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KARAKTERISTIK PENDERITA MIOMA UTERI RAWAT INAP DI RUMAH SAKIT TENTARA TK-IV 01.07.01 PEMATANGSIANTAR TAHUN 2014 sheyna zein; Rahayu Lubis; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

ABSTRACT Uterine myoma is a benign neoplasm on the myometrium layerconsists of cells of smooth muscle tissue and connective tissue fibroids which the literature also known as leiomyomas or fibroids. It the most common occurrence in women of childbearing age. In Indonesia, the proportion of myoma uterine 2.3% - 11.7% of all gynecological patientstreated. This study is aimed to determine the characteristics of patients with myoma uterine in the Tentara Tk-IV 01.07.01 Hospital Pematangsiantar 2014. Kind of this study is descriptive with case series design. Population and sample were 82 data patients (total sampling). Data was analyzed descriptively by using Chi-square and Fisher's Exact. The results showed the proportion of patients with uterine myoma highest in the age group 41-50 years 70.7%, Bataknese 55.4%, Senior High School  47.6%,  Housewives 32.9%, Marriage 97.6%, Abnormal Bleeding 48.8%, Multiparities 46.3%, Not Pregnant 98.8%, Hemoglobin>12 g% (53.7%), Intramural myomas type (47.6%), Total Hysterectomy (58.5%), Average Lenght of Stay 6 days. The results of test statistically were not significant differences age based on the type of myoma uterine (p=0.547), age based on the main complaints (p = 0.900), occupationbased on the main complaints (p=0.936), type of myoma uterine based on parity (p=0.478), The main complaintbased on parity (p = 0.709), hemoglobin levels based on the type of myoma uterine (p=0.116), treatment based on the type of uterine myoma (p=0.762). Expected to women who have risk factors for the occurrence of uterine myoma, especially women aged 41-50 years and who frequently gave birth (multiparity) in order to be bette to maintain their health with healthy diet and regular check-up for early detection of the possibility of the discovery uterine myoma. To Tentara HospitalTk-IV 01.07.01 recommended to complementary recording medical records which related uterine myoma such as age of menarche.
KARAKTERISTIK PENDERITA THALASSEMIA DI RSU SARI MUTIARA MEDAN TAHUN 2012-2014 jane ruby tomita; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACTThalassaemia is a hereditary blood disorder caused by deficiency of the formation of alpha or beta globin chains that make up haemoglobin. According to WHO, there were approximately 5% of the world’s population carry the genetics and 370.000 babies were born with this disorder every year. The prevalence of Thalassaemia carrier in Indonesia 3-8%, the national prevalence of Thalassaemia in Indonesia is 0,1%. In North Sumatera, the prevalence of Alpha Thalassaemia 3,35% and 4,07% Beta Thalassaemia.This was a descriptive research using case series design, to determined the characteristics of Thalassaemia patients in RSU Sari Mutiara Medan 2012-2014. The population were 71 cases of Thalassaemia data which registered in RSU Sari Mutiara Medan 2012-2014.This research showed that highest characteristics proportion of Thalassaemia patients at age group 6-11 (35,2%), male (57,7%), Javanese (64,8%), Islam (38,0%), come from outside of Medan (56,3%), pale as a major symptomp (63,4%), Thalassaemia Beta (87,3%), had blood transfusion and medicamentosa (73,2%), the number of visits in one month is once a month (78,9%), and cost source from others (95,8%). It is significant between medical management of Thalassaemia patients and type of Thalassaemia.To everyone who find these kind of symptom such aspale face, fatigue, bigger abdoment and genetically patented by Thalassaemia, please go to the nearby hospital as soon as possible. Routine check up and having a general genetic premaried counseling are suggested to ones who suffered Thalassaemia.
