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KARAKTERISTIK BALITA PENDERITA PNEUMONIA RAWAT INAP DI RUMAH SAKIT UMUM DAERAH PARIAMAN SUMATERA BARAT TAHUN 2016 – FEBRUARI 2017 Nadhiratul Syaputri; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Pneumonia is an infectious disease that is a major cause of death in children under five in the world. In 2016 Indonesia was the 7th highest in the world of mortality rate that caused by pneumonia.The case of pneumonia in West Sumatra on 2015 is 85% and Pariaman city is 39% which is the city with the third highest of pneumonia cases in the province of West Sumatra. The purpose of this study was to determine the characteristics of children under five hospitalized pneumonia patients in RSUD Pariaman West Sumatra. This research used case series design with the population is all ofchildren under five hospitalized pneumonia patients whose data was recorded in the medical records in RSUD Pariaman West Sumatra on 2016 - February 2017. The population were 108 patients and all were taken to be sampled. The data was collected from secondary data which is processed by univariate analyze by describing the variables and bivariate analyze using Chi-square test and Mann-Whittney test. Based on sociodemographic the highest proportion in the age group 0-11 months (38%), male (60.2%), Minangness (100%), Islam (100%), outside of Pariaman City (51.9%). The highest proportion found in children under five with good nutritional status (57.4%), incomplete basic immunization status (63%), with other diseases (82.4%), the average length of treatment for 6 days and return outpatient (54.6%). There is a significant difference of age based on immunization status (p=0,001), the average length of treatment based on the nutritional status (p=0,007) and other diseases suffered by (p=0,002). The result of this research are there is a significant difference of age based on immunization status, the average length of treatment based on the nutritional status and other diseases suffered by. Department of Health Promotion and Children's Ward in RSUD Pariaman to be more active in providing information about pneumonia to parents so they dont underestimate their child's illness, recognize the signs and symptoms of pneumonia and even prevent the occurrence of it. They also should be more active in providing information about the importance of complete basic immunization for children aged <1 year.     Keywords        : Children under five, Pneumonia of children under five, Patients characteristics
KARAKTERISTIK PENDERITA TB PARU DENGAN EFUSI PLEURA RAWAT INAP DI RUMAH SAKIT UMUM SANTA ELISABETH MEDAN TAHUN 2011–2016 Riance Maria Sinaga; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Pulmonary TB is on the second ranks after HIV as the main causes of death in global. Pulmonary TB is a contagious diseases that caused by Mycobacterium tuberculosis. Patients with pulmonary TB could have complication, and one of the complications is Pleural Efusion. This study aims to provide description about the characteristics of pulmonary tuberculosis with pleural effusion on hospitalizesd patients at Santa Elisabeth General Hospital Medan in 2011-2016. This study is decriptives by using case series design. The sample population was all pulmonary tuberculosis with pleural effusion on hospitalizesd patients which was 71 cases. The data analysis uses a secondary data by using Chi-Square and Fisher’s Exact. The results of this study showed the highest proportion of hospitalized pulmonary TB patients with pleural effusion at the aged of >50 years old is male 61%, self-employed (39%), outside of area Medan (61%), dyspnea (74,6%), unilateral (86%), without comorbid (54,9%), average length of stay is 7 days, fully recovered (57,1%). There are no significant differences between the age with sexes (p=0,561), age with location of fluid (p=0,514), sexes with location of fluid (p=0,296), comorbid with location of fluid (p=0,330). It is expected for patients to consume drugs regularly to prevent further illness. For Santa Elisabeth Hospital Medan to increase the completeness of patients medical record. Keywords : Pulmonary TB, Pleural Effusion, Santa Elisabeth Hospital Medan
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DISMENOREA PADA SISWI SMK SWASTA ISTIQLAL KABUPATEN DELI SERDANG Arum Puspita Sari; Fazidah Siregar; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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ABSTRACT Dysmenorrhea is lower abdominal painthat is felt just before or during menstruation that can interfere with daily activities.The purpose of this study is to determine the factors associated with dysmenorrhoea. This research is an observational study with cross sectional approach. Sample was many 130 students were taken by purposive sampling. Univariate data were analyzed descriptively, bivariate data were analyze dusing the chi-square test, and multivariate data with analyze logistic regression test with 95% confidence level (α =0.05). The result of the