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Factors That Influence The Numbers of Children in The Village Pusong Banda Sakti Lhokseumawe City Mursyida, Rika; Mutiara, Erna; Asfriyati, Asfriyati
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

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Abstract

The number of children means how many children owned by someone, usually in the form of the intended family size. Family size will be increased, along with the increase in the number of children because each family attempts to get the number of children by their own way. The objective of the research was to find out some factors influenced the number of children such as the factors of mother’s age, family income, and child value through the first age at exposure to sexual intercourse at Pusong Village, Banda Sakti Subdistrict, City of Lhokseumawe, in 2017. The research was observational with cross sectional design. The population was 246 wives of PUS (Fertile Age Couple) at Pusong Village, in January, 2017, and 95 of them were used as the samples, using simple random sampling technique. The data were analyzed by using path analysis. The result of the research showed that simultaneously wife’s age, family income, child value, and the first age at exposure to sexual intercourse influenced the number of children of 24.9%. Of the three independent variables, the variable of the first age at exposure to sexual intercourse influenced the number of children (ρ < 0.001) with the amount of influence was 24.9%, and the rest (75.1%) was influenced by other factors such as Family Planning, education, and mother’s job. It is recommended that community and religious leader at Pusong Village, as the head of “tuha peut gampong’ should correct negative perception about the use of contraception device so that the community will believe that contraception device is halal (legitimate) and can be used by the wives of fertile age couple arranging their number of children. Keywords: wife’s age, family income, child value, the first age at exposure to sexual intercourse, number of children
Comparison of Soluble fms-Like Tyrosine Kinase-1 (SFLT-1) between Normal and Severe Pre-eclampsia in Pregnant Women, Medan, Indonesia Lamtiar, Rebecca Rumesty; Mutiara, Erna; Raja, Sarma N Lumban
Indonesian Journal of Medicine Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The pathogenesis of pre-eclampsia as a primary cause of mortality among pregnant women remains unclear. It was suggested that angiogenic factors such as Soluble fms-Like Tyrosine Kinase-1 (SFLT-1) play an important role in the causal mechanism of pre-eclampsia/ eclampsia. This study aimed to compare the SFLT-1 level in pre-eclampsia/eclampsia in pregnant women with that in normotensive pregnant women.Subjects and Method: This was an analytic observational conducted at three hospitals: Haji Adam Malik, Pirngadi, and Sundari Hospitals, Medan, Indonesia, from September to December 2014. A total sample of 60 pregnant women of the third trimester, including those with severe pre-eclampsia/eclampsia and normotensive women, was selected for this study. The level of serum SFLT-1 was measured by ELISA method. The difference in mean of serum SFLT-1 levels between the two groups was tested by Mann-Whitney.Results: The mean of serum SFLT-1 level in women with preeclampsia was higher (mean=1692.69pg/ml; SD=540.64) than that in normotensive women (mean=1348.52pg/ml; SD=649.83). This difference was statistically significant (p=0.040).Conclusion: Level of serum SFLT-1 in women with severe pre-eclampsia/eclampsia is significantly higher than that of normotensive women.Keywords: serum SFLT-1, pre-eclampsia, pregnant womenCorrespondence: Rebecca Rumesty Lamtiar. Department of Physiology, Faculty of Medicine, HKBP Nommensen University, Medan.Indonesian Journal of Medicine (2016), 1(2): 84-89https://doi.org/10.26911/theijmed.2016.01.02.01
Hanging Clothes on Wire and Its Association with Malaria Incidence in Batubara, North Sumatera Sinaga, Budi Junarman; Lubis, Rahayu; Mutiara, Erna
Journal of Epidemiology and Public Health Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The majority of the mosquito and parasite life-history traits that combine to determine malaria transmission intensity are environmental depen-dent. Earlier evidence suggests that certain malaria vectors can spend large parts of their adult life resting indoors. This study aimed to examine the practice of hanging clothes on wire and its association with malaria incidence in Batubara, North Sumatera. Subjects and Method: This was a case control study conducted in Batubara, North Sumatera in March 2018. A total of 176 people aged ≥ 15 years consisting of 88 cases of malaria and 88 controls were selected for this study. The dependent variable was malaria incidence. The independent variable was hanging clothes on wire. The data were collected by questionnaire and analyzed by a logistic regression. Results: Hanging clothes on wire was associated with an increased risk of malaria (OR= 3.33; 95% CI= 1.65 to 6.73; p= 0.001). Conclusion: Hanging clothes on wire increases the risk of malaria.Keywords: malaria, hanging clothes, wire.Correspondence: Budi Junarman Sinaga. Masters Program in Public Health, Universitas Sumatera Utara. Jl. Prof. T. Maas, Medan, North Sumatera. Email: budijunarman@yahoo.com. Mobile: 081361424297.Journal of Epidemiology and Public Health (2019), 4(2): 65-69https://doi.org/10.26911/jepublichealth.2019.04.02.01