KARAKTERISTIK PENDERITA DIABETES MELLITUS YANG DI RAWAT JALAN DI KLINIK ALIFA DIABETIC CENTRE MEDAN TAHUN 2013-2014 siti elsandi; Hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 4 (2015): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACTDiabetes mellitus (DM) is the degenerative disease which the prevalence keeps increasing. Based on International Diabetes Federation Atlas (IDF Atlas, 2014) the prevalence of DM in Indonesia reached 5,8%. Based on Kemenkes in 2013, the proportion of DM in North Sumatra reached 2,3%. The aim of this research is to find out the characteristics of the DM outpatients at Alifa Diabetic Centre Clinic Medan from 2013 to 2014.This study is descriptive by using case series design. The population were 433 outpatients of DM in Alifa Diabetic Centre Clinic Medan from 2013 to 2014. The sample size were 207 cases by using simple random sampling. The data analysis uses a secondary data by using Chi-Square and Fisher’s Exact.The results of this research showed that the highest proportion of patient with DM was at the age group 55-63 years is male (10,6%) and women (19,8%), Muslim (74,4%), unemployee (37,7%), staying of Medan Maimun district (67,1%), married (86,5%), the family history of disease (64,7%), type 2 DM (97,6%), ≤6 visits in a year (78,8%), with complications (59,4%), complication of diabetic neuropathy (41,9%), ≤5 year (55,2%), OHO (75,4%) and the bad end of KGD (86,7%). According to the statistical test with Exact Fisher, there was significant differences between age by the type of DM (p = 0,000). There was no significant differences between the gender by the type of DM (p = 1,000), the types of complications by the type of DM (p = 0,155), the age by the types of complications (p = 0,099), gender by the types of complications (p = 0,521), occupation by the types of complications (p = 0,334) and the type of complications by the long history of diabetes (p = 0,051). The results of statistical test by Chi-Square between KGD end by long history of diabetes and KGD end based on the number of visits in a year could not be done because there were 4 cells (66,7%) with expected counts which were less than 5.It is expected for the clinic to use HbA1C test methods to control blood sugar levels in diabetic patients. The patients with DM in the clinic should have a healthy diet and lifestyle in their daily life at home and environment around.Keywords : Diabetes Mellitus, Characteristic, Alifa Diabetic Centre Clinic
KARAKTERISTIK PENDERITA SIROSIS HATI YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABET MEDAN TAHUN 2012-2014 esta hayati sitompul; Sori Muda Sarumpaet; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2016): jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Liver cirrhosis is one of the diseases that can be found throughout the countries. According to WHO (2008), Liver cirrhosis in the world was ranked as eighth leading caused of death with the death rate of 664.755 casses. In USA (2010), cronic liver disease and Liver cirrhosis had caused the number of death as many as 31.903. In Indonesian, the prevalence of Liver cirrhosis haven’t been found yet. The CFR of Liver cirrhosis in Santa Elisabet’s Hospital Medan in 2012-2014 was 10,6%. The aim of this study is to know the characteristics of patient with Liver cirrhosis which hospitalized at Santa Elisabet’s hospital Medan in 2012-2014. This study is adopted descriptive research with Case Series design. The population were 158 patients, with sample were 113 patients. Liver cirrhosis Patient with the highest proportions in the age group 50-59 years old (31,9%), male (62,8%), Batak tribe (79,6%), Protestant (69,9%), civil employee/retired civil employee (23%), living on suburb (71,7%), primary complaint with painful right top belly while visiting (38,1%), history of previous illness is Hepatitis B (17,7%), complicated status exiting (76,1%), ascites type of complication (57%), self cost source (93,8%), the length of average treatment 7,26 days, and coming home condition was by the willing of the patient (73,5%). There is a significant differences between the age poportion based on the type of complication (p=0,006), there is no significant differences between sex proportion based on the history of previous illness (p=0,666), there is no significant differences between the type of complication proportion based on the history of previous illness (p=0,339), there is no significant differences between sex proportion based on type of complication (p=0,347), there is no significant proportion difference between length of average treatment based on the type of complication (0,075), there is no significant difference between the type of complication based on condition while coming home (p=0,094). Recommended to the staff of the  Santa Elisabet’s hospital Medan to give conseling to the family of the patients  about the real condition of the patients, the risky factors of Liver cirrhosis and the preventions of Liver cirrhosis that can be done. Key Words : Liver Cirrhosis, Characteristics of Patient
