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Gizi, Kesehatan Reproduksi dan Epidemiologi
Published by Universitas Sumatera Utara
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Core Subject : Health,
Health Professions
Jurnal Gizi Kesehatan Reproduksi dan Epidemiologi trebitan berkala yang dikelola oleh tim Departemen Gizi, Kesehatan Reproduksi dan Epidemiologi Fakultas Kesehatan Masyarakat Universitas Sumatera Utara. Jurnal ini merupakan hasil penelitian mahasiswa yang terbaru tentang Gizi, Kesehatan Reproduksi dan Epidemiologi.
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KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) DR. R. M. DJOELHAM BINJAI TAHUN 2014 – 2015 mangara sitohang; Hiswani .; Mhd Makmur Sinaga
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Diabetes Mellitus (DM) is one of health’s problems in the world. According to World Health Organization (2003), people in the world with diabetes 5,1%. Based on data from Riset Kesehatan Dasar (2007), the prevalence of diabetes was 5,7% in Indonesia. In North Sumatra, the prevalence of DM was 1,2% in 2008. The purpose of this study is to know the characteristics of patients of type 2 DM with complications who were hospitalized in RSUD Dr. R. M. Djoelham Binjai in 2014 – 2015. This research is descriptive with case series design. The population and the samples were all the patiens of type 2 diabetes with complications, 148 cases. The data was collected by using secondary data and analyzed with Chi-Square and Kruskal Wallis. The result showed the proportion of patiens with complications of type 2 DM was highest in the age group >40 tahun (85,1%), female (55,4%), Javanese (35,8%), Moslem (68,2%), Senior High School (55,4%), worker (53,4%), hypertension (52,7%), chronic complication (41,9%), oral hypoglycemic medicine (44,6%), not self-cost (77,7%), average length of stay  (4,89 days), becoming outpatient (89,9%). The statictical test resulted, there was no difference of age based on sex (p=0,580), age based on category of complication (p=0,427), sex based on category of complication (p=0,060), job based on category of complication (p=0,625), category of complication based on medicine (p=0,573), category of complication based on condition by going home (p=0,909). It’s suggested for RSUD Dr. R. M. Djoelham Binjai for checking blood glucose regularly to the patients for monitoring amount of glychemic and the obedience of patients in controlling theirs blood glucose. The patients of type 2 DM with complications sholud control blood glucose regularly, perform the recommended diet, regular exercise, adopt healthy lifestyle, and consume medicine regularly so that blood glucose can be controlled for preventing more serious complications. Keywords : Characteristics, Type 2 Diabetes Mellitus with Complications
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN UMUR MENARCHE PADA SISWI SMP NEGERI 1 SEI RAMPAH KAB. SERDANG BEDAGAI TAHUN 2016 balqis fadillah; Rahayu Lubis; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Menarche was the first menstruation cycle experienced by women. While early menarche first menstruation occured is under the age of 12 years. Based on the result oh Health Research Association (Riskesdas) in 2010, that 5,2 % of children in 17 provinces in Indonesia experienced menarch under the ages of 12 years. Early menarch is a risk factor for malignant disease. The purpose of  this research was to determine the factors-factors related with the ages of menarche in female students of  SMP Negeri 1 Sei Rampah  in 2016. This research is an observational study with cross sectional research design. Age of menarche is a dependent variable in this study, while the diet, nutritional status, physical activity, and age of menarche mother is an independent variable Sample was many 114 students were taken by purposive sampling. The research instrumen used was a questionnare as well as  the scale of measuring instruments and gauges. Univariat data were analyzed descriptive andbivariat data were analyzed using the chi square test with 95 % CI. The result showed prevalence of early menarche in SMP Negeri 1 Sei Rampah in 2016  the highest of the ages normal menarche is (67,5%), and early menarch is (32,5%). The average ages og menarch is 11,89 years with the highest ages of menarch is 13 years and lowest is 10 years. The highest of the responden is bad habit diet (65,8%), not obest nutritional status (87,7%), enough fisic activity (64,9%), and mother’s ages of menarch is normal (79,8%). The result of bivariate analysis, generally there is a significant relationship habit diet (p=0,017), nutritional status (p=0,007), physical activity (p=0,003), mother’s ages of menarche (p=0,0001). It is suggested to students of SMP Negeri 1 Sei Rampah who have early menarche to maintain healthy lifestyle so that risk factors for malignant disease such as ovarian cancer, breast cancer, utery myomas, menopause can be minimized.
