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KARAKTERISTIK PENDERITA THALASSEMIA DI RSU SARI MUTIARA MEDAN TAHUN 2012-2014 jane ruby tomita; Rasmaliah .; 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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ABSTRACTThalassaemia is a hereditary blood disorder caused by deficiency of the formation of alpha or beta globin chains that make up haemoglobin. According to WHO, there were approximately 5% of the world’s population carry the genetics and 370.000 babies were born with this disorder every year. The prevalence of Thalassaemia carrier in Indonesia 3-8%, the national prevalence of Thalassaemia in Indonesia is 0,1%. In North Sumatera, the prevalence of Alpha Thalassaemia 3,35% and 4,07% Beta Thalassaemia.This was a descriptive research using case series design, to determined the characteristics of Thalassaemia patients in RSU Sari Mutiara Medan 2012-2014. The population were 71 cases of Thalassaemia data which registered in RSU Sari Mutiara Medan 2012-2014.This research showed that highest characteristics proportion of Thalassaemia patients at age group 6-11 (35,2%), male (57,7%), Javanese (64,8%), Islam (38,0%), come from outside of Medan (56,3%), pale as a major symptomp (63,4%), Thalassaemia Beta (87,3%), had blood transfusion and medicamentosa (73,2%), the number of visits in one month is once a month (78,9%), and cost source from others (95,8%). It is significant between medical management of Thalassaemia patients and type of Thalassaemia.To everyone who find these kind of symptom such aspale face, fatigue, bigger abdoment and genetically patented by Thalassaemia, please go to the nearby hospital as soon as possible. Routine check up and having a general genetic premaried counseling are suggested to ones who suffered Thalassaemia.
KARAKTERISTIK PENDERITA GANGGUAN JIWA PENYALAHGUNAAN NAPA (NARKOTIKA, PSIKOTROPIKA, DAN ZAT ADIKTIF) DI PANTI SOSIAL PAMARDI PUTRA “INSYAF’ SUMATERA UTARA TAHUN 2014 lamtiur junita bancin; Rasmaliah .; 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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ABSTRACTMental disorders are psychological or behavioral disorders that occur in people, generally related to affective disorders, behavior, thoughts, and perceptions One of type from mental disorder according to Classification of Mental Disorder Diagnosis by health department is a mental disorder drug abuse. Drug Abuse cases in the world reached 300 million in 2010 The aim of this research is to know the characteristic of mental disorder of drug abuse in Panti Sosial Pamardi Putra “Insyaf” SUMUT. Design of this research is case series design and population is 120 data (total sampling) Highest proportion of mental disorder of drug abuser at age group 15-25 (58,3%), male (100%), Batak (53%), high school (70,5%), Student and Collegian (36%), Unmarried Status (77%), Shabu (35%), multiple substance combination Shabu, Marijuana, and Alcohol (30,8%), Behavioral disorder (50%), thought and behavioral disorder (50%), reason of abusing drug with environment factor (70%), length of using ≤ years, pharmacotherapy and psychotherapy treatment (69,2%), length of treatment ≥ 9 bulan, finishing treatment (67%. It is significant between ages and length of using (p=0,000), treatment kind and substance using (p=0,03), work with length of using (p=0,000), length of treatment and condition when go home (p=0,000), drug kinds and early symptoms (p=0,000) It is necessary that role for educational institutions, family and society environment, in the growing of the children behavior. Therefore it is necessary to give early promotion and socialization related to the danger of illcit drugs. Besides that, roles of social worker and counselor are needed in rehabilitation for drug abuser especially the mental record in detail and condition after finishing treatment. It will help to be a good material to evaluate in improving rehabilitation services.