Determinants of Compliance in Conducting Physiotherapy Among Patients with Low Back Pain in Medan Hospital, North Sumatera Andriany, Anita; Mutiara, Erna; Lubis, Halinda Sari
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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 Background: Lower back pain (LBP) is a symptom of pain that occurs in the lower back area. It is often experienced to those who have activities with the wrong posture. Based on visit data, the high proportion of non-compliance in conducting physiotherapy among LBP patients in Medan Regional Hospital in 2016 was 71.7%. This study aimed to examine determinants of compliance in conducting physiotherapy among patients with LBP in Medan Hospital, North Sumatera.Subjects and Method: This was a cross sectional study conducted at Medan Hospital, Sumatera Utara. A sample of 125 LBP patients was selected for this study by simple random sampling. The dependent variable was compliance to LBP physiotherapy. The independent variables were employment status, marital status, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression.Results: Compliance to LBP physiotherapy increased with married (OR= 1.31; 95% CI 0.78 to 2.23; p= 0.310), occupation (OR= 1.83; 95%CI= 1.12 to 3.02; p= 0.017), and family support (OR= 0.83; 95% CI= 0.36 to 1.89; p= 0.652).Conclusion: Compliance to LBP physiotherapy increases with married, occupation, and family support.Keywords: ccompliance, pphysiotherapy, low back pain, patientsCorrespondence: Anita Andriany. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20155, North Sumatera, Indonesia. Email: dr.anita.andriany@­gmail.com. Mobile:  +628­1262023731.Journal of Epidemiology and Public Health (2019), 4(4): 314-319https://doi.org/10.26911/jepublichealth.2019.04.04.06
PENGARUH OBESITAS TERHADAP KEJADIAN DIABETES MELLITUS PADA WANITA USIA SUBUR DI RSUD DR. DJOELHAM BINJAI TAHUN 2017 Pratiwi, Tika Ayu; Lubis, Rahayu; Mutiara, Erna
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 4, No 1 (2018): April 2018
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v4i1.161

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Diabetes mellitus (DM) merupakan penyakit degeneratif yang paling umum ditemukan, peningkatan BMI (Body Mass Index)  1 angka akan mempunyai kecenderungan menjadi kencing manis sebesar 25%. Dengan bertambahnya ukuran lingkaran perut dan panggul, terutama pada obesitas tipe sentral atau androit, menimbulkan resistensi insulin, suatu keadaan dimana insulin tidak dapat bekerja dengan baik, maka terjadilah kencing manis. Tujuan penelitian untuk melihat pengaruh obesitas terhadap kejadian diabetes mellitus pada wanita usia subur di RSUD DR. Djoelham Binjai tahun 2017. Penelitian ini menggunakan studi analitik observasional dengan desain studi unmatched case control. sampel dalam penelitian ini 52 orang (kasus) dan 52 orang (kontrol). Analisis data dilakukan dengan tahapan analisis univariat, bivariat dengan uji chi-Square. Pada kelompok kasus terdapat sebanyak 27 orang (51,9%) wanita usia subur yang obesitas, dan 25 orang (48,1%) yang tidak obesitas. Sedangkan pada kelompok kontrol terdapat sebanyak 14 orang (26,9%) wanita usia subur yang obesitas, dan 38 orang (73,1%)wanita usia subur yang tidak obesitas. Hasil uji statistik menunjukkan bahwa terdapat pengaruh obesitas terhadap kejadian diabetes mellitus  (p= 0,009) pada taraf nyata ? = 0,05. Hasil penelitian juga menunjukkan  nilai OR= 2,931(95%CI 1,292-6,652), artinya wanita usia subur yang obesitas perkiraan risikonya 2,9 kali akan menderita diabetes mellitus dibanding dengan yang tidak obesitas. Kesimpulan dan saran penderita diabates mellitus diharapkan dapat menjaga gula darah agar tetap dalam keadaan normal, mengurangi berat badan bagi pasien obesitas, mengatur kebiasaan makan yang memiliki tinggi karbo, mengurangi makanan yang mengandung tinggi lemak, serta memperbanyak mengkonsumsi sayur dan buah, dan melakukan aktifitas olah raga untuk mengurangi risiko terjadinya diabates mellitus.Kata kunci: diabetes mellitus, obesitas
Physical Activity, Obesity, Family History, and Their Associations with Hypertension among the Elderly in Aceh Singkil, Aceh Amra, Ricca Nophia; Siregar, Fazidah Aguslina; Mutiara, Erna