KARAKTERISTIK ODHA YANG BERKUNJUNG KE KLINIK VCT DI RSUP H. ADAM MALIK MEDAN TAHUN 2014 muhammad syahreza; Sori Muda Sarumpaet; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2016): jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT HIV/AIDS is infectious disease that already became worldwide pandemic. According to ministry of health of Indonesia’s Republic, the number of cases of HIV/AIDS which has report from 1st January to 30th June 2014, about 15,534 HIV cases and 1,700 AIDS cases. This study is descriptive by using case series design. The population were 602 outpatients of HIV/AIDS in RSUP H. Adam Malik Medan in 2014. The sample size were 100 cases by using simple random sampling. The data analysis uses a secondary data by using Chi-Square and Fisher’s Exact. The results of this research  showed that the highest proportion of patient with HIV/AIDS was at the age 30-39 years old is male (33%) and female (18%), Batak (52%), High School (55%), private employee (52%), married (42%), outside Medan city (56%), heterosexual (80%),long time identified < 2 years (49%),long time consumes ARV 1-2 years (42%). According to the statistical test with Exact Fisher, there was  no significant differences between proportion of gender with risk factor (p=0,304) and job with risk factor (p=0,304). It is expected for PUSYANSUS VCT RSUP H. Adam Malik Medan to fulfilled patients data form in status card. Also to all the HIV/AIDS patients in PUSYANSUS VCT RSUP H. Adam Malik Medan to prevent the transmission of HIV/AIDS by faithful with the partner and also consisstant to use birth control while having sex to avoid the transmission of HIV/AIDS and/ or STD to the healthy partner and also who are already infected of HIV/AIDS and/ or STD.   Keywords : HIV/AIDS, Characteristic, RSUP H. Adam Malik Medan
KARAKTERISTIK PENDERITA STROKE RAWAT INAP DI RSUD. SIBUHUAN KABUPATEN PADANG LAWAS TAHUN 2014-2015 indah amani; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Based on data Result of The Research Primary Health (Riskesdas) 2007, prevalence of  a stroke in Indonesia found of 8,3 per 1000 population and Riskesdas 2013 prevalence of  a stroke 12,1 per 1000 population. The number of cases a stroke in hospital Sibuhuan district Lawas increasing each year, about 24 the number of cases stroke cases in 2014 increased to 63 cases in 2015. It is therefore necessary research to know characteristic stroke patient in hospital’s Sibuhuan district Padang Lawas in 2014-2015. This research is descriptive with case series design, using secondary data. The population were 105 stroke patient data which registered in RSUD. Sibuhuan District Padang Lawas in 2014-2015, and sample was all the population. The research result obtained highest proportion of age 55-64 years old (41,9), male (55,2%), Mandailing etnic (91,4%), high senior school education (25,7%), farmers (51,4%), marriage (61%), hypertension (44,8%), attact onset ≤6 hours (89,5%), first attack strokes (97,1%), not yet a CT Scans (69,5%), Non haemorragic/ ischemic (68,6%), hemiparesis dextra (53,3%), length of stay ≤ 7 days (92,4%), BPJS (86,7%), referred to another hospital  (53,4%), and Case Fatality Rate (CFR) stroke (15,24%). There was no difference age based risk factors (p=0,206), sex based risk factors (p=0,400),  risk factors based type of stroke (p= 1,000), attact onset stroke based of stroke (p= 0,662),  attact onset stroke based the paralysis (p=0,986), type of stroke based the paralysis (p=1,000), length of stay based type of stroke (p=0,998) and attact onset stroke based the state out of the hospital (p=0,871). There was difference  CT Scan based type attact stroke (p=0,026) and type of stroke based the state out of the hospital (p=0,001). To stroke patient so that immediately get health services ≤6 hours arising attact if a stroke and also stroke patient who have of hypertension,  cardiovascular disease and diabetes meliitus in order to check health regularly. For the hospitals should add human resources, infrastructure and recording characteristics data stroke patien based education, work and married status.   Keywords        : Stroke, Characterisitc of Stroke Patient, Sibuhuan Hospital
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASAM URAT (GOUT) PADA USIA ≥ 45 TAHUN DI DESA UJUNG SERDANG KECAMATAN TANJUNG MORAWA TAHUN 2016 irma yani manullang; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Gout is degenerative disease and kind of rheumatic disease who  many finded of erderly pose. The record of gout in Tanjung Morawa’s  public health center are combined with disease of the muscular system and connective tissue (bone diseases, including rheumatoid arthritis). The gout is sixth rank of ten the disease greatest in Tanjung Morawa’s  public health. This study was aimed to analyze the factor related to gout in work region of  Tanjung Morawa’s Public health center in 2016 year. This research is observational analytic using cross sectional design. The population in this study were all citizens whose ages are ≥45 years old in Ujung Serdang village. Samples were taken by using  multi stage random sampling with a number of samples which are 100 people. Primary data were obtained by doing interviews  with questionaires  and food frequency questionaires and getting blood uric acid by the nurse. Secondary data were getting from Tanjung Morawa public health center and master of  