KARAKTERISTIK PENDERITA MENINGITIS ANAK YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2010-2014 rolentina simanullang; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACTMeningitis is one of infection diseases that can not be preventing yet and stillbecomes a problem in developing country. In Indonesia, cases of death because of Meningitisfor every ages with the 17th position ( 0,8%) and for baby at the age 9-11 month (9,3%). InMedan there were 102 cases of Meningitis of children in 2006-2010.The purpose of this study with case series design is to analyze the characteristics ofthe children patients with Meningitis who were hospitalized in St. Elisabeth hospitals in 2010-2014. The population of research was 89.The result of this study reveals that the highest proportion based on age group <5years old (60,7%); male (56,2%), with sex ratio 1,3; is parents occupation entrepreneur(23,6%); Batak (78,7); Christian (58,2%); out of Medan (58,4%); the history of Tuberculosis(18%); unconscious (74,2%); Serous Meningitis (64,0%); fever (52,8%); lethargy (74,2%);own expense (96,6%); average length of treatment was 8,57 days; recovery (37,1%); deadpatient of Meningitis (CFR= 59,1%).The result of Chi-square test, reveals that the male wassignificant than female (χ2=5,000, p=0,025, 50 people vs 39 people); the average duration ofSerous Meningitis treatment was significantly longer than Purulent Meningitis (t=-2,883,p=0,006, 10,39 days vs 5,34 days).It is suggested to parents who have babies and under five-year-old children to payattention with environmental cleanness around the children to decrease the source ofcontagion and pay attention to nutrition to increase immunity.. To St. Elisabeth Hospital, it isexpected to complete the medical record, especially things related to Meningitis for children;for instance, the previous history of disease.
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
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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
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENDERITA HIV/AIDS MENGONSUMSI OBAT ANTIRETROVIRAL (ARV) DI KLINIK VOLUNTARY COUNSELING AND TESTING (VCT) RSUP H. ADAM MALIK MEDAN TAHUN 2014 nanda safira; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT The success of Antiretroviral Therapy (ART) depends on maintaining a high level of adherence, at least 95% of all doses shouldn’t be forgotten. Non-adherence is associated with the emergence of resistance to HIV that can allow HIV remains replicate. The cumulative number of people who were eligible for ART but not yet started the therapy at Adam Malik Hospital in Medan is 993 people out of 3.525 people (28%), and cumulative number of absentees and failed to follow-up>3 months were 711 people out of 2.532 people (28%) up to April 2015. This research is Cross Sectional study in order to know the factors associated with adherence to ARV consumption towards HIV-infected individuals at Adam Malik Hospital. The sample size was 65 people by consecutive sampling. Data collected through medical records, observation and an interview using questionnaires. Data analysis included descriptive study, Chi Square, Exact Fisher, and Logistic Regression by using STATA software. The result shown that adherence was 28 patients (43,08%) and non-adherence was 37 patients (56,92%). The variables which associated to adherence are job, saturation, stigma at health services, and health insurances. Results of logistic regression test showed that saturation p=0,080 with Prevalence Ratio (PR) 6,20, health insurance (p=0,015; PR 5,00;), and job (p=0,062; PR 0,216) which had dominant association with adherence to ARV consumption at Adam Malik Hospital in Medan. The adherence at Adam Malik Hospital was not optimal, it’s necessary to find a way out to reduce the saturation such as modern HIV treatment which could work well with adherence below 95% so the chances of the adherence in patients HIV/AIDS consuming ARV could be increased.. Keywords: adherence, saturation, health insurance, job
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN UMUR MENARCHE PADA SISWI SMP NEGERI 1 SEI RAMPAH KAB. SERDANG BEDAGAI TAHUN 2016 balqis fadillah; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Menarche was the first menstruation cycle experienced by women. While early menarche first menstruation occured is under the age of 12 years. Based on the result oh Health Research Association (Riskesdas) in 2010, that 5,2 % of children in 17 provinces in Indonesia experienced menarch under the ages of 12 years. Early menarch is a risk factor for malignant disease. The purpose of  this research was to determine the factors-factors related with the ages of menarche in female students of  SMP Negeri 1 Sei Rampah  in 2016. This research is an observational study with cross sectional research design. Age of menarche is a dependent variable in this study, while the diet, nutritional status, physical activity, and age of menarche mother is an independent variable Sample was many 114 students were taken by purposive sampling. The research instrumen used was a questionnare as well as  the scale of measuring instruments and gauges. Univariat data were analyzed descriptive andbivariat data were analyzed using the chi square test with 95 % CI. The result showed prevalence of early menarche in SMP Negeri 1 Sei Rampah in 2016  the highest of the ages normal menarche is (67,5%), and early menarch is (32,5%). The average ages og menarch is 11,89 years with the highest ages of menarch is 13 years and lowest is 10 years. The highest of the responden is bad habit diet (65,8%), not obest nutritional status (87,7%), enough fisic activity (64,9%), and mother’s ages of menarch is normal (79,8%). The result of bivariate analysis, generally there is a significant relationship habit diet (p=0,017), nutritional status (p=0,007), physical activity (p=0,003), mother’s ages of menarche (p=0,0001). It is suggested to students of SMP Negeri 1 Sei Rampah who have early menarche to maintain healthy lifestyle so that risk factors for malignant disease such as ovarian cancer, breast cancer, utery myomas, menopause can be minimized.
