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KARAKTERISTIK PENDERITA PENYAKIT PARU OBSTRUKSI KRONIK YANG DIRAWAT INAP DI RUMAH SAKIT MARTHA FRISKA MEDAN TAHUN 2010-2011 Yessy Oktorina; Jemadi .; Rasmaliah .
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

Chronic Obstructive Pulmonary Disease (COPD) is one of the public health problem in developed countries and developing countries. In 2005 it repoted that there were 210 million COPD in the world. While from Household Health Survey in 2001, COPD was the third from ten disease which potentially caused death in Indonesia. This study was descriptive research with case series design to know the characteristic of COPD patient in RS Martha Friska Medan in 2010-2011. The population and sample were 167 COPD patient data who had been hospitalized in RS Martha Friska in 2010-2011 (total sampling). The highest proportion of the patient with COPD was at age 65-73 years old 35,3% for male 29,3% and female 6%, Bataknes ethnic 52,1%, Moeslim 55,1%, Senior High School 58,1%, civil servant/army/retired 63,4%, from Medan 86,2%, Asthma Bronchial as disease history 67,7%, smoke history 87,5%, cough 91%, average length of stay 8,24 days, expense from Askes 63,4%, becoming out patient 80,8% and CFR=12,6%. There was no significant difference between proportion of the age group with smoke history (p=0,499), sex with smoke history (p=0,504) and sex with disease history (p=0,245). The proportion of COPD patient with asthma bronchialis disease history who had smoked was significantly higher than COPD patient who had not smoked (X2=7,897 ; p=0,005 ; 100% vs 0%). Average length of stay patient who used their own cost were significantly difference for using Jamkesmas, Company and Askes (p=0,003 ; 5,47 days vs 7,25 days ; 5,47 days vs 8,38 days ; 5,47 days vs 9,19 days). It is expected for the party of RS Martha Friska Medan to complete the data note for disease history, smoke history and COPD grade on the medical record and for the government through the department of health, department of social and department of education give the information about the danger of smoking and reduce smoking room. Keyword : COPD patient, characteristic, RS Martha Friska Medan
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
Publisher : 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 ASMA BRONKIAL RAWAT INAP DI RUMAH SAKIT UMUM DAERAH LANGSA TAHUN 2009-2012 Desy Anriyani; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 4 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Asthma Bronchial as a chronic respiratory disease. This disease which can happen in all of age. Based on data from RISKESDA 2007 asthma prevalence in Indonesia by 3,5% and the prevalence of diagnosis by health workers was 1,9%. To know characteristic of patients asthma bronchial hospitalizations in Langsa general hospitals 2009-2012. A descriptive study by using  case series design and data analysis by using Chi-Square and Mann-Whitney. Populations and samples in this study are all data of patient asthma bronchial hospitalizations in langsa general hospitals. Sampling with inclusion criteria, patient with asthma bronchial aged ≥14 years had complete  data recorded on the card status of patients treated in the first year. The highest proportion of patiens asthma  bronchial sufferers in the proportion of female (66,7%, Acehnese (68,6%), Muslem (100%), Occupation housewife (44,8%), Marital status is married (81,6%), Derived from Langsa (58,2%), Old of maintainability average  4,5 days (5 days), home with  outpatient care (88,1%), Instead of using their own expense (87,1%). The results obtained with Chi-Square test p>0,05 (p=0,059), there was no differences significant between age with sex. Mann-Whitney test p<0,05 ( p=0,000), meaning that there is a significant difference between the average maintainability length with the state when go home. Mann-Whitney test p>0,05 ( p=0,126), meaning that there is no significant difference between the average treatment time with the source charge. Chi-Square test p>0,05 (p=0,0815), there is no differences significant between the staet when go home with areas of origin. Keywords: Bronchial Asthma, characteristics, Langsa General Hospital
KARAKTERISTIK PENDERITA CEDERA KEPALA AKIBAT KECELAKAAN LALU LINTAS DARAT RAWAT INAP DI RSUD DR. H. KUMPULAN PANE TEBING TINGGI TAHUN 2010-2011 Rohani Primasuri Damanik; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 4 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Traffic accidents is the most common cause of injury in the whole world. According to WHO (2008) traffic accident is the tenth leading cause of death in the world with 1.21 million deaths (2.1%). Head injury is the most common disease caused by traffic accidents than other injuries. In Indonesia, the head injury was ranked first in the order of the injury suffered by the victims of traffic accidents (33.2%). According to data Riskesdas (2007) there are 18.9% of traffic accident victims with head injuries. This study aimed to determine the characteristics of patients with head injury due to traffic accidents inpatients in RSUD Dr. H. Kumpulan Pane Tebing Tinggi in 