Jemadi .
Universitas Proklamasi 45, Yogyakarta

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASAM URAT (GOUT) PADA USIA ≥ 45 TAHUN DI DESA UJUNG SERDANG KECAMATAN TANJUNG MORAWA TAHUN 2016 manullang, irma yani; ., Rasmaliah; ., Jemadi
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 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 STROKE RAWAT INAP DI RSUD. SIBUHUAN KABUPATEN PADANG LAWAS TAHUN 2014-2015 amani, indah; ., Rasmaliah; ., Jemadi
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 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 IBU BERSALIN DENGAN SEKSIO SESAREA DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN TAHUN 2015-2016 Safira, Nadia; ., 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
HUBUNGAN KADAR KOLESTEROL DENGAN DERAJAT HIPERTENSI PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS HILIWETO GIDO, KABUPATEN NIAS Harefa, Melfa Vania; ., Rasmaliah; ., Jemadi
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

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
KARAKTERISTIK PENDERITA BATU SALURAN KEMIH YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 M Y S, Sinta; ., Rasmaliah; ., Jemadi
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Urolithiasis disease is the third mosted common cause of pain in the urinary tract after Urinary Tract Infections (UTI) and Benign Prostatic Hiperflasia (BPH). In the United States, about 13% of men and 7% of women will establish kidney stone during their lifetime and prevalence continues to increase in industrialized countries. Urolithiasis can attack people around the world, without exception for resident of Indonesia. The aims to identify characteristics of  Urolithiasis who hospitalized at Santa Elisabeth Hospital Medan in 2015-2016 . This is a descriptive study with case series design. Population is all data of patient?s Urolithiasis who was hospitalized in Santa Elisabeth General Hospital Medan 2015-2016 are 332 patient data, 181 samples taken by simple random sampling. The results shows that the largest proportion of Urolithiasis patients was ?45 years old (57,7%), male (63,5%), Bataknese (86,7%), ProtestantChristian (57,5%), Entrepreneur ( 27.6), married (89.5%),and Outside of Medan (57.5%), upper urinary tract (97.8%),> 1 complaint (55,8%), hydronephrosis ( 42.5%), normal creatinin (47,5%), normal ureum (65,2%), operation treatment (50.8%), average lenght of stay at hospital is 5 days, healed (67,4%) There was no significant difference in proportion between genre based on the location of stone, the main complaint based on the location of stone, medical treatment based on the location of stone, medical treatment based on the creatinine of blood, medical treatment based on ureum of blood, the average lenght of stay at hospital based on the location of the stone average lenght of stay at hospital. There was a significant difference in proportion between in the average length of based on the medical management. It was rekomended that patient that patients who have symptomps of Urolithiasis to get medical treatment immediately.   Key Words: Urolithiasis, Patient Characteristics, Santa Elisabeth Hospital
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI STROKE DI RSUP H. ADAM MALIK TAHUN 2014-2016 S, Ribka Valentina; ., Jemadi; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

In Indonesia, the percentage of adults with hypertension increased from 8% in 1995 to 32% in 2008. Hypertension is a major risk factor for cardiovascular disease and stroke. The research was conducted to know the characteristic of hypertension patient with stroke complication at Rumah Sakit Umum Pusat Haji Adam Malik Medan.                The research method is descriptive research with case series design. The population of all patients with hypertension with stroke complication 2014-2016 as many as 113 people.                     The result from this study obtained that the highest proportion of hypertension patient with stroke complication is in the age group 55-59 years old (28,3%), male gender (51,3%), Bataknese (61,1%), Islam (51,3%), entrepreneurs (27.5%), married (79,6%), lives outside of Medan city (72,6%), hypertension stage 2 (72,6%), hemorrhagic stroke (85,0%), normal body mass index (22,1%), no other complications (50,4%), died (45,1%). There is no difference of the age based on the stage of hypertension (p=0,356), type of stroke (p=0,323), gender based on stage of hypertension (p=0,193), type of stroke (p=0,702), type of stroke based on stage of hypertension (p=0,431), stage of hypertension based on body mass index (p=0,748), there is difference between type of stroke and the coming home condition (p=0,002).               Recommended to people at risk of hypertension to routinely check blood pressure and make a healthy lifestyle. To people with hypertension to do regular control and take medication regularly and do a healthy lifestyle to prevent the occurrence of complications.  Keywords: Hypertension, Stroke, Characteristics