Journal of Epidemiology and Public Health Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hypertension is an important global health challenge due to its high prevalence and resulting cardiovascular disease and chronic kidney disease. This study aimed to examine the associations of physical activity, obesity, family history, with hypertension among the elderly in Aceh Singkil, Aceh.Subjects and Method: This was a case control study carried out in Aceh Singkil, Aceh, Indo­ne­sia. A sample of 132 elderly was selected for this study, consis­t­ing 66 elderly with hyper­tension and 66 elderly without hypertension. The depen­dent variable was hypertension. The independent variables were physical activity, obesity, and fa­mily history. Hypertension data was measured by sphygmo­ma­nometer. The other data were collected by qu­e­s­tionnaire. The data were analy­zed by a multiple logistic regression model.Results: Hypertension was associated with phy­sical inactivity (OR= 5.12; 95% CI=2.41 to 10.86; p<0.001), obesity (OR= 3.30; 95% CI= 1.61 to 6.74; p<0.001), and family history (OR=7.73; 95% CI=3.56 to 16.78; p<0.001).Conclusion: Physical activity, obesity, and fa­mily history, are associated with an increased risk of hypertension.Keywords: physical activity, obesity, family history, hypertensionCorrespondence: Ricca Nophia Amra. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: ricca.ubudiyah­@­gmail.­com. Mobile: 085260686305Journal of Epidemiology and Public Health (2020), 5(1): 45-51https://doi.org/10.26911/jepublichealth.2020.05.01.05
THE CORRELATION BETWEEN PERCEPTION OF STIGMA OF HIV/AIDS AND UTILIZATION OF VOLUNTARY COUNSELING AND TESTING AND CARE, SUPPORT AND TREATMENT POLYCLINIC AT DJOELHAM HOSPITAL, BINJAI Rizkani, Ratih Sufra; Utama, Surya; Mutiara, Erna
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The health care services for people living with HIV/AIDS (PLWH; hereinafter is referred to as PLWHA) at Polyclinic of Vo­luntary Counselling and Testing (hereinafter is referred to as VCT) and Care, Support and Treat­ment (hereinafter is referred to as CST) are not optimally utilized because of the large number of Follow-Up Loss by PLWHA. The utilization of the services in 2018 was only 47% of the determined target of 90%. The objective of this study was to analyze the influence of individual characteristics such as age, sex, education level, marital status, and perception of HIV/AIDS negative stigma on the utilization of health services for HIV/AIDS at Polyclinic of VCT and CST.Subjects and Method: This is a cross-sectional study. The population was all visitors at the Poly­clinic who were diagnosed with HIV not later than March, 2018. Sixty eight patients were selec­ted by using total sampling technique. The inde­pen­dent variables consisted of individual charac­te­ris­tics (age, sex, education level, marital status) and perception of HIV/AIDS negative stigma, whereas the dependent variables were the utilization of VCT and CST Polyclinic. The data were collected through questionnaires and were analyzed by multiple logistic regression method.Results: the perception of high negative stigma of HIV/AIDS has led PLWHA to underutilize the health services of VCT and CST Polyclinic (OR= 18.20; 95%CI= 3.89 to 85.19; p< 0.001). The male PLWHA underutilized the health care ser­vi­ces at VCT and CST Polyclinic (OR= 4.91; 95%CI=1.19 to 20.23; p= 0.028).Conclusion: the perception of high negative stigma of HIV/AIDS and being a male PLWHA allowed the underutilization of the health services at VCT and CST Polyclinic.Keywords: perception of stigma, HIV, utiliza­tionCorrespondence: Ratih Sufra Rizkani. A Student at Master Program of Public Health Faculty in University of Sumatera Utara, Medan. ratih86rizkani@gmail.com. Mobile: 0852617­76718Journal of Health Promotion and Behavior (2020), 5(1): 26-34https://doi.org/10.26911/thejhpb.2020.05.01.04
Empowerment group of Farmer’s wife to reduce the Pesticide Toxicity Mahyuni, Eka Lestari; Eyanoer, Puteri Chairani; Mutiara, Erna; Lubis, Arfah Mardiana; Syahri, Isyatun Mardhiah
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.147 KB) | DOI: 10.32734/abdimastalenta.v4i2.4174

