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KARAKTERISTIK PENDERITA HIPERTENSI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH KOTA PADANGSIDIMPUAN KABUPATEN TAPANULI SELATAN 2010-2011 Satria Muharram Dalimunthe; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 4 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is one of the degenerative disease a public health problem in the world because hypertension often appears without symptoms. In Indonesia, patient of hypertension pursuant to Researching Into Health of Base ( Riskesdas) 2007 hypertension prevalensi in Indonesia very high, namely reach 31,7% from totalizeing the amount of adult resident. higher Hypertension Prevalence in Indonesia in comparison with tired Singapore 27,3%, Thailand by 22,7% and tired Malaysia 20%. But so many one who do not know and realize that x'self suffer hypertension. To know characteristic of patient of taken care of hypertension lodge in RSUD Town of Padangsidimpuan, have been conducted by research have the character of descriptive with series case desain continued with analysis of statistic. Population and of sampel amount to 165 patient of hypertension take care of to lodge. From the record data, the result obtained of proportion patient of highest woman in the  age group 57-64 year ( 15.2%), Islam ( 77.6%), SLTA ( 40%), officer of private sector ( 39.4%), married ( 69.7%), Town of Padangsidimpuan ( 92.7%), headache ( dizzy, confused ) and weaken ( 35.8%), degree of hypertension 3 ( 45.4%), without comorbidity ( 72.1%), stroke ( 60.9%), average length of stay 4.07 days, medically discharged and becoming out patient ( 72.7%), there is no significant difference between age with the degree of hypertension ( p=0,078), there is significant difference between especial sigh with the degree of hypertension ( p=0,000), there is significant difference between average length of stay with the degree of hypertension ( p=0,000), there is significant difference between degree of hypertension with the desease comorbidity (p=0,000), there is significant difference between degree of hypertension with the situation of time went home ( p=0,003) Keywords : hypertension, patient characteristic, General Hospital Area Town of Padangsidimpuan
Faktor - Faktor yang Berhubungan dengan Dismenore pada Siswi SMK Negeri 10 Medan Tahun 2013 Frenita Sophia Purba; Sori Muda Sarumpaet; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Dysmenorrhea is menstrual pain and cramping that usually centered in the lower abdomen that occurs before or during menstruation. The prevalence of dysmenorrhea in Indonesia in 2008 was 64.25%, consisting 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. The results of Novia research  at SMA St. Thomas Medan in 2012 showed 84.4% of adolescents had  dysmenorrhea, with mild pain intensity of 46.7%, 30.0% moderate pain, and severe pain 23.3%. To determine factors associated with dysmenorrhea at SMK Negeri 10 Medan in 2013, conducted research using cross sectional design. Sample was many 171 students were taken by simple random sampling. Univariate data were analyzed descriptively and bivariate data were analyzed using the chi square test with 95% CI. The result of the research shown that proportion prevalence of dysmenorrhea was 81,30%. The highest proportion of the dysmneorrhea of the respondent at the category ages 15 – 17 years old (85,90%), ages of menarche ≤ 12 years old (83,70%), normal menstrual cycles (82.90%), long periods ≥ 7 days (87.20%), family history (87.10%), underweight (88.00%), and less exercise (85.80%). the result of bivariate analysis, Generally there is a significant association between age (p = 0.020), age of menarche (p = 0.031), duration of menstruation (p = 0.046), family history (p = 0.019), nutritional status (p = 0.043), and exercise habits (p = 0.019) and dysmenorrhea. And there was no significant correlation between menstrual cycle and dysmenorrhea. It is expected that students who have dysmenorrhea accompanied fast menarche age, long term periods, irregular menstrual cycles, and family history of dysmenorrhea in order to see a doctor. And always exercise and keep normal body weight. Keywords: Dysmenorrhea, Adolescent, Risk Factors 