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN HIPERTENSI PADA LANSIA DI POSYANDU LANSIA DI WILAYAH KERJA PUSKESMAS PB SELAYANG II KECAMATAN MEDAN SELAYANG Asari, Hazellarissa Valda; ., Rasmaliah; ., Jemadi
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Hypertension is a silent killer causing an iceberg phenomenon. The prevalence of hypertension increased with increasing age.Health Research Association (Riskesdas) in 2013 showed the prevalence of hypertension in Indonesia reached 25,8%. While in North Sumatera, from 10 non-communicable diseases it is known that hypertension prevalence is the second highest with 9,4% prevalence after joint disease which has 11,9% ( Riskesdas in a Number of Province North Sumatra 2013). To determine factors associated with elderly hypertension in Elderly Integrated Service Post at the Work Area of Public Health Center PB Selayang II conducted an analytic survey research by using cross sectional approach. The population is all elderly who live in Integrated Service Post at the Work Area of Public Health Center PB Selayang II. The sample is elderly who visit 9 Elderly Integrated Service in amounting to 112 people. The data collected is primary data from direct interview with respondents using questionnaire. The data analysis done by univariate and bivariate (Chi-square test). Based on the results of the research shown that point prevalence rate of hypertension was 45,5%, the highest proportion of hypertension of the respondents at the category ages of ?60 years old (51,9%), male gender (50%), family history (63,2%), nutritional status (67,4%), inadequate physical activity (55,8%),medium to heavy smoking status (58,30%),smoking by male (53,3%) and smoking by female (42,9%). The results of bivariate analysis shown that 3 variables had a significant association with the elderly hypertension, i.e. history of family (p=0,007 RP=1,731), nutritional status (p=0,000; RP=2,115), and physical activities (p=0,028; RP=1,613). For elderly who has a family history of hypertension should do regular blood test and elderly with obesity and irregular physical activity should maintain ideal body weight and perform regular physical activity. For elderly Integrated Service Post officers, it is necessary to increase the role in guiding the elderly for routine examination of risk factors of hypertension in the elderly, so that the elderly can prevent these risk factors. Keywords: Hypertension, Elderly, Elderly Integrated Service Post
KARAKTERISTIK PENDERITA GAGAL GINJAL KRONIK YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Purba, Yossi Sepriani; ., Jemadi; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Chronic Renal Failure (CRF) is condition of disfunctioned kidney and unable to filter blood as well as healthy kidney. According to Center for Chronic Disease Prevention and Health Promotion (CDC),CRF is the ninth rank of death cause in America. About 1 of 2 adults of 30-64 years old is in risk of CRF (WHO, 2015).The result of Basic Health Reasearch (2013) indicated that the highest prevalence of  CRF patient is in ?75 years 0,6 %. This research is descriptive with case series design which aims to identify the characteristics of CRF patient hospitalized in Santa Elisabeth Medan Hospital in 2015-2016. Population size is also the sample size which are 106 patient's medical records. Univariate data is analysed descriptively and bivariate by Chi Square and Kruskal Wallis test. Highest proportion of CRF patient are in 54-63 years old (31,2%), man (52,8%), Christian (62,3%), Bataknese (86,9%), entrepreneur (31,3%), outside Medan (54,7%), more than 1 main complaint (53,8%), more than 1 disease history (29,2%), average length of stay 6,20 days, non self cost (74,5%), blood ureum level >39mg/100ml (94,4%), blood creatinin level >1.5mg/100ml (96,3%), haemoglobin level <12gr/dl (93,4%), 5th stadium (70,8%), drugs with diet and hemodialysis (66,0%), becoming outpatient (76,4%). There is significant difference in proportion of average length of stay based on CRF stadium. It is recommended to everyone to keep your kidney healthy by keep healthy life style.For Santa Elisabeth Medan Hospital to complete record of condition when being out of hospital, blood ureum and creatinin level record, haemoglobin level record, and CRF stadium record. For other researcher to conduct further analytical research. Keywords: CKF, patient's characteristics, case series