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Community empowerment is the one of efforts that undertaken as part of the health promotion which aimed to improve public health. In general, one of the phenomena of society which are expected to consume vegetables and fruits in balance quantity and quality. Consumption of vegetables and fruits also become the second destination health measures of GERMAS (Gerakan Masyarakat Sehat). Karo is an area that is synonymous with the world of agriculture and many farming communities are vulnerable to disease because of exposure to the working environment, either physical or chemical. The farming community is also almost no health care and more oriented to produce in optimum. In addition, there are many groups that still non-productive and can be developed, one group of wives of farmers. The solution given in service activities to produce the healthy food like a salad of vegetables and fruits with antioxidant power, antisianin and other nutrients that protect and maintain the farmer’s health from several symptoms of illness due to consumption patterns and patterns of work at risk. Devotion done by brainstorming methods, training and demonstration of manufacture of the product with the target groups of farmers wife. Outcomes targeted is a food product healthy namely Salad Pelangi as food is beneficial to balance the body, nourish and protect the health of the body as well as foods that have anti venom and avoid hypertension, heart disease, diabetes, cancer and chemical effects of occupational risks as farmers. Other outcomes in the form of a scientific article and video activities. The content of Salad Pelangi are choosen from the fruits and vegetable that has the rainbow colour such as tomato, carrot, orange, avocado, jelly, yam, and purple cabbage. All of these has the antioxidant function that could be reduce the pesticide toxicity.
Pengaruh Pemakaian Kelambu, Kawat Kasa dan Kondisi Geodemografis Terhadap Kejadian Malaria di Kabupaten Batu Bara Lubis, Rahayu; Sinaga, Budi Junarman; Mutiara, Erna
Jurnal Kesehatan Lingkungan Indonesia Vol 20, No 1 (2021): April 2021
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.20.1.53-58

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Latar Belakang: Malaria merupakan salah satu penyakit menular yang menjadi masalah global. Malaria sering menimbulkan kejadian luar biasa dan berakibat pada penurunan kualitas hidup, ekonomi serta mengakibatkan kematian. Penelitian ini bertujuan untuk mengkaji hubungan penggunaan kelambu dan kawat kasa dengan kejadian malaria serta analisis spasial di Kabupaten Batu BaraMetode: Jenis penelitian ini adalah observasional analitik dengan disain matched case control terhadap umur dan jenis kelamin dan analisis spasial. Lokasi penelitian di Kabupaten Batu Bara pada tahun 2018. Sampel berjumlah 136 orang (68 kasus dan 68 kontrol). Sampel kasus adalah penduduk berumur diatas 15 tahun dan positif malaria. Sampel kontrol adalah tetangga kasus dengan gejala demam tetapi hasil pemeriksaan darah negatif malaria.Teknik pengambilan sampel secara purposive sampling. Data dikumpulkan melalui observasi dan wawancara menggunakan kuesioner. Analisis data termasuk data individu dan aggregat. Analisis data menggunakan Epi Info 3.5.4, aggregate analysis menggunakan SatScan v9.8 and Geoda 1.12.0.Hasil: Ada hubungan bermakna antara pemakaian kelambu (OR 2,8) dan kawat kasa (OR 2,5) dengan kejadian malaria. Berdasarkan analisis purely spasial dengan menggunakan software satscan terdapat dua cluster. Cluster 1 terdiri dari 5 kasus dengan nilai RR = 4,41 dan cluster 2 terdiri dari 8 kasus dengan nilai RR = 0,51 Simpulan: Ada hubungan pemakaian kelambu dan penggunaan kawat kasa dengan kejadian malaria di Kabupaten Batu Bara. ABSTRACTTitle: The Effect of The Use of Mosquito Nets, Wire Netsand Geodemographic Conditions on The Incidence of Malaria in Batu Bara District.Background: Malaria is an infectious disease that is a global problem. Malaria often results in Extraordinary Events and results in a decrease in quality of life, economy, and death. This study aims to study the association between the use of mosquito nets and wire nets with the incidence of malaria and  a spatial analysis in Batu Bara District.Method: This research is an analytic observational with matched case-control design according to age and sex and spatial analysis. This research was conducted in Batu Bara District in 2018. Samples were 136 people (68 cases and 68 controls). Case samples were residents aged  more than 15 years who were positive for malaria. Control samples were residents who lived close to the case home with symptoms of fever but the results of the blood test showed negative malaria. The sampling technique used was purposive sampling. Data were collected through observation and interview using a questionnaire, Determination of coordinates using GPS MAP 64S Garmin GPS. The analysis includes individual and aggregate analysis, data analysis using Epi Info 3.5.4, aggregate analysis using SatScan v9.8 and Geoda 1.12.0.Result: There was a significant association between the use of mosquito nets (OR 2.8) and wire nets (OR 2.5) with the incidence of malaria. Based on purely spatial analysis using satscan software, two clusters are formed. Cluster 1 consists of 5 cases with RR = 4.41 and cluster 2 consists of 8 cases with RR = 0.51.Conclusion: There was significant association between the use of mosquito nets and wire nets with the incidence of malaria in Batu Bara District.
