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KARAKTERISTIK PENDERITA OSTEOARTRITIS RAWAT JALAN DI RSUD DR. PIRNGADI MEDAN TAHUN 2015 M, Riska Juliana; Lubis, Rahayu; ., Rasmaliah
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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Osteoarthritis (OA) is a disease caused by the wear of joints, demage of cartilage in the outer layers caused by repeated used of joints can lead to disability. According to WHO, 8,1% of total population in Indonesia suffering from OA. This study aims to research the characteristics of OA patients in outpatient in RSUD Dr. Pirngadi Medan in 2015, descriptive case series design. Data were analyzed by chi-square test, Fisher, and Kolomogorov-Smirnov. The population was 967 OA patient in outpatient and the sample was 96 patient. The research showed that the highest proportion of OA patients at age group 45 - 59 (39,6%), female (80.2%), Muslim (54.2%), senior secondary education (69.8%), from the city of Medan (74%), the location of the genus joint (53.1%), the largest other disease is hypertension (29.2%), with pharmacological (91.7%), OA patient the number of visit was ? 3 times (63,5%) and cost source from JKN (87.5%). There was no significant difference between age and the joint location. There was no significant difference between the gender and the joint location and there was no significant difference occupation and the joint location. To the risk population of OA in order to carry out examination of the bones to prevent damage to bones or joints are more severe. Patient with OA, particulary 45-65 years old and have obesity should not do more activity, especially in the genus joint and is recommended for reducing weight through proper diet. Patient with OA should receive treatment of physiotherapy rather than taking non-steroidal anti-inflammatory drug to prevent an increase in hypertension. To RSUD Dr. Pirngadi Medan, field the complements medical record OA patients by add BMI patients and history of injury patient. Key words: OA, Patient Characteristic
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
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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
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 lubis, zakiah ibhan; ., Sori Muda; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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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
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM DAERAH (RSUD) GUNUNGSITOLI TAHUN 2015 Zebua, Maria Margareth; ., 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
KARAKTERISTIK PENDERITA STROKE HEMORAGIK (SH) RAWAT INAP DI RSUD RADEN MATTAHER PROVINSI JAMBI TAHUN 2015 padang, ira aminah; ., Rasmaliah; ., Hiswani
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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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
GAMBARAN BATITA PENDERITA PNEUMONIA YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015 hutauruk, jenika romian; Sarumpaet, Sori Muda; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Pneumonia is one of health issues and the biggest contributor that causes of death for children under five years old. Pneumonia kills 1 in 5 children under five years old, kills more than 2 million children under five years old every year and mainly in developing countries. In 2013 at North Sumatra, there are 23.643 cases of pneumonia. This study aims to describe the the children under three years old with pneumonia who are hospitalized at Santa Elisabeth Hospital Medan in 2015. This study uses the case series and the population is all of the the children under three years old with pneumonia who are hospitalized at Santa Elizabeth Hospital in 2015, total population is 106 children and be the sampel.  This study uses secondary data with statistical analysis Chi-Square test, Mann-Whitney test and Kruskal-Wallis tes. The result describe in narrative, in frequency distribution table, in pie and bar chart. This study showed that the proportion of the children under three years old with pneumonia is highest in the age group 24-35 months (44.3%), male (60.4%), Batak (93.4%), Protestants (75.5%), Medan (64.2%), good nutritional status (76.5%), incomplete immunization status (59.4%), without concomitant diseases (83.0%), the degree of pneumonia (91.5%) , average of treatment duration 4.76 days and recovered (83.0%). There is no difference in age with pneumonia based on the degree of pneumonia, average of treatment duration based on age, degree of pneumonia and after treatment conditions. There is a difference in average of treatment duration based on nutritional status  and concomitant diseases, the nutritional status based on the degree of pneumonia and the degree of pneumonia based on after treatment conditions.Children's polyclinic of Santa Elisabeth Hospital provide a counseling for the parents about  pneumonia.  The  parents who have children with concomitant diseases should be more aware to prevent their children from pneumonia. The department of medical records must complete the card status registration especially in history of birth weight and exclusive breastfeeding.Keywords: Describe, Children under three years and Pneumonia
KARAKTERISTIK PENDERITA KISTA OVARIUM PADA WANITA SEBELUM MENOPAUSE YANG DIRAWAT INAP DI RS. HAJI MEDAN TAHUN 2014-2015 apriani, sri; ., Hiswani; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract Ovarian cyst is one of the gynecological benign tumor most often found in women in their reproductive life. Based on Indonesia Demographic Health Survey incidence of ovarian cysts in Indonesia reached 37,2%. The incidence of ovarian cyst diasease in Sumatera Utara Province is not yet know with certaintybecause the recording and reporting unfavorable. To determine the characteristics of patients with ovarian cyst the women before menopause who are hospitalized at Haji Hospital Medan in 2014-2015 was a descriptive study with case series design. Population and samples of data 126 patients (Total Sampling) with disease proportion 0,66%. Univariate data  were analyzed by descriptive, bivariate data were analyzed with Chi- square. The research found ovarian cysts proportion of patients: age 30-34 years (19,9%), Batak (32,5%), Islam (95,2%), high school education (40,5%), occupation housewife (49,2%), married status (81,0%), the size of the cyst diameter  5,25 ? 8,39 cm2 (29,3%), korpus luteum cyst (27,7%), type benign cyst (78,6%),   lower abdominal pain (40,8%), menstrual regularities (87,3%), early menarche (< 12 years) (57,9%), normality (0- 35 u/ml) CA-125 examination yield (61,4%), surgieal treatment (79,4%), the average treatment lenght 7,2 % days or 7 days, the source of the cost of treatment with BPJS/ASKES (83,3%), the origin of the patient was the Medan City (65,9%), out patient home (97,6%), there is no significant difference between the proportion of patients age by menstruation status (p= 0,792), the proportion of patients age by cyst type (p= 0,113), the proportion of cyst type by married status (p=0,774), the proportion of cyst type by the size of the cyst diameter  (p= 0,762), the proportion of menarche story (p=0,470), the proportion of the size of the cyst diameter  by complaints (p= 0,940), the proportion of the average treatment lenght by medical treatment (p=0,237), the proportion of surgieal treatment by state while returning (p = 0,503). Expected to hospital Haji Medan in order to data complementary  be related to with ovarian cyst as parity data. For childbearing age (15-49 age) in order to symptom cyst attention as risk factor happen cyst. Keywords: Ovarian cyst, Characteristics of patients ovarian cyst.
