, Anopheles, Culex. Filariasis can lead to social stigma. Species of filaria worm that infect the human being is wucherexia bancrofii. Filariasis endemicity level in Indonesia in 1999 was still high by microfilaria (MF) rate of 3.1%. Sijunjung is endemic filariasis in 2010 up to 2012 there was an increase of cases of filariasis. With the case in 2010 there were 24 cases and in 2012 increased to 70 cases.This research was done as descriptive study by using case series design. Population was all patients with filariasis was recorded in Health Centers of Gambok totalling 100 people. Univariate data were analyzed descriptively using computer-assisted program that SPSS (Statistical Product and Service Solustion).The highest proportion of respondents who experienced filariasis in Health Centers of Gambok Sijunjung, The highest proportion of respondents who are obese are in the age group above 30 years (79%), male (72%), there is no waste drainage system (61%),there are mosquitos breeding sites (58%), there are mosquitos resting place (73%), there are ventilation with insect-proof gauze (45%), and there are nothing room lighting (584%), usually out of home at night (47%), never slept without bed net insenticide (45%), never using anti mosquitoes (43%), never wearing repellent (39%).For community, filariasis control can be done by to minimize the breeding sites and resting places of mosquitoes that exist in the home environment by keeping the environment and use mosquito net during sleep to avoid mosquito bites.Keywords: Filariasis, Environment, Sijunjung
KARAKTERISTIK PENDERITA HIV/AIDS DI RSUD DR. DJASAMEN SARAGIH PEMATANGSIANTAR TAHUN 2013–2014 janni togumaito; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 5 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACT AIDS (Acquired Immune Deficiency Syndrome) is specific illness (syndrome) collecting caused by damaging immune system which is related to HIV (Human Immunodeficiency Virus). Prevalance rate of AIDS in Indonesia in 2014 was 23,48 with CFR of AIDS was 1,67.   The main purpose of this research is to know characteristic of HIV/AIDS patients.This research is descriptive study with case series design. The population and sample was all HIV/AIDS patients as many as 145 cases. Type of data collected is secondary data which is analyced by chi square-test. The result of research showed the characteristic based on highest demograhy social with the age 30-39 years (49,0%), male (72,4%), Senior High School passed (55,2%), enterpreuner (53,1%), married (66,9%), Pematangsiantar Living (57,9%), highest infection transmission of heterosexual (65,5%), Clinic with no opportunity Infection (OI) (54,5%), Tuberculosis as OI type (48,5%), number of CD4<200 (60,0%), stop therapy phase (64,1%), alive living (76,6%). It is faound that no significant and different proportion between age and infection transmission (p=0,372), sex and last living (p=0,297), work status and infection transmission (p=0,172), marrige status and infection transmission (p=0,190). There is significant difference proportion between sex and infection transmission (p<0,001), and also clinic and last living (p<0,001). It is suggested for society to be faithful to one person as living mate to prevent transmission through heterosexual in promiscuity, to public figure especially to public religion to get involved in morality education for education for society. It is suggested for staff of HIV/AIDS Poly clinic to monitor patient obedience in consuming ARV and to record information more detail about type of opportunity infection of patients. It is suggested to local government to close prostitution place in Bukit Maraja. Keywords: Characteristic, HIV/AIDS
HUBUNGAN FAKTOR SOSIODEMOGRAFIS DAN FAKTOR KEHAMILAN DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH (BBLR) DI RSIA SRI RATU MEDAN TAHUN 2014 dian sari zendrato; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2016): jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Low birth weight infant is a newborn baby whose weight at birth less than 2500 gram regardless of gestational age. Low birth weight infant contributes to neonatal mortality as an indicator of a nation's community health status. World Health Organization (WHO) in 2010 reported a prevalence of low birth weight infant in the world in the period 2005-2010 is 15%. In Indonesia, the prevalence of low birth weight infant in 2013 is 10.2%. To determine the sociodemographic factors and pregnancy associated with low birth weight infant in RSIA Sri Ratu Medan in 2014 conducted the study with a population of 874 people and the sample totaled 106 data of mothers who gave birth in RSIA Sri Ratu Medan. This research is an analytic survey with cross sectional design was followed by univariate and bivariate analyzes. The results showed there are three variables that relate in the incidence of low birth weight is the work of women (p = 0.003), history of maternal disease (p = 0.032) and gestational age (p = 0.001). Other variables that maternal age (p = 0.084), spacing pregnancies (p = 0.628), parity (p = 0.398), maternal education (p = 0.074), and complications of pregnancy (p = 0.227) had no significant difference with  low birth weight infant.  The conclusion from this study that there is an employment relationship mother, maternal medical history, and gestational age with low birth weight infant in RSIA Sri Ratu Medan in 2014. No relation between  maternal age, parity, spacing pregnancies, maternal education and pregnancy complications with low birth weight infant in RSIA Sri Ratu Medan in 2014. Health workers are expected to provide counseling for pregnant women about the risks of low birth weight and impact caused by the LBW . For pregnant women are expected to plan properly pregnancy , especially in terms of age during pregnancy , reduced physical activity that can interfere with pregnancy , a routine check-up to prevent complications of the disease history has ever experienced , as well as maintain a healthy pregnancy so that pregnancy can achieve the right time. The hospital is expected to complete the recording of the card status in the capital such as hemoglobin levels. Keywords: low birth weight, sociodemographic and pregnancy factors, RSIA Sri Ratu Medan
KARAKTERISTIK PENDERITA RINOSINUSITIS KRONIK DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2011-2015 Nova Sitinjak; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Chronic Rhinosinusitis is an inflammation of nasal mucosa and paranasal sinuses that can be detected by the history of symptoms which suffered more than 12 weeks, and suitable with two major criteria or one major criterion plus two minor criteria. According to H. Adam Malik Hospital Medan data in 2006 there are 40 cases of  Chronic Rhinosinusitis and 24 cases in 2009. The purpose of the study is to know the characteristic of the Chronic Rhinosinusitis patient at Santa Elisabeth Hospital Medan in 2011-2015. The design of this descriptive research was the case series and the sampling technique was total sampling. Population and sample were 163 cases from all of the Chronic Rhinosinusitis patient. The collected data were secunder data which analyzed with Chi-Square. The result showed the biggest proportion of the patients with Chronic Rhinosinusitis were in 26-35 years group (21,4%), male (55,8%), Bataknese (85,3%), Protestants (67,5%), entrepreneur (28,2%), complaint of major symptom is nasal congestion (92,6%), complaint for minor is headache (71,8%), rhinosinusitis inmaxillary sinus (92,0%), total sinus that involved in single rhinosinusitis (63,8%), there is no history diseases (84,7%), 100% no complications, surgery (65,6%), the average of the inpatien period was 5,41 days or 6 days and the condition after recovery (68,1%). The Chi-Square result showed that there were no significant difference between age (p = 0,157); gender (p = 0,315); complaint (p = 0,680); medical management (p = 0,071) from the patient of Chronic Rhinosinusitis with the total involved sinus and between gender (p = 0,196) from the patient of Chronic Rhinosinusitis with history diseases and there were significant difference between the history of the disease Chronic Rhinosinusitis patient with the total involved sinus (p = 0,001). The Chronic Rhinosinusitis suggested to keep their environment cleaner, use the mask when they are in pollution area, no smoking, to improve our health with consume food with good nutrition and for Hospital suggested to complete the datas about the Chronic Rhinosinusitis patient especially about the patients’ education. Keywords:       Chronic Rhinosinusitis, Characteristics, Santa Elisabeth Hospital