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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.
Arjuna Subject : -
Articles 444 Documents
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KARAKTERISTIK PENDERITA MENINGITIS PADA ANAK DI RUANG RAWAT INAP DI RSUP H. ADAM MALIK MEDAN TAHUN 2014-2016 Fitrah Fauziah; Sori Muda Sarumpaet; Fazidah A Siregar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Meningitis is a health problem in the worldwide. Data World Health Organization (WHO) 2015 showed, more than 400 million people live in 26 countries infected meningitis annually. It causes 10% resulted in death, with 10-20% with neurological sequelae. The purpose of this study is to describe the characteristics of meningitis in children hospitalized in H. Adam Malik Medan Hospital 2014-2016. This is descriptive study with case series design. Population are children who suffer from meningitis on 2014-2016 with the amount of 110 children as a sample (total sampling). Data was analyzed by Chi square, Exact Fisher’s and T-test. The result of this study showed that highest number of meningitis in children found: 0-5 years old group (57.3%) with 1:1.5 ratio between male and female, Islam (60.9%), outside of Medan (83.6%), unconscious condition (52.7%), adequate nutritional status (60.0%), seizure disorder (53.6%), was a stiff neck (48.2%), type of purulenta meningitis (63.6%),length of stay 2 days (14.4%), death (47.3%). There was no significant difference sex and average of stay by classification, discharge condition by age, nutritional status by classification(p>0.05). There was significant difference age by classification, discharge condition by admittance condition and classification (p<0.05). It was recommended that parentsshould provide immunization Haemophilus influenzae (Hib) for infant and all children under five years old to prevent meningitis in children.
HUBUNGAN KADAR KOLESTEROL DENGAN DERAJAT HIPERTENSI PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS HILIWETO GIDO, KABUPATEN NIAS Melfa Vania Harefa; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is one of the risk factors that increased cardiovascular disease. The prevalence of hypertension in Indonesia is 24% male and 22,6% female. One of the risk factors of hypertension is high blood cholesterol or hypercholesterolaemia, because high cholesterol cause of occlusion in the peripheral blood vessels that reduce the blood supply to the heart.This research aims to determine the relationship of cholesterol levels with hypertension degree in hypertensive patients in the work area of ​​PuskesmasHiliwetoGido.                The population are the people who came to Puskesmas Hiliweto Gido, and sample are people who had blood pressure above normal and aged ≥18 years who came to Puskesmas Hiliweto Gido. The sample size is 135 people. This research is analytic with cross sectional study design, and continued with spearmen corelation and chi square analysis.               From result show that  the highest proportion of hypertensive patients were found in the age group ≥45 years (60%), women (67%), Protestant Christianity (89%), Nias (93%), primary education level (27% , working as farmer / laborer (35%), and married status (71%), hypercholesterolemia (58%) and hypertension group level 2 (40%). Based on statistical test analysis using Chi-Square test, p = 0,004 (p <0,05) means that there is significant correlation between cholesterol level and degree of hypertension               Puskesmas parties need to promote to the public that it is important for every person to check blood pressure and cholesterol levels regularly to anticipate and prevent the occurrence of hypertension. Providing advice to the community, especially those suffering from hypertension to regulate healthy eating and lifestyle, and sugested to consume high fiber foods. Keywords: Hypertension, Cholesterol, Lifestyle, Nias
GAMBARAN DISTRIBUSI DIABETES MELLITUS DENGAN KOMPLIKASI GAGAL GINJAL PADA LANSIA DI RUMAH SAKIT ST ELISABETH TAHUN 2012-2016 Serlin Halim; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Diabetes Mellitus (DM) is one of non communicable disease have prevalence and death increase in the world. One of DM complication is diabetic kidney disease or nefropathy diabetic. Proportion of  Nefropathy diabetic is 44% as kidney disease in the world (CDC,2014). The proportion nefropathy diabetic was 22% in Indonesia (PERNEFRI,2015). In St Elisabeth hospital Medan, proportion of nefropathy diabetic was 8,5% . This research is use case series design. The population and sample were all the patiens of DM with complication diabetic kidney disease in the elderly age, 111 cased. The data was collected by using secondary data and analyzed with chi-square and fisher. The result showed the proportion of patiens with complication diabetic kidney disease was highest in the age group 60-74 age (91%), female (52,3%), bataks (84,7%), Christian (60,4%), household (32,4%), live out of Medan (57,7%), married (91,9%), don’t have family history  (64%), Type II DM (89,2%), KGD ≥200 mg/dL (57,7%), without checkup HbA1c (64,9%), HbA1c ≥6,5% (82,1%), OHO (95,5%), Check-up albumin level (89,2%), Albumin ≥30mg/24jam (96,0%), Non-hemodialisys (58,6%), becoming outpatient (73,9%), dan own cost (70,3%). The statictical test result, there was no difference of age based on treatment therapy (p=0,149), no difference of type DM based on medicine (p=0,089), no difference of type DM based on treatment therapy (p= 0,546), and no difference of KGD based on medicine (p=0,394). In suggested for St Elisabeth hospital for should do the check up of HbA1c routine so that get the accurate check up and for patient will do the hemodialis accord to medical team. For patient nefropathy diabetic should do hemodialysis as recommended medic team.
