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Gizi, Kesehatan Reproduksi dan Epidemiologi
Published by Universitas Sumatera Utara
ISSN : -     EISSN : -     DOI : -
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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Articles 444 Documents
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KARAKTERISTIK PENDERITA STROKE HEMORAGIK (SH) RAWAT INAP DI RSUD RADEN MATTAHER PROVINSI JAMBI TAHUN 2015 ira aminah padang; Rasmaliah .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Abstract Stroke is the third most common non-communicable diseases and the highest cause of disability in the world. There are two types of stroke by pathological processes that ischemic stroke and hemorrhagic stroke. According to AHA, the mortality rate of stroke patients each year are 50-100 of 100,000 patients. Based on Batubara’s research of acute stroke patients in RSUP HAM Medan January to Desember 2011 kind of stroke that causes the most deaths is 87.5% hemorrhagic stroke. This research is descriptive study using case series design. The population is 127 data of patient with total sampling. The Result of this research is founded the highest proportion of stroke hemorrhagic patient based on age of 40-69 years is 66.1%, male 57.5%, Islam 81.9%, civil servant 30.7%, married 81.9%, lived in Jambi city 59.8%, history of diseases hypertention 59.4%, disorder of speech and movement 32.23%, sistolic pressure hypertention 92.9%, diastolic pressure hypertention 93.7%, uncertain DM 73.2%, total cholesterol border 40.2%, normal triglyceride level 64.6%, normal LDL and border LDL 35.4%, normal HDL 46.5%, hemisphere dextra 49.6%, CT-Scan result with bleeding of Intra Cerebral 69.3%, location bleeding in Hemisphere/Lobar 36,2%, managed by conservative 97.6%. average lenght of stay 5.88 (6 days), source of finance from JKN 76.4%, no refferal 55.1%, died 64.6%. Found significant different between CT-Scan result by status of discharged (p=0,006) and between average length of stay by status discharged (p=0,0001). For hypertention patient with age 40-69 years were encouraged to have routine controlling and healthy lifestyle to prevent a stroke, for RSUD Raden Mattaher to increase the effort of promotive , curative , and rehabilitif to reduce the number of morbiditi and mortaliti caused by the hemorrhagic stroke, and for medical record department RSUD Raden Mattaher Province Jambi should have to complete the data such as ethnic and education. Keywords: Hemorrhagic stroke , Characteristics of patients hemorrhagic stroke
UJI DAYA TERIMA DAN NILAI GIZI COOKIES YANG DIMODIFIKASI DENGAN TEPUNG BIJI NANGKA DAN PENAMBAHAN KUBIS MERAH Martharia Panjaitan; Albiner Siagian; Ernawati Nasution
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Jackfruit seed flour contains calcium and phosphorus. Red cabbage contains the pigment of anthocyanin. Red cabbage also contains calcium and phosphorus. If the jackfruit seed flour and red cabbage processed into foods, such as cookies, it can produce nutritious food. The purpose of this study was to determine the acceptability and nutritional value of the modified flourcookies jackfruit seeds and red cabbage. This study is an experiment of making cookies modifications from jackfruit seed flour and red cabbage with different composition ratio (15%: 5ml, 15%: 10ml, 25%: 5ml, and 25%: 10ml). Values of cookies nutrients is analyzed in the Laboratory Research Agency Medan Industrial Standards (phosphorus and calcium) and at the Center for Postharvest Research and Development Bogor Agricultural Testing Laboratory (anthocyanin) using spectrophotometry. Panelists in this research is public health student from University of North Sumatra as many as 30 people. Organoleptic test of the cookies using hedonic test methods.Acceptance test data were analyzed using Anova and Duncan. The content of nutrients (calcium, phosphorus, and anthocyanins) obtained in cookies B1K1 is 20.50 mg, 70 mg, 54.67 ppm, cookies B1K2 is 40.50 mg, 70 mg, 54.67 ppm, cookies B2K1 42.50 mg, 90 mg, 59.71 ppm, and cookies B2K2 is 50.6 mg, 90 mg, 59.75 ppm. The results showed that the organoleptic test for color, scent, taste and texture of the most preferred cookies panelists are cookies with the addition of 15% jackfruit seed flour and 5 ml of red cabbage. Based on the analysis of variance, the addition of jackfruit seed flour and red cabbage in making cookies with variations indicate a difference to the taste and texture of the cookies, but no difference in the color and scent of cookies. Suggestions from this research is that consumers can make jackfruit seed flour cookies with red cabbage essence as an alternative for healthy and cheap snacks. In addition, further research needs to be done related to the nutrient content of the other in jackfruit seed flour cookies with red cabbage essence. Keyword: Cookies, Jackfruit seed flour, red cabbage
