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Gizi, Kesehatan Reproduksi dan Epidemiologi
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Core Subject : Health,
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
KARAKTERISTIK IBU BERSALIN DENGAN SECTIO CAESAREA DI RUMAH SAKIT UMUM DAERAH DR. PIRNGADI MEDAN TAHUN 2011-2012 Siti Maisyaroh Fitri Siregar; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Caesarean section is defined as the birth of the fetus through an incision in the abdominal wall and uterus wall. RI Department of Health in 2000 sets the number of births sectio Caesarea for referral teaching hospital or province 20% of all deliveries, while private hospitals 15% of all deliveries. To determine maternal characteristics by Caesarea section in Hospital of Dr. Pirngadi Medan research conducted in 2011-2012 with a descriptive case series design. Population of 858 women giving birth by Caesarean section and the sample was 87 mothers. Data were analyzed using ANOVA, t-test and chi-square. The highest proportion of women giving birth by caesarean section  in the age group 20-35 years old  78.20%, 70.11% Moslem, graduating high school / equivalent 83.91%, 75.86% housewives,, primiparous 34.48%, delivery within 2-3 years 55.17%, not 75.86% no history of the disease, no history of poor obstetric 75.68%, giving birth history by caesarean section 84.48%, 90.80% medical indications, maternal factors that previous history of caesarean Setion 42.19%, fetal distress fetal factors with 46.66%, not referenced / Dating own 42.53%, 96.55% normal birth weight, antenatal care at health centers / midwives 62.07%, long maintainability an average of 3.92 days, source their own expense the cost instead of 92.95%, while home mom living circumstances of 98.85%. There is no significant difference between the average treatment time is based on parity mothers (p = 0.808), history of disease (p = 0.354), poor obstetric history (p = 0.546). There is a significant difference between the average treatment time based on the circumstances when home mother (p = 0.019). There is no significant difference between the birth weight by Caesarean section indications (p = 0.746). Health professionals is expected to provide education on the benefits of normal parturition to pregnant  women especially during pregnancy,and pregnant women are expected to maintain nutrient intake and do regular antenatal care and routine physical and activities supported by the role of husband. Keyword : caesarean section, characteristic
Faktor Faktor yang Memengaruhi Terjadinya Asphyxia Neonatorum di Rumah Sakit Umum St Elisabeth Medan 2007 - 2013 herianto chou; Sori Muda Sarumpaet; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

The incidence of neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Infants with neonatorum asphyxia if not given immediate nursing actions, it would be fatal to their survival. It was estimated that approximately 27% of all neonatal deaths worldwide were caused by neonatorum asphyxia. This study aims to determine the factors that influence the occurrence of neonatorum asphyxia at St Elisabeth Hospital Medan in 2007-2012. This type of observational analytic study with case-control design with a sample of cases and controls amounted to 156 babies. Data analysis methods used include bivariate analysis using chi-square and multivariate analysis using logistic regression. Results of this study showed that the incidence significantly Asphyxia neonatorum at St Elisabeth Hospital Medan influenced by maternal age, maternal parity, history of maternal anemia at delivery and birth weight babies. Logistic regression analysis to get the factors have the most dominant factor is maternal age (OR 2.51, PAR 14,2%, 95% CI 1.60 to 10.58), parity (OR 3.12, PAR 14,8%,  95% CI 1.09 to 7.53) and infant birth weight (OR 3.51, PAR 7,4%,  95% CI 1.26 to 9.7). To prevent the incidence of neonatal asphyxia expected on health care workers and stakeholders such as the Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) to provide education and socialization regarding the optimal age to become pregnant from variety of information media, pregnant women do recommend at least 4 times antenatal care during pregnancy and ongoing training on the management of neonatal asphyxia in newborns.