KARAKTERISTIK PENDERITA KISTA OVARIUM YANG DIRAWAT INAP DI RUMAH SAKIT ST ELISABETH MEDAN TAHUN 2008 - 2012 Dumaris Siringo-ringo; hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Ovarian cyst is one of the gynecological benign tumor most often found in women in the reproductive life. Most of the cysts are formed due to changes in hormone levels that occur during the menstrual cycle, the production and release of eggs from the ovaries. The incidence of ovarian cyst disease in Indonesia is not yet known with certainty because the recording and reporting unfavorable. As an illustration in the hospital. Dharmais cancer was found about 30 patients each year. At RSUP H. Adam Malik Medan are the total number of patients with ovarian cysts in 2008-2009 as many as 47 people. General Hospital Medan Dr.Pirngadi Januari - October 2010 ovarian cysts sufferers in women of childbearing age totaling 34 people. To determine the characteristics of patients with ovarian cysts who are hospitalized at St. Elisabeth Hospital Medan in 2008 - 2012 was a descriptive study, with case series design. Population and samples of data 116 patients (total sampling). Data were analyzed by chi-square test, Fisher Exact, and T-test. The research found ovarian cysts proportion of patients: age 29-37 years (29.7%), Batak (80.2%), Protestant (56.9%), education Colleges / Universities (47.4%) , occupation Housewife (33.6%), marital status (71.6%), benign ovarian cysts (94.8%), the size of the cyst diameter 3.83 to 7.52 cm (40.5%), pain lower abdomen (67.7%), still menstruating (87.9%), surgical treatment (68.1%), the average treatment length 6.01 (6 days), outpatient home (95.7%). There is a significant difference in the proportion of types of cysts by age (p = 0.012), chi-square test can not be performed to determine the proportion of the size of the cyst is based on complaints because there are 4 cells (66.7%) who had expected count <5, there is no significant difference in the proportion of the diameter of the cyst by cyst type (p = 0.400), chi-square test can not be performed to determine the proportion of the diameter of the cyst by level of education because there are 4 cells (50.0%) having an expected count <5, there is a significant difference between the average long maintainability based medical management (p = 0.001), there is no significant difference in the proportion of state while returning by type of cysts (p = 0.237). Expected for the hospital St. Elisabeth Medan field in order to improve and maintain the quality of care of patients with ovarian cysts and ovarian cysts sufferers complete recording of such parity, history of the use of contraceptives. Keywords: Ovarian Cyst, patient characteristics, RS St. Elisabeth Medan 2008-2012, Case Series
KARAKTERISTIK PENDERITA TUBERKULOSIS PARU ANAK YANG RAWAT INAP DI RUMAH SAKIT UMUM DAERAH KOTA PADANGSIDIMPUAN TAHUN 2012 CHARACTERISTICS OF PULMONARY TUBERCULOSIS PATIENTS WHO WERE HOSPITALIZED IN GENERAL HOSPITAL PADANGSIDIMPUAN CITY IN 2012 veni hardianti; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Pulmonary tuberculosis (TB) is a infection disease of pulmonary chronic caused by Mycobacterium tuberculosis. In 2011, number of case pulmonary TB in the age group 0-14 years 1727 cases in Indonesia, North Sumatera province there were 104 cases. In 2010 in Medan city there were 194 children who suffer from TB. In 2011, there were 1580 Padangsidimpuan City children who suffer from TB. To determine the characteristics of pulmonary tuberculosis patients who were hospitalized in RSUD Padangsidimpuan city in 2012, conducted a research with case series design and statistical analysis with Chi-Square, Exact Fisher, t-independent and Anova test. Population was 115 patients data with samples all of population (total sampling). Based on sosiodemographic, the highest population is in the age group of 0-4 years old (57.4%), male (53.0%), Islam (87.8%), came from outer Padangsidimpuan City (51.3%), primary pulmonary TB (97.4%), had history of pulmonary TB in the family (60.0%), maintainability long on average 4.64 days, not alone cost (60.0%), recover (90.4%). There was no significant difference between the sexes based on the natural history of disease (p=0.600), there was no significant difference between the average long care based on natural history of disease (p=0.990), there was no significant difference between the average long care based on costs source (p=0.137), there was no significant difference between the average long care based on while come back of home (p=0.528). For parents to give BCG immunization as soon as the child was born because there were many TB case in children and more respon to complaints and symptoms of pulmonary TB in children. To family members who suffer from pulmonary TB as soon as checked up and complete their treatment regularly until 6 months. Keywords : Child Pulmonary Tuberculosis, Characteristics