GAMBARAN TERSANGKA PENDERITA MALARIA DI WILAYAH KERJA PUSKESMAS PANYABUNGAN JAE KECAMATAN PANYABUNGAN KABUPATEN MANDAILING NATAL TAHUN 2015 Delima Saima Putri; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Malaria is a disease caused by parasite of the genus Plasmodium that transmission  whilebite of  Anopheles spp. Annual Parasit Incidence (API) Indonesia in 2015 is 0,99%. API  in Sumatera Utara in 2014 is 1 %. API at District of Mandailing Natal in 2014 is 12,4 %, and  Panyabungan in 2014 with API 22,2 %. This research has descriptive study with case series design. The purposed to knowing the description of malaria patients suspect of Panyabungan Jae public health center District Mandailing Natal in 2015. Population is all of data malaria patients suspect had laboratory result about 206 people. Sample is some of  the population about 136 people, taken with Systematic Random Sampling. Data has analyzed statistic with using Chi- Square test. Sosiodemographic higest proportion in the age group 5-14 years old (27,9%), male (52,2%), school (34,6 %), and living in Panyabungan (93,4%).  Result of laboratory of  malaria clinis is higest  (79,4%).The type of malaria parasite is Plasmodium falciparum (96,4 %). Symptom of malaria is fever (100%). The type of treatment  of malaria is ACT (67,9%). There is no different proportion of age  patients malaria positif based  the type of malaria parasite(p=1),gender of patient malaria positif  based  the type  of malaria parasite (p=0,429),the type of treatment based the  type of malaria parasite (p=1). To reduce the incidence of malaria in the age group 5-14 years old, it is advisable for children to improve protection against mosquite bites. Such as wearing long sleeves when out  at night, wear repellent, nets during sleeps and not hang  dirty clothes in the room.  To suggested to Panyabungan Jae Public Health Center to giving promotion and sosialitation to schools about prevention of malaria. Key Words: Description, Malaria Patients Suspect, Puskesmas Panyabungan Jae
KARAKTERISTIK PENDERITA TB PARU KATEGORI 2 RAWAT JALAN DI BALAI PENGOBATAN PENYAKIT PARU-PARU (BP4) LUBUK ALUNG SUMATERA BARAT TAHUN 2015-JUNI 2016 Tryani Walnizam Junaidi; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

The category-2 pulmonary tuberculosis’s patients are patients who have to undergo re-treatment which has received treatment with anti-tuberculosis drugs before and has more risk of drugs resistance. Based on TB report in West Sumatera province, there’re 268 cases  of TB in category-2. The amount of patients with pulmonary TB 2 categories based outpatient medical record in Lubuk BP4 Alung 2015-June 2016 are 146 cases. The purpose of this research is to analyze the characteristics of pulmonary tuberculosis patients in category 2, the research will be conducted in BP4 Lubuk Alung West Sumatra in case series design . The amount of population in this research are 146 people in 2015 to June 2016 in the medical record and the sample of this research is total sampling. Univariate data were analyzed by descriptively and bivariate data were analyzed by using Chi-square, Fisher Exact, and Kolgomorov-Smirnov. Based on the sociodemographic, the highest proportion is in the age group of namely 55-64 years (23,3%), males (63,0%), farmers/ fisherman/labors (28,1%), the West Sumatra province (92,5%). The highest proportion is based on the results of BTA test (87,0%), the type of patients relapsed (69,2%), history of diabetes mellitus (17.8%), smoking (58,2%), no alcohol consumption (94,5% ), a complication of spontaneous pneumothorax (13,7%). There was no significant difference in the proportion of age based on the type of patients (p=0,227), gender based on the types of patients (p=0,901), the results of the examination with the type of patient (p=0,999), disease history is based on the type of patients (p=0,547), smoking and type of patients (p=0,835), alcohol habits with the type of patients (p=0,418), based on the type of patient complications (p=0,806). This is suggested BP4 to give more intensive information to  category-2 patient to obey the medication rule completely to avoid relapse and failure of treatment convertion and more risk of getting TB-MDR. They also have to keep their immune system by maintain a healthy lifestyle. Keywords: Pulmonary tuberculosis in category-2, the characteristics of the patients, outpatient
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RS SANTA ELISABETH MEDAN TAHUN 2011-2015 Fredrick Alexander Marpaung; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is the number one cause of illness in developed countries, the number two cause of illness in developing countries, the number one cause for the risk of stroke and heart failure, and the number two cause for the risk of heart attack. In Indonesia, one of three adults were people with hypertension. Prevalence of Hypertension in Indonesia obtained through measurement at age ≥18 years old was 25.8%. This is a descriptive study with case series design, and continued with the analysis of statistic chi square test, fisher test, dan kolmorgorov-smirnov test. This study aims to determine the characteristics of patients with Hypertension with complications who were hospitalized at the Santa Elisabeth Hospital Medan in 2011-2015. Population and sample were same (total sampling) which were 101 inpatients with hypertension with complications. Data is secondary data taken from the patient’s medical record. The result showed the proportion