GAMBARAN ASUPAN ZAT GIZI, STATUS GIZI, DAN PRODUKTIVITAS KERJA PADA PEKERJA PABRIK KELAPA SAWIT BAGERPANG ESTATE PT. PP. LONSUM 2013 Farah Marlinda Syam; Zulhaida Lubis; Mhd.Arifin Siregar
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Nutrition intake of worker is one of the important contributing factors in supporting of work produktivity. Fulfillment of nutrients will produce better work productivity. The aim of research to know description nutrient intake, nutritional status and work productivity of worker in the Palm Oil Mill Bagerpang Estate PT. PP. Lonsum 2013. This descriptive reaserch with samples of all worker in the produce  station and workshop station as many as 72 people.The data collected by interview using food recall forms,quetionnairesof work productivity and measure weight and height workers. Result of the research showed that 45.8% workers had energi adequacy levels on normal stage, with an average contribution of energy derived from carbohydrate 67.7%, 20.5% came from fat and 11% from protein. As many as 48,6% of workers had protein adequacy levels on normal stage. Meanwhile more than a half (95,8%) of workers had iron adequacy levels on less category. Nutritional status of workers based on BMI, half of workers (59,7%) had a normal nutritional status and 40,3% workers had nutrition status of over. More than half (69.4%) Bagerpang palm oil mill workers had work productivity on good level and 30.6% workers on enough level. Based on this research suggested to company’s Bagerpang palm oil mill PT. PP. Lonsum especially for health section to give direction or guidance to workers to improve their knowledge about nutrition and conduct nutritional status routine inspection. Keywords : Nutrition Intake, Nutritional Status, Work Produktivity, Factory Workers
NILAI GIZI DONAT YANG DIMODIFIKASI DENGAN JAGUNG DAN BAYAM Atina Travianita; Zulhaida Lubis; Evawany Yunita Aritonang
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Food diversification efforts can be done using local food as food diversity. Donuts are usually made using wheat flour is imported foodstuffs, can be modified by making use of local foods such as corn and spinach. Donuts are modified with corn and spinach are also potentially contribute nutrients such as protein, fat, calcium, phosphorus, iron, vitamin A, vitamin B1, and vitamin C. This study aims to determine the acceptability test based on organoleptic properties include color, aroma, flavor, and texture are tested through hedonic test and nutritional content.This study is an experimental research making donuts with the addition of corn and spinach (spinach corn donuts) with different composition ratio of wheat flour, corn, and spinach (5:2,5:2,5, 5:3:2, and 5:2: 3).The results showed that the organoleptic test based on color, aroma, flavor, and texture, spinach corn donuts panelist is the most preferred donuts made with spinach corn 5:2,5:2,5 comparison. Based on the analysis of variance, the addition of corn and spinach with various levels of comparison in the manufacture of corn spinach donut gives a significantly different effect on flavor, aroma, color, and texture of the spinach corn donut generated.The addition of corn and spinach in making donuts increase the content of calcium, phosphorus, iron, vitamin A, vitamin B1, and vitamin C than regular donuts. Advised consumers to make donuts with the addition of corn and spinach as an alternative to reducing food consumption of wheat flour. Diversification also be carried out with the addition of other food as corn and spinach nutrient-rich food.Keywords : Dounut, corn-spinach, nutritive value
KARAKTERISTIK PENDERITA ABORTUS INKOMPLETUS DI RSUD DR.PIRNGADI KOTA MEDAN TAHUN 2010 – 2011 Rizqiana Halim; Sori Muda Sarumpaet; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 5 (2013): Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Abortion is an important public health problem. It’s often associated with maternal mortality in the form of bleeding complications (30%). The most common type of abortion is incomplete abortion. It should be addressed cause can make heavy bleeding and death. According to Panjaitan study in Martha Friska Hospital (2011), there were 105 cases of incomplete abortion from 175 cases of abortion. According to the data of Labuang Baji General Hospital (2012), there were 200 cases of incomplete abortion from 270 cases of abortion. To know the characteristics of incomplete abortion patients in Dr.Pirngadi General Hospital Medan in 2010 - 2011, conducted a study with case series design and total sampling for 100 patients. The highest proportion is 61% at low risk age group (20-35 years), 96% married, 59% senior high school, 69% a housewife, 56% Muslim, 78% in the city of Medan, 38% of gestational age 9 week, 54% multiparous, 70% miscarriage, 73% normal labor, 70% have a history of spontaneous abortion, 87% no history of the disease, 98% no complications, 94% curettage, The old patient care average is 2.23 days, and 59% healthy after treatment. The job by pregnancy history (housewife 70% had miscarried),age by  parity (p=0.001), parity by pregnancy history (p=0.042), parity by abortion history (p=0.042), medical management by circumstances after treatment (healthy 96,5% curettage), length of treatment by the average gestational age (5-10 weeks of 2.09 days, 11-16 days 4.14 weeks). Dr.Pirngadi General Hospital expected to increase quality of services, especially on incidence of incomplete abortion. The authorities expected to increase the health promotion and education of abortion on adolescents and adults as a preventive incidence of abortion, including incomplete abortion. Keywords: Characteristics,  Incomplete Abortion, Dr.Pirngadi General Hospital
