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Hubungan Sindrom Pramenstruasi dengan Gejala Insomnia pada Siswi SMA Negeri 2 Medan Tahun 2020 Sinaga, Ribka Gavinella Sartika; Marpaung, Okto; Marpaung, Yudi Andre
Nommensen Journal of Medicine Vol 8 No 1 (2022): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v8i1.594

Abstract

Sindrom premenstruasi adalah gangguan siklus haid yang ditandai dengan gejala fisik dan emosional yang umumnya bisa terjadi pada wanita usia muda dan usia pertengahan yang diawali pada minggu terakhir fase luteal pada siklus menstruasi, yang biasanya terjadi selama 7-10 hari sebelum menstruasi. Ketidakseimbangan hormon progesteron dan estrogen dapat menyebabkan terjadi keluhan sindrom premestruasi, dimana ketidakseimbangan hormon ini dapat menyebabkan defisiensi hormon serotonin dan hormon melatonin yang akan menyebabkan seseorang yang mengalami sindrom premenstruasi akan mengalami sulit tidur khususnya insomnia. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan sindrom premenstruasi dengan gejala insomnia pada siswi SMA Negeri 2 Medan. Metode: Penelitian ini merupakan jenis penelitian analitik dengan pendekatan Cross Sectional, dengan besar sampel sebanyak 99 siswi. Data dianalisis dengan uji Chi-square. Hasil: Dari 99 siswi, sebanyak 47 siswi mengalami sindrom premenstruasi dan sebanyak 47 siswi mengalami gejala insomnia. Prevalensi kejadian insomnia pada siswi SMA Negeri 2 Medan yang mengalami sindrom premenstruasi yaitu 63,8%. Penelitian ini juga menunjukkan terdapat hubungan sindrom premenstruasi dengan gejala insomnia dengan nilai p value 0,002 (p<0,05). Kesimpulan: Adanya hubungan antara sindrom premenstruasi dengan insomnia pada siswi SMA Negeri 2 Medan. Kata Kunci: Sindrom premenstruasi, insomnia.
Hubungan Jumlah Leukosit dan Trombosit terhadap Lama Rawat Inap Pasien Demam Berdarah Dengue Anak di RSUD Drs. H. Amri Tambunan Deli Serdang Marpaung, Okto; Jayanti, Irma; Saragih, Rini A C
Nommensen Journal of Medicine Vol 9 No 2 (2024): Nommensen Journal of Medicine: Edisi Februari
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i2.1004

Abstract

ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus, characterized by leukopenia and thrombocytopenia. In patients with DHF, when the platelets are <100,000, the Hb and Ht increase and the platelets normal or decrease; the patient must be hospitalized. Objective: To determine the relationship between the number of leukocytes and platelets on the duration of stay of pediatric DHF patients. Methods: This study used an observational analytic research design with a cross-sectional design in September 2022. Data collection was only done once and used secondary data from patients' medical records at Drs. H. Amri Tambunan Deli Serdang. A total of 56 medical records were obtained using the purposive sampling technique. Results: Based on gender, 32 people (57.1%) were male, the majority aged 11-17 years were 31 people (55.4%), and in BMI malnutrition, there were 28 people (50.0%)). Based on the leukocyte count of ≤ 5,000 cells/µL in 37 people (66.1%), while the platelet count was <100,000 cells/µL in 32 people (57.1%), and length of stay > 4 days totaled 39 people (69.6%). Spearman's correlation test results were obtained (p=0.318) for the variable leukocyte count and got (p=0.047) for the variable platelet count. The number of leukocytes did not significantly correlate with the length of stay of DHF children. In contrast, the number of platelets correlate considerably with the duration of stay of children with DHF. Conclusion: There is no significant correlation between the number of leukocytes and the length of stay of pediatric DHF patients, while there is a significant correlation between the number of platelets and the duration of stay of pediatric DHF patients. Keywords: DHF in Children, Leukocytes, Platelets, Length of Hospitalization
Hubungan Kadar Hemoglobin Glikosilat (HbA1c) dengan Kandidiasis Kutis pada Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum Daerah Dr. Pirngadi Medan Pada tahun 2019 Agatha, Theresia Christin; Marpaung, Okto; Sibarani, Joseph
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.1054

