drh. Hiswani, M.Kes
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KARAKTERISTIK PENDERITA FRAKTUR PADA LANSIA RAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2011-2012 Cindy Natasia Sinukaban; drh. Hiswani, M.Kes; Drs. Jemadi,M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Fracture, by definition is a condition where discontinuity occur on bone tissue that basically involves direct/indirect trauma. (World Health Organization) WHO reported 200 million people older than 40 years old on 2012 experienced osteoporosis induced fracture. Elder fracture patient that hospitalized in Santa Elisabeth Medan Hospital on 2011-2012 reaches 107 patient. To understand characteristics of elder patients with fracture that hospitalized at Santa Elisabeth Hospital on 2011-2012, a descriptive study with case-series design have been conducted. Population is sample of study contained 107 data (total sampling). Data were collected from medical record and analyzed using chi-square and t-test. Proportion of patients with fractures by highest sociodemographic found in 45-59 years old (55.1%), female (52.3%), Batak ethnicity (74.8%), Protestant (59.8%), has academic degree (43.9%), housewives (25.2%), married (93.5%), from Medan (59.8%), traffic accident (57,9%), closed fracture (86.0%), on pelvic region (29.9%), treated by operation (63.6%), 7 days length of hospitalization, and recover/outpatient (83.2%). No difference between age in proportion to location of fracture (p=0.110). There was difference between age in proportion to cause of fracture (p=0.000). There was difference between gender in proportion to the cause of fracture (p=0.030). No difference between gender in proportion to type of fracture (p=0.112). There was difference between medical treatment in proportion to type of fracture (p=0.045). No difference between causes of fracture in proportion to location of fracture (p=0.131). No significant difference between average length of hospitalization to type of fracture (p=0.830). No significant difference between average length of hospitalization to medical treatment (p=0.069). Early prevention should be done by high risk group of osteoporosis. Higher awareness and avoiding fall risk factors should be done by patients in order to prevent future fractures. Santa Elisabeth Hospital is suggested to add fracture complications and type of fragments in medical record. Keywords: Fractures, Elderly, Characteristics
KARAKTERISTIK BAYI YANG MENDERITA PENYAKIT HIRCSHSPRUNG DI RSUP H. ADAM MALIK KOTA MEDAN TAHUN 2010-2012 Siska Verawati; Prof. dr. Sori Muda Sarumpaet, MPH; drh. Hiswani, M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (468.699 KB)

Abstract

Hirschsprung disease is a cause of  lower intestinal obstruction most commonly in neonates (0-28 days), the incidence 1:5000 live births. Hirschsprung disease is more common in males than females with a ratio of 4:1. The mortality rate for Hirschsprung disease ranged from 1-10%. To determine the  characteristics of baby suffering from Hirschsprung disease, conducted a research at RSUP H. Adam Malik Medan with case series design. Population and sample was 110 patients in 2010-2012 and recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square, Mann-Whitney, Kruskal Wallis test. Based on sosiodemographic, the highest population is in the age group of 0-28 days (60,0%), male (72,7%%), and came from out of Medan area (85,5%), and referall from Public Hospital District/City (51,8%). Based on the treatment, abdominal distension (56,4%), clinical presentation of abdominal distension, difficult to defecate, delayed passage of meconium (44,5%), test of barium enema (44,6%), medical management of no surgical (59,1%), no complications (80,0%), Jamkesmas (42,7%), the average length of stay 14 days, outpatient control (43,6%). There is a significant differentiation of proportion between age based on medical management (p=0,000), average length of stay based on medical management (p=0,000), medical management based on condition when go home (p=0,000), and average length of stay based on condition when go home (p=0,000). There is no significant differentiation of proportion between age based on sex, complications based on medical management, and average length of stay based on complications. Prognosis of Hirschsprung disease depends on early diagnosed ang surgery approach so that the parents should be given the understanding of the best medical treatment for this disease. Key words : Hirschsprung disease, characterictics of baby, RSUP H. Adam Malik Medan