KARAKTERISTIK BAYI PENDERITA GASTROENTERITIS YANG DIRAWAT INAP DI RSUD PURI HUSADA TEMBILAHAN TAHUN 2011-2012 Rivando Fernandus; Sori Muda Sarumpaet; Hiswani Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Gastroenteritis disease remains a major cause of morbidity and mortality of children in the world, especially  in  developing  countries,  including  Indonesia.  Based  on  the  results  of  the  morbidity  and mortality  survey  conducted  Sub  gastroenteritis  in  2010,  the  death  rate  from  gastroenteritis  Cause Specific Death Rate by 23 about 100 thousand inhabitants and in infants Age Specific Death Rate by 75 about 100 thousand babies. While in the hospital Puri Husada Tembilahan, the overall proportion of infant gastroenteritis cases by 42.01% and the Case Fatality Rate by 3.12%. Has done research that aims to identify the characteristics of infants hospitalized patients with gastroenteritis in hospitals Puri Husada  Tembilahan  years  2011-2012,  a  descriptive  case  series  design,  using  secondary  data.  The population is all infants hospitalized patients with gastroenteritis in 2011-2012 as many as 229 people, and a sample of 146 people were taken by simple random sampling. From the research found most babies with gastroenteritis at the age of < 6 months (87,7%), males (56,8%), self-employed parents work (69,2%), good nutrition status (64,4%), the main complaint vomiting (89,0%), the degree of mild dehydration (64,4%), complications (14,4%),management of intravenous fluid administrations/infusion (51,4%), the average treatment time 3,43 during the day and go home in a state of recovery (70,5%). Statistical test results obtained no significant difference in the proportion of state while returning by complications (X2 = 5,882 ; p = 0,053). There is no significant difference in the average long care by age (F = 2,678 ; p = 0,104), there was no significant difference in the average treatment time is based on the degree of dehydrations (F = 2,555 ; p = 0,081). To the hospital is recomended to improve the quality of service and complete the notes on the state of the card baby height measurement, the level of mother’s education and employment.Keywords: gastroenteritis, infant characteristics
KARAKTERISTIK PENDERITA STROKE HAEMORAGIK YANG DIRAWAT INAP DI RSUP H. ADAM MALIK MEDAN TAHUN 2012 berman girsang; drh. Hiswani, MKes; dr. Mhd Makmur Sinaga, MS
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Stroke was a disorder of blood circulation in the brain due to blocked or rupture of blood vessels. Stroke was divided into two parts based on the pathological namely, ischemic and hemorrhagic stroke. Of entire the number of cases of stroke, 80% had ischemic stroke and 20% of stroke hemorrhagic. Stroke was the main cause of death in Indonesia with a proportion of 14.4%. To determine the characteristics of stroke hemorrhagic patients hospitalized, conducted research at RSUP H. Adam Malik Medan with case series design. Population and the sample was 111 people in 2012 which recorded in hospital medical records. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-square test and ANOVA. Proportion based on the highest sociodemographic in the age group 45-59 years 48.6%, men 51.4%, muslim 63.1%, high school / equal 41.4%, 96.4% married status, housewife 41, 4%, and 77.5% outside the city of Medan. Proportion based on the highest treatment status, 73% decreased consciousness, hemiparesis dextra 53.2%, hypertension 78.4%, intracerebral hemorrhage 83.8%, 43.7% cerebral hemifer, 99.1% of conservative measures, long maintainability average 6.37 days, insurance 82.9%, and 64.9% died. There was no significant difference between the average treatment time with the main complaints (p = 0.161), location of the paralysis (p = 0.81), and the site of bleeding (p = 0.085). There was a significant difference between the average treatment time of patients with CT-Scan results (0.024) and the condition while returning (p = 0.000). Patients who have a history of hypertension to perform the routine control and a healthy lifestyle. Medical treatment and maintainability for patients was done intensively to reduce mortality rate. For the medical records department of RSUP H. Adam Malik Medan to complete patient data recording such as ethnicity and location of bleeding.