research shown that distribution proportion of dysmenorrhea was 50,8%.The highest proportion of the dysmneorrhea of the respondent at ages of menarche <12 years old (55,4%), long periods ≤7 days (67,7%), long pain ≤3 days (59,1%), less exercise habits (60,8%), normal nutrition status (56,9%) and family history (55,3%). the result of bivariate analysis, Generally there is a significant association between age of menarche (p = 0.001), nutrition status (p=0,028), exercise habits (p=0,013), and family history (p = 0.001) and dysmenorrhea. And therewas no significant correlation between long periods (p= 0,315) and dysmenorrhea.The result of multivariate analysis shown that the most dominant variable with dysmenorrhoea is age of menarche (p = 0,000) with (OR = 4,602). It is suggested to SMK Istiqlal Deli Tua to do routine sport at least 3 times a week, to Istiqlal Deli Tua student who have dysmenorrhea and have abnormal nutritional status to maintain good diet and, to school side to cooperate with health agency to provide specific information about dysmenorrhoea. Keyword :Dysmenorrhea , Risk Factors
KARAKTERISTIK IBU YANG MELAHIRKAN BAYI BERAT BADAN LAHIR RENDAH DI RSU SUNDARI MEDAN TAHUN 2016 Nurjannah Nurjannah; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

2%.                This research was conducted in SundariHospital Medan, it’s a descriptive research with case series design. The population of this study are 201 mothers who gave birth to infants with LBW. Samples are taken from the total population.               The highest frequency distribution of LBWR for weight group is 1500- <2500 86.1%. The highest sociodemography proportion: age 20-35 years (68,7%), Moslem (88,0%),unemployed (65,7%). Based on the highest risk factor, gestational age 37-42 weeks (63,7%), parity <2 (70,6%), Interval of pregnancies with first-born child <2 years(55,2%), Hb ≥11 gr% (60,2%), no illness (97,5%) pregnancy with complication 56,2%, type of complication in early rupture of membrane (33,6%), obstetric history (59.7%). The highest proportion of infants and mothers’ discharging conditionis outpatient care which is 92,2% and 98,0% for each respectively.               Based on bivariate analysis, maternal age (p = 0,605), occupation (p = 0,306), Hb (p = 0,748), maternal disease (p = 0,532), obstetric history (p = 0,476) there is no difference between proportion with classification of LBW. Gestational age’s variable (p = 0,000), parity of mother (p = 0,020), pregnancy spacing (p = 0,023), complication in pregnancy (p = 0,000) have different proportion with classification of LBW.               For the hospital authority is expectedto improve records related to the birth with LBW. For the mothers, it’s suggested to check the condition of pregnancy by doing Antenatal Care for routine, maintaining the good nutrition to prevent the occurrence of LBW.The caregivers in the hospital is also expected to give more councelling for pregnant women about the important of pregnancy checking and to provide informationabout the prevention and control of LBW.
KARAKTERISTIK PENDERITA HEPATITIS B RAWAT INAP DI RUMAH SAKIT UMUM DAERAH DR. PIRNGADI MEDAN TAHUN 2015-2016 Muhammad Budi Setio Raharjo; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT                Hepatitis B is a still a public health problem and a cause of death. WHO 2012, Hepatitis B virus (HBV) infects 2 billion of the world's population, about 360 million of whom are chronic Hepatitis B and 600 thousand die from it. To determine the characteristics of Hepatitis B patients in hospital Dr. Pirngadi Medan 2015-2016 Conducted a research with case series design. Population and sample were 120 patients and recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square test, t-test and Anova with 95% CI. Proportion based on sosiodemographics were groups of age >45 years is 56,7%, male 75,8%, islam 83,3%, high school 49,6%, self employed 40,8%, married 78,3% and living in Medan 62,5%. Level of Bilirubin is not normal 79,2%, level of SGOT is high 43,3%, level of SGPT is high 45,8%, level of albumint is not normal 87,5%, type Acute Hepatitis B 50,8%, , average of treatment duration is 8,73 days, not to beneficiaries 47,5 and returned with outpatient 73,4%. There was significant difference between sex and type Hepatitis B (p=0,001), type Hepatitis B and level of Bilirubin (p=0,034), type Hepatitis B and level albumint (p=0,001), average of treatment duration and type Hepatitis B (p=0,002). It’s hoped the hospital Dr. Pirngadi Medan to give advice for Hepatitis B patients acute and chronic to check up serologic and liver function regularly, and it’s hoped the next researcher will research about one of characterictics or some risk factors are more specific. Key words : Hepatitis B, characteristics of patient
