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KARAKTERISTIK PENDERITA DIABETES MELLITUS YANG BERUMUR ≤44 TAHUN YANG DIRAWAT DI RSUD Dr. RM. DJOELHAM KOTA BINJAI TAHUN 2016-2017 Kristian Adesaputra Zendrato; Sori Muda Sarumpaet; 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

Diabetes mellitus (DM) is a communicable diseases which has increasing prevalence every year. World Health Organization (2016) reports that there are 422 million people had DM globally. In the other word, 1 in 11 people around the world live with the disease. Based on data from Riskesdas 2013, proportion of people with DM in Indonesia has increased in the age group ≤44 years, from the age group 15-24 years (1,1%), 25-34 years (2,7%), to 35-44 years (6,1%).   This research is descriptive with case series design. The objective is to know the characteristics of ≤44 years old patients of DM in RSUD Dr. RM. Djoelham Binjai in 2016-2017. The population of this research is 110 people, the sample is the same as population.   The result shows that the proportion of ≤44 years old patients with DM is highest in the late-adulthood age group (80,9%), male (54,5%), Javanese (42,7%), Moslem (55,5%), Senior High School (44,5%), worker (74,5%), main complaints are fatique with nausea and vomiting (64,5%), Type 2 DM (74,5%), with complications (67,3%) especially chronic complications (70,3%), average blood glucose level (BGL) on admission 237,1 mg/dl, hypoglycemic oral medication (49,1%), non self-cost (79,1%), average length of stay 4,2 days, becoming outpatient (59,1%). The statistical test gives no significant differences among age group based on sex (p=0,770), sex based on complication type (p=0,220), average length of stay based on complication type (p=0,829), complication status based on condition when being out of the hospital (p=0,910). There are significant differences among age group based on diabetic type (0,001), age group based on complication status (p=0,001), average length of stay based on complication status (p=0,001), BGL on admission based on medication type (p=0,001), and complication type based on BGL on admission (p=0,034).   It’s suggested to RSUD Dr. RM. Djoelham Binjai to intensify on informing patients. The patients should do routine BGL control, life style and diet improvement, routine exercises, attending counseling and regular medication.   Keywords: Characteristics, Diabetes mellitus of ≤44 years old patient
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
Karakteristik Penderita Sifilis Di Puskesmas Teladan Kecamatan Medan Kota Tahun 2015-2016 Nurfadillah Arif Harahap; Sori Muda Sarumpaet; 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

ABSTRACT Syphilis still a widespread public health problem in various countries. Syphilis increase the risk of contracting HIV. Research in many countries reports that syphilis infection can increase the risk of HIV transmission by 3-5 times The study aims to describe the characteristics of syphilis patient at Puskesmas Teladan in 2015-2016. This study use secondary data and the case series design followed by bivariate analysis with Chi-Square test. The sample of this study are 210 syphilis patient in Puskesmas Teladan Based on the data which were collected, the highest proportion was obtained at the age of 20-24 years (30%) with the highest age 67 years and the lowest 16 years, male (92.4%), high school (73.3%), unmarried ( 73,3%), people from Medan City (88,6%), risk group at LSL (68,6%), clinical stage at advanced stage (64,3%), visit status referred by NGO (79%) , not syphilis with HIV (76.2%), did not use condom at latest sex (84.3%), sometimes used last week's sex condom (51%), the number of sexual partners per week was more than acouple (81.9%). There is a difference in the proportion between the sex based on the last sex condom use (p = 0.024). There is a recent educational based on the frequency of condom use last week (p = 0.001). There was no difference in the proportion between marital status based on frequency of condom use last 1 week (p = 0,535). Suggested to Puskesmas Teladan to be intensively to educate the risk factors of the suffers, especially avoid unlawful relationships, be faithful to their spouse, and improve cooperation with local stakeholders and NGOs so that the presence of key populations at risk do the  examination. To NGOS are more intensive to conduct a search of a WPS-specific key population. Futhermore, the syphilis patient should increase the frequency of condom use and avoid having sex with stangers to reduce the rate of STI transmission. Keywords: Patient with Syphilis, Characteristics.
KARAKTERISTIK PENDERITA MENINGITIS PADA ANAK DI RUANG RAWAT INAP DI RSUP H. ADAM MALIK MEDAN TAHUN 2014-2016 Fitrah Fauziah; Sori Muda Sarumpaet; Fazidah A Siregar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Meningitis is a health problem in the worldwide. Data World Health Organization (WHO) 2015 showed, more than 400 million people live in 26 countries infected meningitis annually. It causes 10% resulted in death, with 10-20% with neurological sequelae. The purpose of this study is to describe the characteristics of meningitis in children hospitalized in H. Adam Malik Medan Hospital 2014-2016. This is descriptive study with case series design. Population are children who suffer from meningitis on 2014-2016 with the amount of 110 children as a sample (total sampling). Data was analyzed by Chi square, Exact Fisher’s and T-test. The result of this study showed that highest number of meningitis in children found: 0-5 years old group (57.3%) with 1:1.5 ratio between male and female, Islam (60.9%), outside of Medan (83.6%), unconscious condition (52.7%), adequate nutritional status (60.0%), seizure disorder (53.6%), was a stiff neck (48.2%), type of purulenta meningitis (63.6%),length of stay 2 days (14.4%), death (47.3%). There was no significant difference sex and average of stay by classification, discharge condition by age, nutritional status by classification(p>0.05). There was significant difference age by classification, discharge condition by admittance condition and classification (p<0.05). It was recommended that parentsshould provide immunization Haemophilus influenzae (Hib) for infant and all children under five years old to prevent meningitis in children.