Karakteristik Penderita Diabetes Mellitus Dengan Komplikasi Yang Di Rawat Inap Di RSUD Deli Serdang Tahun 2012 Fitriana Butarbutar; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Diabetes Mellitus (DM) is a group of metabolic diseases that a problem in many countries including Indonesia. According to the American Diabetes Association (2004) the number of people with diabetes in Indonesia ranked 4th largest (8.4 million people) in the world. In North Sumatra province in 2008, prevalence of DM 1.21%. DM is known as "the great imitator" because it can affect all organs of the body and cause complications slowly. Studies using case-series design and sample size was as same as 186  equal to the number ofpopoulasi data The results showed the proportion of diabetic patients with complications of the highest in the age group 51-60 years (41.4%), female (58.6%), Malay (45.2%) Islam (75.3%), graduated primary school (40.9%), housewives work (43.5%), type 2 (96.2%), type of complications of hypertension (34.9%), chronic complications (88.2%), treatment OHO (66.1%), average length of stay (ALOS) 5.61 days (6 days), not cost alone (74.7%), outpatient home (91.4%). Statistical test results, there was no significant difference in age by sex (p = 0.720), ALOS by category of complications (p = 0.994) and there was significant difference in the ALOS based on funding source (p = 0.009). It couldn’t be performed statistical tests age bycategory of complications, categoryof complicationsby sex, category of complications based medical treatment, and category of complications based on the circumstances when home To the hospital should undergo HbA1c levels to monitor patient compliance in treatment, it is also expected pay attention to the efficiency of ALOS so that patients can be dealt with quickly and appropriately. The DM patients with complications to perform HbA1c checks, perform the recommended diet, regular exercise and taking medication on a regular basis so that blood sugar levels can be controlled to prevent more serious complications. Keywords: Characteristics, Diabetes Mellitus with Complication
KARAKTERISTIK IBU BERSALIN DENGAN SECTIO CAESAREA DI RUMAH SAKIT UMUM DAERAH DR. PIRNGADI MEDAN TAHUN 2011-2012 Siti Maisyaroh Fitri Siregar; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Caesarean section is defined as the birth of the fetus through an incision in the abdominal wall and uterus wall. RI Department of Health in 2000 sets the number of births sectio Caesarea for referral teaching hospital or province 20% of all deliveries, while private hospitals 15% of all deliveries. To determine maternal characteristics by Caesarea section in Hospital of Dr. Pirngadi Medan research conducted in 2011-2012 with a descriptive case series design. Population of 858 women giving birth by Caesarean section and the sample was 87 mothers. Data were analyzed using ANOVA, t-test and chi-square. The highest proportion of women giving birth by caesarean section  in the age group 20-35 years old  78.20%, 70.11% Moslem, graduating high school / equivalent 83.91%, 75.86% housewives,, primiparous 34.48%, delivery within 2-3 years 55.17%, not 75.86% no history of the disease, no history of poor obstetric 75.68%, giving birth history by caesarean section 84.48%, 90.80% medical indications, maternal factors that previous history of caesarean Setion 42.19%, fetal distress fetal factors with 46.66%, not referenced / Dating own 42.53%, 96.55% normal birth weight, antenatal care at health centers / midwives 62.07%, long maintainability an average of 3.92 days, source their own expense the cost instead of 92.95%, while home mom living circumstances of 98.85%. There is no significant difference between the average treatment time is based on parity mothers (p = 0.808), history of disease (p = 0.354), poor obstetric history (p = 0.546). There is a significant difference between the average treatment time based on the circumstances when home mother (p = 0.019). There is no significant difference between the birth weight by Caesarean section indications (p = 0.746). Health professionals is expected to provide education on the benefits of normal parturition to pregnant  women especially during pregnancy,and pregnant women are expected to maintain nutrient intake and do regular antenatal care and routine physical and activities supported by the role of husband. Keyword : caesarean section, characteristic