Abstract

Background: Cutaneous candidiasis is a fungal infection of the skin caused by yeast or microorganisms belonging to the genus Candida. It is known that diabetes mellitus is one of the predisposing factors for candidiasis cutis caused by changes in the body's defense system. Diabetes mellitus is a metabolic disease characterized by hyperglycemia resulting from defects in insulin secretion or insulin action. Starting from the autoimmune destruction of pancreatic cells resulting in insulin deficiency to abnormalities resulting in resistance to insulin action. To determine a person's level of glucose control, an HbA1c examination is needed. This test will show the average blood sugar level over the last 90 days and represent a percentage. This test can also be used to diagnose diabetes. Objective: To analyze the relationship between HbA1c levels and cutaneous candidiasis in type 2 diabetes mellitus patients. Methods: This study is an observational analytic study with a retrospective design. To determine the relationship between glycosylated hemoglobin (HbA1c) levels and cutaneous candidiasis in type 2 diabetes mellitus patients. On examination of HbA1c levels it can be said to be controlled < 6.5% and not controlled > 6.5%. Results: The results of this study were taken from 62 patient medical record data according to the inclusion and exclusion criteria, it was found that the majority of patients with type 2 diabetes mellitus were women aged ≥55 years. Based on HbA1c levels, the patients in this study were more dominantly uncontrolled with negative cutaneous candidiasis, 56 (90.3%). The results of Fisher's exact analysis showed p-value = 1.000 (p > 0.05) meaning that there was no significant relationship between HbA1c levels and cutaneous candidiasis. Conclusion: There is no significant relationship between HbA1c levels and the incidence of cutaneous candidiasis.
Hubungan Antara Citra Tubuh Dengan Gejala Dismorfik Tubuh Pada Remaja di Masa Pandemi Covid-19 Theresia, Natalia; Ompusunggu, Henny Erina Saurmauli; Marpaung, Okto
Nommensen Journal of Medicine Vol 10 No 2 (2025): Nommensen Journal of Medicine Edisi: Februari 2025
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v10i2.1711

Abstract

Background: Body dysmorphics are psychological symptoms where sufferers experience an excessive obsession with minimal and even imaginary physical disabilities. One of the factors that cause the appearance of a sense of dissatisfaction with oneself or what is known as a symptom of body dysmorphics is body image. A person with a positive body image will find themselves attractive, both according to themselves and according to others or at least can accept themselves as they are in contrast to someone with a negative body image, they will consider themselves unattractive. The purpose of this study was to determine the relationship between body image and body dysmorphic symptoms in adolescents during the COVID-19 pandemic. Case: This study was observational analytical study with a cross-sectional design. Sample selection using purposive sampling method with a total sample of 100 high school teenagers in Medan Kota District in 2022. Univariate analysis is displayed in tabular form and bivariate assays are performed using chi-square tests. Discussion: The result of this study, 89% of respondents classified as positive body image and 86% did not have symptoms of body dysmorphic. The relationship of body image with body dysmorphic symptoms was analyzed with the Chi-Square test and found a p value = 0.000.Conclusion: there is a relationship between body image and body dysmorphic symptoms in adolescents during the COVID-19 pandemic. Keywords: Body image, Body dysmorphic symptoms, adolescents
Hubungan Aktivitas Fisik Dengan Fungsi Kognitif Pada Lansia Marpaung, Okto
Jurnal Ners Vol. 7 No. 2 (2023): OKTOBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v7i2.25893

Abstract

Menurut World Health Organization (WHO), lanjut usia adalah kelompok usia orang yang telah memasuki fase terakhir kehidupan dan telah melampaui usia 60 tahun. Fungsi kognitif lansia menurun seiring bertambahnya usia. Sebagian besar lansia mengurangi aktivitas fisik karena menganggap aktivitas fisik tidak sesuai dengan gaya hidup mereka, meskipun beberapa menyadari manfaatnya. Penelitian ini bertujuan untuk mengetahui hubungan antara aktivitas fisik dan fungsi kognitif pada pasien lansia di Klinik Pratama Setia Budi. Penelitian ini merupakan penelitian analitik korelasi observasional dengan pendekatan cross sectional yang dilakukan di Klinik Pratama Setia Budi pada 58 orang lansia dengan menggunakan kuesioner Physical Activities Scale for Elderly (PASE) untuk menilai aktivitas fisik dan Montreal Cognitive Assessment Indonesia (MoCa – Ina) untuk menilai fungsi kognitif. Dari penelitian ini didapati hasil bahwasannya pasien lansia yang menjadi sampel penelitian sebanyak 58 orang, yang mayoritas adalah perempuan sebanyak 35 orang (60,4%), korelasi antara skor PASE (aktivitas fisik) dengan skor MoCa-Ina (fungsi kognitif) adalah bermakna dengan nilai korelasi positif dan kuat (0,762) Kesimpulan: Didapati adanya korelasi antara aktivitas fisik dan fungsi kognitif, pada lansia dengan aktivitas fisik yang kurang, akan berbanding lurus dengan berkurangnya kemampuan kognitif.