KARAKTERISTIK PENDERITA PENYAKIT DEMAM BERDARAH DENGUE (DBD) YANG DIRAWAT INAP DI RSUP HAJI ADAM MALIK MEDAN TAHUN 2015-2016 Sara Vela Purba; Sori Muda Sarumpaet; Fazidah A Siregar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT DHF until now is a public health problem in Indonesia that the number of patients and the area of ​​its spread is increasing. Based on Ministry of Health of Indonesia (2016) obtained the incidence rate of dengue patients equal to 50,75 per 100.000 population and Case Fatality Rate (CFR) 0.83%. The purpose of this study was to determine the characteristics of DHF patients treated in Haji Adam Malik Central Public Hospital Medan in 2015-2016. This is a descriptive study with case series design. Population is all data of patient DHF which are 136 and as a sample in this study (total sampling). Data was analyzed by Chi-Square, Exact-Fisher and Kolmogorov-Smirnov. The results shows that the highest proportion of respondens was by age 15-44 years (50,0%), males (56,6%), Protestant (53,7%), students/college (43,4), lives in Medan (56,6%). The platelet count >100,000/μl (53,7%), percentage of hematocrit ≥20% (85,3%), first degree (87,5%), cured (91,9%), average treatment duration 5,00 days, medical treatment of infusion and drug (98,9%), cost by ASKES/BPJS/KIS (Health insurance) (80,9%), negative IgG (33,1%), negative IgM (44,1%). There was a difference between the emergency by severity (p=0,048). There was no significant difference between the hematocrit numbers by the severity (p=0,076), by age (p=0,334), circumstances such as return by age (p=0,999) based on examination of IgG (p=0,452), severity by IgM examination (p=1,000). It was recommended that hospital completed data in medical record, laboratory examination results. Keywords: DHF, patient characteristic, Adam Malik Hospital
HUBUNGAN KARAKTERISTIK INDIVIDU, KEBERADAAN PMO DAN EFEK SAMPING OBAT DENGAN KEPATUHAN MINUM ARV DI KLINIK VCT RSUD DR. M YUNUS KOTA BENGKULU TAHUN 2017 Rama Dhania Ramadhania; Sori Muda Sarumpaet; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT   The number of people living with HIV in ARV therapy at VCT clinic RSUD Dr. M Yunus Kota Bengkulu from 2014 until 2016 increased, from 86 peoples to 129 peoples. One way to overcome HIV / AIDS is to take antiretroviral drugs (ARV). Use of long-term antiretroviral drugs requiring high adherence to achieve success and prevent drug resistance. This research then comes to find the relationship of individual characteristics, the presence of drug supervisor, and drug side effects with ARV drug adherence in people living with HIV in VCT clinic RSUD Dr. M Yunus Bengkulu city on 2017. This research was done with cross sectional design with 90 samples of ODHA who underwent ARV therapy obtained by consecutive sampling technique. Data using questionnaire and analyzed by chi square test. The result of univariate analysis showed that people living with HIV in VCT clinic RSUD Dr. M. Yunus Bengkulu City on 2017 at the most ≥ 34 years old (52.2%), male (55.6%), mild educated (72.2%), married (46,8%), long-term antiretroviral ≥1 years (75.6%), using the first line ARV regimens (94.4%), had drug supervisor (74.4%), did not feel any more drug side effects (76.7%) and had mild adverse events (66.7%). The proportion of ARV adherence was 76.7% and not adherence was 23.3%. Based on bivariate test result showed that highly educated patients were more adherence than low-educated patients (p = 0.010) and long-term ARV therapy ≥1 years were more adherent than patients who had long-term ARV therapy <1 year (p = 0.011) Keywords: HIV / AIDS, ARV, Adherence
ANALISIS KEBIASAAN HUBUNGAN SEKSUAL KELOMPOK BERISIKO HIV (PADA LAKI-LAKI) TERHADAP HASIL TES HIV DI KLINIK IMS PUSKESMAS TELADAN TAHUN 2017 christina aprilia sitorus; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACTTransmission of HIV through sexual contact with infected people is the most common way arround 80%-90% total cases in the world. Based on data Department of Health, risk factor of AIDS transmission in 2015, with highest proportion is heterosexual (82,8%), followed by homosexual (7,4%). This rese- arch is aimed to analysing habits of sexual intercourse on hiv risk group (on men) and want to know the proportion of using condom to HIV test result in sexually transmitted infections clinic of Teladan Health Centre in 2017. This research is analitic with cross-sectional design. Sample consist of 85 people chosen by purposive sampling. Data collected by interviewed based on qu- estionnaire filling. Data bivariat analysis using Chi-square test and fisher’s with confidence interval 95% (α=0,05). The result shows that the highest proportion of risk