KARAKTERISTIK PENDERITA KANKER PAYUDARA RAWAT INAP DI RS. HAJI MEDAN TAHUN 2014-2015 fitri lingga; Rasmaliah .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Breast cancer ranks first globally of all cancers in women with a prevalence rate of 56.5 per 100,000 women. Indonesia is ranked 2nd after cervical cancer. Meanwhile, from the Ministry of Health of Indonesia North Sumatra in the category of top 10 highest of the 33 provinces in Indonesia. Research is a descriptive with case series design at the Hospital Haji Medan start from January to June 2016. The population totaled to 447 people and the sample totaled to 96 people. Data obstained medical records, data analyzed by Chi-square test. This research aims to know the characteristics of breast cancer patients hospitalized in Hospital Haji Medan Year 2014-2015. The results show the highest proportion of breast cancer patients at the ages ≥40 years (74,0%), Java (54.2%), Islam (94.8%), SLTA (38.5%), IRT ( 79.3%), married (82.3%), Deli Serdang (72.9%), with complaints seen (68,8%), upper lateral quadrant layout cancer (39.5%), examination PA (88.5%), advanced (67.7 %) with stage IIIB (30.2%), surgery (31.3%), Askes/BPJS (83.4%), the average length of treatment <7 days (53.1%), return outpatient (65.6%). Statistical test results found no differences between age based on clinical stage (p = 0.051), education based on clinical stage (p=0.113%), examination of the PA based on clinical stage (p = 0.321), medical management based examination of the PA (p=0,999), medical management based clinical stage (p= 0.712%), duration of treatment average based on clinical stage (p = 0.838%), clinical stage based on the state when the home (p = 0.281%). For the Hospital Haji Medan is expected to complete supporting facilities for the treatment with radiotherapy and to complete of the medical record regarding family history. The public are advised to perform breast self-examination and checking her self to the hospital a health service or a doctor it find a lump in breast/axilla area . Key words : Breast cancer, Patient Characteristics, Breast Self- examination.
KARAKTERISTIK PENDERITA HIV/AIDS YANG BEROBAT JALAN DI RSUD Dr. PIRNGADI MEDAN TAHUN 2015 renta purba; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT HIV/AIDS is one of the health problems that threaten many countries around the world. Acquired Immunodeficiency Syndrome (AIDS) is a collection symptoms caused of the decreasing of the immune systems. According to the Indonesian Ministry of Health, the number of  HIV/AIDS cases were reported during in 2015 that as many as 30,935 cases of HIV and AIDS 6,081. This study is descriptive by using case series design. The sample population was all patients with HIV / AIDS 109 cases. The data analysis uses a secondary data by using Chi-square and Fisher 's ExactThe results of this research showed the highest  proportion of patients with HIV / AIDS outpatient at the age 30-39 years old is male ( 34.8 % ) , Batak (49.6%), High School (67.8%), self-employed (42.1%), married (46.7%), area in Medan (84.4%), heterosexual (64.3%), have opportunistic infections (70.6%), pulmonary tuberculosis/gland (61.0%), last count of CD4 200-499 µl (47, 1%), stage 1 line ARV therapy (64.9%). There are no significant differences between the sexes with the transmission risk factors (p=0.098), the work with the transmission risk factors (p=0.725), marital status with the transmission risk factors (p = 0.188), age with the opportunistic infections (p = 0.522), gender with the opportunistic infections (p=0.817) and there is a significant difference between the education with the  transmission risk factors (p=0.026).It is expected for people to abstain from sex before marriage, no promiscuity, especially productive age keep away from drugs and  tattoos. For Dr. Pirngadi Hospital Medan especially the VCT department  emphasizes the understanding of patients on ARV therapy, more active in social support and the patients/families counseling program also increase the completeness of patients status card. Keywords : HIV/AIDS, Characteristic, Dr. Pirngadi Hospital Medan