HUBUNGAN FAKTOR INTERNAL DAN EKSTERNAL DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS TELADAN KECAMATAN MEDAN KOTA Damayanti, Dwi; ., Jemadi; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Anemia in pregnancy will increase the risk of hemorrhage which is the prominent cause of maternal mortality in Indonesia. Based on RISKESDAS 2013, prevalence of anemia in pregnancy in Indonesia is 37,1%. Maternal mortality is the indicator of maternal health care and also the evaluator of public health condition within the region. Therefore, the aim of this study is to find out the risk factors of anemia in pregnancy to maximize the effort in reducing maternal mortality. This is Cross Sectional study conducted on January-October 2017. Sample is 3rd trimester pregnant women in the Region of Teladan Public Health Center with 108 samples chosen by Purposive Sampling. Data collected by interviewed based on prepared questioner and measured hemoglobin level using electronic device EasyTouch GCHb. Bivariat analysis using Chi-square test and Fisher Exact test and Multivariat analysis using Logistic Regression. The result shows that anemia in 3rd trimester pregnancy is 64,8%. Statistic analysis at significant level ?=0,05 shows there are correlation between nutritional status (p=0,010) and intake of iron supplementation (p=0,000) with anemia in pregnancy. Meanwhile age (p=1,000), parity (p=0,719), birth spacing (p=0,485), education (p=0,110), and frequency of antenatal (p=0,148) have no correlation with anemia in pregnancy. Multivariate analysis shows that the most dominant factor of anemia in pregnancy is intake of iron suplementation (Exp(B)=8,107). Pregnant women are advised to fulfill the needs of iron and nutrition during pregnancy. As for the public health center, it is important for antenatal care to be conducted in Maternal and Child Health Center in order to reach the pregnant women who are not mobile to visit the public health center. Keyword: Anemia, 3rd Trimester Pregnancy, Teladan Public Health Center
KARAKTERISTIK PENDERITA DEMAM TIFOID YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2016 Gultom, Mai Debora; ., Jemadi; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Typhoid fever is a systemic infection caused by Salmonella Typhi, usually by consuming of food and water that has been contaminated. WHO (2003) notified there were 17 million typhoid fever cases with CFR 3,5 %. In 2008, typhoid fever cases hospitalized in North Sumatera hospital were 10.80%. The aims to identify characteristics of  Tifoid Fever patient. This is a descriptive study with case series design. The population of this study was 739 patients with 259 data sample was taken by Simple random sampling. Univariate analysis descriptive and bivariate analysis used Chi-Square test, Fisher test, and Mann Whitney test. Patients of Typhoid Fever The are age 5-14 years 31.3%, women 57,5% ,bataknese 93,4%, Protestant 70,3%,  student/student college 45,9 %, unmarried 71.8%, Medan city 73%, fever 100%, Tubex test  4  (72,6%) and 6 (27,4%), no complication 95,4%, Bronchopneumonia 75%, not their own cost 67,2%, time of hospitalization around 4,39 days, and go home and recover 97,3%. There was difference of sex proportion based on the complication status (p = 0,954), the sources of cost proportion based on complication status (p=0,111), the time of hospitalization proportion based on the source of cost (p = 0.001), the time of hospitalization proportion based on the condition while of home (p = 0.004). It is Expected for patient with Typhoid Fever to maintain the hygiene of food and drink consumed. For Santa Elisabeth Medan is expected to complete the patient medical record and for patient is cured to be advised to do bacteriological check again until cured completely.   Key words: Characteristics, Typhoid Fever, Santa Elisabeth Hospital Medan