group based on characteristics respondents are, age ≤40 years (90,6%), last education SMA/SMK (44,7%), occupation entrepreneur (32,9%), unmerried (83,5%), risk group LSL (51,8%), sexual intercourse type III (anal, anal-oral, anal-vaginal, anal-vaginal-oral) (67,1%), using condom risky category (71,8%) and test HIV positive (60,0%). The statistical test give significant differences among HIV test result ba-  sed on sexual intercourse (p=0,001 and p=0,008), give no significant differences among HIV test result based on marital status, risk group and using condom. It’s suggested to the NGO/health centre, more targeted to the productive age group, the IMS/VCT staff more often to give counseling about risky sexual beha- viour especially anal sex, preferably the risk group more often do self checking to IMS/VCT services and intersectoral relationship between health centre, religion and education to suppress HIV/AIDS transmission.Keywords : HIV, Risk Group, Sexual Intercourse, Health Centre  
Determinan Kejadian Demam Berdarah Dengue (Dbd) Di Kecamatan Medan Tembung Dian Maya Sari; Sori Muda Sarumpaet; Hiswani Hiswani
Pena Medika Jurnal Kesehatan Vol 8, No 1 (2018): PENA MEDIKA JURNAL KESEHATAN
Publisher : Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pmjk.v8i1.745

Abstract

Dengue Hemorrhagic Fever (DHF) is a contagious disease without special antivirus to stamp out the virus causing it. DHF is spread by dengue virus through the bites of Aedes aegypti and Aedes albopictus. According to WHO (2010), DHF is endemic in Southeast Asia and Indonesia was noted as a country with the highest case of DHF from 1968 to 2010. Medan is an area with the adequately high DHF case annualy and in 2011 it had 2,384 cases. In 2011 and 2012, the case of DHF in Medan Tembung Subdistrict was 152 and 60 respectively.The purpose of this analytical observational study with case control design was to analyze the determinants influencing the incidence of DHF in Medan Tembung Subdistrict. The sample were 86 persons for case group and 86 persons for control group. The data were obtained through observation and questionnaire-based interview. The data were analyzed through univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with Multiple Logistic Regression test.The result of bivariate analysis showed that the variables playing a role as the determinants of DHF were the presence of mosquito larvae, house layout, non Garbage Dump Site, vegetation, cleaning Garbage Dump Site, hanging clothes, sleeping habits, and using repellent. The result of multivariate analysis showed that the most influencing variable was non Garbage Dump Site.The community members are suggested to reuse, reduse, and recycle their used goods. Puskesmas improve the DHF mosquito breeding place eradication program through extension, 3M Plus, and Clean Friday activities.Keywords: Dengue Hemorrhagic Fever, DeterminantPenyakit Demam Berdarah Dengue (DBD) merupakan penyakit menular yang belum ada antivirus khusus untuk membasmi virus penyebabnya. DBD disebabkan oleh virus dengue melalui gigitan nyamuk Aedes aegypti dan Aedes albopictus. Gejalanya berupa demam, perdarahan, dan syok. Menurut WHO (2010), DBD endemik di Asia Tenggara. Sejak 1968-2010, WHO mencatat Indonesia dengan kasus DBD tertinggi di Asia Tenggara. Kota Medan merupakan wilayah dengan kejadian DBD yang cukup tinggi setiap tahun dan tahun 2011 mencapai 2.384 kasus (IR=113/100.000 penduduk). Tahun 2011 dan 2012, kasus DBD di Kecamatan Medan Tembung masing-masing sebanyak 152 dan 60 kasus.Penelitian ini bertujuan menganalisis determinan yang memengaruhi kejadian DBD di Kecamatan Medan Tembung. Metode penelitian adalah analitik observasional dengan desain case control. Sampel penelitian sebanyak 86 orang kasus dan 86 orang kontrol. Pengumpulan data melalui wawancara dan observasi yang berpedoman pada kuesioner. Analisis data dilakukan secara univariat, bivariat mengggunakan uji Chi-Square, dan multivariat menggunakan uji Regresi Logistik Berganda.Hasil analisis bivariat menunjukkan bahwa variabel yang merupakan determinan kejadian DBD adalah keberadaan jentik, tata rumah, non TPA, tanaman hias/tumbuhan, membersihkan TPA, menggantung pakaian, kebiasaan tidur, dan menggunakan anti nyamuk/repellent. Hasil analisis multivariat menunjukkan variabel yang paling berpengaruh terhadap kejadian DBD adalah non TPA.Disarankan kepada masyarakat agar mau dan mampu melakukan reuse, reduse, dan recycle terhadap barang-barang bekas; Puskesmas Sering dan Mandala tetap mempertahankan bahkan meningkatkan program Pemberantasan Sarang Nyamuk (PSN) DBD melalui kegiatan penyuluhan, 3M Plus, dan Jumat Bersih.Kata Kunci : Demam Berdarah Dengue, Determinan