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI ULKUS KAKI DIABETIK YANG DIRAWAT INAP DI RUMAH SAKIT VITA INSANI PEMATANGSIANTAR TAHUN 2013-2016 Isnawati Devega Sihaloho; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT According to data from Health Research Association (2013), the prevalence of DM in Indonesia 2,1%. The prevalence of DM in 2013 in North Sumatera 2,3%. The prevalence of DM in 2013 in Pematangsiantar 2,2%. Approximately 15% of individuals with DM will experience of foot ulcer with risk of amputation by 14-24%. The purpose of this research is to find out the characteristics of patients type 2 DM with complications diabetic foot ulcer who were hospitalized at Vita Insani Pematangsiantar Hospital Year 2013-2016. This study is descriptive with case series design. The population and sample were 120 patients. Statistic analysis using Chi-Square and Kruskal Wallis. The highest proportion of patients with type 2 DM with complications of diabetic foot ulcer in ≥50 years old group (84,2%), female (52,5%), Batak Toba (41,7%), Christian Protestant (61,7%), Senior High School (52,5%), housewives (31,7%), Pematangsiantar (56,7%), degree 4 (38,3%), while blood glucose levels ≥200 mg/dL (68,3%), did not conduct bacteriological examination (78,3%), surgical treatment therapy (55,8%), not own cost (69,2%), average length of stay 5 days, becoming outpatient (91,7%). The statictical test   resulted, there is no significant difference between the proportion of distribution of age based on degree of diabetic foot ulcers (p=0,554), sex based on degree of diabetic foot ulcers (p=0,720), blood glucose levels based on degree of diabetic foot ulcers (p=0,477), duration of treatment on average based on degree of diabetic foot ulcers (p=0,051). There is a        difference between the proportion of distribution of therapeutic treatment based on degree of diabetic foot ulcers (p=0,036). It’s suggested for Vita Insani Pematangsiantar Hospital to improve information for foot care and proper handling when the sores. It’s suggested for patients of type 2 DM      perform the recommended diet, regular exercise, consume medicine of DM, checking blood glucose regularly. The patients of type 2 DM with complication diabetic foot ulcer should to implement the above suggestions, do foot care, health care visit immediately if found injury in foot. Keywords :      Diabetic Foot Ulcer, Characteristic, Vita Insani Pematangsiantar Hospital
KARAKTERISTIK PENDERITA RETINOPATI DIABETIK YANG DIRAWAT INAP DI RSUD DR. PIRNGADI KOTA MEDAN TAHUN 2013-2016 Ade Ayu Lanniari Harahap; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Diabetic retinopathy (DR) is chronic complication of Diabetes Mellitus (DM) which the main causes of decreased vision and blindness in diabetes patients. World Health Organization (2016) reported that prevalence of retinopathy in person with DM in 2012 is 35% while proliferative retinopathy is 7%. In Indonesia, the prevalence of diabetic retinopathy and blindness in Indonesian adult with type 2 diabetes in 2017 is 42%. The proportion of diabetic retinopathy patients in RSUP H Adam Malik Medan in 2012-2015 is 36,7%. The purpose of this study was to determine the characteristics of diabetic retinopathy are hospitalized in RSUD dr. Pirngadi Medan city in 2013-2016, Thus research is descriptive with case series design. The population of this research is 105 data of diabetic retinopathy patients are hospitalized in RSUP H Adam Malik Medan in 2013-2016, the sample is the same as the population. The kind of data was secondary and analize by Chi-Square test and Fisher’s Exact test. The result showed the higest proportion of diabetic retinopathy patients at ages 46-65 years (67,6%), women (54,3%), Moslem (74,2%), secondary education ((68,6%), housewife ((48,6%), origin from Medan city (69,5%), type 2 diabetes (94,3%), HbA1c level ≥6,5% (78,1%), RDNP degree (71,4%), other complication ulcus diabetic (20%), askes/BPJS (58,1%), average length of stay 8,68 hari. There was a difference between HbA1c level by the degree of diabetic retinopathy (p=0,004). To the Government and the hospital to do the efforts of prevention, promotion and screening for diabetic patients. The diabetic patients should do routine blood glucose levels control and to diabetic retinopathy patients check the eyes at least once a year. Need to do further research about diabetic retinopathy to be a reference for review the characteristics of diabetic retinopathy in Indonesia and early detection to reduces diabetic retinopathy.