2010-2011, a descriptive case series design. Population and sample is 114 patients (total sampling). Patients with head injuries due to traffic accidents with the highest proportion in the age group 16-24 years (39.5%), male (67.5%), student (32.5%), two-wheeled vehicle (66.3%), at 18.01-24.00 (33.3%), on Monday (21,9%), mild head injury (74.6%), the average treatment time 3.97 days, outpatient home care (51.8%), and own costs (52.6%). Highest CFR in 2010 (3,8%), four-wheeled or more vehicle (5,3%), at 18.01-24.00 (5,3%), and severe head injury (30%). There are significant differences in the average treatment time with the source charge (p = 0.001), average treatment time with the situation when returning (p = 0.001). Suggested to the hospital Dr. H. Kumpulan Pane Tebing Tinggi set to be complete recording of medical records, to the police in order to provide education to school/college regarding traffic rules, and the public to be careful when driving a vehicle and using standard helmets for two-wheeled riders. Keywords: Head Injuries, Traffic Accidents, Characteristics of Patient
KARAKTERISTIK PENDERITA HIPERTENSI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH KOTA PADANGSIDIMPUAN KABUPATEN TAPANULI SELATAN 2010-2011 Satria Muharram Dalimunthe; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 4 (2013): 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, patient of hypertension pursuant to Researching Into Health of Base ( Riskesdas) 2007 hypertension prevalensi in Indonesia very high, namely reach 31,7% from totalizeing the amount of adult resident. higher Hypertension Prevalence in Indonesia in comparison with tired Singapore 27,3%, Thailand by 22,7% and tired Malaysia 20%. But so many one who do not know and realize that x'self suffer hypertension. To know characteristic of patient of taken care of hypertension lodge in RSUD Town of Padangsidimpuan, have been conducted by research have the character of descriptive with series case desain continued with analysis of statistic. Population and of sampel amount to 165 patient of hypertension take care of to lodge. From the record data, the result obtained of proportion patient of highest woman in the  age group 57-64 year ( 15.2%), Islam ( 77.6%), SLTA ( 40%), officer of private sector ( 39.4%), married ( 69.7%), Town of Padangsidimpuan ( 92.7%), headache ( dizzy, confused ) and weaken ( 35.8%), degree of hypertension 3 ( 45.4%), without comorbidity ( 72.1%), stroke ( 60.9%), average length of stay 4.07 days, medically discharged and becoming out patient ( 72.7%), there is no significant difference between age with the degree of hypertension ( p=0,078), there is significant difference between especial sigh with the degree of hypertension ( p=0,000), there is significant difference between average length of stay with the degree of hypertension ( p=0,000), there is significant difference between degree of hypertension with the desease comorbidity (p=0,000), there is significant difference between degree of hypertension with the situation of time went home ( p=0,003) Keywords : hypertension, patient characteristic, General Hospital Area Town of Padangsidimpuan
KARAKTERISTIK PENDERITA AIDS DAN INFEKSI OPURTUNISTIK DI RUMAH SAKIT UMUM PUSAT (RSUP) H. ADAM MALIK MEDAN TAHUN 2012 Andy Yusri Rangkuti; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

AIDS is a set of symptomps due to the decreased of immune system caused by HIV. One of the causes of the high mortality of AIDS patients is Opportunistic Infection (OI). Ministry of Health Republic of Indonesia reported the highest OI is Oral Candidiasis (80,8%), TB Paru (40,1%), Cytomegalovirus (28,8%), Toxoplasma Encephalitis (17,3%), Pneumocystis Carinii Pneumonia (13,4%), Herpes Simplex (9,6%), Mycobacterium Avium Complex (4,0%), Criptosporodiosis (2,0%), and Pulmo Hystoplasmosis (2,0%). To determine the  characteristics of AIDS patients and OI, conducted a research at RSUP H. Adam Malik Medan with case series design. Population and sample was 223 patients in 2012 and recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square test with 95% CI. Based on sosiodemographic, the highest population is in the age group of 29-35 years old (41,7%), male (74,0%), Batak (78,5%), graduated high school/equivalent (62,8%), work (83,0%), married (70,4%), and came from Medan area (52,0%). The highest OI type is Oral Candidiasis (35,3%), heterosexual transmission (67,3%), CD4 count < 200 cells/mL (80,7%), and underweight (72,2%). There is a significant differentiation of proportion between the work based on the transmissions infection (p=0,024). There is no significant differentiation of proportion between age based on the transmissions infection, sex based on the transmissions infection, married based on the transmissions infection, the BMI based on CD4 count, and CD4 count based on clinical stadium. Statistical test can not be performed for tribe based on place. It is hoped the high risk group of HIV/AIDS in order to prevent with “ABC”, to stop at all or does not use needles, to the parties to concern in implementing effective screening, to people living in HIV to improve nutrition and take ARV obediently, to officers of  medical records to complete the record of adherence and BMI and to coordinate the data in the hospital medical records with the data source from Pusyansus VCT in order not to make misunderstanding. Keywords : AIDS, Oppurtunistic Infection, Characteristics of Patients, RSUP H. Adam Malik Medan 2012