Ujung Serdang village office. Data analysis was commited by using to the univariate, bivariate, and multivariate analysis with computer. The results of bivariate analysis revealed that the variables were related to gout were family history (p=0,015)  and comsumption of purine (p= 0,001). The population  ages are >55 tahun have high risk to contribute of gout. Multivariate analysis by using Bacward Selection revealed that the most dominant variabel which was related to gout was comsumption of purine (p= 0,001; OR= 4,139; CI 95%= 1,7269,928). It’s expected that the community could make healthy lifestyle and to the risk population  must diet the comsumption of food consisting of purine that can increase levels of gout on blood and checkup to servicing of health in periodic . Keyword : Gout, Hiperurisemia, Population ages are ≥45 years old
KARAKTERISTIK PENDERITAHIPERTENSI DENGAN KOMPLIKASI RAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) DR. HADRIANUS SINAGA PANGURURAN KABUPATEN SAMOSIR TAHUN 2015 Betaria Sinaga; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is a condition that the blood pressure were increased. This is  due to the work hard of heart to pump the blood to supply oxygen. In 2013, the highest was Bangka Belitung (30.9%), followed by South Kalimantan (30.8%), East Kalimantan (29.6%) and West Java (29.4%), while in North Sumatra (24.7%). The purpose of this study is to the identify the characteristics of Hypertension patients with complications who were hospitalized at dr. Hadrianus Sinaga Hospital, Samosir in 2015. This is descriptive study with case series design. The population and sample were 196 people. The data was secondary data and an analyzed by using Chi-Square, Kolmogorof-smirnov and Anova. The result showed that the highest proportion of hypertension patients with complications were in the age 50-54 years (35.7%), female (52.6% ), Bataknese (100%), Protestants (74%), elementary education (35.2%), farmers/ workers/fishermen (36.7%), sub Pangururan (61.7%), moderate hypertension (38.8%), weak (35.7%), Cardiovascular Disease (58,2%), average length of stay (3.86 days), BPJS (63.3%), PAPS (84.2%). There was no significant difference proportion of age, gender, hypertension degrees and average length of stay by the types of complications hypertension, and the types of complications hypertension by the state when return. In was suggested that hospital should increase health promotion regarding hypertension including rish factors and prevention to the community specifically to the patients. Hypertension patients should monitoring the blood pressure regulary and treatment and change a healthy lifestyle. Keywords: Characteristics of patients, Hypertension with complications
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
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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
GAMBARAN EPIDEMIOLOGI PENDERITA INFEKSI SALURAN PERNAPASAN AKUT (ISPA) PADA BALITA DI WILAYAH KERJA PUSKESMAS TELADAN KECAMATAN MEDAN KOTA TAHUN 2016 Mega Olivia S; Jemadi .; Hiswani .
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

Health development in 2015-2019 period is Indonesia Sehat Programwith the goal of improving the health status and nutritional status of the community through health efforts and community empowerment. One of the main object of the health development is the increasing of disease control including acute respiratory infection. Acute respiratory infections is the main cause of morbidity and mortality by an infectious disease among children under five years. Acute respiratory infections is still a major health issue in Indonesia. To find out the epidemiological description of acute respiratory disease among children under five years in the working area of Puskesmas Teladan in 2016, has been done a descriptive research with series design. The population are 253 children and the sample are 155 children. Patients with acute respiratory infections most commonly found in not pneumonia category (85,2%), the most in the age group 12-36 months (42,0%), male has the highest proportion (53,5%), malnutritional status has the highest proportion (36,1%), March has the highest proportion (12,3%), incomplete immunization status has the highest proportion (56,8%), outside the working area of Puskesmas Teladan has the highest proportion (32,3%). The result of chi square analysis showed that there was no difference between the proportion of acute respiratory infections classification by age (p=0,824), nutritional status (p=0,668), residence (p=0,839), there was no difference between proportion of nutritional status by age group (p=0,313). However, there is a difference between the proportion of acute respiratory infections classification based on immunization status (p=0,014). From the result of this study, it is known that there should be a program to deliver information to the public about the risks, causing factors and how to prevent acute respiratory infection in children under five years so that the morbidity and mortality can be reduced. Key Words : Acute respiratory infections, Acute respiratory infections in children under five years
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