KARAKTERISTIK PENDERITA STROKE RAWAT INAP DI RSUD. SIBUHUAN KABUPATEN PADANG LAWAS TAHUN 2014-2015 indah amani; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Based on data Result of The Research Primary Health (Riskesdas) 2007, prevalence of  a stroke in Indonesia found of 8,3 per 1000 population and Riskesdas 2013 prevalence of  a stroke 12,1 per 1000 population. The number of cases a stroke in hospital Sibuhuan district Lawas increasing each year, about 24 the number of cases stroke cases in 2014 increased to 63 cases in 2015. It is therefore necessary research to know characteristic stroke patient in hospital’s Sibuhuan district Padang Lawas in 2014-2015. This research is descriptive with case series design, using secondary data. The population were 105 stroke patient data which registered in RSUD. Sibuhuan District Padang Lawas in 2014-2015, and sample was all the population. The research result obtained highest proportion of age 55-64 years old (41,9), male (55,2%), Mandailing etnic (91,4%), high senior school education (25,7%), farmers (51,4%), marriage (61%), hypertension (44,8%), attact onset ≤6 hours (89,5%), first attack strokes (97,1%), not yet a CT Scans (69,5%), Non haemorragic/ ischemic (68,6%), hemiparesis dextra (53,3%), length of stay ≤ 7 days (92,4%), BPJS (86,7%), referred to another hospital  (53,4%), and Case Fatality Rate (CFR) stroke (15,24%). There was no difference age based risk factors (p=0,206), sex based risk factors (p=0,400),  risk factors based type of stroke (p= 1,000), attact onset stroke based of stroke (p= 0,662),  attact onset stroke based the paralysis (p=0,986), type of stroke based the paralysis (p=1,000), length of stay based type of stroke (p=0,998) and attact onset stroke based the state out of the hospital (p=0,871). There was difference  CT Scan based type attact stroke (p=0,026) and type of stroke based the state out of the hospital (p=0,001). To stroke patient so that immediately get health services ≤6 hours arising attact if a stroke and also stroke patient who have of hypertension,  cardiovascular disease and diabetes meliitus in order to check health regularly. For the hospitals should add human resources, infrastructure and recording characteristics data stroke patien based education, work and married status.   Keywords        : Stroke, Characterisitc of Stroke Patient, Sibuhuan Hospital
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN STROKE YANG DIRAWAT INAP DI RUMAH SAKIT UMUM KABANJAHE TAHUN 2011-2015 elen dinarta naibaho; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Non Communicabke Disease (NCD) is the priming cause of death globally. Hypertension is called as The Silent Killer Disease, if it cant be controlled, will envolve and give rising to complication which are Coronary Disease, Chronic Renal Failure (CRF), and Stroke. Hypertension was the biggest cause death of stroke (51%), while coronary disease (45%). In Indonesian the highest prevalence complication of hypertension is stroke (12,1%), then coronory disease (1,5%), CRF (0,2%) (In Kemenkes RI, 2015). The objective study is to know the characteristic of patient Hypertension with Stroke which was hospitalized at Kabanjahe General Hospital in 2011-2015. This study was adopted descriptive research with case series design. The population was as same as with the sample were 115 patients. The result of this study obtained that the highest proportions of suffers result in the age group ≥ 55 years old (72,2%), sex woman (51,3%), Protestant (62,5%), farmer (45,2%), married (80,0%), degree 2 (62,6%), stroke non haemorragic (70,4%), hemiparese sinistra (54,8%), the length of average treatment was 6,99 days, and coming home condition was by PBJ (74,8%). There are no significant differences between the age based on the degree of hypertension (p=0,382), type of stroke (p=0,062), between sex based on the degree of hypertension (p=0,257), type of stroke (p=0,772),between degree of hypertension based on the coming home condition (p=0,501), there is a significant differences between type of stroke based on the coming home condition (p=0,008), and between type of stroke based on the degree of hypertension (p=0,005). Recommended to the staff of Kabanjahe General Hospital to give conseling to the family of the patients  about the real condition of the patients, the risky factors of Hypertension with Stroke and the preventions of it that can be done, and write medical record data such as family history of disease, smoking or not. Keywods : Hypertension of Stroke, Characteristic of patients