KARAKTERISTIK PENDERITA HERNIA INCARCERATA YANG DIRAWAT INAP DI RSUD Dr. PIRNGADI KOTA MEDAN TAHUN 2011 Sari Purnama Yazid; Sori Muda Sarumpaet; Rasmaliah .
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

Incarcerated hernia is one kind of hernia that can not be repositioned into the abdominal cavity. According to WHO (2005), incarcerated hernia is one acute abdominal disease with the incidence of incarcerated hernia occurs approximately 6-10% of indirect inguinal hernia in adults and 14-56% in the femoral hernia. To know the characteristics of patients with incarcerated hernia who take care at RSUD Dr. Pirngadi Medan in 2011, conducted research with a descriptive case series design. The study population was as much as 121 cases, with a sample of the entire population (total sampling) and analyzed with Chi-square Fisher Exact, Mann-Whitney, and ANOVA test. The result of study is found the highest proportion of patients with hernias incarcerated characteristics: age> 60 years (24.8%), male (86.8%), sex ratio 625 or 6.57 (7): 1, Islam (72.7%), education senior high school (56.2%), occupation self-employed (43.8%), marital status married (68.6%),  residence in Medan (81.0%), the main complaint of remain lumps + painful + constipation (52.9%), the location of  hernia incarceration hernia inguinal (88.4%), maintainability long on the average 5.41 days with SD = 3,172 days, the cost sources JPKMS (36.4%), while come back of home with condition recover (50.4%), there are significant difference proportions between the sexes based on the location of the hernia had incarceration (p = 0.021), Chi-square test can not be used to see the difference proportions between the sexes based on while come back of home, the ages based on the location of the hernia had  incarceration, there are significant difference the average long care based on costs source (p=0.003);based on the while come back of home (p = 0.000). To the public suffer hernia disease if it looks a lump that can not go back or signs indicating incarcerated hernia immediately went to the hospital or doctor in order to avoid a more severe condition. The health professionals are expected to provide health education to the community about hernia disease through health centers, neighborhood health center so that people know what action to be done. Keywords: Characteristics, Incarcerated Hernia, RSUD Dr.Pirngadi
KARAKTERISTIK IBU BERSALIN DENGAN SECTIO CAESAREA DI RUMAH SAKIT UMUM DAERAH DR. PIRNGADI MEDAN TAHUN 2011-2012 Siti Maisyaroh Fitri Siregar; Rasmaliah .; 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

Caesarean section is defined as the birth of the fetus through an incision in the abdominal wall and uterus wall. RI Department of Health in 2000 sets the number of births sectio Caesarea for referral teaching hospital or province 20% of all deliveries, while private hospitals 15% of all deliveries. To determine maternal characteristics by Caesarea section in Hospital of Dr. Pirngadi Medan research conducted in 2011-2012 with a descriptive case series design. Population of 858 women giving birth by Caesarean section and the sample was 87 mothers. Data were analyzed using ANOVA, t-test and chi-square. The highest proportion of women giving birth by caesarean section  in the age group 20-35 years old  78.20%, 70.11% Moslem, graduating high school / equivalent 83.91%, 75.86% housewives,, primiparous 34.48%, delivery within 2-3 years 55.17%, not 75.86% no history of the disease, no history of poor obstetric 75.68%, giving birth history by caesarean section 84.48%, 90.80% medical indications, maternal factors that previous history of caesarean Setion 42.19%, fetal distress fetal factors with 46.66%, not referenced / Dating own 42.53%, 96.55% normal birth weight, antenatal care at health centers / midwives 62.07%, long maintainability an average of 3.92 days, source their own expense the cost instead of 92.95%, while home mom living circumstances of 98.85%. There is no significant difference between the average treatment time is based on parity mothers (p = 0.808), history of disease (p = 0.354), poor obstetric history (p = 0.546). There is a significant difference between the average treatment time based on the circumstances when home mother (p = 0.019). There is no significant difference between the birth weight by Caesarean section indications (p = 0.746). Health professionals is expected to provide education on the benefits of normal parturition to pregnant  women especially during pregnancy,and pregnant women are expected to maintain nutrient intake and do regular antenatal care and routine physical and activities supported by the role of husband. Keyword : caesarean section, characteristic
Faktor Faktor yang Memengaruhi Terjadinya Asphyxia Neonatorum di Rumah Sakit Umum St Elisabeth Medan 2007 - 2013 herianto chou; Sori Muda Sarumpaet; Rasmaliah .