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN INFEKSI SALURAN PERNAPASAN AKUT (ISPA) PADA BAYI DI WILAYAH KERJA PUSKESMAS KAMPUNG BARU KECAMATAN MEDAN MAIMUN TAHUN 2017 Leli Fatimah Nasution; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Acute Respiratory Infection (ARI) is the major cause of morbidity and mortality of infectious diseases in the world, it is one of the main cause of consultation or inpatient in the health service, especially in the child care section. PMR of ARI in toddlers in the world were 26,7%. The prevalence of ARI in Indonesia at 2013 was 25,0%. The aim of this research is to determine factors related with ARI in infants in the Puskesmas Kampung Baru Medan Maimun districk at 2017. This research was an analytic using cross sectional design. The population of this research were all infant that is in the working area Health Center of Kampung Baru and the sampling tehnique is purpossive sampling for 103 person. Data were analyzed by chi square test with 95% CI. The result of research indicates that prevalence rate of ARI is 59,2%, the highest frequency distribution on the 11 month old 16,5%, female 51,5%, good nutrition status 79,6%, exclusive breastfeeding status 53,4%, not yet received DPT/Hib and measles, for immunization status 63,1%. For the characteristics of the mother, the highest proportion were senior high school 68,0% and housewife job 78,6%. For the characteristics of the environment, the highest proportion were occupation density 55,3%, used burnt mosquito coils 93,2%, used lpj 82,5%, and existence of smoker 81,6%. The result of statistic analysis indicates there is a significant relationship of age (p=0,022), nutrition status (p=0,034), exclusive breastfeeding status (p=0,025), occupation density (p=0,034), and existence of smoker (p=0,028) with incident of ARI. It is suggested to the mothers for giving exclusive breastfeeding, that was a human right of the infants, for giving of good nutrition for the growth and development of infants, and then for the family members to not smoke when at the home. Keywords : ARI, Infants, Puskesmas Kampung Baru  
KARAKTERISTIK PENDERITA GAGAL JANTUNG YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Rosnani Sagala; Fazidah A Siregar; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT                Heart failure is one of the health issues that has been deeply concerned. Based on Riset Kesehatan  Dasar 2013,at the age of ≥15, prevalence of heart failure in North Sumatera is equal to prevalence in Indonesia which is 300/100,000 population. In 2015-2016 at Santa Elisabeth Hospital Medan, case fatality rate (CFR)of heart failure is 10.4%.The purpose of this study to know the characteristics of patients with heart failure that  hospitalized at Santa Elisabeth Hospital Medan in 2015-2016. This study is descriptive with case series design. Population is all of data patient of heart failure that hospitalized at Santa Elisabeth Hospital Medan in 2015-2016that is 370 people with 192 of themas samples that selected by simple random sampling.The data was analyzed with Chi-Square, Mann-Whitney, and Kruskal Wallis. The result shows that the highest proportion of patients are in >65 years old (41.7%), male (52.6%), Batak Toba(53,6%), Christian (67.7 %), Housewives (29.2%), live out of Medan (50.5%), second stage of heart failure (61.4%), history of hypertension (29,7%), self cost (49.0%), average length of stay 6.01 days (6 days), becoming outpatient (80.2%). There is no significant difference between: age based on sex (p=0.651) andclassification of heart failure (p=0.882), gender based on classification of heart failure (p=0.750), classification of heart failure based onhistory of disease (p=0.554), average length of stay based onclassification of heart failure (p=0.785) and history of disease (p=0.272), classification of heart failure based on condition by going home (p=0.204),history of disease based oncondition by going home (p=0,116). It was recommended to outpatients of heart failureto perform routine checks and to maintain healthty life style to prevent the severity of heart failure. Recommended for hospital complementing the system of medical record. Keywords: Characteristics, Heart Failure, Santa Elisabeth Hospital Medan
Gambaran Epidemiologi Penderita Demam Berdarah Dengue (DBD) Di Rumah Sakit Umum Sundari Medan Tahun 2016 Hertati Pasaribu; Fazidah A Siregar; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Dengue Hemorrhagic Fever (DHF) is a disease caused by dengue virus through Aedes aegypti mosquito bites. Medan city is one of the areas categorized as endemic in North Sumatera Province. In 2013 there are 1,270 cases with 0.7% Case Fatality Rate (CFR) in-crease in 2014 with 1,699 cases and CFR 0.9%. In RSU Sundari Medan in 2015 as many as 297 cases and 338 cases in 2016. The aims to identify the epidemiology of DHF patients at Sundari General Hospital Medan in 2016. This is a descriptive study with case series design. Population of this research is 338 data and 183 samples of data DHF patients using Simple Random Sampling. Statistical analysis use Exact Fisher, Chi-Square, Kruskal Wallis, Kolmogorov Smirnov, and Mann-Whitney. The result shows that the largest proportion of DHF patients was 15-24 years old (24,6%), male (54.1%), Islam (89,1%), senior high school (29.5%), student (32,8%), from Medan (94,0%), time is December (12.6%), platelet