HUBUNGAN KARAKTERISTIK IBU DAN PEMBERIAN IMUNISASI DENGAN STATUS GIZI ANAK BATITA UMUR 1-3 TAHUN DI DESA TANJUNG BERINGIN KABUPATEN DAIRI TAHUN 2016 sibarani, mey sari; Sarumpaet, Sori Muda; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Every child should receive the basic immunizations before the age of 12 months. The completeness of immunizations can prevent toddler from infectious diseases, moreover, it can also improve their nutritional status. The implementation of immunizations in Puskesmas Pegagan Julu II Tanjung Beringin 2015 has not reached the national standard, which is 80%. Based on data from Puskesmas Pegagan Julu II Tanjung Beringin 2015 the percentage  of severe malnutrition on toddlers is 6,13% and the malnutrition is 18,40%. The purpose of this research is to know about the correlation between the characteristics of mothers by giving immunizations and the nutritional status of toddlers aged 12-36 months in Desa Tanjung Beringin Kabupaten Dairi 2016. This non-experimental study using observational analytic method with Cross - Sectional approach. The population in this research were 245 toddlers ranged between aged 12-36 months were recorded in Puskesmas Pegagan Julu II Tanjung Beringin 2015. The research?s samples were 71 toddlers aged 1-3 years. The sampling technique using Purposive Sampling. Data were collected by questionnaire. The collected data were processed and analyzed using  computer. The results showed that there was no significant correlation between the age of the mother (p = 0,479), the education of mother (p = 0,429), the occupation of mother (p = 0,429), the number of the toddlers (p = 1,000) and sex of toddlers (p = 0,295) with the nutritional status of the toddlers. There is a relationship between toddler?s age with  toddler?s nutrition status (p = 0,043). In 2016 more toddlers who are have good nutrition (87,3 %) than less (12,7 %). The conclusion of this research is there no significant correlation between mother?s characteristics with the nutritional status of toddlers in Desa Tanjung Beringin Kabupaten Dairi 2016. The suggestions is, to increase the monitoring activity, the assessment of the nutritional status and to provide nutrition consultation guidance for mother of toddler were done routinely by health workers in order to improve the nutritional status of the toddler. Keyword : Mother?s Characteristics, Immunization, Nutritional Status
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN STROKE YANG DIRAWAT INAP DI RUMAH SAKIT UMUM KABANJAHE TAHUN 2011-2015 naibaho, elen dinarta; Sarumpaet, Sori Muda; ., Rasmaliah
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2016): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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ABSTRACT Non Communicabke Disease (NCD) is the priming cause of death globally. Hypertension is called as The Silent Killer Disease, if it cant be controlled, will envolve and give rising to complication which are Coronary Disease, Chronic Renal Failure (CRF), and Stroke. Hypertension was the biggest cause death of stroke (51%), while coronary disease (45%). In Indonesian the highest prevalence complication of hypertension is stroke (12,1%), then coronory disease (1,5%), CRF (0,2%) (In Kemenkes RI, 2015). The objective study is to know the characteristic of patient Hypertension with Stroke which was hospitalized at Kabanjahe General Hospital in 2011-2015. This study was adopted descriptive research with case series design. The population was as same as with the sample were 115 patients. The result of this study obtained that the highest proportions of suffers result in the age group ? 55 years old (72,2%), sex woman (51,3%), Protestant (62,5%), farmer (45,2%), married (80,0%), degree 2 (62,6%), stroke non haemorragic (70,4%), hemiparese sinistra (54,8%), the length of average treatment was 6,99 days, and coming home condition was by PBJ (74,8%). There are no significant differences between the age based on the degree of hypertension (p=0,382), type of stroke (p=0,062), between sex based on the degree of hypertension (p=0,257), type of stroke (p=0,772),between degree of hypertension based on the coming home condition (p=0,501), there is a significant differences between type of stroke based on the coming home condition (p=0,008), and between type of stroke based on the degree of hypertension (p=0,005). Recommended to the staff of Kabanjahe General Hospital to give conseling to the family of the patients  about the real condition of the patients, the risky factors of Hypertension with Stroke and the preventions of it that can be done, and write medical record data such as family history of disease, smoking or not. Keywods : Hypertension of Stroke, Characteristic of patients
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 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