KARAKTERISTIK PENDERITA KANKER PAYUDARA RAWAT INAP DI RS. HAJI MEDAN TAHUN 2014-2015 fitri lingga; Rasmaliah .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Breast cancer ranks first globally of all cancers in women with a prevalence rate of 56.5 per 100,000 women. Indonesia is ranked 2nd after cervical cancer. Meanwhile, from the Ministry of Health of Indonesia North Sumatra in the category of top 10 highest of the 33 provinces in Indonesia. Research is a descriptive with case series design at the Hospital Haji Medan start from January to June 2016. The population totaled to 447 people and the sample totaled to 96 people. Data obstained medical records, data analyzed by Chi-square test. This research aims to know the characteristics of breast cancer patients hospitalized in Hospital Haji Medan Year 2014-2015. The results show the highest proportion of breast cancer patients at the ages ≥40 years (74,0%), Java (54.2%), Islam (94.8%), SLTA (38.5%), IRT ( 79.3%), married (82.3%), Deli Serdang (72.9%), with complaints seen (68,8%), upper lateral quadrant layout cancer (39.5%), examination PA (88.5%), advanced (67.7 %) with stage IIIB (30.2%), surgery (31.3%), Askes/BPJS (83.4%), the average length of treatment <7 days (53.1%), return outpatient (65.6%). Statistical test results found no differences between age based on clinical stage (p = 0.051), education based on clinical stage (p=0.113%), examination of the PA based on clinical stage (p = 0.321), medical management based examination of the PA (p=0,999), medical management based clinical stage (p= 0.712%), duration of treatment average based on clinical stage (p = 0.838%), clinical stage based on the state when the home (p = 0.281%). For the Hospital Haji Medan is expected to complete supporting facilities for the treatment with radiotherapy and to complete of the medical record regarding family history. The public are advised to perform breast self-examination and checking her self to the hospital a health service or a doctor it find a lump in breast/axilla area . Key words : Breast cancer, Patient Characteristics, Breast Self- examination.
KARAKTERISTIK PENDERITA HIV/AIDS YANG BEROBAT JALAN DI RSUD Dr. PIRNGADI MEDAN TAHUN 2015 renta purba; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT HIV/AIDS is one of the health problems that threaten many countries around the world. Acquired Immunodeficiency Syndrome (AIDS) is a collection symptoms caused of the decreasing of the immune systems. According to the Indonesian Ministry of Health, the number of  HIV/AIDS cases were reported during in 2015 that as many as 30,935 cases of HIV and AIDS 6,081. This study is descriptive by using case series design. The sample population was all patients with HIV / AIDS 109 cases. The data analysis uses a secondary data by using Chi-square and Fisher 's ExactThe results of this research showed the highest  proportion of patients with HIV / AIDS outpatient at the age 30-39 years old is male ( 34.8 % ) , Batak (49.6%), High School (67.8%), self-employed (42.1%), married (46.7%), area in Medan (84.4%), heterosexual (64.3%), have opportunistic infections (70.6%), pulmonary tuberculosis/gland (61.0%), last count of CD4 200-499 µl (47, 1%), stage 1 line ARV therapy (64.9%). There are no significant differences between the sexes with the transmission risk factors (p=0.098), the work with the transmission risk factors (p=0.725), marital status with the transmission risk factors (p = 0.188), age with the opportunistic infections (p = 0.522), gender with the opportunistic infections (p=0.817) and there is a significant difference between the education with the  transmission risk factors (p=0.026).It is expected for people to abstain from sex before marriage, no promiscuity, especially productive age keep away from drugs and  tattoos. For Dr. Pirngadi Hospital Medan especially the VCT department  emphasizes the understanding of patients on ARV therapy, more active in social support and the patients/families counseling program also increase the completeness of patients status card. Keywords : HIV/AIDS, Characteristic, Dr. Pirngadi Hospital 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
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN STROKE YANG DIRAWAT INAP DI RUMAH SAKIT UMUM KABANJAHE TAHUN 2011-2015 elen dinarta naibaho; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Non Communicabke Disease (NCD) is the priming cause of death globally. Hypertension is called as The Silent Killer Disease, if it cant be controlled, will envolve and give rising to complication which are Coronary Disease, Chronic Renal Failure (CRF), and Stroke. Hypertension was the biggest cause death of stroke (51%), while coronary disease (45%). In Indonesian the highest prevalence complication of hypertension is stroke (12,1%), then coronory disease (1,5%), CRF (0,2%) (In Kemenkes RI, 2015). The objective study is to know the characteristic of patient Hypertension with Stroke which was hospitalized at Kabanjahe General Hospital in 2011-2015. This study was adopted descriptive research with case series design. The population was as same as with the sample were 115 patients. The result of this study obtained that the highest proportions of suffers result in the age group ≥ 55 years old (72,2%), sex woman (51,3%), Protestant (62,5%), farmer (45,2%), married (80,0%), degree 2 (62,6%), stroke non haemorragic (70,4%), hemiparese sinistra (54,8%), the length of average treatment was 6,99 days, and coming home condition was by PBJ (74,8%). There are no significant differences between the age based on the degree of hypertension (p=0,382), type of stroke (p=0,062), between sex based on the degree of hypertension (p=0,257), type of stroke (p=0,772),between degree of hypertension based on the coming home condition (p=0,501), there is a significant differences between type of stroke based on the coming home condition (p=0,008), and between type of stroke based on the degree of hypertension (p=0,005). Recommended to the staff of Kabanjahe General Hospital to give conseling to the family of the patients  about the real condition of the patients, the risky factors of Hypertension with Stroke and the preventions of it that can be done, and write medical record data such as family history of disease, smoking or not. Keywods : Hypertension of Stroke, Characteristic of patients