KARAKTERISTIK PENDERITA FRAKTUR PADA LANSIA RAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2011-2012 Cindy Natasia Sinukaban; drh. Hiswani, M.Kes; Drs. Jemadi,M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Fracture, by definition is a condition where discontinuity occur on bone tissue that basically involves direct/indirect trauma. (World Health Organization) WHO reported 200 million people older than 40 years old on 2012 experienced osteoporosis induced fracture. Elder fracture patient that hospitalized in Santa Elisabeth Medan Hospital on 2011-2012 reaches 107 patient. To understand characteristics of elder patients with fracture that hospitalized at Santa Elisabeth Hospital on 2011-2012, a descriptive study with case-series design have been conducted. Population is sample of study contained 107 data (total sampling). Data were collected from medical record and analyzed using chi-square and t-test. Proportion of patients with fractures by highest sociodemographic found in 45-59 years old (55.1%), female (52.3%), Batak ethnicity (74.8%), Protestant (59.8%), has academic degree (43.9%), housewives (25.2%), married (93.5%), from Medan (59.8%), traffic accident (57,9%), closed fracture (86.0%), on pelvic region (29.9%), treated by operation (63.6%), 7 days length of hospitalization, and recover/outpatient (83.2%). No difference between age in proportion to location of fracture (p=0.110). There was difference between age in proportion to cause of fracture (p=0.000). There was difference between gender in proportion to the cause of fracture (p=0.030). No difference between gender in proportion to type of fracture (p=0.112). There was difference between medical treatment in proportion to type of fracture (p=0.045). No difference between causes of fracture in proportion to location of fracture (p=0.131). No significant difference between average length of hospitalization to type of fracture (p=0.830). No significant difference between average length of hospitalization to medical treatment (p=0.069). Early prevention should be done by high risk group of osteoporosis. Higher awareness and avoiding fall risk factors should be done by patients in order to prevent future fractures. Santa Elisabeth Hospital is suggested to add fracture complications and type of fragments in medical record. Keywords: Fractures, Elderly, Characteristics
KARAKTERISTIK ANAK YANG MENDERITA LEUKEMIA AKUT RAWAT INAP DI RSUP H. ADAM MALIK MEDAN TAHUN 2011-2012 Sulatriana Pakpahan; Prof. dr. Sorimuda Sarumpaet, MPH; Drs. Jemadi,M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Acute leukemia (AL) is a disease indicated by abnormal accumulation of leukocytes, malignant and excessive amounts, cause death if not treated. The number of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012 was 174 people.To determine the characteristics of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012, it has conducted a descriptive study with case series design. Population is all data of children who suffer AL at RSUP H. Adam Malik Medan in 2011-2012, as many as 174 people. Data sample is children who suffer LA at RSUP H. Adam Malik Medan in 2011-2012 ( total sampling ). Data Source is data obtained from the card status of children who suffer AL recorded in medical records and analyzed statistically using Chi -square test and t-test, it was presented in tabular form distribution proportion, line charts, pie charts, and narrative .The results showed a decrease trend line according to the equation Y = 100,5-3.8 x. The largest proportion of children suffering from acute leukemia is 0-4 years of age (36.8%), male gender (52.9%), Islam (66.1%), residence outside the city of Medan (77.6% ), pale complaints (43.7%), type of leukemia ALL (78.2%), chemotherapy (57.3%), outpatient home (71.3%), average length of stay (8.5 days), and free medical treatment (46.0%). There was no significant differences between age by type AL (p = 0.998), there was no significant difference gender between the type of AL (p = 0.688) and there was no significant difference the average treatment time between the type of AL( p=0,188).To RSUP H. Adam Malik Medan was expected to complete the recording such as ethnicity, family history, and add time AL was diagnosed. To the families of children who suffered AL were expected to take the patient to follow the treatment prodecure until finished. And the public was expected to avoid or protect themselves from exposure pesticides, chemical substances, and radiation that constantly.Keywords: Acute Leukemia, Characteristics of children
KARAKTERISTIK PENDERITA HIPERTENSI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH SIDIKALANG TAHUN 2010-2012 Ria Arihta Ujung; drh. Rasmaliah, M.Kes; Drs. Jemadi, M.Kes
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 2, No 6 (2013): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertyension is one of the degenerative disease a public health problem and important risk factor to arise many ailment of vital organ and bring a weakness of physical, blemish and mortality. Hypertension often called as silent killer because often appears without symptoms, while the blood pressure out of normal. Health Research Association (Riskesdas) Balitbangkes in 2007 showed the prevalence of hypertension nationally reached 31,7%. According to Rasmaliah and friends research in 2004 in work area of Puskesmas Pekan Labuhan, Medan Labuhan, incidens rate of hypertension for people who above 26 years old is 26,4% and patiens of yipertension more in 45-60 years old reached 30,8%. To know the charecteristics of patiens who are hospitalized at General Hospital of  Sidikalang, descriptive study has been done by using case series design and continued with the statistical analysis. The samples were 213 data of patients. From the record data, the result obtained by the higest proportion of female patiens in the age group >60 years (30,0%), Protestant (72,8%), house wives (30,8%), in Dairi (85,9%), second degree of hypertension (79,3%), without comorbidity (56,8%), dyspepsia (54,3%), stroke (53,8), average length of stay 3,45 days, askes (48,4), medically discharged and becoming out patients (81,7). There is no significant  difference between ages with the degree of hypertension (p=0,600). There is no significant  difference between sexes with the degree of hypertension (p=0,087). There is no significant difference between jobs with the degree of hypertension (p=0,716). There is  a difference significant between  average length of stay with the degree of hypertension (p=0,000). To General Hospital of Sidikalang that complement education data recording hospitalized patiens. Give a health promotion to communities to should be empowered, through education in order to contribute active to the prevention and contol of hypertension. To hipertensive patients for his blood pressure checked regurally and maintain a diet and a healthy life style. Keywords : hypertension, patient characteristics, General Hospital of Sidikalang

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