of patients the most at age ≥40 years (96.0%), women (57.4%), Batak (82.2%), Protestants (54.5%), did not work (41.5 %), married (95.0%), in Medan (74.3%), headache (65.3%), hypertension stage 2 (53.5%), diabetes mellitus (34.7%), average of treatment duration was 5.45 days, out as outpatient (84.1%). There was no significant difference between the proportions of age by complications of hypertension (p = 0.101), there was no significant difference between the proportion of sexes by complications of hypertension (p = 0.652), there was no significant difference between the proportion of work categories by complications of hypertension (p = 0.756), there was no significant difference between the proportion of Hypertension degrees by complications of hypertension (p = 0.485), the distribution for average of treatment duration by category of complications with acute complications were 4.18 days and chronic complications were 6.06 days , there was no significant differences between the proportion of discharged status by complications of hypertension (p = 0.164). The hospital authorities should give a promotions or information that is important for everyone's to check their blood pressure routinely in order to anticipate and prevention of hypertension disease. Suggest the patients with hypertension to organize a good diet like the DASH dietary and recommend them to havea  healthy lifestyle like increasing physical activity by exercising regularly. The medical officer who in charge kindly give more attention to fill the columns data of patient Hypertension with complications status especially in  how the patients go out from the hospital. Keywords: Hypertension, Characteristic, Hospitalized, Santa Elisabeth Hospital Medan
Faktor-Faktor yang Berhubungan dengan Kelengkapan Imunisasi Dasar pada Batita di Desa Hutaimbaru Kecamatan Halongonan Kabupaten Padang Lawas Utara Tahun 2016 Zuriatina Chairani Nainggolan; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Immunization remains a public health problem in North Padang Lawas District, because the basic immunization coverage is low and has not achieved Universal Child Immunization (UCI) in most of these areas. One of them Hutaimbaru village with basic immunization coverage amounted to 30%  in 201. This research is an analytic observational (non-experimental) with cross sectional study design, aimed to analyze the factors related to the completeness of basic immunization by toddlers on Hutaimbaru subdistricts Halongonan in 2016. The study population was all mother who had a toddler in the village of the Hutaimbaru subdistrict Halongonan and sampling done by total sampling. Data were collected using a questionnaire and analyzed using Chi-square test and multiple logistic regression test. Immunization coverage complete of the result of this study was 48.6%.  The results evidence that the variables have a significant related (p<0,05) on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan 2016  is  the age variable (p= 0,008), education (p. = 0,0001), occupation (p= 0,0001), and parity (p= 0,001), when the unrelated variables (p<0,05) is a variable place of birth (p= 0,110) and the distance of a residence with health care (p= 0,364). The results of multiple logistic regression test, the variables have a significant  most related on the completeness of immunization in toddlers in the Hutaimbaru village of the subdistrict  Halongonan in 2016  is education (Exp {B}= 7,280). Implementation of the integrated health system should apply first date alone each month, so that mothers more easily remember, or Implement s system of “Jemput Bola” in providing basic immunization, given the extensive settlements Hutaimbaru village is not so wide, and they can be easy to reach. Keywords: Immunization, Hutaimbaru, Toddlers
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) GUNUNGSITOLI TAHUN 2015 Maria Margareth Zebua; Hiswani .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease. According to International Diabetes Federation (2015), global prevalence of DM in adults aged 20-79 years reached 8,8%. Prevalence in Indonesia according to World Health Organization (2016) reached 7,0%. In North Sumatera, prevalence of DM was 1,8% in 2013. The purpose of this research is to find out the characteristics of patients type 2 DM with complications who were hospitalized at Gunungsitoli Hospital in 2015. This study is descriptive with case series design. The population and sample were 142 people. The data was using secondary data and analyzed by using Chi-Square, Exact Fisher and Mann-Whitney. The result showed the proportion of patients with complications of type 2 DM was highest at the age group 45-54 years is male (41,0%) of all male patients and female (45,7%) of all female patients, Nias (95,8%), Christiant Protestant (89,4%), civil servants (29,6%), married (80,3%), live in Gunungsitoli (64,1%), languid/nausea and vomit (31,7%), hypertension (33,1%), the checking blood plasma glucose (64,1%), the abnormal levels of blood plasma glucose (78,0%), oral hypoglycemic medicine (78,2%), government cost (97,9%), average length of stay (8 days), becoming outpatient (84,5%). The statistical resulted, there was no difference between age by the category of complication (p=1,00), gender by the category of complication (p=0,375), medical management by the category of complication (p=530), average length of stay by the category of complication (p=0,620). It’s suggested for Gunungsitoli Hospital to check blood plasma glucose for the patients of type 2 DM, and plan a medical management appropriate. The patient of type 2 DM with complications should control blood glucose regularly, adopt healthy lifestyle and put the treatment with insulin. Keywords: Characteristic, Type 2 DM, Gunungsitoli Hospital