KARAKTERISTIK PENDERITA DEMAM TIFOID YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2016 Mai Debora Gultom; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Typhoid fever is a systemic infection caused by Salmonella Typhi, usually by consuming of food and water that has been contaminated. WHO (2003) notified there were 17 million typhoid fever cases with CFR 3,5 %. In 2008, typhoid fever cases hospitalized in North Sumatera hospital were 10.80%. The aims to identify characteristics of  Tifoid Fever patient. This is a descriptive study with case series design. The population of this study was 739 patients with 259 data sample was taken by Simple random sampling. Univariate analysis descriptive and bivariate analysis used Chi-Square test, Fisher test, and Mann Whitney test. Patients of Typhoid Fever The are age 5-14 years 31.3%, women 57,5% ,bataknese 93,4%, Protestant 70,3%,  student/student college 45,9 %, unmarried 71.8%, Medan city 73%, fever 100%, Tubex test  4  (72,6%) and 6 (27,4%), no complication 95,4%, Bronchopneumonia 75%, not their own cost 67,2%, time of hospitalization around 4,39 days, and go home and recover 97,3%. There was difference of sex proportion based on the complication status (p = 0,954), the sources of cost proportion based on complication status (p=0,111), the time of hospitalization proportion based on the source of cost (p = 0.001), the time of hospitalization proportion based on the condition while of home (p = 0.004). It is Expected for patient with Typhoid Fever to maintain the hygiene of food and drink consumed. For Santa Elisabeth Medan is expected to complete the patient medical record and for patient is cured to be advised to do bacteriological check again until cured completely.   Key words: Characteristics, Typhoid Fever, Santa Elisabeth Hospital Medan
HUBUNGAN FAKTOR INTERNAL DAN EKSTERNAL DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS TELADAN KECAMATAN MEDAN KOTA Dwi Damayanti; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Anemia in pregnancy will increase the risk of hemorrhage which is the prominent cause of maternal mortality in Indonesia. Based on RISKESDAS 2013, prevalence of anemia in pregnancy in Indonesia is 37,1%. Maternal mortality is the indicator of maternal health care and also the evaluator of public health condition within the region. Therefore, the aim of this study is to find out the risk factors of anemia in pregnancy to maximize the effort in reducing maternal mortality. This is Cross Sectional study conducted on January-October 2017. Sample is 3rd trimester pregnant women in the Region of Teladan Public Health Center with 108 samples chosen by Purposive Sampling. Data collected by interviewed based on prepared questioner and measured hemoglobin level using electronic device EasyTouch GCHb. Bivariat analysis using Chi-square test and Fisher Exact test and Multivariat analysis using Logistic Regression. The result shows that anemia in 3rd trimester pregnancy is 64,8%. Statistic analysis at significant level α=0,05 shows there are correlation between nutritional status (p=0,010) and intake of iron supplementation (p=0,000) with anemia in pregnancy. Meanwhile age (p=1,000), parity (p=0,719), birth spacing (p=0,485), education (p=0,110), and frequency of antenatal (p=0,148) have no correlation with anemia in pregnancy. Multivariate analysis shows that the most dominant factor of anemia in pregnancy is intake of iron suplementation (Exp(B)=8,107). Pregnant women are advised to fulfill the needs of iron and nutrition during pregnancy. As for the public health center, it is important for antenatal care to be conducted in Maternal and Child Health Center in order to reach the pregnant women who are not mobile to visit the public health center. Keyword: Anemia, 3rd Trimester Pregnancy, Teladan Public Health Center
KARAKTERISTIK PENDERITA GAGAL GINJAL KRONIK YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Yossi Sepriani Purba; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Chronic Renal Failure (CRF) is condition of disfunctioned kidney and unable to filter blood as well as healthy kidney. According to Center for Chronic Disease Prevention and Health Promotion (CDC),CRF is the ninth rank of death cause in America. About 1 of 2 adults of 30-64 years old is in risk of CRF (WHO, 2015).The result of Basic Health Reasearch (2013) indicated that the highest prevalence of  CRF patient is in ≥75 years 0,6 %. This research is descriptive with case series design which aims to identify the characteristics of CRF patient hospitalized in Santa Elisabeth Medan Hospital in 2015-2016. Population size is also the sample size which are 106 patient's medical records. Univariate data is analysed descriptively and bivariate by Chi Square and Kruskal Wallis test. Highest proportion of CRF patient are in 54-63 years old (31,2%), man (52,8%), Christian (62,3%), Bataknese (86,9%), entrepreneur (31,3%), outside Medan (54,7%), more than 1 main complaint (53,8%), more than 1 disease history (29,2%), average length of stay 6,20 days, non self cost (74,5%), blood ureum level >39mg/100ml (94,4%), blood creatinin level >1.5mg/100ml (96,3%), haemoglobin level <12gr/dl (93,4%), 5th stadium (70,8%), drugs with diet and hemodialysis (66,0%), becoming outpatient (76,4%). There is significant difference in proportion of average length of stay based on CRF stadium. It is recommended to everyone to keep your kidney healthy by keep healthy life style.For Santa Elisabeth Medan Hospital to complete record of condition when being out of hospital, blood ureum and creatinin level record, haemoglobin level record, and CRF stadium record. For other researcher to conduct further analytical research. Keywords: CKF, patient's characteristics, case series