count at hospital ≤100.000/mm3 (55,2%), platelet count when out of hospital >100.000/mm3 (78,7%), percentage of hematocrit at hos-pital <20% (73,8%), percentage hematocrit when out of hospital <20% (95,6%), grade I (86.3 %), average length of stay 5,14 days, recovery (76,0%), source of cost is not own expense (83,1%). There was no significant difference in severity based on age, the severity based on the condition when returned. There was a significant difference in proportion between platelet when out of hospital based on platelet when first day in hospital, hematocrit when out of hospital based on hematocrit when first day in hospital, the average length of stay based on the condition when returned, the average length of stay based on the source of cost. It was suggested that RSU Sundari Medan should improve the quality of service to people and can anticipate if there is an increase of DHF patients. Keywords : DHF, Patient Epidemiology, Sundari General Hospital
KARAKTERISTIK IBU BERSALIN DENGAN SEKSIO SESAREA DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN TAHUN 2015-2016 Nadia Safira; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Seksio Sesarea is delivery by surgery on abdominal wall and uterine wall. At the central public hospital Haji Adam Malik Medan by 2015-2016, the proportion of mothers with seksio sesarea is 78%. The intention of this research is to determine the characteristics of maternity mothers with seksio sesarea at the central public hospital Haji Adam Malik Medan by 2015-2016. Research is descriptive with case series design.The study population was 521 of maternity mothers with seksio sesarea and 226 samples. And sampling was simple random sampling. Result showed the highest proportion of maternity mothers based on sociodemography are in the age group of 20-35 years (77,4%), Bataknese (56,2%), Islam (59,7%),  housewife job (69,5%). Based on medico obstetrics factor on parity nullipara (41,6%), the length of maternity >2 years (72%), no history of disease(52,2%), kind of disease HIV (30,6%), birth history with seksio sesarea (50,8%), medical indication (100%), maternal disease (30,5%), abnormalities of baby (4,9%). There’s a history reference (57,5%), length of care >3 days (87,6%), not own expense (82,7%), return outpatient (97,3%). Statistical results with chi-square shows that there were no significant differences between length of care with history of disease (p=0,062) : parity (p=0,791). There were no significant differences between mothers age (p=0,740) with the length of maternity. There were no significant differences between history reference (p=0,504) with medical indication.  There were significant differences between mothers age (p=0,001) with parity. Pregnant mothers are expected to check her health condition during pregnancy so that the illness is more quickly identified and get treatment according to the condition of pregnancy. Keywords : Seksio Sesarea, Mother, Characteristic
PENGARUH PENYULUHANASI EKSKLUSIF TERHADAP PENGETAHUAN DAN SIKAP IBU HAMIL DIKELURAHAN ALUR DUA KECAMATAN SEI LEPAN KABUPATEN LANGKAT Ika Purnama Sari Purba; Etti Sudaryati; Fitri Ardiani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Nutritional status is closely related to the high rate of morbidity and mortality of infant/toddlers, Exclusive breastfeeding is one effort to reduce morbidity and mortality in infants/toddler.One of the causes of the low coverage of exclusive breastfeeding is the lack of maternal health support in terms of counseling to breastfeed babies. This study aims to determine the effect of Exclusive breastfeeding education on knowledge and attitude of pregnant women in Kelurahan Alur Dua Kecamatan Sei Lepan Kabupaten Langkat. This type of research is quasi experimental with one group pre- and post-test design. The population is all 42 and 42 trimester pregnant women. Sampling technique using total sampling technique, Exclusive breastfeeding effect on mother's knowledge and attitude was analyzed by t-dependent test at 95% confidence level. The results showed that the average value of mother's knowledge before giving Exclusive breast feeding was 7.71 and after being given Exclusive breastfeeding counseling of 12,69, the mean of attitude attitude of mother before giving exclusive breast feeding equal to 38,62 and after giving breast feeding Exclusivity of 54.02, this shows that there is a significant increase (p = 0,000) of knowledge and attitude of mother in giving exclusive breastfeeding between before and after being given Exclusive breastfeeding counseling. It is suggested to Langkat District Health Office for exclusive breastfeeding to mother hami as one of the tools to increase coverage of breastfeeding mother in infants / toddlers and health workers to further improve the quality of health services in providing education. Keywords : Exclusive breastfeeding education, knowledge, attitude, pregnant.

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