KARAKTERISTIK ORANG TERSANGKA RABIES DI KLINIK BESTARI MEDAN TAHUN 2011 Mainan Mutiara S.Pane; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

AbstractRabies ( hydrophobia ) is a disease caused by Lyssa zoonosa – virus ( rabies virus ) and istransmitted to human through the bite of rabid animal patients. In 2008 it was reported that thecase of a dog suspected of having rabies that rabies humans as much as 20.926 cases, 104 positiverabies and all of them died ( CFR 100% ). In 2010, the number of cases of rabies in Indonesia withGPHR 78.203 rabies positive cases as many as 206 people and all of them died ( CFR 100% ).Clinic Bestari in Medan in 2011 there were 365 cases of bites HPR in Medan, number of bite casesindicated/ VAR as many as 178 cases and 3 death from rabies (CFR 1.69%).To determine the characteristics of the suspected Rabies Clinic Bestari in Medan in 2011conducted a descriptive study using a case series design. Population of 178 people suspected rabiesand sampled 178 people.Results showed that the highest proportion of people suspected rabies by the age of 2-9years 28.7%, ie gender male 52.8%, where the bite of the legs 32.6%, which is in the bite exposuretype 75.8%, where is the Medan District Tuntungan 22.5%, while the June 14.6%, HPR type of dogthat is 92.7%, which is a complete vaccination status of 82.6%. There is a differences in theproportion of age with suspected Rabies sex with p =0.029 ( <0.05 ), There were age differences inthe proportion of type exposure with p = 0.003 (<0.05 ), There were no differences in theproportion of age with type HPR p value = 0.092 ( >0.05 ), There were no differences in theproportion of vaccine status type exposure with p = 0.0492 ( >0.05 ), statistical analysis of thestatus of the vaccine according to the location of the bite and age according to the location of thebite can not be done with chi – square test because there are 2 cells ( 33.3% ) who expected count<5. Department of Health is expected to increase efforts to educate the public about rabies andreport immediately if the bite, licking at the paws or by HPR. Peer – to clinics to increase the datarecording and reporting of suspected rabies ( VAR, administration, ATS or SAR ).
Karakteristik Penderita Stroke Iskemik dengan Infark yang Rawat Inap di RSUP Haji Adam Malik Medan Tahun 2012 Iza Fauziah Simargolang; Jemadi .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Stroke is a circulatory disorders in the brain that cause physical disability greatest of all degenerative diseases. Stroke is divided into two by pathological is ischemic stroke and haemoragic.To know the characteristics of stroke ischemic patients with infark conducted a Research with case series design in RSUP. Haji Adam Malik Medan. Population and sampel was 117 people in 2012 were recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square test, Mann-whitney and Kruskal wallis. Based on the sociodemographic in highest proportion is age group 45-65 years 65,8%, males 57,3%,Moeslem 60,7%, married 97,4%, Senior high school 44,4%, Housewife 38,5%, dan outside the city of Medan 66,7%. Proportion based on the highest treatment status, weak arm and left leg 38,5%, hypertension 38,5%, basal ganglia 39,3%, hemiparesis sinistra 48,7%, not source 94,9%, Askes 52,9%, the average length ofstay 6,57 or 7 days, outpatient expense control 55,6%. There was a significant difference between infark location with location of the paralysis (p=0,000), and the average treatmenttime with condition while returning (p=0,000).Patient who have a history of hypertension to perform the routine control and Health lifestyle. For the medical records department of RSUP. Haji Adam Malik Medan to complete patient data recording such as ethnic.