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

The incidence of neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Infants with neonatorum asphyxia if not given immediate nursing actions, it would be fatal to their survival. It was estimated that approximately 27% of all neonatal deaths worldwide were caused by neonatorum asphyxia. This study aims to determine the factors that influence the occurrence of neonatorum asphyxia at St Elisabeth Hospital Medan in 2007-2012. This type of observational analytic study with case-control design with a sample of cases and controls amounted to 156 babies. Data analysis methods used include bivariate analysis using chi-square and multivariate analysis using logistic regression. Results of this study showed that the incidence significantly Asphyxia neonatorum at St Elisabeth Hospital Medan influenced by maternal age, maternal parity, history of maternal anemia at delivery and birth weight babies. Logistic regression analysis to get the factors have the most dominant factor is maternal age (OR 2.51, PAR 14,2%, 95% CI 1.60 to 10.58), parity (OR 3.12, PAR 14,8%,  95% CI 1.09 to 7.53) and infant birth weight (OR 3.51, PAR 7,4%,  95% CI 1.26 to 9.7). To prevent the incidence of neonatal asphyxia expected on health care workers and stakeholders such as the Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) to provide education and socialization regarding the optimal age to become pregnant from variety of information media, pregnant women do recommend at least 4 times antenatal care during pregnancy and ongoing training on the management of neonatal asphyxia in newborns.
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI YANG DIRAWAT INAP PUSEKESMAS TANJUNG BALAI KARIMUN TAHUN 2010-2012 agustina sianipar; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

AbstractThe diseases is not contagious is the leading cause of death globally. Hypertension became a public health problem if not controlled will evolve and give rice to complication harmfull. According to the World Health Organization (WHO) report, hypertension was the cause of death in the world the number 1. Data RSUP Pirngadi Medan, the number cases of hypertension in 1999 as many as 122 cases with proportion 0,8% and 2000 in creased to 215 cacses with proportion of 1,5%. To know the characteristics of people with hypertension with complication the admitted in Tanjung Balai Karimun Puskesmas in 2010-2012, has been doing research is a descriptive case series continued with statistical analysis. The sample numbered 107 data hypertension with complication which admitted.From the data recorded the largest proportion of sufferers results obtained on age >60 years (60,7%), and sex women (56,1%), the malays (43%), Islamic (67,3%), no school (28%), the house wives (43,9%), merried (91,6%), at West Sei Lakam (19,6%), teightness (44,9%), deggre 2 (72,0%), heart diseases (75,7%), long treatments on average 2,97 days, common (56,1), PBJ (54,2%).There is a difference between long which means the average treatments based on the complications of hypertension. (p=0,000). Parties puskesmas can provide counseling to the family of patien to be more quickly responsiveness to complaints and such symptoms the occurrence of a complication early in order to minimize the occurrence of complication heavier and monitor patiens in consuming to a drugs with true to his blood preassure stables and willing to be refreanced when at puskesmas can’t be addressed. Expected in the clinics in order to supplement the data relating to patients, especially patiens with hypertension complication to health workers to provides counseling to the patient, family and community about healthy living patterns.Keyword : Hypertension, characteristic of patiens, Puskesmas Tanjung Balai Karimun