HUBUNGAN KARAKTERISTIK IBU DAN PEMBERIAN IMUNISASI DENGAN STATUS GIZI ANAK BATITA UMUR 1-3 TAHUN DI DESA TANJUNG BERINGIN KABUPATEN DAIRI TAHUN 2016 mey sari sibarani; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Every child should receive the basic immunizations before the age of 12 months. The completeness of immunizations can prevent toddler from infectious diseases, moreover, it can also improve their nutritional status. The implementation of immunizations in Puskesmas Pegagan Julu II Tanjung Beringin 2015 has not reached the national standard, which is 80%. Based on data from Puskesmas Pegagan Julu II Tanjung Beringin 2015 the percentage  of severe malnutrition on toddlers is 6,13% and the malnutrition is 18,40%. The purpose of this research is to know about the correlation between the characteristics of mothers by giving immunizations and the nutritional status of toddlers aged 12-36 months in Desa Tanjung Beringin Kabupaten Dairi 2016. This non-experimental study using observational analytic method with Cross - Sectional approach. The population in this research were 245 toddlers ranged between aged 12-36 months were recorded in Puskesmas Pegagan Julu II Tanjung Beringin 2015. The research’s samples were 71 toddlers aged 1-3 years. The sampling technique using Purposive Sampling. Data were collected by questionnaire. The collected data were processed and analyzed using  computer. The results showed that there was no significant correlation between the age of the mother (p = 0,479), the education of mother (p = 0,429), the occupation of mother (p = 0,429), the number of the toddlers (p = 1,000) and sex of toddlers (p = 0,295) with the nutritional status of the toddlers. There is a relationship between toddler’s age with  toddler’s nutrition status (p = 0,043). In 2016 more toddlers who are have good nutrition (87,3 %) than less (12,7 %). The conclusion of this research is there no significant correlation between mother’s characteristics with the nutritional status of toddlers in Desa Tanjung Beringin Kabupaten Dairi 2016. The suggestions is, to increase the monitoring activity, the assessment of the nutritional status and to provide nutrition consultation guidance for mother of toddler were done routinely by health workers in order to improve the nutritional status of the toddler. Keyword : Mother’s Characteristics, Immunization, Nutritional Status
KARAKTERISTIK PENDERITA KISTA OVARIUM PADA WANITA SEBELUM MENOPAUSE YANG DIRAWAT INAP DI RS. HAJI MEDAN TAHUN 2014-2015 sri apriani; Hiswani .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Ovarian cyst is one of the gynecological benign tumor most often found in women in their reproductive life. Based on Indonesia Demographic Health Survey incidence of ovarian cysts in Indonesia reached 37,2%. The incidence of ovarian cyst diasease in Sumatera Utara Province is not yet know with certaintybecause the recording and reporting unfavorable. To determine the characteristics of patients with ovarian cyst the women before menopause who are hospitalized at Haji Hospital Medan in 2014-2015 was a descriptive study with case series design. Population and samples of data 126 patients (Total Sampling) with disease proportion 0,66%. Univariate data  were analyzed by descriptive, bivariate data were analyzed with Chi- square. The research found ovarian cysts proportion of patients: age 30-34 years (19,9%), Batak (32,5%), Islam (95,2%), high school education (40,5%), occupation housewife (49,2%), married status (81,0%), the size of the cyst diameter  5,25 – 8,39 cm2 (29,3%), korpus luteum cyst (27,7%), type benign cyst (78,6%),   lower abdominal pain (40,8%), menstrual regularities (87,3%), early menarche (< 12 years) (57,9%), normality (0- 35 u/ml) CA-125 examination yield (61,4%), surgieal treatment (79,4%), the average treatment lenght 7,2 % days or 7 days, the source of the cost of treatment with BPJS/ASKES (83,3%), the origin of the patient was the Medan City (65,9%), out patient home (97,6%), there is no significant difference between the proportion of patients age by menstruation status (p= 0,792), the proportion of patients age by cyst type (p= 0,113), the proportion of cyst type by married status (p=0,774), the proportion of cyst type by the size of the cyst diameter  (p= 0,762), the proportion of menarche story (p=0,470), the proportion of the size of the cyst diameter  by complaints (p= 0,940), the proportion of the average treatment lenght by medical treatment (p=0,237), the proportion of surgieal treatment by state while returning (p = 0,503). Expected to hospital Haji Medan in order to data complementary  be related to with ovarian cyst as parity data. For childbearing age (15-49 age) in order to symptom cyst attention as risk factor happen cyst. Keywords: Ovarian cyst, Characteristics of patients ovarian cyst.