Risk Factors of Hypertension in Reproductive Age Women in Kedai Durian Health Center, Medan, Indonesia Situmorang, Friza Novita Sari; Mutiara, Erna; Siregar, Fazidah Aguslina
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.043 KB) | DOI: 10.26911/jepublichealth.2021.06.01.05

Abstract

Background: Hypertension is a global problem in the world. Data from the World Health Organization (WHO) in 2013 showed that deaths from complications of hypertension reached 9.4 million deaths worldwide. This study aims to determine the risk factors to the incidence of hypertension in women of reproductive age in Kedai Durian Health Center. Subjects and Method: This was a case control study carried out at Kedai Durian Health Center, Medan, Indonesia. A sample of 100 women of reproductive age was selected for this study. It consists of 50 women of reproductive age with hypertension and 50 women of reproductive age without hypertension. The dependent variable was hypertension. The independent variables were physical activity, obesity, and family history. Hypertension was measured by sphygmomanometer. The other data were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: Hypertension was associated with physical activity (OR=3.46;95% CI=1.52 to 7.90;p=0.003), obesity (OR=4.57;95% CI= 1.96 to 10.64 p<0.0001), family history (OR= 9.33;95% CI=720 to 23.41;p<0.0001), and fat consumption (OR=4.14;95% CI=1.79 to 9.57;p=0.001).Conclusion: Physical activity, obesity, family history, and fat consumption are associated with an increased risk of hypertension.
Co-Authors Agung Putra Alam Bakti Alas Sriwahyu Amin, Mustafa M. Amra, Ricca Nophia Andika Pradana Andika Pradana Andika Pradana Andriany, Anita Arfah Mardiana Lubis Arifa Masyitah Asfriyati ,MKes Ayu Yulia Ningsih Sirait Bihar, Syamsul Darlan, Dewi M. darmaisuri harahap Delfitri Munir Evita Mayasari Eyanoer, Puteri Chairani Fajrinur Syarani Fazidah Aguslina Siregar, Fazidah Aguslina Ginting, Andi R. Hafid Syahputra Halinda Sari Lubis Hargiani, Fransisca Xaveria Heru Santosa Johannes H. Saing, Johannes H. Juanita4 julia alistawaty purba Jumirah . Kardiasyah, Alzi Lamtiar, Rebecca Rumesty Lia Mutia Annisa Listyoko, Aditya S. Lubis, Aridamuriany D. Lubis, Netty D. Lubis, Sri Novita Mahyuni, Eka Lestari Maya Fitria Monica, Nanda S. Mova Rita Sitompul Mursyida, Rika novianti damanik Olga R. Siregar, Olga R. Osakue, Osareniro E. Pandia, Pandiaman Pane, Cindy Suci Veronika Pohan, Indah TS. Pratiwi, Tika Ayu Priyanti Anti Raffael, Frans Rahayu Lubis Raja, Sarma N Lumban Rhinsilva, Ella Ria Masniari Lubis risa amalia amalia Rista Riviani Rizkani, Ratih Sufra Rozi, Muhammad F. Rusda, Muhammad Sihombing, Benny Sinaga, Bintang YM. Sinaga, Budi Junarman Sinaga, Budi Junarman siti zubaidah harahap Situmorang, Friza Novita Sari Sri Rahayu Sanusi Susanti, Dia Tri Syahri, Isyatun Mardhiah Syahri, Isyatun Mardhiah Syahri, Isyatun Mardhiyah Syarani, Fajrinur Syarifah Tarigan, Amira P. uci kirana Utama, Surya Yanni, Gema Nazri Yesica Siallagan Yusniwarti Yusad Zulhaida Lubis Zulkarnain Zulkarnain