ANALISA HUBUNGAN FAKTOR PREDISPOSISI PENDUKUNG DAN PENGUAT DENGAN KEIKUTSERTAAN IBU PASANGAN USIA SUBUR UNTUK TES-IVA DI WILAYAH KERJA PUSKESMAS HELVETIA KECAMATAN MEDAN HELVETIA TAHUN 2016 zakiah ibhan lubis; Sori Muda .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

AbstractCervical cancer is the first killer of cancer suffered by women. In 2013 cases of cervical cancer were the highest in Indonesia 98 692 cases (0.8 ‰). One of the government's attempts to perform early in cervical cancer is through cervical cancer screening by using IVA method (Visual Inspection with Acetic Acid). Puskesmas Helvetia is one of the health centers that provide services IVA, but less response from the public. This study of the research was to analyze the relation between predisposing, enabling, and reinforcing factor with the participation mother of fertile age couple (PUS) for test-IVA at the Puskesmas Helvetia in 2016. This type of research cross-sectional study. The research was conducted in July 2016. The population is all mother of fertile age couple (PUS) who visited in Puskesmas Helvetia with a sample of 100 people. The data were gathered by conducting interviews using a questionnaires and analyzed by using the chi-square with 95% CI. The results of research showed that mother of fertile age couple did IVA is 34 people (34.0%) and a mother who did’nt IVA is 66 people (66.0%). Statistically predisposing factors such as knowledge with p-value 0.001 (RP; 5.903) and attitude with a P-value of 0.001 (RP; 3.665), reinforcing factors is exposure information with p-value of 0.001 (RP; 3.955), support the husband with p-value 0.001 (RP; 5,218) and support of health care providers with a p-value of 0.001 (RP; 10.889) had a significant association with mother of fertile age couple participation to IVA test in Puskesmas Helvetia. Recommended thet Puskesmas Helvetia to improve health education and health promotion goals of expanding early detection methods IVA cervical cancer, not only in the mother of fertile age couple but also involves the husband to support the wife to join participation  IVA method test at the Puskesmas Helvetia. Keywords : Predisposition, Enabling, Reinforcing Factor, Participation, IVA Method
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 PENDERITA MIOMA UTERI RAWAT INAP DI RSUD DELI SERDANG LUBUK PAKAM TAHUN 2013-2015 yuli anti sipayung; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abstract Uterine myoma are also known as fibromioma, fibroids, or leiomyomas are benign neoplasm derived from uterine smooth muscle and connective tissue on it.  Most of them was found with an estimated incidence of 20% -40% in women during reproductive years. In Indonesia, uterine myoma was found 2.4% - 11.7% of all gynecological patients were treated. In Deli Serdang Hospital Lubuk Pakam there are 78 cases of uterine myoma during 2013-2015. The research is descriptive with case series design. Population and sample were 78 data (total sampling) by using secondary data obtained from medical records of patients with uterine myoma. The results showed the proportion of patients with uterine myoma highest age 35-44 years old 44.9%, Javanese 66.9%, senior high school 35.9%, housewives 75.6%, married status 88.5%. menarche age > 12 years was 37.2%, multiparous parity47.4%, type of submucosal fibroids 25.6%, having more than one complaint 42.3%, hemoglobin <12 g/dl (79.5%), hysterectomy 55, 1%, the average length of stay 8 days, discharged under medical treatment 93.6%, government funding source 92.3%. The proportion aged based on the type of uterine myoma highest age > 44 years old. The proportion of patients with uterine myoma with the type of submucous fibroids, abnormal bleeding 60%, hemoglobin <12 g/dl (85%) and hysterectomy55%, the type of intramural fibroids having more than one complaint 81.8%, hemoglobin <12 g/dl (72.7%) and  hysterectomy 54.5%, the type of subserosal fibroids having more than one complaint 50% and conservative treatment 50%, the type of multiple fibroids having more than one complaint 88.9%, hemoglobin <12 g/dl 88.9% and hysterectomy 77.8%. It was suggested that women who have risk factors for uterine myoma especially women in the reproductive age and multiparity to maintain in their health with a healthy diet and regular check-up for early detection of the possibility of the discovery of uterine myoma. For Deli Serdang Hospital Lubuk Pakam to complete data in the medical record including menarche age of patients, parity, and the type of myoma uteri. Keywords: uterine myomas, Characteristics of Patients

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