GAMBARAN BATITA PENDERITA PNEUMONIA YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015 jenika romian hutauruk; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Pneumonia is one of health issues and the biggest contributor that causes of death for children under five years old. Pneumonia kills 1 in 5 children under five years old, kills more than 2 million children under five years old every year and mainly in developing countries. In 2013 at North Sumatra, there are 23.643 cases of pneumonia. This study aims to describe the the children under three years old with pneumonia who are hospitalized at Santa Elisabeth Hospital Medan in 2015. This study uses the case series and the population is all of the the children under three years old with pneumonia who are hospitalized at Santa Elizabeth Hospital in 2015, total population is 106 children and be the sampel.  This study uses secondary data with statistical analysis Chi-Square test, Mann-Whitney test and Kruskal-Wallis tes. The result describe in narrative, in frequency distribution table, in pie and bar chart. This study showed that the proportion of the children under three years old with pneumonia is highest in the age group 24-35 months (44.3%), male (60.4%), Batak (93.4%), Protestants (75.5%), Medan (64.2%), good nutritional status (76.5%), incomplete immunization status (59.4%), without concomitant diseases (83.0%), the degree of pneumonia (91.5%) , average of treatment duration 4.76 days and recovered (83.0%). There is no difference in age with pneumonia based on the degree of pneumonia, average of treatment duration based on age, degree of pneumonia and after treatment conditions. There is a difference in average of treatment duration based on nutritional status  and concomitant diseases, the nutritional status based on the degree of pneumonia and the degree of pneumonia based on after treatment conditions.Children's polyclinic of Santa Elisabeth Hospital provide a counseling for the parents about  pneumonia.  The  parents who have children with concomitant diseases should be more aware to prevent their children from pneumonia. The department of medical records must complete the card status registration especially in history of birth weight and exclusive breastfeeding.Keywords: Describe, Children under three years and Pneumonia
Analisis Pengetahuan dan Sikap tentang HIV/AIDS dan Bahaya Narkoba pada Siswa Laki-laki MAN 1 Medan Tahun 2016 nur azizah; Sori Muda Sarumpaet; Rahayu Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Human Immunodeficiency Virus continues to be a global public health problem, there are 36,9 million people living with HIV by two millions new infections in 2014. The percentage of drug users living with HIV by 18,8%. The causes of AIDS 15,2% because of injecting drug, while HIV patients was 7,7% in Indonesia. Prevention of HIV/AIDS and the dangers of drugs can be done by improving knowledge and attitudes. This study aims to determine the level of knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan students. This type of research was analytic survey with cross sectional design. The population were all male students of XI MAN 1 Medan. The samples were 132 students. The sampling technique was using Simple Random Sampling. The collected data were primer data which analyzed with Fisher's Exact test. The results of the univariate analyzed were level of HIV/AIDS knowledge was enough (38.6%), the knowledge of the dangers of drugs was less (43.2%), the attitude of HIV/AIDS was less (71.2%) and the attitude of the dangers of drugs was good (96.2%) in MAN 1 Medan. The Fisher’s Exact test result showed that there was a significant relationship between knowledge and attitudes about HIV/AIDS (p=0,020), there was no significant relationship between knowledge and attitudes about dangers of drugs (p=1,000), there was no significant relationship between knowledge about HIV/AIDS and knowledge about dangers of drugs (p=0,735), there was no significant relationship between attitudes about HIV/AIDS and attitudes about dangers of drugs (p=0,764). Average knowledge of HIV/AIDS and the dangers of drugs students are enough. Expected to the head master to improve students’ knowledge and attitudes about HIV/AIDS and the dangers of drugs in MAN 1 Medan through health education such as schools cooperate with the community health centre or BNN to do counseling about HIV/AIDS and the dangers of drugs at least once in a semester.   Keywords: HIV/AIDS, Drug, level of knowledge, attitude

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