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI YANG DIRAWAT INAP PUSEKESMAS TANJUNG BALAI KARIMUN TAHUN 2010-2012 agustina sianipar; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

AbstractThe diseases is not contagious is the leading cause of death globally. Hypertension became a public health problem if not controlled will evolve and give rice to complication harmfull. According to the World Health Organization (WHO) report, hypertension was the cause of death in the world the number 1. Data RSUP Pirngadi Medan, the number cases of hypertension in 1999 as many as 122 cases with proportion 0,8% and 2000 in creased to 215 cacses with proportion of 1,5%. To know the characteristics of people with hypertension with complication the admitted in Tanjung Balai Karimun Puskesmas in 2010-2012, has been doing research is a descriptive case series continued with statistical analysis. The sample numbered 107 data hypertension with complication which admitted.From the data recorded the largest proportion of sufferers results obtained on age >60 years (60,7%), and sex women (56,1%), the malays (43%), Islamic (67,3%), no school (28%), the house wives (43,9%), merried (91,6%), at West Sei Lakam (19,6%), teightness (44,9%), deggre 2 (72,0%), heart diseases (75,7%), long treatments on average 2,97 days, common (56,1), PBJ (54,2%).There is a difference between long which means the average treatments based on the complications of hypertension. (p=0,000). Parties puskesmas can provide counseling to the family of patien to be more quickly responsiveness to complaints and such symptoms the occurrence of a complication early in order to minimize the occurrence of complication heavier and monitor patiens in consuming to a drugs with true to his blood preassure stables and willing to be refreanced when at puskesmas can’t be addressed. Expected in the clinics in order to supplement the data relating to patients, especially patiens with hypertension complication to health workers to provides counseling to the patient, family and community about healthy living patterns.Keyword : Hypertension, characteristic of patiens, Puskesmas Tanjung Balai Karimun
Karakteristik Penderita Kanker Serviks yang Dirawat Inap di RSUD Arifin Achmad Pekanbaru Tahun 2011-2013 Khairun Nikmah Hasibuan; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2014): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Cervical cancer is one of malignant disease in women, especially in developing countries, including Indonesia. Hospital Information System data in 2007 there were 11.78% of cervical cancer patients who were admitted to hospital in Indonesian and more than 70% of patients present in an advanced stage. The characteristics of a patient that suffer from sevic cancer that are treated on RSUD Arifin Achmad Hospital in Pekanbaru years 2011-2013, descriptive study design Case series. This research population is 110 and all of these are samples, the analysis of data with Chi-Square, Fisher's Exact and Mann Whitney. The highest proportion of sociodemographic : age >35 years 90.9%, Malay 44.6%, Muslim 89.1%, 47.3% primary school education, Housewife 84.5% , 95.5% marital status and living outside Pekanbaru (69.1%). The main complaint of vaginal bleeding 57.3%, Multipara parity 51.8%, advanced clinical stage 85.5%, 53.6% radiotherapy medical management, not own cost 87.3%, long maintainability average 5.26 days and outpatient return 67.3 %. There are differences in the proportion of medical management based on clinical stage (p = 0.000). There is no difference between the proportions of age (p = 0.146), parity (p = 0.620), education (p = 0.161), marital status (p = 0.552) , the main complaint (p = 0.501), the source charge (p = 0.688), average long treatment (p = 0.817) based on clinical staging. Difference in the proportion of unknown clinical stage based on the circumstances at any home, the source of the cost based on the circumstances when home. Hospital and staff’s are advised to be more active in sharing any information based on cervical cancer, including early detection (Pap’s test/IVA) and moreover women should always be more cautions at any sign and symptoms also risk factors that can lead to cervical cancer. Key Words : Cervical Cancer, Characteristics.