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KARAKTERISTIK PENDERITA STROKE HEMORAGIK RAWAT INAP DI RUMAH SAKIT SANTA ELISABETH TAHUN 2015-2016 Ronny Mardianto Tondang; Fazidah A Siregar; Sri Novita Lubis
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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Stroke occupies the third position in the order of causes of death, after heart disease and cancer. Stroke can be classified into two types, namely hemorrhagic stroke and nonhemoragik stroke (ischemic).The incidence of hemorrhagic stroke between 15% - 30% and non hemorrhagic stroke between 70% - 85%. Proportion of hemorrhagic stroke patients in Santa Elisabeth Hospital Medan in 2015-2016 based on stroke of 23,37%. To identify the characteristics of hemorrhagic stroke patients in the Hospital Santa Elisabeth Medan, conducted descriptive research with case series design. The population of this study were all hemorrhagic stroke patients with the same sample size as the population (total sampling). In Santa Elisabeth Hospital Medan was found 165 stroke haemorragic patients in 2015-2016. The highest sociodemographic proportions: age group 55-64 years with male gender 20.6%, Batak tribe 86.7%, Protestant Christianity 71.5%, 95.2% married, civil servant / TNI / POLRI / pensioner 32 , 1%, and outside of Medan 58.8%. Hypertensive factors 66.1%, intracerebral hemorrhage 66.7%, hexiparesis dextra 47.9%, cerebral hemisphere 41.8%, conservative action 82.4%, average treatment duration 10.87 days (11 days) own cost 61,2%, go home with 57,6% street treatment, bleeding location and highest position of paralysis in cerebral hemisphere with paralysis location at dextra hemiparesis equal to 49,3%. Case fatality rate based on the highest age is>60 years 27,66%, male 25,25%, brain stem 80,0%, operative action 34,48%. For inpatients who have a history of hypertension to perform routine control and apply a healthy lifestyle to prevent stroke and subsequent stroke. For hospitals it is expected to complete the recording of hemorrhagic stroke patient data on status cards especially those related to education, and handling stroke. Keywords: Hemorrhagic Stroke, Patient 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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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 GAGAL JANTUNG YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Rosnani Sagala; Fazidah A Siregar; Rasmaliah .
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 Heart failure is one of the health issues that has been deeply concerned. Based on Riset Kesehatan Dasar 2013,at the age of ≥15, prevalence of heart failure in North Sumatera is equal to prevalence in Indonesia which is 300/100,000 population. In 2015-2016 at Santa Elisabeth Hospital Medan, case fatality rate (CFR)of heart failure is 10.4%.The purpose of this study to know the characteristics of patients with heart failure that hospitalized at Santa Elisabeth Hospital Medan in 2015-2016. This study is descriptive with case series design. Population is all of data patient of heart failure that hospitalized at Santa Elisabeth Hospital Medan in 2015-2016that is 370 people with 192 of themas samples that selected by simple random sampling.The data was analyzed with Chi-Square, Mann-Whitney, and Kruskal Wallis. The result shows that the highest proportion of patients are in >65 years old (41.7%), male (52.6%), Batak Toba(53,6%), Christian (67.7 %), Housewives (29.2%), live out of Medan (50.5%), second stage of heart failure (61.4%), history of hypertension (29,7%), self cost (49.0%), average length of stay 6.01 days (6 days), becoming outpatient (80.2%). There is no significant difference between: age based on sex (p=0.651) andclassification of heart failure (p=0.882), gender based on classification of heart failure (p=0.750), classification of heart failure based onhistory of disease (p=0.554), average length of stay based onclassification of heart failure (p=0.785) and history of disease (p=0.272), classification of heart failure based on condition by going home (p=0.204),history of disease based oncondition by going home (p=0,116). It was recommended to outpatients of heart failureto perform routine checks and to maintain healthty life style to prevent the severity of heart failure. Recommended for hospital complementing the system of medical record. Keywords: Characteristics, Heart Failure, Santa Elisabeth Hospital Medan

Gambaran Epidemiologi Penderita Demam Berdarah Dengue (DBD) Di Rumah Sakit Umum Sundari Medan Tahun 2016 Hertati Pasaribu; Fazidah A Siregar; 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 Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus through Aedes aegypti mosquito bites. Medan city is one of the areas categorized as endemic in North Sumatera Province. In 2013 there are 1,270 cases with 0.7% Case Fatality Rate (CFR) in-crease in 2014 with 1,699 cases and CFR 0.9%. In RSU Sundari Medan in 2015 as many as 297 cases and 338 cases in 2016. The aims to identify the epidemiology of DHF patients at Sundari General Hospital Medan in 2016. This is a descriptive study with case series design. Population of this research is 338 data and 183 samples of data DHF patients using Simple Random Sampling. Statistical analysis use Exact Fisher, Chi-Square, Kruskal Wallis, Kolmogorov Smirnov, and Mann-Whitney. The result shows that the largest proportion of DHF patients was 15-24 years old (24,6%), male (54.1%), Islam (89,1%), senior high school (29.5%), student (32,8%), from Medan (94,0%), time is December (12.6%), platelet count at hospital ≤100.000/mm3 (55,2%), platelet count when out of hospital >100.000/mm3 (78,7%), percentage of hematocrit at hos-pital <20% (73,8%), percentage hematocrit when out of hospital <20% (95,6%), grade I (86.3 %), average length of stay 5,14 days, recovery (76,0%), source of cost is not own expense (83,1%). There was no significant difference in severity based on age, the severity based on the condition when returned. There was a significant difference in proportion between platelet when out of hospital based on platelet when first day in hospital, hematocrit when out of hospital based on hematocrit when first day in hospital, the average length of stay based on the condition when returned, the average length of stay based on the source of cost. It was suggested that RSU Sundari Medan should improve the quality of service to people and can anticipate if there is an increase of DHF patients. Keywords : DHF, Patient Epidemiology, Sundari General Hospital

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 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

KARAKTERISTIK PENDERITA LEUKEMIA YANG DIRAWAT INAP DI RSUP H. ADAM MALIK TAHUN 2014-2016 Meilita V Sinaga; Fazidah A Siregar; 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 Leukemia is a disease problem especially for children. In Indonesia (2006) the proportion of leukemia was ranked 5th (5.93%) of all cancer patients admitted to the hospital. The purpose of this study was to determine the characteristics of Leukemia patients treated in RSUP. H. Adam Malik Medan in 2014-2016. This is descriptive study with case series design. Population is all data of leukemia patient that is 176 patient data. The sample of this study is the total population. Data was analyzed by Chi-Square and Mann Whitney Test. The result shows that largest proportion of respondens with leukemia was by age 5-14 years old (25.6%), males (56.8%), Islamic (72.2%), High School / Equal (39.2%), students (31, 8%), outside Medan (83%), pale complaints (70.5%), specific symptoms of anemia (88.1%), LLA type of leukemia (38.1%), medical management with supportive therapy (43,8%), average length of stay 9.77 days, go home treatment (73.39%). There are differences age of leukemia patients by leukemia type and medical management of leukemia patients by leukemia type. There was no difference sex of leukemia patients by leukemia type, average length of stay by leukemia type, and leukemia type by circumstances when returning home. It was suggested that patients who seek treatment with complaints leukemia immediately and should checked to the doctor so that if proven leukemia can be done early treatment then take medication regularly. Keywords: Leukemia, Characteristics of Patients

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