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN HIPERTENSI PADA LANSIA DI POSYANDU LANSIA DI WILAYAH KERJA PUSKESMAS PB SELAYANG II KECAMATAN MEDAN SELAYANG Hazellarissa Valda Asari; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Hypertension is a silent killer causing an iceberg phenomenon. The prevalence of hypertension increased with increasing age.Health Research Association (Riskesdas) in 2013 showed the prevalence of hypertension in Indonesia reached 25,8%. While in North Sumatera, from 10 non-communicable diseases it is known that hypertension prevalence is the second highest with 9,4% prevalence after joint disease which has 11,9% ( Riskesdas in a Number of Province North Sumatra 2013). To determine factors associated with elderly hypertension in Elderly Integrated Service Post at the Work Area of Public Health Center PB Selayang II conducted an analytic survey research by using cross sectional approach. The population is all elderly who live in Integrated Service Post at the Work Area of Public Health Center PB Selayang II. The sample is elderly who visit 9 Elderly Integrated Service in amounting to 112 people. The data collected is primary data from direct interview with respondents using questionnaire. The data analysis done by univariate and bivariate (Chi-square test). Based on the results of the research shown that point prevalence rate of hypertension was 45,5%, the highest proportion of hypertension of the respondents at the category ages of ≥60 years old (51,9%), male gender (50%), family history (63,2%), nutritional status (67,4%), inadequate physical activity (55,8%),medium to heavy smoking status (58,30%),smoking by male (53,3%) and smoking by female (42,9%). The results of bivariate analysis shown that 3 variables had a significant association with the elderly hypertension, i.e. history of family (p=0,007 RP=1,731), nutritional status (p=0,000; RP=2,115), and physical activities (p=0,028; RP=1,613). For elderly who has a family history of hypertension should do regular blood test and elderly with obesity and irregular physical activity should maintain ideal body weight and perform regular physical activity. For elderly Integrated Service Post officers, it is necessary to increase the role in guiding the elderly for routine examination of risk factors of hypertension in the elderly, so that the elderly can prevent these risk factors. Keywords: Hypertension, Elderly, Elderly Integrated Service Post
KARAKTERISTIK PENDERITA BATU SALURAN KEMIH YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Sinta M Y S; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Urolithiasis disease is the third mosted common cause of pain in the urinary tract after Urinary Tract Infections (UTI) and Benign Prostatic Hiperflasia (BPH). In the United States, about 13% of men and 7% of women will establish kidney stone during their lifetime and prevalence continues to increase in industrialized countries. Urolithiasis can attack people around the world, without exception for resident of Indonesia. The aims to identify characteristics of  Urolithiasis who hospitalized at Santa Elisabeth Hospital Medan in 2015-2016 . This is a descriptive study with case series design. Population is all data of patient’s Urolithiasis who was hospitalized in Santa Elisabeth General Hospital Medan 2015-2016 are 332 patient data, 181 samples taken by simple random sampling. The results shows that the largest proportion of Urolithiasis patients was ≥45 years old (57,7%), male (63,5%), Bataknese (86,7%), ProtestantChristian (57,5%), Entrepreneur ( 27.6), married (89.5%),and Outside of Medan (57.5%), upper urinary tract (97.8%),> 1 complaint (55,8%), hydronephrosis ( 42.5%), normal creatinin (47,5%), normal ureum (65,2%), operation treatment (50.8%), average lenght of stay at hospital is 5 days, healed (67,4%) There was no significant difference in proportion between genre based on the location of stone, the main complaint based on the location of stone, medical treatment based on the location of stone, medical treatment based on the creatinine of blood, medical treatment based on ureum of blood, the average lenght of stay at hospital based on the location of the stone average lenght of stay at hospital. There was a significant difference in proportion between in the average length of based on the medical management. It was rekomended that patient that patients who have symptomps of Urolithiasis to get medical treatment immediately.   Key Words: Urolithiasis, Patient Characteristics, Santa Elisabeth Hospital